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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

COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA

Monterey, CA · CCN 050145 · Rates published

6,674 distinct procedures filed
24 distinct payers
404,721 rate rows
2026-02-23 last MRF observed
Data quality

404,299 of 404,721 rate rows are consumer-grade (99.9%)

422 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
placeholder amount (≤ $0.02) — excluded from medians 385
per-diem day rate — not a per-procedure price 27
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6
exceeds 10× this hospital's gross charge — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.montagehealth.org/app/files/public/035422d6-6b4c-4d9b-9a7f-9da8873ba197/940760193_Community-Hospital-of-the-Monterey-Peninsula_standardcharges.csv
Found on page https://www.montagehealth.org/patient-family-resources/financial/cost-care-estimates/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint d596d028e3b4c06a… · 239,429,644 bytes · first seen 2026-05-09

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 		Apr-DRG 42.00: Neonate With Ecmo 1 $829,673.51 $829,673.51 $829,673.51 nat. median
$309,665
outlier · 2.7×
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $524,384.71 $524,384.71 $524,384.71 nat. median
$246,434
outlier · 2.1×
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 1 $500,935.72 $500,935.72 $500,935.72 nat. median
$244,017
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $472,124.26 $660,973.96 $495,730.47 nat. median
$370,174
1.3× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $469,887.38 $469,887.38 $469,887.38 nat. median
$117,173
outlier · 4.0×
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 1 $426,727.70 $426,727.70 $426,727.70 nat. median
$234,729
1.8× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $366,747.54 $366,747.54 $366,747.54 nat. median
$60,831
outlier · 6.0×
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $360,809.04 $360,809.04 $360,809.04 nat. median
$164,289
outlier · 2.2×
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 1 $354,814.74 $354,814.74 $354,814.74 nat. median
$207,730
1.7× median
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 1 $341,475.90 $341,475.90 $341,475.90 nat. median
$164,834
outlier · 2.1×
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $339,452.38 $339,452.38 $339,452.38 nat. median
$182,665
1.9× median
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $327,381.96 $327,381.96 $327,381.96 nat. median
$145,336
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $306,508.06 $429,111.28 $321,833.46 nat. median
$265,286
1.2× median
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $318,490.01 $318,490.01 $318,490.01 nat. median
$151,838
outlier · 2.1×
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 1 $314,348.13 $314,348.13 $314,348.13 nat. median
$156,126
outlier · 2.0×
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $309,914.24 $309,914.24 $309,914.24 nat. median
$58,674
outlier · 5.3×
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 1 $285,511.15 $285,511.15 $285,511.15 nat. median
$119,796
outlier · 2.4×
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 1 $278,506.96 $278,506.96 $278,506.96 nat. median
$89,796
outlier · 3.1×
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 1 $278,506.96 $278,506.96 $278,506.96 nat. median
$69,788
outlier · 4.0×
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 1 $278,506.96 $278,506.96 $278,506.96 nat. median
$93,370
outlier · 3.0×
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $274,149.33 $274,149.33 $274,149.33 nat. median
$102,919
outlier · 2.7×
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 1 $265,231.35 $265,231.35 $265,231.35 nat. median
$144,745
1.8× median
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 1 $262,873.06 $262,873.06 $262,873.06 nat. median
$187,061
1.4× median
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $260,870.00 $260,870.00 $260,870.00 nat. median
$105,658
outlier · 2.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $233,598.87 $327,038.42 $245,278.82 nat. median
$206,474
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $232,229.92 $325,121.89 $243,841.42 nat. median
$202,976
1.2× median
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 1 $241,934.87 $241,934.87 $241,934.87 nat. median
$129,535
1.9× median
6024
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 $232,620.74 $232,620.74 $232,620.74 nat. median
$118,620
2.0× median
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 1 $230,759.03 $230,759.03 $230,759.03 nat. median
$93,528
outlier · 2.5×
5933
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $227,522.89 $227,522.89 $227,522.89 nat. median
$108,996
outlier · 2.1×
5912
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $222,605.45 $222,605.45 $222,605.45 nat. median
$81,294
outlier · 2.7×
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $217,745.66 $217,745.66 $217,745.66 nat. median
$124,573
1.7× median
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 1 $193,178.90 $193,178.90 $193,178.90 nat. median
$78,990
outlier · 2.4×
1612
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 1 $192,970.60 $192,970.60 $192,970.60 nat. median
$85,444
outlier · 2.3×
1611
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 1 $192,970.60 $192,970.60 $192,970.60 nat. median
$76,806
outlier · 2.5×
1604
APR_DRG 		Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 1 $187,591.91 $187,591.91 $187,591.91 nat. median
$97,957
1.9× median
54
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $185,568.39 $185,568.39 $185,568.39 nat. median
$68,217
outlier · 2.7×
22
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 1 $178,114.11 $178,114.11 $178,114.11 nat. median
$77,804
outlier · 2.3×
5932
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $176,903.35 $176,903.35 $176,903.35 nat. median
$86,338
outlier · 2.0×
6074
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 1 $173,153.89 $173,153.89 $173,153.89 nat. median
$95,507
1.8× median
43
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $172,925.13 $172,925.13 $172,925.13 nat. median
$69,926
outlier · 2.5×
6034
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 1 $168,245.75 $168,245.75 $168,245.75 nat. median
$109,499
1.5× median
64
APR_DRG 		Apr-DRG 42.00: Pancreas Transplant 1 $163,149.76 $163,149.76 $163,149.76 nat. median
$91,009
1.8× median
6023
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 $162,151.02 $162,151.02 $162,151.02 nat. median
$86,492
1.9× median
J9347
HCPCS 		Tremelimumab-actl Per 1 Mg 19 $140.90 $195,277.00 $160,029.50 nat. median
$3,461
outlier · 46.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $151,668.60 $212,336.04 $159,252.03 nat. median
$133,161
1.2× median
73
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 1 $156,621.69 $156,621.69 $156,621.69 nat. median
$89,273
1.8× median
7
MS_DRG 		Lung Transplant 4 $141,822.69 $198,551.77 $148,913.83 nat. median
$122,708
1.2× median
1624
APR_DRG 		Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 $141,705.69 $141,705.69 $141,705.69 nat. median
$81,781
1.7× median
63
APR_DRG 		Apr-DRG 42.00: Pancreas Transplant 1 $138,852.68 $138,852.68 $138,852.68 nat. median
$64,159
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 6,674 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
             
0614T HCPCS Hc Rem And Replc Substernal Impl Defib 34 18 $105,062.00 $73,543.40 30% off $32,538.62 $105,062.00 $87,306.52 2026-02-23
0620T HCPCS Hc Femoropopliteal Bypass 34 18 $70,140.00 $49,098.00 30% off $28,056.00 $80,540.77 $58,721.21 2026-02-23
0795T HCPCS Hc Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys 34 18 $74,915.00 $52,440.50 30% off $28,176.63 $74,915.00 $62,254.36 2026-02-23
0796T HCPCS Hc Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt 34 18 $74,915.00 $52,440.50 30% off $28,176.63 $74,915.00 $62,254.36 2026-02-23
0797T HCPCS Hc Tcat Insj Perm 2chmbr Ldls Pm R Ventr Pm Compnt 34 18 $74,915.00 $52,440.50 30% off $28,176.63 $74,915.00 $62,254.36 2026-02-23
0801T HCPCS Hc Tcat Rmvl&Rplcmt Perm 2chmbr Ldls Pm 2chmbr Sys 34 18 $74,915.00 $52,440.50 30% off $28,176.63 $74,915.00 $62,254.36 2026-02-23
0802T HCPCS Hc Tcat Rmvl&Rplcmt Perm 2chmbr Ldls Pm R Atr Cmpnt 34 18 $74,915.00 $52,440.50 30% off $28,176.63 $74,915.00 $62,254.36 2026-02-23
0803T HCPCS Hc Tcat Rmvl&Rplcmt Prm 2chmbr Ldls Pm R Vntr Cmpnt 34 18 $74,915.00 $52,440.50 30% off $28,176.63 $74,915.00 $62,254.36 2026-02-23
0805T HCPCS Hc Tcat Supr&Ivc Prostc Vlv Impltj Perq Fem Vn Appr 30 14 $74,915.00 $52,440.50 30% off $29,966.00 $74,915.00 $62,254.36 2026-02-23
0806T HCPCS Hc Tcat Supr&Ivc Prostc Vlv Impltj Open Fem Vn Appr 30 14 $74,915.00 $52,440.50 30% off $29,966.00 $74,915.00 $62,254.36 2026-02-23
0823T HCPCS Hc Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 34 18 $74,915.00 $52,440.50 30% off $28,176.63 $74,915.00 $62,254.36 2026-02-23
0825T HCPCS Hc Tcat Rmvl&Rplcmt Perm 1chmbr Ldls Pm R Atrial 34 18 $74,915.00 $52,440.50 30% off $28,176.63 $74,915.00 $62,254.36 2026-02-23
0915T HCPCS Hc Insj Perm Ccm-d Sys Pg&Dual Transvns Eltrds/Lds 34 18 $128,177.00 $89,723.90 30% off $45,916.65 $128,177.00 $106,515.09 2026-02-23
0916T HCPCS Hc Insertion Perm Ccm-d System Pulse Generator Only 34 18 $89,736.00 $62,815.20 30% off $32,538.62 $89,736.00 $74,570.62 2026-02-23
0923T HCPCS Hc Rmvl&Rplcmt Permanent Ccm-d Pulse Generator Only 34 18 $89,736.00 $62,815.20 30% off $32,538.62 $89,736.00 $74,570.62 2026-02-23
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 4 — — $306,508.06 $429,111.28 $321,833.46 2026-02-23
10 MS_DRG Pancreas Transplant 4 4 — — $78,734.28 $110,227.99 $82,670.99 2026-02-23
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 2 1 — — $88,580.94 $88,580.94 $88,580.94 2026-02-23
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 4 — — $59,925.21 $83,895.29 $62,921.47 2026-02-23
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $130,924.14 $130,924.14 $130,924.14 2026-02-23
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $309,914.24 $309,914.24 $309,914.24 2026-02-23
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $366,747.54 $366,747.54 $366,747.54 2026-02-23
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $469,887.38 $469,887.38 $469,887.38 2026-02-23
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 2 1 — — $107,802.49 $107,802.49 $107,802.49 2026-02-23
1204 APR_DRG Apr-DRG 42.00: Major Respiratory And Chest Procedures 2 1 — — $78,933.89 $78,933.89 $78,933.89 2026-02-23
1214 APR_DRG Apr-DRG 42.00: Other Respiratory And Chest Procedures 2 1 — — $66,737.00 $66,737.00 $66,737.00 2026-02-23
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 2 1 — — $133,607.90 $133,607.90 $133,607.90 2026-02-23
1303 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $62,894.55 $62,894.55 $62,894.55 2026-02-23
1304 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 1 — — $84,104.28 $84,104.28 $84,104.28 2026-02-23
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 2 1 — — $241,934.87 $241,934.87 $241,934.87 2026-02-23
14 MS_DRG Allogeneic Bone Marrow Transplant 4 4 — — $131,636.99 $184,291.79 $138,218.84 2026-02-23
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 4 — — $65,121.32 $91,169.85 $68,377.38 2026-02-23
1602 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $64,369.41 $64,369.41 $64,369.41 2026-02-23
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $82,454.59 $82,454.59 $82,454.59 2026-02-23
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $187,591.91 $187,591.91 $187,591.91 2026-02-23
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 2 1 — — $192,970.60 $192,970.60 $192,970.60 2026-02-23
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 2 1 — — $192,970.60 $192,970.60 $192,970.60 2026-02-23
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 2 1 — — $285,511.15 $285,511.15 $285,511.15 2026-02-23
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 2 1 — — $354,814.74 $354,814.74 $354,814.74 2026-02-23
1621 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $66,742.58 $66,742.58 $66,742.58 2026-02-23
1622 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $77,678.50 $77,678.50 $77,678.50 2026-02-23
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $101,499.45 $101,499.45 $101,499.45 2026-02-23
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 1 — — $141,705.69 $141,705.69 $141,705.69 2026-02-23
1631 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 2 1 — — $56,031.70 $56,031.70 $56,031.70 2026-02-23
1632 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 2 1 — — $64,722.78 $64,722.78 $64,722.78 2026-02-23
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 2 1 — — $85,155.09 $85,155.09 $85,155.09 2026-02-23
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 2 1 — — $124,572.75 $124,572.75 $124,572.75 2026-02-23
1651 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $61,771.20 $61,771.20 $61,771.20 2026-02-23
1652 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $67,661.34 $67,661.34 $67,661.34 2026-02-23
1653 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $82,337.42 $82,337.42 $82,337.42 2026-02-23
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 2 1 — — $111,683.99 $111,683.99 $111,683.99 2026-02-23
1662 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 1 — — $58,006.86 $58,006.86 $58,006.86 2026-02-23
1663 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 1 — — $70,108.91 $70,108.91 $70,108.91 2026-02-23
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 1 — — $96,574.57 $96,574.57 $96,574.57 2026-02-23
1673 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 2 1 — — $58,832.64 $58,832.64 $58,832.64 2026-02-23
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 2 1 — — $94,789.12 $94,789.12 $94,789.12 2026-02-23
1693 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 2 1 — — $59,264.12 $59,264.12 $59,264.12 2026-02-23
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 2 1 — — $87,197.21 $87,197.21 $87,197.21 2026-02-23
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 4 — — $59,687.05 $83,561.87 $62,671.40 2026-02-23
1704 APR_DRG Apr-DRG 42.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh… 2 1 — — $63,990.00 $63,990.00 $63,990.00 2026-02-23
1714 APR_DRG Apr-DRG 42.00: Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or… 2 1 — — $55,613.23 $55,613.23 $55,613.23 2026-02-23
1744 APR_DRG Apr-DRG 42.00: Percutaneous Cardiac Intervention With Ami 2 1 — — $57,084.38 $57,084.38 $57,084.38 2026-02-23
1754 APR_DRG Apr-DRG 42.00: Percutaneous Cardiac Intervention Without Ami 2 1 — — $63,259.08 $63,259.08 $63,259.08 2026-02-23
1764 APR_DRG Apr-DRG 42.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 2 1 — — $59,530.08 $59,530.08 $59,530.08 2026-02-23
1781 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 2 1 — — $69,686.72 $69,686.72 $69,686.72 2026-02-23
1782 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 2 1 — — $75,954.41 $75,954.41 $75,954.41 2026-02-23
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 2 1 — — $94,220.00 $94,220.00 $94,220.00 2026-02-23
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 2 1 — — $116,192.27 $116,192.27 $116,192.27 2026-02-23
1792 APR_DRG Apr-DRG 42.00: Defibrillator Implants 2 1 — — $58,549.94 $58,549.94 $58,549.94 2026-02-23
1793 APR_DRG Apr-DRG 42.00: Defibrillator Implants 2 1 — — $71,224.82 $71,224.82 $71,224.82 2026-02-23
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 2 1 — — $96,479.72 $96,479.72 $96,479.72 2026-02-23
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $472,124.26 $660,973.96 $495,730.47 2026-02-23
1814 APR_DRG Apr-DRG 42.00: Lower Extremity Vascular Procedures 2 1 — — $68,356.93 $68,356.93 $68,356.93 2026-02-23
1831 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 2 1 — — $56,072.62 $56,072.62 $56,072.62 2026-02-23
1832 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 2 1 — — $59,422.21 $59,422.21 $59,422.21 2026-02-23
1833 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 2 1 — — $72,647.60 $72,647.60 $72,647.60 2026-02-23
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 2 1 — — $103,104.50 $103,104.50 $103,104.50 2026-02-23
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 4 — — $78,285.25 $109,599.35 $82,199.51 2026-02-23
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 4 — — $124,141.10 $173,797.54 $130,348.15 2026-02-23
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 4 — — $86,306.65 $120,829.31 $90,621.99 2026-02-23
204 APR_DRG Apr-DRG 42.00: Open Craniotomy For Trauma 2 1 — — $77,165.18 $77,165.18 $77,165.18 2026-02-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 4 — — $70,638.62 $98,894.07 $74,170.55 2026-02-23
209 MS_DRG Complex Aortic Arch Procedures 4 4 — — $123,999.09 $173,598.73 $130,199.04 2026-02-23
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 2 1 — — $136,537.17 $136,537.17 $136,537.17 2026-02-23
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 4 — — $58,173.88 $81,443.43 $61,082.57 2026-02-23
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 4 — — $119,140.59 $166,796.83 $125,097.62 2026-02-23
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 4 4 — — $62,687.14 $87,762.00 $65,821.49 2026-02-23
213 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 2 1 — — $59,340.37 $59,340.37 $59,340.37 2026-02-23
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 2 1 — — $87,091.20 $87,091.20 $87,091.20 2026-02-23
215 MS_DRG Other Heart Assist System Implant 4 4 — — $109,120.95 $152,769.33 $114,576.99 2026-02-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $107,217.75 $157,645.00 $110,000.00 2026-02-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $72,000.00 $103,304.00 $72,174.71 2026-02-23
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $68,000.00 $95,255.00 $72,174.71 2026-02-23
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $84,225.36 $124,586.00 $92,647.90 2026-02-23
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 2 1 — — $178,114.11 $178,114.11 $178,114.11 2026-02-23
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $58,599.96 $92,433.00 $63,000.00 2026-02-23
2204 APR_DRG Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures 2 1 — — $80,085.14 $80,085.14 $80,085.14 2026-02-23
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $55,403.20 $75,409.00 $57,000.00 2026-02-23
2224 APR_DRG Apr-DRG 42.00: Other Stomach, Esophageal And Duodenal Procedures 2 1 — — $55,990.78 $55,990.78 $55,990.78 2026-02-23
224 APR_DRG Apr-DRG 42.00: Ventricular Shunt Procedures 2 1 — — $62,799.70 $62,799.70 $62,799.70 2026-02-23
2244 APR_DRG Apr-DRG 42.00: Peritoneal Adhesiolysis 2 1 — — $56,221.41 $56,221.41 $56,221.41 2026-02-23
2274 APR_DRG Apr-DRG 42.00: Hernia Procedures Except Inguinal, Femoral And Umbilical 2 1 — — $55,641.13 $55,641.13 $55,641.13 2026-02-23
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 4 — — $54,389.33 $98,506.00 $57,108.79 2026-02-23
2294 APR_DRG Apr-DRG 42.00: Other Digestive System And Abdominal Procedures 2 1 — — $56,766.34 $56,766.34 $56,766.34 2026-02-23
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 2 1 — — $230,759.03 $230,759.03 $230,759.03 2026-02-23
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 4 — — $62,942.80 $88,119.92 $66,089.94 2026-02-23
2304 APR_DRG Apr-DRG 42.00: Major Small Bowel Procedures 2 1 — — $68,494.56 $68,494.56 $68,494.56 2026-02-23
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 4 — — $92,436.84 $134,985.00 $97,058.68 2026-02-23
2314 APR_DRG Apr-DRG 42.00: Major Large Bowel Procedures 2 1 — — $59,937.39 $59,937.39 $59,937.39 2026-02-23
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 4 — — $66,573.28 $98,884.00 $69,901.95 2026-02-23
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 5 — — $83,863.74 $122,775.00 $90,000.00 2026-02-23
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 2 1 — — $84,029.88 $84,029.88 $84,029.88 2026-02-23
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 5 — — $60,019.17 $83,805.00 $66,021.09 2026-02-23
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 5 — — $64,453.76 $94,698.00 $70,899.14 2026-02-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 4 — — $54,108.57 $75,752.00 $56,814.00 2026-02-23
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 2 1 — — $426,727.70 $426,727.70 $426,727.70 2026-02-23
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 2 1 — — $82,389.50 $82,389.50 $82,389.50 2026-02-23
2614 APR_DRG Apr-DRG 42.00: Major Biliary Tract Procedures 2 1 — — $72,978.65 $72,978.65 $72,978.65 2026-02-23
264 APR_DRG Apr-DRG 42.00: Other Nervous System And Related Procedures 2 1 — — $57,525.16 $57,525.16 $57,525.16 2026-02-23
2644 APR_DRG Apr-DRG 42.00: Other Hepatobiliary, Pancreas And Abdominal Procedures 2 1 — — $63,041.48 $63,041.48 $63,041.48 2026-02-23
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 4 — — $67,292.18 $94,209.05 $70,656.79 2026-02-23
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 4 — — $75,480.72 $105,673.01 $79,254.76 2026-02-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 4 — — $57,982.70 $81,175.78 $60,881.83 2026-02-23
274 APR_DRG Apr-DRG 42.00: Other Open Craniotomy 2 1 — — $68,416.44 $68,416.44 $68,416.44 2026-02-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 4 — — $78,239.36 $109,535.10 $82,151.33 2026-02-23
2750000108 CDM Gen Pacer Cd335740c Unifyassura 300 14 $78,821.75 $55,175.23 30% off $25,160.40 $95,898.20 $64,686.89 2026-02-23
2750000130 CDM Dfbr Rivacor 7 Dr-t Df4 Promri 270 14 $75,656.20 $52,959.34 30% off $25,421.28 $104,804.00 $62,870.30 2026-02-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 4 — — $65,961.47 $92,346.06 $69,259.54 2026-02-23
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $61,149.94 $85,609.92 $64,207.43 2026-02-23
28 MS_DRG Spinal Procedures With Mcc 4 4 — — $65,980.04 $92,372.06 $69,279.04 2026-02-23
294 APR_DRG Apr-DRG 42.00: Other Percutaneous Intracranial Procedures 2 1 — — $62,846.19 $62,846.19 $62,846.19 2026-02-23
2991 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 2 1 — — $58,750.80 $58,750.80 $58,750.80 2026-02-23
2992 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 2 1 — — $69,037.63 $69,037.63 $69,037.63 2026-02-23
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 2 1 — — $92,144.41 $92,144.41 $92,144.41 2026-02-23
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 2 1 — — $117,531.36 $117,531.36 $117,531.36 2026-02-23
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 4 — — $232,229.92 $325,121.89 $243,841.42 2026-02-23
3003 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 2 1 — — $60,712.94 $60,712.94 $60,712.94 2026-02-23
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 2 1 — — $88,871.07 $88,871.07 $88,871.07 2026-02-23
3031 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $57,194.11 $57,194.11 $57,194.11 2026-02-23
3032 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $64,821.35 $64,821.35 $64,821.35 2026-02-23
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $86,724.81 $86,724.81 $86,724.81 2026-02-23
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 1 — — $129,906.80 $129,906.80 $129,906.80 2026-02-23
304 APR_DRG Apr-DRG 42.00: Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $65,732.68 $65,732.68 $65,732.68 2026-02-23
3043 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 1 — — $68,206.28 $68,206.28 $68,206.28 2026-02-23
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 1 — — $95,486.56 $95,486.56 $95,486.56 2026-02-23
3094 APR_DRG Apr-DRG 42.00: Other Significant Hip And Femur Surgery 2 1 — — $55,540.70 $55,540.70 $55,540.70 2026-02-23
3124 APR_DRG Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 2 1 — — $76,272.45 $76,272.45 $76,272.45 2026-02-23
3134 APR_DRG Apr-DRG 42.00: Knee And Lower Leg Procedures Except Foot 2 1 — — $57,432.17 $57,432.17 $57,432.17 2026-02-23
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 4 — — $73,389.60 $102,745.44 $77,059.08 2026-02-23
3214 APR_DRG Apr-DRG 42.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc … 2 1 — — $70,300.47 $70,300.47 $70,300.47 2026-02-23
3254 APR_DRG Apr-DRG 42.00: Non-elective Or Complex Knee Joint Replacement 2 1 — — $58,695.01 $58,695.01 $58,695.01 2026-02-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 4 — — $54,826.37 $76,756.92 $57,567.69 2026-02-23
33230 HCPCS Hc Insrt Icd Gen:Exist Dual 36 18 $108,277.00 $75,793.90 30% off $562.91 $108,277.00 $89,355.60 2026-02-23
33231 HCPCS Hc Insrt Icd Gen:Exist Mult 36 18 $108,277.00 $75,793.90 30% off $584.37 $108,277.00 $89,355.60 2026-02-23
33240 HCPCS Hc Insrt Dual Cham Defib Gen 36 18 $103,913.00 $72,739.10 30% off $690.91 $103,913.00 $85,754.20 2026-02-23
33249 HCPCS Hc Insert/Repos Icd Sngl Or Dual Gen 36 18 $139,532.00 $97,672.40 30% off $1,611.02 $139,532.00 $115,148.78 2026-02-23
33262 HCPCS Hc Exchg Icd:Single Lead 36 18 $122,369.00 $85,658.30 30% off $542.81 $122,369.00 $100,985.02 2026-02-23
33263 HCPCS Hc Exchg Icd:Dual Lead 36 18 $122,369.00 $85,658.30 30% off $564.26 $122,369.00 $100,985.02 2026-02-23
33264 HCPCS Hc Exchg Icd:Multi Lead 36 18 $122,369.00 $85,658.30 30% off $585.04 $122,369.00 $100,985.02 2026-02-23
33270 HCPCS Hc Insert/Rep Icd Subq Defibrillator 36 18 $144,162.00 $100,913.40 30% off $916.07 $144,162.00 $118,969.69 2026-02-23
33289 HCPCS Hc Trans Cath Imp Pulm Art Press Sens 36 18 $128,397.00 $89,877.90 30% off $496.57 $128,397.00 $105,959.62 2026-02-23
33340 HCPCS Hc Perc Transcath Closureat L Arterial Apndge W/Endocardial Implnt 32 15 $67,167.00 $47,016.90 30% off $1,221.66 $67,167.00 $55,815.78 2026-02-23
3614 APR_DRG Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 1 — — $71,819.97 $71,819.97 $71,819.97 2026-02-23
37275 HCPCS Hc Revasc Endo Fem/Pop Stent Atherect Same Art Unil Str Init Vess 58 18 $72,314.00 $50,619.80 30% off $26,816.11 $144,628.00 $66,167.31 2026-02-23
37277 HCPCS Hc Revasc Endo Fem/Pop Stent Atherect Same Art Unil Cmpx Init Vess 58 18 $72,314.00 $50,619.80 30% off $26,816.11 $144,628.00 $66,167.31 2026-02-23
37292 HCPCS Hc Revasc Endo Tibial/Peroneal Stent Same Art Unil Str Init Vess 58 18 $72,314.00 $50,619.80 30% off $26,816.11 $144,628.00 $66,167.31 2026-02-23
37294 HCPCS Hc Revasc Endo Tibial/Peroneal Stent Atherec Same Art Unil Cplx Init Vess 58 18 $72,314.00 $50,619.80 30% off $26,816.11 $144,628.00 $66,167.31 2026-02-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 4 — — $151,668.60 $212,336.04 $159,252.03 2026-02-23
4014 APR_DRG Apr-DRG 42.00: Adrenal Procedures 2 1 — — $79,465.81 $79,465.81 $79,465.81 2026-02-23
4034 APR_DRG Apr-DRG 42.00: Procedures For Obesity 2 1 — — $63,945.36 $63,945.36 $63,945.36 2026-02-23
4044 APR_DRG Apr-DRG 42.00: Thyroid, Parathyroid And Thyroglossal Procedures 2 1 — — $61,722.84 $61,722.84 $61,722.84 2026-02-23
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 4 — — $60,104.39 $84,146.15 $63,109.61 2026-02-23
4054 APR_DRG Apr-DRG 42.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 2 1 — — $64,441.94 $64,441.94 $64,441.94 2026-02-23
41 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $76,404.50 $76,404.50 $76,404.50 2026-02-23
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $107,841.54 $107,841.54 $107,841.54 2026-02-23
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $120,747.71 $169,046.79 $126,785.10 2026-02-23
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $79,202.97 $110,884.16 $83,163.12 2026-02-23
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $61,759.58 $86,463.41 $64,847.56 2026-02-23
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 2 1 — — $63,956.52 $63,956.52 $63,956.52 2026-02-23
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 4 — — $98,770.27 $138,278.38 $103,708.79 2026-02-23
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $172,925.13 $172,925.13 $172,925.13 2026-02-23
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 4 — — $63,344.84 $88,682.78 $66,512.08 2026-02-23
434 APR_DRG Apr-DRG 42.00: Multiple Sclerosis, Other Demyelinating Disease And Inflammatory … 2 1 — — $57,342.90 $57,342.90 $57,342.90 2026-02-23
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $260,870.00 $260,870.00 $260,870.00 2026-02-23
4401 APR_DRG Apr-DRG 42.00: Kidney Transplant 2 1 — — $70,817.51 $70,817.51 $70,817.51 2026-02-23
4402 APR_DRG Apr-DRG 42.00: Kidney Transplant 2 1 — — $77,514.83 $77,514.83 $77,514.83 2026-02-23
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 2 1 — — $89,804.72 $89,804.72 $89,804.72 2026-02-23
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 2 1 — — $134,907.94 $134,907.94 $134,907.94 2026-02-23
4414 APR_DRG Apr-DRG 42.00: Major Bladder Procedures 2 1 — — $76,237.11 $76,237.11 $76,237.11 2026-02-23
4424 APR_DRG Apr-DRG 42.00: Kidney And Urinary Tract Procedures For Malignancy 2 1 — — $60,939.85 $60,939.85 $60,939.85 2026-02-23
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 4 — — $73,336.09 $102,670.53 $77,002.89 2026-02-23
4474 APR_DRG Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Non-percutaneous Procedur… 2 1 — — $61,097.93 $61,097.93 $61,097.93 2026-02-23
4484 APR_DRG Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Percutaneous Procedures 2 1 — — $59,325.50 $59,325.50 $59,325.50 2026-02-23
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 4 — — $58,565.00 $81,991.00 $61,493.25 2026-02-23
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $92,147.33 $129,006.26 $96,754.70 2026-02-23
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $65,486.20 $91,680.68 $68,760.51 2026-02-23
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 4 — — $60,677.97 $88,967.00 $63,711.87 2026-02-23
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $62,606.29 $87,648.81 $65,736.60 2026-02-23
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 4 — — $57,208.07 $90,647.00 $60,068.47 2026-02-23
471 MS_DRG Cervical Spinal Fusion With Mcc 4 4 — — $53,092.49 $74,329.49 $55,747.11 2026-02-23
4854 APR_DRG Apr-DRG 42.00: Prostatectomy Procedures 2 1 — — $72,757.33 $72,757.33 $72,757.33 2026-02-23
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 4 — — $112,983.07 $158,176.30 $118,632.23 2026-02-23
5114 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 2 1 — — $67,257.76 $67,257.76 $67,257.76 2026-02-23
5124 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mal… 2 1 — — $66,928.56 $66,928.56 $66,928.56 2026-02-23
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $87,671.47 $87,671.47 $87,671.47 2026-02-23
5204 APR_DRG Apr-DRG 42.00: Other GYN Procedures For Malignancy 2 1 — — $75,403.90 $75,403.90 $75,403.90 2026-02-23
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $130,920.42 $130,920.42 $130,920.42 2026-02-23
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $185,568.39 $185,568.39 $185,568.39 2026-02-23
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $71,913.59 $100,679.03 $75,509.27 2026-02-23
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $53,884.60 $75,438.44 $56,578.83 2026-02-23
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 2 1 — — $265,231.35 $265,231.35 $265,231.35 2026-02-23
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 2 1 — — $314,348.13 $314,348.13 $314,348.13 2026-02-23
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 2 1 — — $500,935.72 $500,935.72 $500,935.72 2026-02-23
5834 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 2 1 — — $829,673.51 $829,673.51 $829,673.51 2026-02-23
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $217,745.66 $217,745.66 $217,745.66 2026-02-23
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $327,381.96 $327,381.96 $327,381.96 2026-02-23
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $339,452.38 $339,452.38 $339,452.38 2026-02-23
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 2 1 — — $524,384.71 $524,384.71 $524,384.71 2026-02-23
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 2 1 — — $278,506.96 $278,506.96 $278,506.96 2026-02-23
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 2 1 — — $278,506.96 $278,506.96 $278,506.96 2026-02-23
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 2 1 — — $278,506.96 $278,506.96 $278,506.96 2026-02-23
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $222,605.45 $222,605.45 $222,605.45 2026-02-23
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $274,149.33 $274,149.33 $274,149.33 2026-02-23
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 2 1 — — $360,809.04 $360,809.04 $360,809.04 2026-02-23
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $87,695.65 $87,695.65 $87,695.65 2026-02-23
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $176,903.35 $176,903.35 $176,903.35 2026-02-23
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $227,522.89 $227,522.89 $227,522.89 2026-02-23
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 2 1 — — $318,490.01 $318,490.01 $318,490.01 2026-02-23
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 2 1 — — $69,510.03 $69,510.03 $69,510.03 2026-02-23
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 2 1 — — $118,541.26 $118,541.26 $118,541.26 2026-02-23
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 2 1 — — $162,151.02 $162,151.02 $162,151.02 2026-02-23
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 2 1 — — $232,620.74 $232,620.74 $232,620.74 2026-02-23
6032 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 2 1 — — $59,241.80 $59,241.80 $59,241.80 2026-02-23
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 2 1 — — $68,857.23 $68,857.23 $68,857.23 2026-02-23
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 2 1 — — $168,245.75 $168,245.75 $168,245.75 2026-02-23
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 2 1 — — $82,826.56 $82,826.56 $82,826.56 2026-02-23
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 2 1 — — $121,600.71 $121,600.71 $121,600.71 2026-02-23
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 2 1 — — $173,153.89 $173,153.89 $173,153.89 2026-02-23
61 APR_DRG Apr-DRG 42.00: Pancreas Transplant 2 1 — — $94,748.20 $94,748.20 $94,748.20 2026-02-23
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 2 1 — — $117,414.19 $117,414.19 $117,414.19 2026-02-23
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 2 1 — — $138,852.68 $138,852.68 $138,852.68 2026-02-23
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 2 1 — — $163,149.76 $163,149.76 $163,149.76 2026-02-23
653 MS_DRG Major Bladder Procedures With Mcc 4 4 — — $57,109.75 $79,953.65 $59,965.24 2026-02-23
7 MS_DRG Lung Transplant 4 4 — — $141,822.69 $198,551.77 $148,913.83 2026-02-23
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 2 1 — — $97,035.81 $97,035.81 $97,035.81 2026-02-23
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 2 1 — — $116,573.54 $116,573.54 $116,573.54 2026-02-23
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 2 1 — — $156,621.69 $156,621.69 $156,621.69 2026-02-23
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 2 1 — — $262,873.06 $262,873.06 $262,873.06 2026-02-23
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 4 — — $65,272.08 $91,380.91 $68,535.68 2026-02-23
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 4 — — $61,569.48 $86,197.27 $64,647.96 2026-02-23
82 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 2 1 — — $60,636.69 $60,636.69 $60,636.69 2026-02-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 4 — — $64,412.24 $90,177.14 $67,632.85 2026-02-23
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 2 1 — — $74,922.20 $74,922.20 $74,922.20 2026-02-23
834 MS_DRG Acute Leukemia With Mcc 4 4 — — $60,316.34 $84,442.88 $63,332.15 2026-02-23
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 2 1 — — $114,226.41 $114,226.41 $114,226.41 2026-02-23
850 MS_DRG Acute Leukemia With Other Procedures 4 4 — — $94,945.30 $132,923.42 $99,692.57 2026-02-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 4 — — $54,293.19 $76,010.47 $57,007.85 2026-02-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 4 — — $75,851.09 $106,191.53 $79,643.64 2026-02-23
893 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 2 1 — — $56,085.64 $56,085.64 $56,085.64 2026-02-23
894 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 2 1 — — $80,416.19 $80,416.19 $80,416.19 2026-02-23
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $85,768.84 $85,768.84 $85,768.84 2026-02-23
913 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 2 1 — — $60,002.48 $60,002.48 $60,002.48 2026-02-23
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 2 1 — — $94,467.36 $94,467.36 $94,467.36 2026-02-23
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $106,007.73 $106,007.73 $106,007.73 2026-02-23
924 APR_DRG Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 2 1 — — $68,741.92 $68,741.92 $68,741.92 2026-02-23
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 4 — — $233,598.87 $327,038.42 $245,278.82 2026-02-23
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 4 — — $78,701.50 $110,182.10 $82,636.57 2026-02-23
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $193,178.90 $193,178.90 $193,178.90 2026-02-23
93656 HCPCS Hc Abla A-fib/ep Stu/Tx Sep 36 18 $83,944.00 $58,760.80 30% off $1,584.85 $83,944.00 $69,274.79 2026-02-23
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $341,475.90 $341,475.90 $341,475.90 2026-02-23
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $73,876.89 $103,427.65 $77,570.74 2026-02-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 4 — — $83,587.32 $117,022.25 $87,766.68 2026-02-23
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 4 — — $67,214.60 $94,100.44 $70,575.33 2026-02-23
A9606 HCPCS Radium Ra 223 Dichloride Per 1 Microcurie 35 19 $84,321.00 $59,024.70 30% off $171.92 $84,321.00 $70,070.75 2026-02-23
C1604 HCPCS Sys Cath Endocross 30 14 $97,132.00 $67,992.40 30% off $38,852.80 $97,132.00 $80,716.69 2026-02-23
C1722 HCPCS Icd Emblem MRI S-icd A219 90 14 $74,738.90 $52,317.23 30% off $24,919.76 $77,191.60 $62,108.03 2026-02-23
C1767 HCPCS Generator Pulse Imp 3028 150 14 $74,616.00 $52,231.20 30% off $1,981.22 $82,243.20 $61,699.53 2026-02-23
C1820 HCPCS Gen Spnl Pulse Sc111002 90 14 $69,255.30 $48,478.71 30% off $8,287.16 $78,853.30 $55,958.28 2026-02-23
C1882 HCPCS Dfbr Cobalt MRI Dtpb2qq 300 14 $76,757.10 $53,729.97 30% off $22,235.80 $95,898.20 $64,561.89 2026-02-23
C2616 HCPCS Glass Microsphere Y90 M00139552us0700 34 18 $75,845.60 $53,091.92 30% off $25,444.89 $75,845.60 $63,027.69 2026-02-23
C9765 HCPCS Hc Hc Revasc Low Ext Art Intravasc Lithotripsy Stent Plcmt 34 18 $70,093.00 $49,065.10 30% off $26,816.11 $70,093.00 $58,247.28 2026-02-23
J1299 HCPCS Eculizumab Per 2 Mg 37 19 $76,210.10 $53,347.07 30% off $44.82 $76,210.10 $62,454.18 2026-02-23
J1930 HCPCS Lanreotide Per 1 Mg 130 19 $94,728.20 $66,309.74 30% off $35.39 $111,716.00 $61,549.48 2026-02-23
J2323 HCPCS Natalizumab Per 1 Mg 37 19 $72,202.80 $50,541.96 30% off $24.00 $72,202.80 $59,170.19 2026-02-23
J2350 HCPCS Ocrelizumab Per 1 Mg 37 19 $81,365.40 $56,955.78 30% off $59.32 $81,365.40 $66,678.95 2026-02-23
J3101 HCPCS Tenecteplase Per 1 Mg 66 19 $90,318.40 $63,222.88 30% off $186.97 $90,318.40 $75,038.55 2026-02-23
J3380 HCPCS Vedolizumab Per 1 Mg 37 19 $81,745.30 $57,221.71 30% off $21.31 $81,745.30 $66,990.27 2026-02-23
J9119 HCPCS Cemiplimab-rwlc Per 1 Mg 37 19 $112,273.00 $78,591.10 30% off $28.69 $112,273.00 $92,007.72 2026-02-23
J9144 HCPCS Daratumumab-hyaluronidase-fihj Per 10 Mg 37 19 $106,003.00 $74,202.10 30% off $55.06 $106,003.00 $86,869.46 2026-02-23
J9153 HCPCS Daunorubicin-cytarabine Liposomal Per 1 Mg Of Daunorubicin 37 19 $90,545.60 $63,381.92 30% off $256.09 $90,545.60 $74,202.12 2026-02-23
J9228 HCPCS Ipilimumab Per 1 Mg 67 19 $167,541.00 $117,278.70 30% off $183.48 $167,541.00 $92,846.35 2026-02-23
J9266 HCPCS Pegaspargase Per 1 Each 37 19 $93,139.00 $65,197.30 30% off $5,574.87 $93,139.00 $76,327.41 2026-02-23
J9271 HCPCS Pembrolizumab Per 1 Mg 67 19 $115,313.00 $80,719.10 30% off $59.73 $115,313.00 $92,400.71 2026-02-23
J9273 HCPCS Tisotumab Vedotin-tftv Per 1 Mg 37 19 $71,431.70 $50,002.19 30% off $188.76 $71,431.70 $58,538.28 2026-02-23
J9301 HCPCS Obinutuzumab Per 10 Mg 37 19 $90,841.40 $63,588.98 30% off $79.00 $90,841.40 $74,444.53 2026-02-23
J9307 HCPCS PRALAtrexate Per 1 Mg 67 19 $83,217.20 $58,252.04 30% off $392.63 $83,217.20 $60,985.95 2026-02-23
J9311 HCPCS Rituximab-hyaluronidase,human Per 10 Mg 68 19 $84,435.30 $59,104.71 30% off $36.87 $84,435.30 $63,168.08 2026-02-23
J9316 HCPCS Pertuzumab-trastuzumab-hy-zzxf Per 5 Mg 68 19 $98,969.20 $69,278.44 30% off $60.96 $98,969.20 $60,441.57 2026-02-23
J9347 HCPCS Tremelimumab-actl Per 1 Mg 37 19 $195,277.00 $136,693.90 30% off $140.90 $195,277.00 $160,029.50 2026-02-23
J9357 HCPCS Valrubicin Per 200 Mg 35 19 $67,739.10 $47,417.37 30% off $366.35 $67,739.10 $56,291.19 2026-02-23
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