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

ST BERNARDINE MEDICAL CENTER

San Bernardino, CA · CCN 050129 · Rates published

16,296 distinct procedures filed
35 distinct payers
852,986 rate rows
2026-09-30 last MRF observed
Data quality

783,843 of 852,986 rate rows are consumer-grade (91.9%)

69,143 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 36,651
per-diem day rate — not a per-procedure price 25,726
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,776
exceeds 10× this hospital's gross charge — excluded from medians 1,153
template filing: same amount across many unrelated codes — excluded 541
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 222
placeholder amount (≤ $0.02) — excluded from medians 58
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 16
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_st-bernardine-medical-center_standardcharges.json?target=%22_blank%22
Found on page https://www.dignityhealth.org/socal/locations/stbernardinemedical/patients-and-visitors/for-patients/billing-and-payment/hospital-pricing-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-11-02
Content fingerprint ce92bd52cb3d54b2… · 115,811,624 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
5834
APR_DRG 		Neonate With Ecmo 7 $472,907.00 $1,097,145.40 $685,715.15 nat. median
$309,665
outlier · 2.2×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $298,895.00 $693,436.40 $433,397.75 nat. median
$249,123
1.7× median
5833
APR_DRG 		Neonate With Ecmo 7 $285,529.00 $517,522.40 $356,912.00 nat. median
$244,017
1.5× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $210,185.00 $487,629.20 $304,768.25 nat. median
$165,846
1.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $205,658.00 $477,126.85 $298,204.10 nat. median
$165,334
1.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $181,537.00 $421,165.55 $263,228.65 nat. median
$152,569
1.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $179,391.00 $416,187.70 $260,116.95 nat. median
$138,094
1.9× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $243,231.00 $352,684.95 $243,231.00 nat. median
$243,231
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $193,485.00 $350,692.65 $241,857.00 nat. median
$177,531
1.4× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $186,605.00 $338,221.20 $233,256.00 nat. median
$145,336
1.6× median
5832
APR_DRG 		Neonate With Ecmo 7 $179,176.00 $324,756.50 $223,970.00 nat. median
$159,829
1.4× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $152,435.00 $353,649.20 $221,030.75 nat. median
$154,211
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $202,242.00 $293,250.90 $202,242.00 nat. median
$202,660
1.0× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 $158,747.00 $287,727.85 $198,433.00 nat. median
$95,269
outlier · 2.1×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 $158,747.00 $287,727.85 $198,433.00 nat. median
$71,594
outlier · 2.8×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 $158,747.00 $287,727.85 $198,433.00 nat. median
$90,073
outlier · 2.2×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $156,263.00 $283,227.05 $195,329.00 nat. median
$103,993
1.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $194,639.00 $282,226.55 $194,639.00 nat. median
$165,169
1.2× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $132,592.00 $307,613.15 $192,258.40 nat. median
$119,800
1.6× median
5831
APR_DRG 		Neonate With Ecmo 7 $151,180.00 $274,013.75 $188,975.00 nat. median
$148,245
1.3× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $173,018.00 $250,876.10 $173,018.00 nat. median
$160,390
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $162,739.00 $235,971.55 $162,739.00 nat. median
$121,888
1.3× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $129,686.00 $235,056.60 $162,108.00 nat. median
$109,393
1.5× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $126,883.00 $229,975.80 $158,604.00 nat. median
$83,372
1.9× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $124,113.00 $224,955.90 $155,142.00 nat. median
$122,978
1.3× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $149,836.00 $217,262.20 $149,836.00 nat. median
$171,358
0.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $148,694.00 $215,606.30 $148,694.00 nat. median
$122,016
1.2× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 $98,696.00 $228,975.30 $143,109.20 nat. median
$96,980
1.5× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $95,899.00 $222,485.10 $139,053.55 nat. median
$107,562
1.3× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $137,901.00 $199,956.45 $137,901.00 nat. median
$137,215
1.0× median
23
APR_DRG 		Heart And/or Lung Transplant 7 $131,531.00 $190,719.95 $131,531.00 nat. median
$111,079
1.2× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $100,834.00 $182,760.90 $126,042.00 nat. median
$86,338
1.5× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 $83,170.00 $192,954.40 $120,596.50 nat. median
$76,467
1.6× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $92,425.00 $167,519.95 $115,531.00 nat. median
$89,743
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 $6,797.00 $276,135.41 $113,635.97 nat. median
$360,195
outlier · 0.3×
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $110,110.00 $159,659.50 $110,110.00 nat. median
$79,816
1.4× median
1611
APR_DRG 		Implantable Heart Assist Systems 7 $109,992.00 $159,488.40 $109,992.00 nat. median
$77,137
1.4× median
1612
APR_DRG 		Implantable Heart Assist Systems 7 $109,992.00 $159,488.40 $109,992.00 nat. median
$85,665
1.3× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $106,926.00 $155,042.70 $106,926.00 nat. median
$99,544
1.1× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $105,773.00 $153,370.85 $105,773.00 nat. median
$82,146
1.3× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $82,787.00 $150,051.80 $103,484.00 nat. median
$76,612
1.4× median
22
APR_DRG 		Heart And/or Lung Transplant 7 $101,524.00 $147,209.80 $101,524.00 nat. median
$93,125
1.1× median
8634
APR_DRG 		Neonatal Aftercare 7 $67,843.00 $184,097.80 $99,191.25 nat. median
$71,420
1.4× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $98,566.00 $142,920.70 $98,566.00 nat. median
$75,127
1.3× median
64
APR_DRG 		Pancreas Transplant 7 $92,994.00 $134,841.30 $92,994.00 nat. median
$92,076
1.0× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 7 $92,524.00 $134,159.80 $92,524.00 nat. median
$83,417
1.1× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $89,273.00 $129,445.85 $89,273.00 nat. median
$89,273
1.0× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 $60,950.00 $141,405.45 $88,377.50 nat. median
$67,068
1.3× median
6073
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 $69,311.00 $125,626.55 $86,639.00 nat. median
$69,311
1.2× median
6334
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Anomaly 7 $59,666.00 $138,424.25 $86,515.70 nat. median
$59,470
1.5× median

Other procedures at this hospital

Browse this hospital's 16,296 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
             
6904 APR_DRG Acute Leukemia 13 7 — — $45,079.00 $65,364.55 $45,079.00 2026-09-30
4014 APR_DRG Adrenal Procedures 13 7 — — $45,295.00 $65,677.75 $45,295.00 2026-09-30
74 APR_DRG Allogeneic Bone Marrow Transplant 13 7 — — $149,836.00 $217,262.20 $149,836.00 2026-09-30
73 APR_DRG Allogeneic Bone Marrow Transplant 13 7 — — $89,273.00 $129,445.85 $89,273.00 2026-09-30
72 APR_DRG Allogeneic Bone Marrow Transplant 13 7 — — $66,446.00 $96,346.70 $66,446.00 2026-09-30
71 APR_DRG Allogeneic Bone Marrow Transplant 13 7 — — $55,310.00 $80,199.50 $55,310.00 2026-09-30
14 MS_DRG Allogeneic Bone Marrow Transplant 42 25 — — $6,797.00 $78,560.71 $32,329.51 2026-09-30
3054 APR_DRG Amputation Of Lower Limb Except Toes 13 7 — — $31,220.00 $45,269.00 $31,220.00 2026-09-30
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 13 7 — — $65,108.00 $94,406.60 $65,108.00 2026-09-30
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 13 7 — — $42,705.00 $61,922.25 $42,705.00 2026-09-30
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 13 7 — — $34,562.00 $50,114.90 $34,562.00 2026-09-30
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 13 7 — — $29,174.00 $42,302.30 $29,174.00 2026-09-30
C2616 HCPCS Brachy Source Yttrium-90 131 34 $98,235.00 $32,335.15 67% off $100.00 $83,499.75 $29,470.50 2026-09-30
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 13 7 — — $92,524.00 $134,159.80 $92,524.00 2026-09-30
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 13 7 — — $32,271.00 $46,792.95 $32,271.00 2026-09-30
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 13 7 — — $80,771.00 $117,117.95 $80,771.00 2026-09-30
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 13 7 — — $57,854.00 $83,888.30 $57,854.00 2026-09-30
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 13 7 — — $44,276.00 $64,200.20 $44,276.00 2026-09-30
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 13 7 — — $38,043.00 $55,162.35 $38,043.00 2026-09-30
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 13 7 — — $71,005.00 $102,957.25 $71,005.00 2026-09-30
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 13 7 — — $48,538.00 $70,380.10 $48,538.00 2026-09-30
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 13 7 — — $36,891.00 $53,491.95 $36,891.00 2026-09-30
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 13 7 — — $31,938.00 $46,310.10 $31,938.00 2026-09-30
02RG48Z OTHER Cardiovascular Surgery 6 3 — — $28,344.00 $65,192.00 $39,314.75 2026-09-30
02RG3JZ OTHER Cardiovascular Surgery 6 3 — — $34,418.00 $65,192.00 $39,314.75 2026-09-30
02RG4JZ OTHER Cardiovascular Surgery 6 3 — — $28,344.00 $65,192.00 $38,137.50 2026-09-30
027G04Z OTHER Cardiovascular Surgery 4 3 — — $28,344.00 $65,192.00 $38,137.50 2026-09-30
027G0DZ OTHER Cardiovascular Surgery 5 3 — — $25,921.50 $40,760.00 $34,418.00 2026-09-30
02QG0ZZ OTHER Cardiovascular Surgery 6 3 — — $25,921.50 $40,760.00 $31,381.00 2026-09-30
02RG38Z OTHER Cardiovascular Surgery 6 3 — — $25,921.50 $40,760.00 $31,381.00 2026-09-30
6097086 CDM Carmustine Polife 7.7mg 18 10 $76,032.00 $25,026.78 67% off $2,415.00 $76,032.00 $34,974.72 2026-09-30
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 13 7 — — $40,071.00 $58,102.95 $40,071.00 2026-09-30
3213 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 13 7 — — $28,755.00 $41,694.75 $28,755.00 2026-09-30
6954 APR_DRG Chemotherapy For Acute Leukemia 13 7 — — $39,025.00 $56,586.25 $39,025.00 2026-09-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 39 25 — — $6,797.00 $276,135.41 $113,635.97 2026-09-30
3605736 CDM Closure Impl 12199x-13419 45 16 $67,095.00 $22,085.07 67% off $2,415.00 $57,030.75 $30,192.75 2026-09-30
3605737 CDM Closure Impl 13419x-14761 45 16 $73,805.00 $24,293.74 67% off $2,415.00 $62,734.25 $33,212.25 2026-09-30
209 MS_DRG Complex Aortic Arch Procedures 39 25 — — $11,649.00 $74,128.66 $30,505.62 2026-09-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 39 25 — — $11,649.00 $71,309.40 $29,345.43 2026-09-30
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 13 7 — — $63,659.00 $92,305.55 $63,659.00 2026-09-30
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 13 7 — — $46,932.00 $68,051.40 $46,932.00 2026-09-30
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 13 7 — — $38,566.00 $55,920.70 $38,566.00 2026-09-30
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 13 7 — — $35,209.00 $51,053.05 $35,209.00 2026-09-30
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 13 7 — — $55,047.00 $79,818.15 $55,047.00 2026-09-30
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 13 7 — — $39,962.00 $57,944.90 $39,962.00 2026-09-30
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 13 7 — — $33,063.00 $47,941.35 $33,063.00 2026-09-30
1661 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 13 7 — — $29,769.00 $43,165.05 $29,769.00 2026-09-30
9104 APR_DRG Craniotomy For Multiple Significant Trauma 21 7 — — $56,989.00 $82,634.05 $57,769.00 2026-09-30
9103 APR_DRG Craniotomy For Multiple Significant Trauma 21 7 — — $33,747.00 $50,786.79 $36,019.00 2026-09-30
C1735 HCPCS Cth IV Rd Rf14761x-16237 45 16 $81,185.00 $26,722.95 67% off $2,415.00 $69,007.25 $36,533.25 2026-09-30
02CG4ZZ OTHER Da Vinci Cardiac 7 3 — — $28,344.00 $65,192.00 $40,760.00 2026-09-30
02NG4ZZ OTHER Da Vinci Cardiac 7 3 — — $28,344.00 $65,192.00 $40,760.00 2026-09-30
02CG3ZZ OTHER Da Vinci Cardiac 7 3 — — $28,344.00 $65,192.00 $40,760.00 2026-09-30
02NG3ZZ OTHER Da Vinci Cardiac 7 3 — — $28,344.00 $65,192.00 $40,760.00 2026-09-30
02VG0ZZ OTHER Da Vinci Cardiac 7 3 — — $28,344.00 $65,192.00 $40,760.00 2026-09-30
02RG3KZ OTHER Da Vinci Cardiac 4 3 — — $34,418.00 $65,192.00 $38,137.50 2026-09-30
02RG4KZ OTHER Da Vinci Cardiac 4 3 — — $25,921.50 $40,760.00 $30,169.75 2026-09-30
02RG0JZ OTHER Da Vinci Cardiac 4 3 — — $25,787.50 $40,492.00 $30,102.75 2026-09-30
33264 CPT Defib Imp Gen Replc Mult 74 32 $107,410.00 $35,355.20 67% off $325.02 $98,102.31 $34,210.07 2026-09-30
33231 CPT Defib Imp Ins Ex Mul Lead 74 32 $126,022.00 $41,481.55 67% off $324.65 $107,118.70 $37,806.60 2026-09-30
33249 CPT Defib Imp Sys Ins/repl Tv 74 32 $76,303.00 $25,115.99 67% off $1,027.04 $98,102.31 $29,388.49 2026-09-30
33270 CPT Defib Subq Ins/rep W Lead 74 32 $125,877.00 $41,433.82 67% off $508.93 $106,995.45 $37,763.10 2026-09-30
1794 APR_DRG Defibrillator Implants 13 7 — — $54,993.00 $79,739.85 $54,993.00 2026-09-30
1793 APR_DRG Defibrillator Implants 13 7 — — $40,598.00 $58,867.10 $40,598.00 2026-09-30
1792 APR_DRG Defibrillator Implants 13 7 — — $33,373.00 $48,390.85 $33,373.00 2026-09-30
7524 APR_DRG Disorders Of Personality And Impulse Control 13 7 — — $33,314.00 $48,305.30 $33,314.00 2026-09-30
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 13 7 — — $54,427.00 $78,919.15 $54,427.00 2026-09-30
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 13 7 — — $38,877.00 $56,371.65 $38,877.00 2026-09-30
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 7 — — $74,046.00 $107,366.70 $74,046.00 2026-09-30
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 7 — — $49,432.00 $71,676.40 $49,432.00 2026-09-30
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 7 — — $36,948.00 $53,574.60 $36,948.00 2026-09-30
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 7 — — $32,600.00 $47,270.00 $32,600.00 2026-09-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 42 25 — — $11,649.00 $136,931.82 $56,350.54 2026-09-30
3244 APR_DRG Elective Hip Joint Replacement 13 7 — — $29,313.00 $42,503.85 $29,313.00 2026-09-30
93656 CPT Ep Afib Abl Pv Isol 3dmap 126 34 $56,252.00 $18,515.98 67% off $1,010.36 $81,690.89 $31,170.74 2026-09-30
93653 CPT Ep Supr Tach Abl Arr 3dmp 126 34 $61,969.00 $20,397.79 67% off $756.74 $81,690.89 $31,170.74 2026-09-30
93654 CPT Ep Ventric Tach Arr 3dmap 126 34 $82,418.00 $27,128.81 67% off $1,010.07 $83,284.80 $31,170.74 2026-09-30
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 21 7 — — $51,481.00 $79,341.10 $54,718.00 2026-09-30
9113 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 21 7 — — $24,824.00 $42,400.90 $29,242.00 2026-09-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 66 26 — — $11,295.00 $501,774.77 $70,846.80 2026-09-30
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 21 7 — — $44,745.00 $66,608.40 $47,240.00 2026-09-30
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 13 7 — — $38,748.00 $56,184.60 $38,748.00 2026-09-30
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 13 7 — — $173,018.00 $250,876.10 $173,018.00 2026-09-30
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 13 7 — — $52,320.00 $75,864.00 $52,320.00 2026-09-30
1784 APR_DRG External Heart Assist Systems 13 7 — — $66,229.00 $96,032.05 $66,229.00 2026-09-30
1783 APR_DRG External Heart Assist Systems 13 7 — — $53,705.00 $77,872.25 $53,705.00 2026-09-30
1782 APR_DRG External Heart Assist Systems 13 7 — — $43,293.00 $62,774.85 $43,293.00 2026-09-30
1781 APR_DRG External Heart Assist Systems 13 7 — — $39,721.00 $57,595.45 $39,721.00 2026-09-30
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 13 7 — — $194,639.00 $282,226.55 $194,639.00 2026-09-30
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 13 7 — — $110,110.00 $159,659.50 $110,110.00 2026-09-30
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 13 7 — — $60,424.00 $87,614.80 $60,424.00 2026-09-30
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 13 7 — — $48,888.00 $70,887.60 $48,888.00 2026-09-30
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 13 7 — — $39,182.00 $56,813.90 $39,182.00 2026-09-30
C1824 HCPCS Gener Ccm 21611x-23772 162 20 $118,860.00 $39,580.38 67% off $100.00 $111,133.25 $54,675.60 2026-09-30
24 APR_DRG Heart And/or Lung Transplant 13 7 — — $243,231.00 $352,684.95 $243,231.00 2026-09-30
23 APR_DRG Heart And/or Lung Transplant 13 7 — — $131,531.00 $190,719.95 $131,531.00 2026-09-30
22 APR_DRG Heart And/or Lung Transplant 13 7 — — $101,524.00 $147,209.80 $101,524.00 2026-09-30
21 APR_DRG Heart And/or Lung Transplant 13 7 — — $77,825.00 $112,846.25 $77,825.00 2026-09-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 39 25 — — $11,649.00 $180,033.24 $74,087.75 2026-09-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 39 25 — — $11,649.00 $74,211.06 $30,539.53 2026-09-30
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 13 7 — — $31,715.00 $45,986.75 $31,715.00 2026-09-30
C1721 HCPCS Icd Dual 10082x-11090 962 20 $73,805.00 $24,577.07 67% off $2,415.00 $111,133.25 $30,903.60 2026-09-30
C1882 HCPCS Icd Not S/d 10082x-11090 961 20 $89,305.00 $29,738.57 67% off $2,415.00 $134,470.00 $37,345.10 2026-09-30
69930 CPT Implant Cochlear Device 66 30 — — $1,293.62 $103,050.61 $29,749.33 2026-09-30
1614 APR_DRG Implantable Heart Assist Systems 13 7 — — $202,242.00 $293,250.90 $202,242.00 2026-09-30
1613 APR_DRG Implantable Heart Assist Systems 13 7 — — $162,739.00 $235,971.55 $162,739.00 2026-09-30
1611 APR_DRG Implantable Heart Assist Systems 13 7 — — $109,992.00 $159,488.40 $109,992.00 2026-09-30
1612 APR_DRG Implantable Heart Assist Systems 13 7 — — $109,992.00 $159,488.40 $109,992.00 2026-09-30
64568 CPT Inc For Vagus N Elect Impl 66 30 — — $549.89 $137,662.25 $29,718.50 2026-09-30
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 13 7 — — $36,901.00 $53,506.45 $36,901.00 2026-09-30
0408T CPT Ins/rpl Crd Mod Sy Pg Tve 57 30 $75,312.00 $24,789.79 67% off $1,775.00 $98,102.31 $40,371.32 2026-09-30
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 13 7 — — $33,932.00 $49,201.40 $33,932.00 2026-09-30
3605552 CDM Inst/supp Ste17861x-19647 8 6 $98,235.00 $32,335.15 67% off $24,558.75 $83,499.75 $42,241.05 2026-09-30
3E063KZ OTHER Ip Rf Ablation 2 2 — — $35,663.00 $35,663.00 $35,663.00 2026-09-30
3E053KZ OTHER Ip Rf Ablation 2 2 — — $35,663.00 $35,663.00 $35,663.00 2026-09-30
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 13 7 — — $34,735.00 $50,365.75 $34,735.00 2026-09-30
4404 APR_DRG Kidney Transplant 13 7 — — $76,896.00 $111,499.20 $76,896.00 2026-09-30
4403 APR_DRG Kidney Transplant 13 7 — — $51,188.00 $74,222.60 $51,188.00 2026-09-30
4402 APR_DRG Kidney Transplant 13 7 — — $44,183.00 $64,065.35 $44,183.00 2026-09-30
4401 APR_DRG Kidney Transplant 13 7 — — $40,365.00 $58,529.25 $40,365.00 2026-09-30
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 13 7 — — $32,736.00 $47,467.20 $32,736.00 2026-09-30
14 APR_DRG Liver Transplant And/or Intestinal Transplant 13 7 — — $137,901.00 $199,956.45 $137,901.00 2026-09-30
13 APR_DRG Liver Transplant And/or Intestinal Transplant 13 7 — — $76,155.00 $110,424.75 $76,155.00 2026-09-30
12 APR_DRG Liver Transplant And/or Intestinal Transplant 13 7 — — $61,447.00 $89,098.15 $61,447.00 2026-09-30
11 APR_DRG Liver Transplant And/or Intestinal Transplant 13 7 — — $50,490.00 $73,210.50 $50,490.00 2026-09-30
1814 APR_DRG Lower Extremity Arterial Procedures 13 7 — — $38,963.00 $56,496.35 $38,963.00 2026-09-30
22558 CPT Lumbar Spine Fusion 62 29 — — $1,388.04 $84,804.30 $31,551.00 2026-09-30
7 MS_DRG Lung Transplant 42 25 — — $11,649.00 $84,471.18 $34,761.80 2026-09-30
1694 APR_DRG Major Abdominal Vascular Procedures 13 7 — — $49,702.00 $72,067.90 $49,702.00 2026-09-30
1693 APR_DRG Major Abdominal Vascular Procedures 13 7 — — $33,780.00 $48,981.00 $33,780.00 2026-09-30
2614 APR_DRG Major Biliary Tract Procedures 13 7 — — $41,597.00 $60,315.65 $41,597.00 2026-09-30
4414 APR_DRG Major Bladder Procedures 13 7 — — $43,455.00 $63,009.75 $43,455.00 2026-09-30
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 13 7 — — $106,926.00 $155,042.70 $106,926.00 2026-09-30
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 13 7 — — $46,998.00 $68,147.10 $46,998.00 2026-09-30
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 13 7 — — $36,690.00 $53,200.50 $36,690.00 2026-09-30
894 APR_DRG Major Cranial Or Facial Bone Procedures 13 7 — — $45,837.00 $66,463.65 $45,837.00 2026-09-30
893 APR_DRG Major Cranial Or Facial Bone Procedures 13 7 — — $31,968.00 $46,353.60 $31,968.00 2026-09-30
2314 APR_DRG Major Large Bowel Procedures 13 7 — — $34,164.00 $49,537.80 $34,164.00 2026-09-30
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 13 7 — — $52,992.00 $76,838.40 $52,992.00 2026-09-30
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 13 7 — — $46,961.00 $68,093.45 $46,961.00 2026-09-30
1204 APR_DRG Major Respiratory And Chest Procedures 13 7 — — $44,992.00 $65,238.40 $44,992.00 2026-09-30
2304 APR_DRG Major Small Bowel Procedures 13 7 — — $39,041.00 $56,609.45 $39,041.00 2026-09-30
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 13 7 — — $45,648.00 $66,189.60 $45,648.00 2026-09-30
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 13 7 — — $45,534.00 $66,024.30 $45,534.00 2026-09-30
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 21 7 — — $34,018.00 $49,326.10 $34,560.00 2026-09-30
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 13 7 — — $29,506.00 $42,783.70 $29,506.00 2026-09-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 39 25 — — $22,150.00 $72,241.99 $29,729.21 2026-09-30
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 13 7 — — $32,685.00 $47,393.25 $32,685.00 2026-09-30
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 21 7 — — $51,543.00 $75,746.55 $52,239.00 2026-09-30
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 21 7 — — $29,021.00 $44,970.30 $31,014.00 2026-09-30
8634 APR_DRG Neonatal Aftercare 21 7 — — $67,843.00 $184,097.80 $99,191.25 2026-09-30
8633 APR_DRG Neonatal Aftercare 21 7 — — $36,131.00 $66,579.65 $45,182.82 2026-09-30
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 7 — — $95,899.00 $222,485.10 $139,053.55 2026-09-30
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 7 — — $39,248.00 $71,137.00 $49,060.00 2026-09-30
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 7 — — $33,767.00 $61,203.05 $42,209.00 2026-09-30
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $132,592.00 $307,613.15 $192,258.40 2026-09-30
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $92,425.00 $167,519.95 $115,531.00 2026-09-30
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $67,568.00 $122,465.55 $84,459.00 2026-09-30
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $39,620.00 $71,811.25 $49,525.00 2026-09-30
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 13 7 — — $48,331.00 $112,128.50 $70,079.95 2026-09-30
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 13 7 — — $48,331.00 $87,600.30 $60,414.00 2026-09-30
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 13 7 — — $29,154.00 $52,840.90 $36,442.00 2026-09-30
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $98,696.00 $228,975.30 $143,109.20 2026-09-30
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $69,311.00 $125,626.55 $86,639.00 2026-09-30
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $47,210.00 $85,568.85 $59,013.00 2026-09-30
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $29,509.00 $53,484.70 $36,886.00 2026-09-30
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 13 7 — — $53,085.00 $123,155.75 $76,973.25 2026-09-30
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 13 7 — — $39,145.00 $70,951.40 $48,932.00 2026-09-30
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 13 7 — — $83,170.00 $192,954.40 $120,596.50 2026-09-30
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 13 7 — — $36,156.00 $65,532.75 $45,195.00 2026-09-30
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 13 7 — — $40,183.00 $93,224.85 $58,265.35 2026-09-30
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 13 7 — — $33,306.00 $60,367.85 $41,633.00 2026-09-30
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $60,950.00 $141,405.45 $88,377.50 2026-09-30
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $42,173.00 $76,438.20 $52,716.00 2026-09-30
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $27,765.00 $50,323.70 $34,706.00 2026-09-30
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 7 — — $210,185.00 $487,629.20 $304,768.25 2026-09-30
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 7 — — $64,545.00 $116,988.90 $80,682.00 2026-09-30
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 7 — — $41,331.00 $74,912.80 $51,664.00 2026-09-30
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 7 — — $33,268.00 $60,298.25 $41,585.00 2026-09-30
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 13 7 — — $34,217.00 $79,383.15 $49,614.65 2026-09-30
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 13 7 — — $25,906.00 $46,953.90 $32,382.00 2026-09-30
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 13 7 — — $56,944.00 $132,110.95 $82,568.80 2026-09-30
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 13 7 — — $24,679.00 $44,731.05 $30,849.00 2026-09-30
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 13 7 — — $32,503.00 $75,405.80 $47,129.35 2026-09-30
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $35,597.00 $82,584.75 $51,615.65 2026-09-30
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 13 7 — — $25,186.00 $45,648.90 $31,482.00 2026-09-30
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 7 — — $205,658.00 $477,126.85 $298,204.10 2026-09-30
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 7 — — $156,263.00 $283,227.05 $195,329.00 2026-09-30
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 7 — — $126,883.00 $229,975.80 $158,604.00 2026-09-30
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 13 7 — — $181,537.00 $421,165.55 $263,228.65 2026-09-30
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 13 7 — — $129,686.00 $235,056.60 $162,108.00 2026-09-30
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 13 7 — — $100,834.00 $182,760.90 $126,042.00 2026-09-30
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 13 7 — — $49,986.00 $90,598.90 $62,482.00 2026-09-30
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 7 — — $298,895.00 $693,436.40 $433,397.75 2026-09-30
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 7 — — $193,485.00 $350,692.65 $241,857.00 2026-09-30
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 7 — — $186,605.00 $338,221.20 $233,256.00 2026-09-30
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 7 — — $124,113.00 $224,955.90 $155,142.00 2026-09-30
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 13 7 — — $158,747.00 $287,727.85 $198,433.00 2026-09-30
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 13 7 — — $158,747.00 $287,727.85 $198,433.00 2026-09-30
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 13 7 — — $158,747.00 $287,727.85 $198,433.00 2026-09-30
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 13 7 — — $21,929.00 $50,876.15 $31,797.05 2026-09-30
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 13 7 — — $59,666.00 $138,424.25 $86,515.70 2026-09-30
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 7 — — $152,435.00 $353,649.20 $221,030.75 2026-09-30
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 7 — — $82,787.00 $150,051.80 $103,484.00 2026-09-30
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 7 — — $32,610.00 $59,104.90 $40,762.00 2026-09-30
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 13 7 — — $179,391.00 $416,187.70 $260,116.95 2026-09-30
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 13 7 — — $49,612.00 $89,921.75 $62,015.00 2026-09-30
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 13 7 — — $26,289.00 $47,649.90 $32,862.00 2026-09-30
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 13 7 — — $33,797.00 $78,408.75 $49,005.65 2026-09-30
5834 APR_DRG Neonate With Ecmo 13 7 — — $472,907.00 $1,097,145.40 $685,715.15 2026-09-30
5833 APR_DRG Neonate With Ecmo 13 7 — — $285,529.00 $517,522.40 $356,912.00 2026-09-30
5832 APR_DRG Neonate With Ecmo 13 7 — — $179,176.00 $324,756.50 $223,970.00 2026-09-30
5831 APR_DRG Neonate With Ecmo 13 7 — — $151,180.00 $274,013.75 $188,975.00 2026-09-30
C1767 HCPCS Neurstm Nrec 10082x-11090 1,214 20 $89,305.00 $29,395.74 67% off $2,415.00 $178,976.00 $36,459.62 2026-09-30
C1820 HCPCS Neurstm Rech 10082x-11090 721 20 $81,185.00 $26,722.95 67% off $1,605.00 $101,031.00 $30,497.50 2026-09-30
230 MS_DRG No Active Code Description 2 1 — — $44,484.00 $49,070.00 $46,777.00 2026-09-30
238 MS_DRG No Active Code Description 2 1 — — $44,484.00 $49,070.00 $46,777.00 2026-09-30
237 MS_DRG No Active Code Description 2 1 — — $44,484.00 $49,070.00 $46,777.00 2026-09-30
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 13 7 — — $30,531.00 $44,269.95 $30,531.00 2026-09-30
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 13 7 — — $33,456.00 $48,511.20 $33,456.00 2026-09-30
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 21 7 — — $30,280.00 $45,390.72 $32,192.00 2026-09-30
C1826 HCPCS Nrstm Cllp Rd19647x-21611 45 16 $108,055.00 $35,567.51 67% off $2,415.00 $91,846.75 $48,624.75 2026-09-30
C1822 HCPCS Nurstm Hf Rc 19647x-21611 82 20 $108,055.00 $35,567.51 67% off $100.00 $91,846.75 $48,084.47 2026-09-30
C9797 HCPCS Occ/emb Tm/org Inf Pg Cth 23 12 $68,445.00 $22,792.19 67% off $2,800.00 $65,707.20 $44,489.25 2026-09-30
214 APR_DRG Open Craniotomy Except Trauma 13 7 — — $49,641.00 $71,979.45 $49,641.00 2026-09-30
213 APR_DRG Open Craniotomy Except Trauma 13 7 — — $33,824.00 $49,044.80 $33,824.00 2026-09-30
204 APR_DRG Open Craniotomy For Trauma 13 7 — — $43,984.00 $63,776.80 $43,984.00 2026-09-30
203 APR_DRG Open Craniotomy For Trauma 13 7 — — $29,111.00 $42,210.95 $29,111.00 2026-09-30
244 APR_DRG Open Extracranial Vascular Procedures 13 7 — — $30,003.00 $43,504.35 $30,003.00 2026-09-30
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 13 7 — — $42,835.00 $62,110.75 $42,835.00 2026-09-30
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 13 7 — — $54,029.00 $78,342.05 $54,029.00 2026-09-30
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 13 7 — — $33,534.00 $48,624.30 $33,534.00 2026-09-30
1804 APR_DRG Other Circulatory System Procedures 13 7 — — $31,391.00 $45,516.95 $31,391.00 2026-09-30
2294 APR_DRG Other Digestive System And Abdominal Procedures 13 7 — — $32,356.00 $46,916.20 $32,356.00 2026-09-30
984 APR_DRG Other Ear Nose Mouth And Throat Procedures 13 7 — — $30,608.00 $44,381.60 $30,608.00 2026-09-30
5184 APR_DRG Other Female Reproductive System And Related Procedures 13 7 — — $30,851.00 $44,733.95 $30,851.00 2026-09-30
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 13 7 — — $35,933.00 $52,102.85 $35,933.00 2026-09-30
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 13 7 — — $34,825.00 $50,496.25 $34,825.00 2026-09-30
914 APR_DRG Other Major Head And Neck Procedures 13 7 — — $53,846.00 $78,076.70 $53,846.00 2026-09-30
913 APR_DRG Other Major Head And Neck Procedures 13 7 — — $34,201.00 $49,591.45 $34,201.00 2026-09-30
4844 APR_DRG Other Male Reproductive System And Related Procedures 13 7 — — $30,652.00 $44,445.40 $30,652.00 2026-09-30
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 13 7 — — $29,353.00 $42,561.85 $29,353.00 2026-09-30
264 APR_DRG Other Nervous System And Related Procedures 13 7 — — $32,789.00 $47,544.05 $32,789.00 2026-09-30
274 APR_DRG Other Open Craniotomy 13 7 — — $38,997.00 $56,545.65 $38,997.00 2026-09-30
294 APR_DRG Other Percutaneous Intracranial Procedures 13 7 — — $35,822.00 $51,941.90 $35,822.00 2026-09-30
1824 APR_DRG Other Peripheral Vascular Procedures 13 7 — — $31,433.00 $45,577.85 $31,433.00 2026-09-30
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 13 7 — — $36,731.00 $53,259.95 $36,731.00 2026-09-30
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 13 7 — — $38,524.00 $55,859.80 $38,524.00 2026-09-30
1214 APR_DRG Other Respiratory And Chest Procedures 13 7 — — $38,040.00 $55,158.00 $38,040.00 2026-09-30
3094 APR_DRG Other Significant Hip And Femur Surgery 13 7 — — $31,658.00 $45,904.10 $31,658.00 2026-09-30
2234 APR_DRG Other Small And Large Bowel Procedures 13 7 — — $30,820.00 $44,689.00 $30,820.00 2026-09-30
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 13 7 — — $31,914.00 $46,275.30 $31,914.00 2026-09-30
C1605 HCPCS Pace Dl Ldles13419x-14761 202 18 $73,805.00 $24,293.74 67% off $2,415.00 $111,133.25 $31,009.05 2026-09-30
64 APR_DRG Pancreas Transplant 13 7 — — $92,994.00 $134,841.30 $92,994.00 2026-09-30
63 APR_DRG Pancreas Transplant 13 7 — — $79,145.00 $114,760.25 $79,145.00 2026-09-30
62 APR_DRG Pancreas Transplant 13 7 — — $66,925.00 $97,041.25 $66,925.00 2026-09-30
61 APR_DRG Pancreas Transplant 13 7 — — $54,006.00 $78,308.70 $54,006.00 2026-09-30
36837 CPT Perc Avf Creat Upp Separt 11 8 $67,699.00 $22,283.88 67% off $2,800.00 $57,544.15 $39,265.42 2026-09-30
9202231 CDM Perc Avf Creat Upp Single 12 9 $61,108.00 $20,348.97 67% off $18,332.40 $58,663.68 $40,636.82 2026-02-28
36836 CPT Perc Avf Creat Upp Single 11 8 $61,108.00 $20,114.38 67% off $2,800.00 $51,941.80 $35,442.64 2026-09-30
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 13 7 — — $32,538.00 $47,180.10 $32,538.00 2026-09-30
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 13 7 — — $36,057.00 $52,282.65 $36,057.00 2026-09-30
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 13 7 — — $37,467.00 $54,327.15 $37,467.00 2026-09-30
1834 APR_DRG Percutaneous Structural Cardiac Procedures 13 7 — — $58,769.00 $85,215.05 $58,769.00 2026-09-30
1833 APR_DRG Percutaneous Structural Cardiac Procedures 13 7 — — $41,409.00 $60,043.05 $41,409.00 2026-09-30
1832 APR_DRG Percutaneous Structural Cardiac Procedures 13 7 — — $33,870.00 $49,111.50 $33,870.00 2026-09-30
1831 APR_DRG Percutaneous Structural Cardiac Procedures 13 7 — — $31,961.00 $46,343.45 $31,961.00 2026-09-30
2244 APR_DRG Peritoneal Adhesiolysis 13 7 — — $32,046.00 $46,466.70 $32,046.00 2026-09-30
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 13 7 — — $36,474.00 $52,887.30 $36,474.00 2026-09-30
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 13 7 — — $31,699.00 $45,963.55 $31,699.00 2026-09-30
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 13 7 — — $35,676.00 $51,730.20 $35,676.00 2026-09-30
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 13 7 — — $47,160.00 $68,382.00 $47,160.00 2026-09-30
4034 APR_DRG Procedures For Obesity 13 7 — — $36,448.00 $52,849.60 $36,448.00 2026-09-30
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 13 7 — — $31,002.00 $44,952.90 $31,002.00 2026-09-30
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 13 7 — — $47,939.00 $69,511.55 $47,939.00 2026-09-30
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 13 7 — — $35,849.00 $51,981.05 $35,849.00 2026-09-30
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 13 7 — — $29,252.00 $42,415.40 $29,252.00 2026-09-30
3224 APR_DRG Shoulder And Elbow Joint Replacement 13 7 — — $29,956.00 $43,436.20 $29,956.00 2026-09-30
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 13 7 — — $30,730.00 $44,558.50 $30,730.00 2026-09-30
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 13 7 — — $43,475.00 $63,038.75 $43,475.00 2026-09-30
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 13 7 — — $40,937.00 $59,358.65 $40,937.00 2026-09-30
234 APR_DRG Spinal Procedures 13 7 — — $47,896.00 $69,449.20 $47,896.00 2026-09-30
233 APR_DRG Spinal Procedures 13 7 — — $31,166.00 $45,190.70 $31,166.00 2026-09-30
6504 APR_DRG Splenectomy 13 7 — — $35,049.00 $50,821.05 $35,049.00 2026-09-30
33289 CPT Tcat Impl Wrls P-art Prs Snr 66 30 — — $275.87 $89,646.56 $32,806.34 2026-09-30
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 13 7 — — $35,182.00 $51,013.90 $35,182.00 2026-09-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 42 25 — — $11,649.00 $90,184.47 $37,112.95 2026-09-30
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 7 — — $148,694.00 $215,606.30 $148,694.00 2026-09-30
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 7 — — $98,566.00 $142,920.70 $98,566.00 2026-09-30
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 7 — — $61,469.00 $89,130.05 $61,469.00 2026-09-30
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 7 — — $43,550.00 $63,147.50 $43,550.00 2026-09-30
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 7 — — $105,773.00 $153,370.85 $105,773.00 2026-09-30
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 7 — — $74,624.00 $108,204.80 $74,624.00 2026-09-30
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 7 — — $49,972.00 $72,459.40 $49,972.00 2026-09-30
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 13 7 — — $31,329.00 $45,427.05 $31,329.00 2026-09-30
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 13 7 — — $30,616.00 $44,393.20 $30,616.00 2026-09-30
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 13 7 — — $38,149.00 $55,316.05 $38,149.00 2026-09-30
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 13 7 — — $38,336.00 $55,587.20 $38,336.00 2026-09-30
224 APR_DRG Ventricular Shunt Procedures 13 7 — — $35,795.00 $51,902.75 $35,795.00 2026-09-30
C2624 HCPCS Wrless Sens 21611x-23772 81 20 $118,860.00 $39,124.10 67% off $2,415.00 $101,031.00 $53,487.00 2026-09-30
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