Price Transparency Hospital negotiated rates

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

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Hospital

WOODLAND MEMORIAL HOSPITAL

Woodland, CA · CCN 050127 · Rates published

10,985 distinct procedures filed
20 distinct payers
965,820 rate rows
2026-02-28 last MRF observed
Data quality

836,732 of 965,820 rate rows are consumer-grade (86.6%)

129,088 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 118,000
per-diem day rate — not a per-procedure price 6,022
template filing: same amount across many unrelated codes — excluded 3,552
exceeds 10× this hospital's gross charge — excluded from medians 1,326
placeholder amount (≤ $0.02) — excluded from medians 188
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dignityhealth.org/content/dam/dignity-health/documents/mrf-json/northern-california/json/815009488_woodland-memorial-hospital_standardcharges.json?target=%22_blank%22
Found on page https://www.dignityhealth.org/sacramento/patients-and-visitors/for-patients/billing-information/hospital-pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint e3a5f974b24501ae… · 114,777,965 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
6332423
CDM 		Peg-electrolyte 4l Liq 13 $166,636.80 $1,514,880.00 $1,287,648.00 nat. median
$148
outlier · 8700.3×
J0225
HCPCS 		Vutris 25mg/0.5ml Pfsjwtb 13 $61,182.00 $556,200.00 $500,580.00 nat. median
$8,223
outlier · 60.9×
5834
APR_DRG 		Neonate With Ecmo 10 $342,182.00 $615,928.00 $479,055.00 nat. median
$309,665
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $14,412.00 $378,568.71 $371,145.79 nat. median
$370,174
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $255,224.00 $459,403.00 $357,313.50 nat. median
$246,434
1.4× median
5833
APR_DRG 		Neonate With Ecmo 10 $297,996.00 $372,495.00 $335,245.50 nat. median
$244,017
1.4× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 $173,475.00 $312,255.00 $242,865.00 nat. median
$150,721
1.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 10 $235,408.00 $235,408.00 $235,408.00 nat. median
$207,730
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $167,781.00 $302,006.00 $234,893.50 nat. median
$151,838
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $166,108.00 $298,994.00 $232,551.00 nat. median
$164,279
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 $163,184.00 $293,731.00 $228,457.50 nat. median
$122,924
1.9× median
24
APR_DRG 		Heart And/or Lung Transplant 10 $228,058.00 $228,058.00 $228,058.00 nat. median
$234,738
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 $161,318.00 $290,372.00 $225,845.00 nat. median
$162,982
1.4× median
5832
APR_DRG 		Neonate With Ecmo 10 $187,000.00 $233,750.00 $210,375.00 nat. median
$156,126
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $163,694.00 $204,617.00 $184,155.50 nat. median
$182,736
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $159,340.00 $199,175.00 $179,257.50 nat. median
$145,336
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 10 $178,385.00 $178,385.00 $178,385.00 nat. median
$119,796
1.5× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 $125,861.00 $226,549.00 $176,205.00 nat. median
$109,499
1.6× median
5831
APR_DRG 		Neonate With Ecmo 10 $151,436.00 $189,295.00 $170,365.50 nat. median
$145,122
1.2× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 $121,068.00 $217,923.00 $169,495.50 nat. median
$118,620
1.4× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 10 $169,074.00 $169,074.00 $169,074.00 nat. median
$160,267
1.1× median
J9347
HCPCS 		Tre-actl300mg/15mlsdvjwtb 13 $20,592.00 $187,200.00 $168,480.00 nat. median
$3,461
outlier · 48.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $30,246.00 $283,066.00 $156,656.00 nat. median
$265,286
0.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 10 $151,952.00 $151,952.00 $151,952.00 nat. median
$164,834
0.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 10 $149,142.00 $149,142.00 $149,142.00 nat. median
$105,658
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 10 $147,645.00 $147,645.00 $147,645.00 nat. median
$187,294
0.8× median
23
APR_DRG 		Heart And/or Lung Transplant 10 $144,340.00 $144,340.00 $144,340.00 nat. median
$93,528
1.5× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 10 $143,137.00 $143,137.00 $143,137.00 nat. median
$129,535
1.1× median
1612
APR_DRG 		Implantable Heart Assist Systems 10 $143,054.00 $143,054.00 $143,054.00 nat. median
$85,406
1.7× median
1611
APR_DRG 		Implantable Heart Assist Systems 10 $136,065.00 $136,065.00 $136,065.00 nat. median
$76,806
1.8× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 $94,113.00 $169,403.00 $131,758.00 nat. median
$95,507
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $24,584.00 $238,584.11 $131,584.05 nat. median
$206,368
0.6× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $113,011.00 $141,264.00 $127,137.50 nat. median
$108,996
1.2× median
J7330
HCPCS 		Maci Imp 56051x-61656 16 $33,910.80 $308,280.00 $126,394.80 nat. median
$76,377
1.7× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $108,751.00 $135,938.00 $122,344.50 nat. median
$102,636
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 15 $24,584.00 $215,658.26 $120,121.13 nat. median
$202,986
0.6× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $105,979.00 $132,474.00 $119,226.50 nat. median
$124,573
1.0× median
4848967
CDM 		Cath Other 23772x-26149 12 $14,381.95 $130,745.00 $117,670.50 nat. median
$98,059
1.2× median
64
APR_DRG 		Pancreas Transplant 10 $114,046.00 $114,046.00 $114,046.00 nat. median
$91,748
1.2× median
C1825
HCPCS 		Nrstm Crsn Br26149x-28764 18 $15,820.20 $143,820.00 $111,460.50 nat. median
$52,021
outlier · 2.1×
C1823
HCPCS 		Nrstm Trn S/s26149x-28764 18 $15,820.20 $143,820.00 $111,460.50 nat. median
$26,775
outlier · 4.2×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 10 $107,340.00 $107,340.00 $107,340.00 nat. median
$97,957
1.1× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 $93,971.00 $117,464.00 $105,717.50 nat. median
$72,936
1.4× median
8634
APR_DRG 		Neonatal Aftercare 10 $74,967.00 $134,940.00 $104,953.50 nat. median
$69,502
1.5× median
22
APR_DRG 		Heart And/or Lung Transplant 10 $103,885.00 $103,885.00 $103,885.00 nat. median
$78,029
1.3× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 $91,458.00 $114,323.00 $102,890.50 nat. median
$86,492
1.2× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 $102,402.00 $102,402.00 $102,402.00 nat. median
$68,217
1.5× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 $71,379.00 $128,482.00 $99,930.50 nat. median
$72,694
1.4× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $87,869.00 $109,837.00 $98,853.00 nat. median
$86,258
1.1× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 10 $98,573.00 $98,573.00 $98,573.00 nat. median
$69,926
1.4× median

Other procedures at this hospital

Browse this hospital's 10,985 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 28 10 — — $342,182.00 $615,928.00 $479,055.00 2026-02-28
5833 APR_DRG Neonate With Ecmo 28 10 — — $297,996.00 $372,495.00 $335,245.50 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 28 10 — — $255,224.00 $459,403.00 $357,313.50 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 28 10 — — $235,408.00 $235,408.00 $235,408.00 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 28 10 — — $228,058.00 $228,058.00 $228,058.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 28 10 — — $187,000.00 $233,750.00 $210,375.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 28 10 — — $178,385.00 $178,385.00 $178,385.00 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 28 10 — — $173,475.00 $312,255.00 $242,865.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 28 10 — — $169,074.00 $169,074.00 $169,074.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 28 10 — — $167,781.00 $302,006.00 $234,893.50 2026-02-28
6332423 CDM Peg-electrolyte 4l Liq 40 13 $1,514,880.00 $415,077.12 73% off $166,636.80 $1,514,880.00 $1,287,648.00 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 28 10 — — $166,108.00 $298,994.00 $232,551.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 28 10 — — $163,694.00 $204,617.00 $184,155.50 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 28 10 — — $163,184.00 $293,731.00 $228,457.50 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 28 10 — — $161,318.00 $290,372.00 $225,845.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 28 10 — — $159,340.00 $199,175.00 $179,257.50 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 28 10 — — $151,952.00 $151,952.00 $151,952.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 28 10 — — $151,436.00 $189,295.00 $170,365.50 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 28 10 — — $149,142.00 $149,142.00 $149,142.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 28 10 — — $147,645.00 $147,645.00 $147,645.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 28 10 — — $144,340.00 $144,340.00 $144,340.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 28 10 — — $143,137.00 $143,137.00 $143,137.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 28 10 — — $143,054.00 $143,054.00 $143,054.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 28 10 — — $136,065.00 $136,065.00 $136,065.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 28 10 — — $125,861.00 $226,549.00 $176,205.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 28 10 — — $121,068.00 $217,923.00 $169,495.50 2026-02-28
64 APR_DRG Pancreas Transplant 28 10 — — $114,046.00 $114,046.00 $114,046.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 28 10 — — $113,011.00 $141,264.00 $127,137.50 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 28 10 — — $108,751.00 $135,938.00 $122,344.50 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 28 10 — — $107,340.00 $107,340.00 $107,340.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 28 10 — — $105,979.00 $132,474.00 $119,226.50 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 28 10 — — $103,885.00 $103,885.00 $103,885.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 28 10 — — $102,402.00 $102,402.00 $102,402.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 28 10 — — $98,573.00 $98,573.00 $98,573.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 28 10 — — $94,113.00 $169,403.00 $131,758.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 28 10 — — $93,971.00 $117,464.00 $105,717.50 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 28 10 — — $93,240.00 $93,240.00 $93,240.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 28 10 — — $92,287.00 $92,287.00 $92,287.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 28 10 — — $91,795.00 $91,795.00 $91,795.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 28 10 — — $91,458.00 $114,323.00 $102,890.50 2026-02-28
63 APR_DRG Pancreas Transplant 28 10 — — $90,289.00 $90,289.00 $90,289.00 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 28 10 — — $87,869.00 $109,837.00 $98,853.00 2026-02-28
4404 APR_DRG Kidney Transplant 28 10 — — $86,526.00 $86,526.00 $86,526.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 28 10 — — $85,404.00 $85,404.00 $85,404.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 28 10 — — $84,634.00 $84,634.00 $84,634.00 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 28 10 — — $81,444.00 $81,444.00 $81,444.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 28 10 — — $77,666.00 $77,666.00 $77,666.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 28 10 — — $74,967.00 $134,940.00 $104,953.50 2026-02-28
1784 APR_DRG External Heart Assist Systems 28 10 — — $74,624.00 $74,624.00 $74,624.00 2026-02-28
62 APR_DRG Pancreas Transplant 28 10 — — $74,166.00 $74,166.00 $74,166.00 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 28 10 — — $72,514.00 $72,514.00 $72,514.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 28 10 — — $71,939.00 $71,939.00 $71,939.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 28 10 — — $71,805.00 $71,805.00 $71,805.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 28 10 — — $71,668.00 $71,668.00 $71,668.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 28 10 — — $71,379.00 $128,482.00 $99,930.50 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 28 10 — — $70,952.00 $88,690.00 $79,821.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 28 10 — — $70,822.00 $88,527.00 $79,674.50 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 28 10 — — $70,362.00 $87,952.00 $79,157.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 28 10 — — $68,811.00 $68,811.00 $68,811.00 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 28 10 — — $68,610.00 $123,497.00 $96,053.50 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 28 10 — — $67,950.00 $67,950.00 $67,950.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 28 10 — — $67,724.00 $67,724.00 $67,724.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 28 10 — — $66,715.00 $66,715.00 $66,715.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 28 10 — — $66,666.00 $66,666.00 $66,666.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 28 10 — — $64,284.00 $80,355.00 $72,319.50 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 28 10 — — $64,177.00 $64,177.00 $64,177.00 2026-02-28
1794 APR_DRG Defibrillator Implants 28 10 — — $63,930.00 $63,930.00 $63,930.00 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 28 10 — — $63,835.00 $63,835.00 $63,835.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 28 10 — — $63,748.00 $63,748.00 $63,748.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 28 10 — — $63,325.00 $63,325.00 $63,325.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 28 10 — — $62,477.00 $62,477.00 $62,477.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 28 10 — — $62,173.00 $62,173.00 $62,173.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 28 10 — — $61,759.00 $61,759.00 $61,759.00 2026-02-28
61 APR_DRG Pancreas Transplant 28 10 — — $61,610.00 $61,610.00 $61,610.00 2026-02-28
J0225 HCPCS Vutris 25mg/0.5ml Pfsjwtb 40 13 $556,200.00 $152,398.80 73% off $61,182.00 $556,200.00 $500,580.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 28 10 — — $60,775.00 $75,968.00 $68,371.50 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 28 10 — — $60,726.00 $75,908.00 $68,317.00 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 28 10 — — $60,565.00 $60,565.00 $60,565.00 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 28 10 — — $59,624.00 $59,624.00 $59,624.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 28 10 — — $58,153.00 $104,676.00 $81,414.50 2026-02-28
1783 APR_DRG External Heart Assist Systems 28 10 — — $57,181.00 $57,181.00 $57,181.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 28 10 — — $56,956.00 $56,956.00 $56,956.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 28 10 — — $56,887.00 $56,887.00 $56,887.00 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 28 10 — — $56,761.00 $56,761.00 $56,761.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 28 10 — — $55,751.00 $100,352.00 $78,051.50 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 28 10 — — $55,578.00 $55,578.00 $55,578.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 28 10 — — $55,565.00 $55,565.00 $55,565.00 2026-02-28
234 APR_DRG Spinal Procedures 28 10 — — $55,265.00 $55,265.00 $55,265.00 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 28 10 — — $54,503.00 $54,503.00 $54,503.00 2026-02-28
4403 APR_DRG Kidney Transplant 28 10 — — $54,068.00 $54,068.00 $54,068.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 28 10 — — $53,538.00 $53,538.00 $53,538.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 28 10 — — $53,522.00 $53,522.00 $53,522.00 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 28 10 — — $53,516.00 $66,895.00 $60,205.50 2026-02-28
6904 APR_DRG Acute Leukemia 28 10 — — $53,130.00 $53,130.00 $53,130.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 28 10 — — $53,120.00 $53,120.00 $53,120.00 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 28 10 — — $52,578.00 $52,578.00 $52,578.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 28 10 — — $52,464.00 $94,436.00 $73,450.00 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 28 10 — — $52,397.00 $52,397.00 $52,397.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 28 10 — — $52,235.00 $52,235.00 $52,235.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 28 10 — — $52,201.00 $52,201.00 $52,201.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 28 10 — — $52,193.00 $52,193.00 $52,193.00 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 28 10 — — $51,631.00 $51,631.00 $51,631.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 28 10 — — $51,550.00 $51,550.00 $51,550.00 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 28 10 — — $51,524.00 $64,405.00 $57,964.50 2026-02-28
4414 APR_DRG Major Bladder Procedures 28 10 — — $51,399.00 $51,399.00 $51,399.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 28 10 — — $51,398.00 $92,516.00 $71,957.00 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 28 10 — — $51,161.00 $51,161.00 $51,161.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 28 10 — — $50,835.00 $50,835.00 $50,835.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 28 10 — — $50,752.00 $50,752.00 $50,752.00 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 28 10 — — $50,700.00 $50,700.00 $50,700.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 28 10 — — $50,252.00 $62,815.00 $56,533.50 2026-02-28
274 APR_DRG Other Open Craniotomy 28 10 — — $49,262.00 $49,262.00 $49,262.00 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 28 10 — — $48,703.00 $87,665.00 $68,184.00 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 28 10 — — $48,577.00 $48,577.00 $48,577.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 28 10 — — $48,329.00 $48,329.00 $48,329.00 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 28 10 — — $48,102.00 $48,102.00 $48,102.00 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 15 — — $47,975.00 $106,030.00 $77,002.50 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 42 15 — — $47,975.00 $84,669.10 $66,322.05 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 28 10 — — $47,894.00 $47,894.00 $47,894.00 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 28 10 — — $47,798.00 $47,798.00 $47,798.00 2026-02-28
4402 APR_DRG Kidney Transplant 28 10 — — $47,537.00 $47,537.00 $47,537.00 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 28 10 — — $47,395.00 $47,395.00 $47,395.00 2026-02-28
4014 APR_DRG Adrenal Procedures 28 10 — — $47,237.00 $47,237.00 $47,237.00 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 28 10 — — $46,491.00 $46,491.00 $46,491.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 28 10 — — $46,451.00 $46,451.00 $46,451.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 28 10 — — $46,398.00 $46,398.00 $46,398.00 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 28 10 — — $46,258.00 $46,258.00 $46,258.00 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 28 10 — — $45,847.00 $57,309.00 $51,578.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 28 10 — — $45,699.00 $45,699.00 $45,699.00 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 28 10 — — $45,467.00 $45,467.00 $45,467.00 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 28 10 — — $45,034.00 $45,034.00 $45,034.00 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 15 — — $45,031.00 $72,282.61 $58,656.81 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 28 10 — — $44,748.00 $44,748.00 $44,748.00 2026-02-28
1793 APR_DRG Defibrillator Implants 28 10 — — $44,620.00 $44,620.00 $44,620.00 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 28 10 — — $44,575.00 $44,575.00 $44,575.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 28 10 — — $44,562.00 $44,562.00 $44,562.00 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 28 10 — — $44,436.00 $44,436.00 $44,436.00 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 28 10 — — $44,226.00 $55,282.00 $49,754.00 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 28 10 — — $44,063.00 $44,063.00 $44,063.00 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 28 10 — — $43,685.00 $43,685.00 $43,685.00 2026-02-28
2324 APR_DRG Gastric Fundoplication 28 10 — — $43,453.00 $43,453.00 $43,453.00 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 28 10 — — $43,439.00 $43,439.00 $43,439.00 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 28 10 — — $43,149.00 $53,937.00 $48,543.00 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 28 10 — — $43,062.00 $43,062.00 $43,062.00 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 28 10 — — $42,949.00 $42,949.00 $42,949.00 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 28 10 — — $42,946.00 $42,946.00 $42,946.00 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 28 10 — — $42,825.00 $53,532.00 $48,178.50 2026-02-28
4401 APR_DRG Kidney Transplant 28 10 — — $42,624.00 $42,624.00 $42,624.00 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 28 10 — — $42,582.00 $42,582.00 $42,582.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 42 15 — — $42,508.00 $68,300.20 $55,404.10 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 28 10 — — $42,327.00 $42,327.00 $42,327.00 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 28 10 — — $42,209.00 $42,209.00 $42,209.00 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 28 10 — — $42,182.00 $42,182.00 $42,182.00 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 28 10 — — $41,934.00 $41,934.00 $41,934.00 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 28 10 — — $41,724.00 $52,155.00 $46,939.50 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 28 10 — — $41,488.00 $41,488.00 $41,488.00 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 28 10 — — $41,336.00 $41,336.00 $41,336.00 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 28 10 — — $41,277.00 $41,277.00 $41,277.00 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 28 10 — — $41,258.00 $41,258.00 $41,258.00 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 28 10 — — $41,144.00 $41,144.00 $41,144.00 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 28 10 — — $40,968.00 $40,968.00 $40,968.00 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 28 10 — — $40,799.00 $40,799.00 $40,799.00 2026-02-28
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 28 10 — — $40,798.00 $40,798.00 $40,798.00 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 28 10 — — $40,599.00 $40,599.00 $40,599.00 2026-02-28
4034 APR_DRG Procedures For Obesity 28 10 — — $40,415.00 $40,415.00 $40,415.00 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 28 10 — — $40,309.00 $40,309.00 $40,309.00 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 28 10 — — $40,175.00 $40,175.00 $40,175.00 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 28 10 — — $40,071.00 $40,071.00 $40,071.00 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 28 10 — — $39,980.00 $49,975.00 $44,977.50 2026-02-28
8633 APR_DRG Neonatal Aftercare 28 10 — — $39,925.00 $49,907.00 $44,916.00 2026-02-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 28 10 — — $39,802.00 $39,802.00 $39,802.00 2026-02-28
6504 APR_DRG Splenectomy 28 10 — — $39,684.00 $39,684.00 $39,684.00 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 28 10 — — $39,544.00 $39,544.00 $39,544.00 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 28 10 — — $39,524.00 $39,524.00 $39,524.00 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 28 10 — — $39,381.00 $39,381.00 $39,381.00 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 28 10 — — $39,103.00 $39,103.00 $39,103.00 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 44 15 — — $38,994.00 $85,955.87 $62,474.93 2026-02-28
460 MS_DRG No Active Code Description 22 9 — — $38,994.00 $38,994.00 $38,994.00 2026-02-28
453 MS_DRG No Active Code Description 22 9 — — $38,994.00 $38,994.00 $38,994.00 2026-02-28
454 MS_DRG No Active Code Description 22 9 — — $38,994.00 $38,994.00 $38,994.00 2026-02-28
459 MS_DRG No Active Code Description 22 9 — — $38,994.00 $38,994.00 $38,994.00 2026-02-28
455 MS_DRG No Active Code Description 22 9 — — $38,994.00 $38,994.00 $38,994.00 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 44 15 — — $38,907.00 $62,616.77 $50,761.89 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 28 10 — — $38,886.00 $38,886.00 $38,886.00 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 28 10 — — $38,866.00 $38,866.00 $38,866.00 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 28 10 — — $38,659.00 $38,659.00 $38,659.00 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 28 10 — — $38,644.00 $38,644.00 $38,644.00 2026-02-28
913 APR_DRG Other Major Head And Neck Procedures 28 10 — — $38,520.00 $38,520.00 $38,520.00 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 28 10 — — $38,425.00 $69,164.00 $53,794.50 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 28 10 — — $38,400.00 $38,400.00 $38,400.00 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 28 10 — — $37,767.00 $47,208.00 $42,487.50 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 28 10 — — $37,139.00 $46,424.00 $41,781.50 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 28 10 — — $36,936.00 $66,485.00 $51,710.50 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 28 10 — — $36,774.00 $66,194.00 $51,484.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 44 15 — — $36,388.00 $58,641.37 $47,514.68 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 28 10 — — $36,266.00 $45,332.00 $40,799.00 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 28 10 — — $36,136.00 $45,170.00 $40,653.00 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 15 — — $34,896.00 $57,215.00 $46,055.50 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 42 15 — — $34,683.00 $57,215.00 $45,949.00 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 28 10 — — $34,031.00 $61,255.00 $47,643.00 2026-02-28
J7330 HCPCS Maci Imp 56051x-61656 58 16 $308,280.00 $84,468.72 73% off $33,910.80 $308,280.00 $126,394.80 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 42 15 — — $32,652.00 $57,215.00 $44,933.50 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 44 15 — — $32,300.00 $57,215.00 $44,757.50 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 44 15 — — $30,795.00 $57,215.00 $44,005.00 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 42 15 — — $30,246.00 $283,066.00 $156,656.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 42 15 — — $30,246.00 $111,476.29 $70,861.15 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 42 15 — — $30,246.00 $110,217.54 $70,231.77 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 42 15 — — $30,246.00 $93,387.37 $61,816.68 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 42 15 — — $30,246.00 $71,925.40 $51,085.70 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 42 15 — — $30,246.00 $63,194.13 $46,720.07 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 42 15 — — $30,246.00 $63,114.08 $46,680.04 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 42 15 — — $30,246.00 $51,275.91 $40,760.96 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 42 15 — — $29,493.00 $47,759.79 $38,626.39 2026-02-28
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 28 10 — — $28,172.00 $50,710.00 $39,441.00 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 44 15 — — $27,376.00 $57,215.00 $42,295.50 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 42 15 — — $25,889.00 $57,215.00 $41,552.00 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 42 15 — — $24,803.00 $57,215.00 $41,009.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 44 15 — — $24,584.00 $238,584.11 $131,584.05 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 44 15 — — $24,584.00 $215,658.26 $120,121.13 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 44 15 — — $24,584.00 $142,598.11 $83,591.05 2026-02-28
7 MS_DRG Lung Transplant 44 15 — — $24,584.00 $131,979.69 $78,281.85 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 44 15 — — $24,584.00 $107,771.06 $66,177.53 2026-02-28
215 MS_DRG Other Heart Assist System Implant 44 15 — — $24,584.00 $107,224.73 $65,904.37 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 15 — — $24,584.00 $97,782.02 $61,183.01 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 44 15 — — $24,584.00 $86,002.91 $55,293.46 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 44 15 — — $24,584.00 $81,872.41 $53,228.21 2026-02-28
10 MS_DRG Pancreas Transplant 44 15 — — $24,584.00 $80,990.88 $52,787.44 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 44 15 — — $24,584.00 $80,533.59 $52,558.79 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 44 15 — — $24,584.00 $79,423.93 $52,003.96 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 15 — — $24,584.00 $78,634.46 $51,609.23 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 44 15 — — $24,584.00 $75,899.80 $50,241.90 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 44 15 — — $24,584.00 $69,536.95 $47,060.47 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 44 15 — — $24,584.00 $68,042.05 $46,313.03 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 44 15 — — $24,584.00 $67,928.99 $46,256.50 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 15 — — $24,584.00 $65,830.71 $45,207.36 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 44 15 — — $24,584.00 $64,493.91 $44,538.96 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 44 15 — — $24,584.00 $62,831.90 $43,707.95 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 44 15 — — $24,584.00 $62,336.60 $43,460.30 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 44 15 — — $24,584.00 $62,044.42 $43,314.21 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 44 15 — — $24,584.00 $61,156.89 $42,870.44 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 15 — — $24,584.00 $60,741.64 $42,662.82 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 44 15 — — $24,584.00 $60,090.24 $42,337.12 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 44 15 — — $24,584.00 $59,470.87 $42,027.43 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 15 — — $24,584.00 $58,298.17 $41,441.08 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 44 15 — — $24,584.00 $56,992.37 $40,788.18 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 44 15 — — $24,584.00 $56,519.09 $40,551.54 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 44 15 — — $24,584.00 $55,656.57 $40,120.29 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 44 15 — — $24,584.00 $55,532.49 $40,058.25 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 44 15 — — $24,584.00 $55,255.32 $39,919.66 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 44 15 — — $24,584.00 $55,204.29 $39,894.14 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 44 15 — — $24,584.00 $55,198.29 $39,891.14 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 44 15 — — $24,584.00 $54,446.84 $39,515.42 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 15 — — $24,584.00 $54,211.69 $39,397.85 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 44 15 — — $24,584.00 $52,573.70 $38,578.85 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 44 15 — — $22,723.00 $57,215.00 $39,969.00 2026-02-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 44 15 — — $22,515.00 $57,215.00 $39,865.00 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 44 15 — — $21,716.00 $57,215.00 $39,465.50 2026-02-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 44 15 — — $20,724.00 $57,215.00 $38,969.50 2026-02-28
J9347 HCPCS Tre-actl300mg/15mlsdvjwtb 40 13 $187,200.00 $51,292.80 73% off $20,592.00 $187,200.00 $168,480.00 2026-02-28
A9543 HCPCS Y90 Ibritumm Tx To 40mctb 60 20 $170,352.00 $46,676.45 73% off $18,738.72 $170,352.00 $93,760.51 2026-02-28
C1825 HCPCS Nrstm Crsn Br26149x-28764 68 18 $143,820.00 $39,406.68 73% off $15,820.20 $143,820.00 $111,460.50 2026-02-28
C1823 HCPCS Nrstm Trn S/s26149x-28764 68 18 $143,820.00 $39,406.68 73% off $15,820.20 $143,820.00 $111,460.50 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 8 — — $14,412.00 $378,568.71 $371,145.79 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 44 15 — — $14,412.00 $132,309.89 $73,360.95 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 44 15 — — $14,412.00 $70,819.73 $42,615.86 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 44 15 — — $14,412.00 $65,923.77 $40,167.89 2026-02-28
4848967 CDM Cath Other 23772x-26149 34 12 $130,745.00 $35,824.13 73% off $14,381.95 $130,745.00 $117,670.50 2026-02-28
47135 CPT Transplantation Of Liver 68 18 — — $12,173.00 $69,857.86 $41,015.43 2026-02-28
3706229 CDM Inst/supp Ste17861x-19647 34 12 $98,235.00 $26,916.39 73% off $10,805.85 $98,235.00 $88,411.50 2026-02-28
3706499 CDM Inst/supp Ste16237x-17861 34 12 $89,305.00 $24,469.57 73% off $9,823.55 $89,305.00 $80,374.50 2026-02-28
C2616 HCPCS Nm Brachy Sorc Yttrium-90 82 20 $80,000.00 $21,920.00 73% off $8,800.00 $80,000.00 $58,400.00 2026-02-28
J9334 HCPCS E-a Qvfc180-2k/m5.6sdjwtb 40 13 $75,711.00 $20,744.82 73% off $8,328.21 $75,711.00 $68,139.90 2026-02-28
3706375 CDM Inst/supp Ste13419x-14761 34 12 $73,805.00 $20,222.57 73% off $8,118.55 $73,805.00 $66,424.50 2026-02-28
3706191 CDM Inst/supp Ste12199x-13419 34 12 $67,095.00 $18,384.03 73% off $7,380.45 $67,095.00 $60,385.50 2026-02-28
3666729 CDM Closure Impl 12199x-13419 64 18 $67,095.00 $18,384.03 73% off $7,380.45 $67,095.00 $53,005.05 2026-02-28
J9298 HCPCS Ni/re-r240/80mg20mlsdjwtb 40 13 $67,048.00 $18,371.16 73% off $7,375.28 $67,048.00 $60,343.20 2026-02-28
3706200 CDM Inst/supp Ste11090x-12199 34 12 $60,995.00 $16,712.63 73% off $6,709.45 $60,995.00 $54,895.50 2026-02-28
3209301 CDM Kit/pack Disp10082x-11090 34 12 $55,450.00 $15,193.30 73% off $6,099.50 $55,450.00 $49,905.00 2026-02-28
C1767 HCPCS Neurstm Nrec 10082x-11090 1,020 18 $98,235.00 $26,916.39 73% off $5,545.10 $210,560.00 $66,502.80 2026-02-28
C1882 HCPCS Icd Not S/d 10082x-11090 952 18 $93,770.00 $25,692.98 73% off $5,545.10 $191,420.00 $64,508.70 2026-02-28
3209145 CDM Inst/supp Ster7755x-10082 34 12 $50,410.00 $13,812.34 73% off $5,545.10 $50,410.00 $45,369.00 2026-02-28
C1772 HCPCS Inf Pump Prg 10082x-11090 192 18 $55,450.00 $15,193.30 73% off $5,545.10 $60,995.00 $45,369.00 2026-02-28
Q0479 HCPCS Vad Rep Powr 7755x-10082 68 18 $50,410.00 $13,812.34 73% off $5,545.10 $50,410.00 $39,067.75 2026-02-28
J9272 HCPCS Dos-gxly500mg/10mlsdvjwtb 40 13 $49,774.00 $13,638.08 73% off $5,475.14 $49,774.00 $44,796.60 2026-02-28
J2329 HCPCS Ubli-xiiy150mg/6mlsdvjwtb 40 13 $47,200.00 $12,932.80 73% off $5,192.00 $47,200.00 $42,480.00 2026-02-28
J2327 HCPCS Ris-rzaa600mg/10mlsdvjwtb 40 13 $45,609.00 $12,496.87 73% off $5,016.99 $45,609.00 $41,048.10 2026-02-28
C1721 HCPCS Icd Dual 10082x-11090 748 18 $73,805.00 $20,222.57 73% off $4,265.25 $143,820.00 $52,123.00 2026-02-28
C1722 HCPCS Icd Single 10082x-11090 864 18 $73,805.00 $20,222.57 73% off $3,280.75 $130,745.00 $51,338.57 2026-02-28
C2624 HCPCS Wrless Sens 17861x-19647 242 18 $108,055.00 $29,607.07 73% off $2,584.45 $118,860.00 $75,640.95 2026-02-28
33276 CPT Ins Phrenic Nrv Stim Sys 60 14 $94,115.00 $25,787.51 73% off $2,565.00 $144,375.00 $79,406.25 2026-02-28
33287 CPT Rem Rep Phr Nrv Stim Gen 32 14 $106,229.00 $29,106.75 73% off $2,565.00 $106,229.00 $61,612.82 2026-02-28
0266T CPT Imp/rpl Car Sin Bf Ad Tot 72 19 $153,250.00 $41,990.50 73% off $2,565.00 $153,250.00 $59,135.16 2026-02-28
0823T CPT Ins Tcat 1chmr Ldls Pm Ra 38 14 $66,386.00 $18,189.77 73% off $2,565.00 $66,386.00 $53,108.80 2026-02-28
3700119 CDM Surgery Level 6 1st 30min 38 14 $48,850.00 $13,384.90 73% off $2,565.00 $48,850.00 $39,080.00 2026-02-28
C1820 HCPCS Neurstm Rech 10082x-11090 884 18 $73,805.00 $20,222.57 73% off $882.75 $143,820.00 $50,410.00 2026-02-28
33270 CPT Defib Subq Ins/rep W Lead 86 20 $113,889.00 $31,205.59 73% off $508.93 $113,889.00 $42,132.12 2026-02-28
C1822 HCPCS Nurstm Hf Rc 17861x-19647 476 18 $98,235.00 $26,916.39 73% off $308.55 $143,820.00 $47,385.40 2026-02-28
L8614 HCPCS Cochlear Dvc 10082x-11090 1,266 18 $73,805.00 $20,222.57 73% off $237.05 $174,020.00 $49,905.00 2026-02-28
C9360 HCPCS Surgim2 10x15 2714x-3529 246 18 $67,095.00 $18,384.03 73% off $9.00 $118,860.00 $44,283.00 2026-02-28
L8699 HCPCS Closure Laa 16237x-17861 1,482 18 $98,235.00 $26,916.39 73% off $7.15 $546,135.00 $54,912.90 2026-02-28
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