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 MARY MEDICAL CENTER

Long Beach, CA · CCN 050191 · Rates published

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You selected 93306 (CPT)

TTE W/DOPPLER COMPLETE

This hospital’s price: $697 across 24 payers · range $216-$5,271

Source: https://www.commonspirit.org/content/dam/commonspiritorg/en/dhsoc/casc/finance/price-transparency/941196203_st-mary-medical-center-long-beach_standardcharges.json · observed 2026-02-28

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

17,009 distinct procedures filed
27 distinct payers
1,112,662 rate rows
2026-02-28 last MRF observed
Data quality

1,001,794 of 1,112,662 rate rows are consumer-grade (90.0%)

110,868 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 62,894
per-diem day rate — not a per-procedure price 33,008
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,822
exceeds 10× this hospital's gross charge — excluded from medians 904
template filing: same amount across many unrelated codes — excluded 894
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 256
placeholder amount (≤ $0.02) — excluded from medians 74
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.commonspirit.org/content/dam/commonspiritorg/en/dhsoc/casc/finance/price-transparency/941196203-1194840421_dignity-health_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/dignity-health-socal-price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 5797d0a7196ebef9… · 128,138,877 bytes · first seen 2026-07-06

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 11 $254,413.00 $836,097.00 $411,854.45 nat. median
$307,206
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $8,084.00 $645,662.02 $403,538.76 nat. median
$359,454
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $207,873.90 $623,620.50 $307,191.43 nat. median
$247,214
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $13,527.00 $482,737.43 $301,710.89 nat. median
$249,036
1.2× median
5833
APR_DRG 		Neonate With Ecmo 11 $201,500.00 $505,647.00 $269,678.00 nat. median
$244,017
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $13,527.00 $406,852.76 $254,282.97 nat. median
$198,418
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 15 $13,527.00 $367,741.99 $229,838.74 nat. median
$190,559
1.2× median
1614
APR_DRG 		Implantable Heart Assist Systems 11 $191,734.20 $364,294.98 $213,038.00 nat. median
$202,993
1.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 $141,291.00 $423,873.00 $208,796.70 nat. median
$154,011
1.4× median
24
APR_DRG 		Heart And/or Lung Transplant 11 $185,748.30 $352,921.77 $206,387.00 nat. median
$241,437
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 11 $136,104.00 $409,962.00 $201,944.54 nat. median
$151,838
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 11 $131,431.00 $405,873.00 $199,929.59 nat. median
$162,342
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 $125,374.00 $398,727.00 $196,410.41 nat. median
$133,164
1.5× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 $130,593.00 $394,168.50 $194,164.04 nat. median
$165,000
1.2× median
5832
APR_DRG 		Neonate With Ecmo 11 $148,587.00 $317,307.00 $185,733.00 nat. median
$159,249
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $133,324.20 $277,759.50 $166,655.70 nat. median
$175,204
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $129,779.10 $270,372.00 $162,223.20 nat. median
$145,061
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems 11 $145,289.70 $276,050.43 $161,433.00 nat. median
$120,517
1.3× median
5831
APR_DRG 		Neonate With Ecmo 11 $123,340.50 $256,960.50 $154,176.30 nat. median
$146,500
1.1× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 11 $137,707.20 $261,643.68 $153,008.00 nat. median
$155,939
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 15 $13,527.00 $243,103.68 $151,939.80 nat. median
$126,695
1.2× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 $102,510.00 $307,531.50 $151,487.00 nat. median
$107,681
1.4× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 $97,560.00 $295,821.00 $145,720.12 nat. median
$118,620
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $8,084.00 $225,552.32 $140,970.20 nat. median
$110,307
1.3× median
7
MS_DRG 		Lung Transplant 15 $13,527.00 $224,989.01 $140,618.13 nat. median
$117,974
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 11 $122,413.00 $235,147.23 $137,513.00 nat. median
$163,587
0.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 11 $121,472.10 $230,796.99 $134,969.00 nat. median
$122,016
1.1× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 11 $120,253.50 $228,481.65 $133,615.00 nat. median
$170,082
0.8× median
23
APR_DRG 		Heart And/or Lung Transplant 11 $117,560.70 $223,365.33 $130,623.00 nat. median
$110,944
1.2× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 11 $116,581.50 $221,504.85 $129,535.00 nat. median
$136,566
0.9× median
1612
APR_DRG 		Implantable Heart Assist Systems 11 $116,514.00 $221,376.60 $129,460.00 nat. median
$84,880
1.5× median
1611
APR_DRG 		Implantable Heart Assist Systems 11 $110,821.50 $210,560.85 $123,135.00 nat. median
$76,852
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $13,527.00 $190,010.88 $118,756.80 nat. median
$104,013
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $13,527.00 $187,863.48 $117,414.67 nat. median
$97,323
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $13,527.00 $183,689.86 $114,806.16 nat. median
$95,038
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 15 $13,527.00 $182,757.84 $114,223.65 nat. median
$93,901
1.2× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 $74,934.00 $229,957.50 $113,276.10 nat. median
$96,883
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $11,620.00 $180,719.68 $112,949.80 nat. median
$93,276
1.2× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 11 $87,524.00 $191,760.00 $109,405.00 nat. median
$108,695
1.0× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $86,317.20 $179,827.50 $107,896.50 nat. median
$120,208
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $17,154.00 $166,648.88 $104,155.55 nat. median
$90,551
1.2× median
64
APR_DRG 		Pancreas Transplant 11 $92,888.10 $176,487.39 $103,209.00 nat. median
$91,106
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $13,527.00 $159,151.73 $99,469.83 nat. median
$78,268
1.3× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 11 $76,998.00 $184,531.50 $98,416.00 nat. median
$101,406
1.0× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 11 $84,429.00 $166,107.69 $97,139.00 nat. median
$98,624
1.0× median
22
APR_DRG 		Heart And/or Lung Transplant 11 $84,612.60 $160,763.94 $94,014.00 nat. median
$92,229
1.0× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 $74,490.30 $155,188.50 $93,113.10 nat. median
$88,008
1.1× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 $82,401.00 $158,467.41 $92,671.00 nat. median
$81,521
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $17,154.00 $146,554.08 $91,596.30 nat. median
$77,028
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 15 $17,116.00 $146,473.84 $91,546.15 nat. median
$77,632
1.2× median

Other procedures at this hospital

Browse this hospital's 17,009 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 34 11 — — $254,413.00 $836,097.00 $411,854.45 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 48 15 — — $8,084.00 $645,662.02 $403,538.76 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 34 11 — — $207,873.90 $623,620.50 $307,191.43 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 46 15 — — $13,527.00 $482,737.43 $301,710.89 2026-02-28
5833 APR_DRG Neonate With Ecmo 34 11 — — $201,500.00 $505,647.00 $269,678.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 48 15 — — $13,527.00 $406,852.76 $254,282.97 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 48 15 — — $13,527.00 $367,741.99 $229,838.74 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 34 11 — — $191,734.20 $364,294.98 $213,038.00 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 34 11 — — $141,291.00 $423,873.00 $208,796.70 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 34 11 — — $185,748.30 $352,921.77 $206,387.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 34 11 — — $136,104.00 $409,962.00 $201,944.54 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 34 11 — — $131,431.00 $405,873.00 $199,929.59 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 34 11 — — $125,374.00 $398,727.00 $196,410.41 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 34 11 — — $130,593.00 $394,168.50 $194,164.04 2026-02-28
5832 APR_DRG Neonate With Ecmo 34 11 — — $148,587.00 $317,307.00 $185,733.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 34 11 — — $133,324.20 $277,759.50 $166,655.70 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 34 11 — — $129,779.10 $270,372.00 $162,223.20 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 34 11 — — $145,289.70 $276,050.43 $161,433.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 34 11 — — $123,340.50 $256,960.50 $154,176.30 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 34 11 — — $137,707.20 $261,643.68 $153,008.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 48 15 — — $13,527.00 $243,103.68 $151,939.80 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 34 11 — — $102,510.00 $307,531.50 $151,487.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $97,560.00 $295,821.00 $145,720.12 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 48 15 — — $8,084.00 $225,552.32 $140,970.20 2026-02-28
7 MS_DRG Lung Transplant 48 15 — — $13,527.00 $224,989.01 $140,618.13 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 34 11 — — $122,413.00 $235,147.23 $137,513.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 34 11 — — $121,472.10 $230,796.99 $134,969.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 34 11 — — $120,253.50 $228,481.65 $133,615.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 34 11 — — $117,560.70 $223,365.33 $130,623.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 34 11 — — $116,581.50 $221,504.85 $129,535.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 34 11 — — $116,514.00 $221,376.60 $129,460.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 34 11 — — $110,821.50 $210,560.85 $123,135.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 46 15 — — $13,527.00 $190,010.88 $118,756.80 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 46 15 — — $13,527.00 $187,863.48 $117,414.67 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 48 15 — — $13,527.00 $183,689.86 $114,806.16 2026-02-28
215 MS_DRG Other Heart Assist System Implant 50 15 — — $13,527.00 $182,757.84 $114,223.65 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $74,934.00 $229,957.50 $113,276.10 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 15 — — $11,620.00 $180,719.68 $112,949.80 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 34 11 — — $87,524.00 $191,760.00 $109,405.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 34 11 — — $86,317.20 $179,827.50 $107,896.50 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 15 — — $17,154.00 $166,648.88 $104,155.55 2026-02-28
64 APR_DRG Pancreas Transplant 34 11 — — $92,888.10 $176,487.39 $103,209.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 46 15 — — $13,527.00 $159,151.73 $99,469.83 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 34 11 — — $76,998.00 $184,531.50 $98,416.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 34 11 — — $84,429.00 $166,107.69 $97,139.00 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 34 11 — — $84,612.60 $160,763.94 $94,014.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $74,490.30 $155,188.50 $93,113.10 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 34 11 — — $82,401.00 $158,467.41 $92,671.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 46 15 — — $17,154.00 $146,554.08 $91,596.30 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 48 15 — — $17,116.00 $146,473.84 $91,546.15 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 34 11 — — $73,188.00 $159,453.00 $91,485.00 2026-02-28
4810632 CDM Defib Imp Ins Ex Mul Lead 26 8 $146,160.00 $62,848.80 57% off $36,540.00 $146,160.00 $90,619.20 2026-02-28
8634 APR_DRG Neonatal Aftercare 34 11 — — $55,826.00 $183,175.50 $90,231.19 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 46 15 — — $11,620.00 $144,278.64 $90,174.15 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 34 11 — — $80,285.40 $152,542.26 $89,206.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 54 15 — — $13,275.00 $139,507.59 $87,192.24 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 34 11 — — $69,371.00 $149,098.50 $86,713.00 2026-02-28
4800639 CDM Defib Imp Sys Ins/repl Tv 26 8 $139,200.00 $59,856.00 57% off $34,800.00 $139,200.00 $86,304.00 2026-02-28
10 MS_DRG Pancreas Transplant 48 15 — — $13,527.00 $138,003.72 $86,252.32 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 34 11 — — $56,944.00 $174,409.50 $85,912.68 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 48 15 — — $13,527.00 $137,223.62 $85,764.76 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 46 15 — — $17,154.00 $135,330.56 $84,581.60 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 34 11 — — $75,942.00 $144,289.80 $84,380.00 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 15 — — $13,527.00 $133,983.73 $83,739.83 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 34 11 — — $71,111.00 $142,814.07 $83,517.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 34 11 — — $74,764.80 $142,053.12 $83,072.00 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $54,453.00 $167,643.00 $82,579.70 2026-02-28
63 APR_DRG Pancreas Transplant 34 11 — — $73,538.10 $139,722.39 $81,709.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 48 15 — — $13,527.00 $129,318.50 $80,824.06 2026-02-28
4404 APR_DRG Kidney Transplant 34 11 — — $70,472.70 $133,898.13 $78,303.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 34 11 — — $69,559.20 $132,162.48 $77,288.00 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 15 — — $11,620.00 $123,147.70 $76,967.31 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 34 11 — — $68,932.80 $130,972.32 $76,592.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 46 15 — — $13,527.00 $122,538.31 $76,586.44 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 48 15 — — $8,084.00 $120,652.07 $75,407.54 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 48 15 — — $13,527.00 $118,463.68 $74,039.80 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 34 11 — — $66,333.60 $126,033.84 $73,704.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 44 15 — — $21,295.00 $116,353.84 $72,721.15 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 48 15 — — $13,527.00 $115,913.43 $72,445.89 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 48 15 — — $13,527.00 $115,720.55 $72,325.34 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $57,789.00 $120,393.00 $72,235.80 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $57,682.80 $120,172.50 $72,103.50 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 34 11 — — $57,307.50 $119,391.00 $71,634.60 2026-02-28
4800638 CDM Defib Imp Ins Ex Sng Lead 26 8 $113,755.00 $48,914.65 57% off $28,438.75 $113,755.00 $70,528.10 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 34 11 — — $63,256.50 $120,187.35 $70,285.00 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 48 15 — — $8,084.00 $112,299.72 $70,187.32 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 15 — — $13,527.00 $112,140.96 $70,088.10 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 34 11 — — $47,364.30 $142,093.50 $69,993.91 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 48 15 — — $13,527.00 $109,860.42 $68,662.76 2026-02-28
1784 APR_DRG External Heart Assist Systems 34 11 — — $60,779.70 $115,481.43 $67,533.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 46 15 — — $13,527.00 $107,643.03 $67,276.89 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 46 15 — — $13,527.00 $107,506.47 $67,191.54 2026-02-28
62 APR_DRG Pancreas Transplant 34 11 — — $60,406.20 $114,771.78 $67,118.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 34 11 — — $44,674.00 $136,224.00 $67,102.49 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 48 15 — — $13,527.00 $107,025.09 $66,890.68 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 48 15 — — $11,620.00 $106,658.08 $66,661.30 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 50 15 — — $13,527.00 $106,180.12 $66,362.57 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 56 15 — — $13,275.00 $105,681.68 $66,051.05 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 34 11 — — $59,060.70 $112,215.33 $65,623.00 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 48 15 — — $8,084.00 $104,937.43 $65,585.89 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 48 15 — — $8,084.00 $104,937.43 $65,585.89 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 48 15 — — $13,527.00 $104,167.57 $65,104.73 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 34 11 — — $58,592.70 $111,326.13 $65,103.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 34 11 — — $58,482.90 $111,117.51 $64,981.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 34 11 — — $58,371.30 $110,905.47 $64,857.00 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 15 — — $13,527.00 $103,459.17 $64,661.98 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 48 15 — — $8,084.00 $103,382.36 $64,613.97 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 50 15 — — $13,527.00 $102,347.91 $63,967.44 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 48 15 — — $13,527.00 $101,291.27 $63,307.04 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 34 11 — — $40,604.00 $128,193.00 $63,147.07 2026-02-28
4810728 CDM Transcth Rpr Mitral Init 26 8 $101,023.00 $43,439.89 57% off $25,255.75 $101,023.00 $62,634.26 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 50 15 — — $11,620.00 $99,876.16 $62,422.60 2026-02-28
3605552 CDM Inst/supp Ste17861x-19647 20 6 $98,235.00 $42,241.05 57% off $24,558.75 $98,235.00 $62,379.22 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 34 11 — — $56,044.80 $106,485.12 $62,272.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 15 — — $13,275.00 $99,290.68 $62,056.67 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 34 11 — — $49,499.10 $103,123.50 $61,874.10 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 34 11 — — $41,862.60 $125,587.50 $61,863.62 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 34 11 — — $55,343.70 $105,153.03 $61,493.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 34 11 — — $55,159.20 $104,802.48 $61,288.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 48 15 — — $13,527.00 $97,063.04 $60,664.40 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 34 11 — — $54,337.50 $103,241.25 $60,375.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 34 11 — — $54,297.90 $103,166.01 $60,331.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 48 15 — — $8,084.00 $96,255.62 $60,159.76 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 54 15 — — $13,275.00 $96,255.62 $60,159.76 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 15 — — $11,620.00 $95,859.60 $59,912.25 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 46 15 — — $11,620.00 $95,286.05 $59,553.78 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 48 15 — — $13,527.00 $94,784.20 $59,240.12 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 48 15 — — $13,527.00 $94,572.52 $59,107.82 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 15 — — $13,527.00 $94,099.68 $58,812.30 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 48 15 — — $13,527.00 $94,012.63 $58,757.89 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 48 15 — — $13,527.00 $94,002.39 $58,751.49 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 34 11 — — $39,667.50 $119,001.00 $58,619.75 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 34 11 — — $40,972.00 $109,078.50 $58,175.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 34 11 — — $52,270.20 $99,313.38 $58,078.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 50 15 — — $13,527.00 $92,720.44 $57,950.27 2026-02-28
1794 APR_DRG Defibrillator Implants 34 11 — — $52,069.50 $98,932.05 $57,855.00 2026-02-28
4800817 CDM Tavr Femoral Art App Perc 26 8 $93,211.00 $40,080.73 57% off $23,302.75 $93,211.00 $57,790.82 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 34 11 — — $51,992.10 $98,784.99 $57,769.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 15 — — $13,527.00 $92,319.28 $57,699.55 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 34 11 — — $51,921.00 $98,649.90 $57,690.00 2026-02-28
C1824 HCPCS Gener Ccm 21611x-23772 136 16 $124,802.50 $53,665.07 57% off $23,772.00 $130,745.00 $57,349.72 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 34 11 — — $51,577.20 $97,996.68 $57,308.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 34 11 — — $50,886.00 $96,683.40 $56,540.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 34 11 — — $50,638.50 $96,213.15 $56,265.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 46 15 — — $11,620.00 $89,816.82 $56,135.51 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 48 15 — — $13,527.00 $89,524.93 $55,953.08 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 34 11 — — $50,301.00 $95,571.90 $55,890.00 2026-02-28
61 APR_DRG Pancreas Transplant 34 11 — — $50,179.50 $95,341.05 $55,755.00 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 48 15 — — $11,620.00 $88,869.44 $55,543.40 2026-02-28
4810979 CDM Defib Subq Ins/rep W Lead 26 8 $89,471.00 $38,472.53 57% off $22,367.75 $89,471.00 $55,472.02 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 48 15 — — $13,527.00 $88,603.14 $55,376.96 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 34 11 — — $40,772.00 $103,041.00 $54,955.00 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 48 15 — — $13,527.00 $87,884.50 $54,927.81 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 34 11 — — $49,328.10 $93,723.39 $54,809.00 2026-02-28
C2624 HCPCS Wrless Sens 21611x-23772 68 16 $118,860.00 $51,109.80 57% off $23,772.00 $118,860.00 $54,675.60 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 48 15 — — $8,084.00 $87,377.52 $54,610.95 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 46 15 — — $13,527.00 $87,310.95 $54,569.34 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 48 15 — — $13,527.00 $87,276.80 $54,548.00 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 34 11 — — $43,587.90 $90,807.00 $54,484.20 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 50 15 — — $13,527.00 $86,969.54 $54,355.96 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 34 11 — — $48,563.10 $92,269.89 $53,959.00 2026-02-28
245 MS_DRG Aicd Generator Procedures 48 15 — — $13,527.00 $85,322.29 $53,326.43 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 50 15 — — $11,620.00 $84,818.72 $53,011.70 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 48 15 — — $13,527.00 $84,680.47 $52,925.29 2026-02-28
4811229 CDM Laa Closure W/implant 26 8 $85,265.00 $36,663.95 57% off $21,316.25 $85,265.00 $52,864.30 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $41,965.20 $87,427.50 $52,456.50 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 48 15 — — $13,527.00 $83,422.40 $52,139.00 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 48 15 — — $13,527.00 $83,069.06 $51,918.16 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 48 15 — — $13,527.00 $83,053.68 $51,908.55 2026-02-28
1783 APR_DRG External Heart Assist Systems 34 11 — — $46,573.20 $88,489.08 $51,748.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 34 11 — — $46,388.70 $88,138.53 $51,543.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 34 11 — — $46,332.90 $88,032.51 $51,481.00 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 48 15 — — $13,527.00 $82,213.84 $51,383.65 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 34 11 — — $46,230.30 $87,837.57 $51,367.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 34 11 — — $40,929.30 $85,269.00 $51,161.40 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 48 15 — — $13,527.00 $81,783.68 $51,114.80 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 46 15 — — $13,527.00 $81,312.55 $50,820.34 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 48 15 — — $13,527.00 $80,583.67 $50,364.79 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 48 15 — — $13,527.00 $80,551.24 $50,344.52 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 34 11 — — $45,266.40 $86,006.16 $50,296.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 34 11 — — $45,256.50 $85,987.35 $50,285.00 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 50 15 — — $13,527.00 $80,300.29 $50,187.68 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 48 15 — — $13,527.00 $80,288.36 $50,180.22 2026-02-28
234 APR_DRG Spinal Procedures 34 11 — — $45,011.70 $85,522.23 $50,013.00 2026-02-28
C1822 HCPCS Nurstm Hf Rc 19647x-21611 68 16 $108,055.00 $46,463.65 57% off $21,611.00 $108,055.00 $49,705.30 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 48 15 — — $13,527.00 $78,917.64 $49,323.52 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 34 11 — — $44,390.70 $84,342.33 $49,323.00 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 48 15 — — $13,527.00 $78,458.45 $49,036.53 2026-02-28
4403 APR_DRG Kidney Transplant 34 11 — — $44,037.00 $83,670.30 $48,930.00 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 54 15 — — $13,275.00 $78,246.77 $48,904.23 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 48 15 — — $13,527.00 $77,533.25 $48,458.28 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 34 11 — — $43,605.90 $82,851.21 $48,451.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 34 11 — — $43,592.40 $82,825.56 $48,436.00 2026-02-28
6904 APR_DRG Acute Leukemia 34 11 — — $43,272.90 $82,218.51 $48,081.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 34 11 — — $43,264.80 $82,203.12 $48,072.00 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 48 15 — — $13,527.00 $76,889.72 $48,056.07 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 34 11 — — $42,823.80 $81,365.22 $47,582.00 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 34 11 — — $42,676.20 $81,084.78 $47,418.00 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 48 15 — — $8,084.00 $75,764.80 $47,353.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 34 11 — — $42,544.80 $80,835.12 $47,272.00 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 50 15 — — $11,620.00 $75,612.88 $47,258.05 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 34 11 — — $42,516.00 $80,780.40 $47,240.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 34 11 — — $42,509.70 $80,768.43 $47,233.00 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 34 11 — — $42,052.50 $79,899.75 $46,725.00 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 48 15 — — $13,527.00 $74,720.12 $46,700.07 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 34 11 — — $37,341.00 $77,794.50 $46,676.70 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 34 11 — — $41,985.90 $79,773.21 $46,651.00 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 46 15 — — $13,527.00 $74,612.58 $46,632.86 2026-02-28
4414 APR_DRG Major Bladder Procedures 34 11 — — $41,863.50 $79,540.65 $46,515.00 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 48 15 — — $13,527.00 $74,097.06 $46,310.66 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 34 11 — — $41,670.00 $79,173.00 $46,300.00 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $31,295.70 $93,888.00 $46,248.09 2026-02-28
4811308 CDM Ins/rpl Crd Mod Sy Pg Tve 26 8 $74,537.00 $32,050.91 57% off $18,634.25 $74,537.00 $46,212.94 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 34 11 — — $41,403.60 $78,666.84 $46,004.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 34 11 — — $41,336.10 $78,538.59 $45,929.00 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 54 15 — — $13,275.00 $73,438.16 $45,898.85 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 48 15 — — $13,527.00 $73,421.09 $45,888.18 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 34 11 — — $41,293.80 $78,458.22 $45,882.00 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 48 15 — — $8,084.00 $73,095.06 $45,684.41 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 48 15 — — $13,527.00 $72,927.76 $45,579.85 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 50 15 — — $13,527.00 $72,098.16 $45,061.35 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 48 15 — — $13,527.00 $72,058.90 $45,036.81 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 48 15 — — $13,527.00 $71,954.77 $44,971.73 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 46 15 — — $11,620.00 $71,609.96 $44,756.22 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 48 15 — — $13,527.00 $71,335.14 $44,584.46 2026-02-28
274 APR_DRG Other Open Craniotomy 34 11 — — $40,122.90 $76,233.51 $44,581.00 2026-02-28
791 MS_DRG Prematurity With Major Problems 48 15 — — $8,084.00 $71,207.11 $44,504.44 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 34 11 — — $29,812.00 $90,250.50 $44,456.58 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 34 11 — — $29,952.00 $89,856.00 $44,262.40 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 34 11 — — $39,564.90 $75,173.31 $43,961.00 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $35,144.10 $73,216.50 $43,929.90 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 34 11 — — $39,362.40 $74,788.56 $43,736.00 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 48 15 — — $13,527.00 $69,906.37 $43,691.48 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 48 15 — — $13,527.00 $69,858.58 $43,661.61 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 34 11 — — $34,880.40 $72,667.50 $43,600.50 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 34 11 — — $39,177.90 $74,438.01 $43,531.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 34 11 — — $39,008.70 $74,116.53 $43,343.00 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 48 15 — — $13,527.00 $69,257.72 $43,286.07 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 34 11 — — $38,930.40 $73,967.76 $43,256.00 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 48 15 — — $13,527.00 $69,119.44 $43,199.65 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 48 15 — — $13,527.00 $68,982.88 $43,114.30 2026-02-28
4402 APR_DRG Kidney Transplant 34 11 — — $38,718.00 $73,564.20 $43,020.00 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 46 15 — — $11,620.00 $68,685.88 $42,928.67 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 48 15 — — $13,527.00 $68,653.44 $42,908.40 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 34 11 — — $38,602.80 $73,345.32 $42,892.00 2026-02-28
4014 APR_DRG Adrenal Procedures 34 11 — — $38,473.20 $73,099.08 $42,748.00 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 54 15 — — $13,275.00 $68,284.72 $42,677.95 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 34 11 — — $33,983.10 $70,798.50 $42,479.10 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 48 15 — — $13,527.00 $67,880.16 $42,425.10 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 48 15 — — $13,527.00 $67,813.60 $42,383.50 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 34 11 — — $33,848.00 $75,043.50 $42,310.00 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 48 15 — — $13,527.00 $67,629.24 $42,268.27 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 34 11 — — $37,865.70 $71,944.83 $42,073.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 34 11 — — $37,833.30 $71,883.27 $42,037.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 34 11 — — $37,790.10 $71,801.19 $41,989.00 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 48 15 — — $13,527.00 $67,152.98 $41,970.61 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 34 11 — — $37,676.70 $71,585.73 $41,863.00 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 15 — — $13,275.00 $66,799.64 $41,749.77 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 54 15 — — $13,275.00 $66,294.37 $41,433.98 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 34 11 — — $37,220.40 $70,718.76 $41,356.00 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 34 11 — — $37,031.40 $70,359.66 $41,146.00 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 48 15 — — $13,527.00 $65,780.56 $41,112.85 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 34 11 — — $27,717.30 $83,151.00 $40,960.01 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 34 11 — — $36,679.50 $69,691.05 $40,755.00 2026-02-28
8633 APR_DRG Neonatal Aftercare 34 11 — — $32,517.90 $67,746.00 $40,647.60 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 34 11 — — $36,445.50 $69,246.45 $40,495.00 2026-02-28
1793 APR_DRG Defibrillator Implants 34 11 — — $36,342.00 $69,049.80 $40,380.00 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 34 11 — — $36,305.10 $68,979.69 $40,339.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 34 11 — — $36,294.30 $68,959.17 $40,327.00 2026-02-28
0DV64DZ OTHER Bariatric Surgery 10 4 — — $36,112.00 $44,517.00 $40,314.50 2026-02-28
0D964CZ OTHER Bariatric Surgery 10 4 — — $36,112.00 $44,517.00 $40,314.50 2026-02-28
0D9643Z OTHER Bariatric Surgery 10 4 — — $36,112.00 $44,517.00 $40,314.50 2026-02-28
0D64CA OTHER Bariatric Surgery 10 4 — — $36,112.00 $44,517.00 $40,314.50 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 34 11 — — $36,191.70 $68,764.23 $40,213.00 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 48 15 — — $8,084.00 $64,187.92 $40,117.45 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 34 11 — — $35,888.40 $68,187.96 $39,876.00 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 48 15 — — $13,527.00 $63,756.05 $39,847.53 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 34 11 — — $35,580.60 $67,603.14 $39,534.00 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 48 15 — — $13,527.00 $63,097.16 $39,435.72 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 48 15 — — $8,084.00 $63,093.75 $39,433.59 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 50 15 — — $11,620.00 $63,083.51 $39,427.19 2026-02-28
2324 APR_DRG Gastric Fundoplication 34 11 — — $34,001.00 $67,242.33 $39,323.00 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 34 11 — — $35,379.90 $67,221.81 $39,311.00 2026-02-28
265 MS_DRG Aicd Lead Procedures 48 15 — — $13,527.00 $62,796.72 $39,247.95 2026-02-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 48 15 — — $11,620.00 $62,523.60 $39,077.25 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 34 11 — — $35,073.00 $66,638.70 $38,970.00 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 34 11 — — $34,981.20 $66,464.28 $38,868.00 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 34 11 — — $34,978.50 $66,459.15 $38,865.00 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 54 15 — — $13,275.00 $62,168.55 $38,855.34 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 48 15 — — $13,527.00 $62,153.19 $38,845.74 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 48 15 — — $13,527.00 $62,001.27 $38,750.79 2026-02-28
3606097 CDM Inst/supp Ste11090x-12199 20 6 $60,995.00 $26,227.85 57% off $15,248.75 $60,995.00 $38,731.82 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 34 11 — — $30,904.00 $67,839.00 $38,630.00 2026-02-28
4401 APR_DRG Kidney Transplant 34 11 — — $34,716.60 $65,961.54 $38,574.00 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 48 15 — — $13,527.00 $61,714.48 $38,571.55 2026-02-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 48 15 — — $13,527.00 $61,695.72 $38,559.82 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 48 15 — — $13,527.00 $61,671.81 $38,544.88 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 34 11 — — $34,682.40 $65,896.56 $38,536.00 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 48 15 — — $13,527.00 $61,565.97 $38,478.73 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 34 11 — — $30,760.20 $64,083.00 $38,449.80 2026-02-28
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