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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

SEQUOIA HOSPITAL

Redwood City, CA · CCN 050197 · Rates published

15,623 distinct procedures filed
17 distinct payers
679,192 rate rows
2026-02-28 last MRF observed
Data quality

596,550 of 679,192 rate rows are consumer-grade (87.8%)

82,642 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 40,506
per-diem day rate — not a per-procedure price 31,520
template filing: same amount across many unrelated codes — excluded 8,654
exceeds 10× this hospital's gross charge — excluded from medians 1,930
placeholder amount (≤ $0.02) — excluded from medians 32
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dignityhealth.org/content/dam/dignity-health/documents/mrf-json/northern-california/json/815009488_sequoia-hospital_standardcharges.json?target=%22_blank%22
Found on page https://www.dignityhealth.org/bayarea/locations/sequoia/patients-and-visitors/for-patients/billing-and-payment/hospital-pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint e3fc7912fff97bd0… · 71,016,045 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo 8 $380,824.00 $843,145.32 $611,984.66 nat. median
$309,665
2.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $284,046.00 $628,878.09 $456,462.04 nat. median
$246,434
1.9× median
5833
APR_DRG 		Neonate With Ecmo 8 $331,649.00 $509,910.03 $414,561.00 nat. median
$244,017
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $14,504.00 $1,268,982.85 $405,425.83 nat. median
$370,174
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $193,065.00 $427,447.14 $310,256.07 nat. median
$150,721
outlier · 2.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $26,128.00 $947,823.82 $302,819.11 nat. median
$265,286
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $186,729.00 $413,417.76 $300,073.38 nat. median
$151,838
2.0× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $184,866.00 $409,294.80 $297,080.40 nat. median
$164,289
1.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 $181,612.00 $402,088.23 $291,850.11 nat. median
$122,924
outlier · 2.4×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 $179,535.00 $397,491.72 $288,513.36 nat. median
$162,982
1.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 8 $261,992.00 $322,250.16 $261,992.00 nat. median
$207,730
1.3× median
5832
APR_DRG 		Neonate With Ecmo 8 $208,118.00 $319,982.04 $260,148.00 nat. median
$156,126
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $26,128.00 $798,238.99 $255,028.43 nat. median
$206,474
1.2× median
24
APR_DRG 		Heart And/or Lung Transplant 8 $253,813.00 $312,189.99 $253,813.00 nat. median
$234,729
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 11 $21,588.00 $721,143.30 $230,397.22 nat. median
$202,976
1.1× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $182,179.00 $280,100.52 $227,724.00 nat. median
$182,665
1.2× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 $140,074.00 $310,123.59 $225,098.80 nat. median
$109,499
outlier · 2.1×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $177,335.00 $272,651.64 $221,668.00 nat. median
$145,336
1.5× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 $134,740.00 $298,315.59 $216,527.80 nat. median
$118,620
1.8× median
5831
APR_DRG 		Neonate With Ecmo 8 $168,537.00 $259,126.56 $210,672.00 nat. median
$144,745
1.5× median
1613
APR_DRG 		Implantable Heart Assist Systems 8 $198,529.00 $244,190.67 $198,529.00 nat. median
$119,796
1.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $188,168.00 $231,446.64 $188,168.00 nat. median
$160,267
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 8 $169,112.00 $208,007.76 $169,112.00 nat. median
$164,834
1.0× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 $104,741.00 $231,896.82 $168,318.91 nat. median
$95,507
1.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 8 $165,984.00 $204,160.32 $165,984.00 nat. median
$105,658
1.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $164,319.00 $202,112.37 $164,319.00 nat. median
$187,061
0.9× median
23
APR_DRG 		Heart And/or Lung Transplant 8 $160,640.00 $197,587.20 $160,640.00 nat. median
$93,528
1.7× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 8 $159,302.00 $195,941.46 $159,302.00 nat. median
$129,535
1.2× median
1612
APR_DRG 		Implantable Heart Assist Systems 8 $159,210.00 $195,828.30 $159,210.00 nat. median
$85,444
1.9× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $125,773.00 $193,376.91 $157,217.00 nat. median
$108,996
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 11 $21,588.00 $475,454.70 $151,902.46 nat. median
$133,161
1.1× median
1611
APR_DRG 		Implantable Heart Assist Systems 8 $151,430.00 $186,258.90 $151,430.00 nat. median
$76,806
2.0× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $121,032.00 $186,086.70 $151,290.00 nat. median
$102,919
1.5× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $117,947.00 $181,343.82 $147,434.00 nat. median
$124,573
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $14,504.00 $440,857.22 $140,848.95 nat. median
$117,357
1.2× median
7
MS_DRG 		Lung Transplant 11 $21,588.00 $439,746.82 $140,494.19 nat. median
$122,708
1.1× median
8634
APR_DRG 		Neonatal Aftercare 8 $83,433.00 $184,720.17 $134,076.58 nat. median
$69,502
1.9× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $104,583.00 $160,796.67 $130,729.00 nat. median
$72,936
1.8× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 $79,440.00 $175,880.16 $127,660.08 nat. median
$72,753
1.8× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 $101,787.00 $156,497.82 $127,234.00 nat. median
$86,492
1.5× median
64
APR_DRG 		Pancreas Transplant 8 $126,925.00 $156,117.75 $126,925.00 nat. median
$91,009
1.4× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 $76,358.00 $169,056.12 $122,707.06 nat. median
$66,146
1.9× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $97,793.00 $150,356.43 $122,241.00 nat. median
$86,338
1.4× median
J7330
HCPCS 		Maci Imp 42112x-46323 12 $51,557.66 $234,353.00 $120,116.70 nat. median
$76,329
1.6× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 8 $119,461.00 $146,937.03 $119,461.00 nat. median
$97,957
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $26,128.00 $370,797.49 $118,465.65 nat. median
$108,660
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $26,128.00 $366,564.48 $117,113.25 nat. median
$102,358
1.1× median
22
APR_DRG 		Heart And/or Lung Transplant 8 $115,617.00 $142,208.91 $115,617.00 nat. median
$77,804
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $21,588.00 $358,337.40 $114,484.79 nat. median
$100,136
1.1× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 $113,967.00 $140,179.41 $113,967.00 nat. median
$68,217
1.7× median

Other procedures at this hospital

Browse this hospital's 15,623 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Neonate With Ecmo 28 8 — — $380,824.00 $843,145.32 $611,984.66 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 28 8 — — $284,046.00 $628,878.09 $456,462.04 2026-02-28
5833 APR_DRG Neonate With Ecmo 28 8 — — $331,649.00 $509,910.03 $414,561.00 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 11 — — $14,504.00 $1,268,982.85 $405,425.83 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 28 8 — — $193,065.00 $427,447.14 $310,256.07 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 11 — — $26,128.00 $947,823.82 $302,819.11 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 28 8 — — $186,729.00 $413,417.76 $300,073.38 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 28 8 — — $184,866.00 $409,294.80 $297,080.40 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 28 8 — — $181,612.00 $402,088.23 $291,850.11 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 28 8 — — $179,535.00 $397,491.72 $288,513.36 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 28 8 — — $261,992.00 $322,250.16 $261,992.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 28 8 — — $208,118.00 $319,982.04 $260,148.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 11 — — $26,128.00 $798,238.99 $255,028.43 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 28 8 — — $253,813.00 $312,189.99 $253,813.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 36 11 — — $21,588.00 $721,143.30 $230,397.22 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 28 8 — — $182,179.00 $280,100.52 $227,724.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 28 8 — — $140,074.00 $310,123.59 $225,098.80 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 28 8 — — $177,335.00 $272,651.64 $221,668.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 28 8 — — $134,740.00 $298,315.59 $216,527.80 2026-02-28
5831 APR_DRG Neonate With Ecmo 28 8 — — $168,537.00 $259,126.56 $210,672.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 28 8 — — $198,529.00 $244,190.67 $198,529.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 28 8 — — $188,168.00 $231,446.64 $188,168.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 28 8 — — $169,112.00 $208,007.76 $169,112.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 28 8 — — $104,741.00 $231,896.82 $168,318.91 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 28 8 — — $165,984.00 $204,160.32 $165,984.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 28 8 — — $164,319.00 $202,112.37 $164,319.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 28 8 — — $160,640.00 $197,587.20 $160,640.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 28 8 — — $159,302.00 $195,941.46 $159,302.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 28 8 — — $159,210.00 $195,828.30 $159,210.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 28 8 — — $125,773.00 $193,376.91 $157,217.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 36 11 — — $21,588.00 $475,454.70 $151,902.46 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 28 8 — — $151,430.00 $186,258.90 $151,430.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 28 8 — — $121,032.00 $186,086.70 $151,290.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 28 8 — — $117,947.00 $181,343.82 $147,434.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 36 11 — — $14,504.00 $440,857.22 $140,848.95 2026-02-28
7 MS_DRG Lung Transplant 36 11 — — $21,588.00 $439,746.82 $140,494.19 2026-02-28
8634 APR_DRG Neonatal Aftercare 28 8 — — $83,433.00 $184,720.17 $134,076.58 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 28 8 — — $104,583.00 $160,796.67 $130,729.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 28 8 — — $79,440.00 $175,880.16 $127,660.08 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 28 8 — — $101,787.00 $156,497.82 $127,234.00 2026-02-28
64 APR_DRG Pancreas Transplant 28 8 — — $126,925.00 $156,117.75 $126,925.00 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 28 8 — — $76,358.00 $169,056.12 $122,707.06 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 28 8 — — $97,793.00 $150,356.43 $122,241.00 2026-02-28
J7330 HCPCS Maci Imp 42112x-46323 38 12 $234,353.00 $85,304.50 64% off $51,557.66 $234,353.00 $120,116.70 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 28 8 — — $119,461.00 $146,937.03 $119,461.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 40 14 — — $26,128.00 $370,797.49 $118,465.65 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 40 14 — — $26,128.00 $366,564.48 $117,113.25 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 28 8 — — $115,617.00 $142,208.91 $115,617.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 44 14 — — $21,588.00 $358,337.40 $114,484.79 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 28 8 — — $113,967.00 $140,179.41 $113,967.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 40 14 — — $26,128.00 $356,500.18 $113,897.82 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 14 — — $26,592.00 $352,482.54 $112,614.23 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 28 8 — — $109,705.00 $134,937.15 $109,705.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 28 8 — — $64,721.00 $143,291.31 $104,006.15 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 28 8 — — $103,770.00 $127,637.10 $103,770.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 14 — — $26,128.00 $324,746.02 $103,752.72 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 28 8 — — $102,709.00 $126,332.07 $102,709.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 28 8 — — $102,161.00 $125,658.03 $102,161.00 2026-02-28
63 APR_DRG Pancreas Transplant 28 8 — — $100,486.00 $123,597.78 $100,486.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 28 8 — — $62,047.00 $137,372.55 $99,709.77 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 40 14 — — $26,128.00 $309,967.54 $99,031.16 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 28 8 — — $78,965.00 $121,408.38 $98,706.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 28 8 — — $78,819.00 $121,184.52 $98,524.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 28 8 — — $78,307.00 $120,397.32 $97,884.00 2026-02-28
4404 APR_DRG Kidney Transplant 28 8 — — $96,297.00 $118,445.31 $96,297.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 28 8 — — $95,049.00 $116,910.27 $95,049.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 28 8 — — $94,192.00 $115,856.16 $94,192.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 28 8 — — $58,389.00 $129,273.00 $93,831.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 28 8 — — $57,202.00 $126,645.72 $91,923.86 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 40 14 — — $26,128.00 $285,134.87 $91,097.40 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 44 14 — — $21,588.00 $284,976.74 $91,046.88 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 28 8 — — $90,641.00 $111,488.43 $90,641.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 40 14 — — $26,592.00 $280,649.51 $89,664.38 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 28 8 — — $71,544.00 $109,998.90 $89,430.00 2026-02-28
1980405 CDM Ins/rpl Icd Sbstrnl Elecs 8 4 $120,801.00 $43,971.57 64% off $51,944.43 $99,056.82 $87,580.73 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 28 8 — — $54,203.00 $120,004.95 $87,103.98 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 40 14 — — $26,128.00 $271,244.74 $86,659.66 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 28 8 — — $86,436.00 $106,316.28 $86,436.00 2026-02-28
10 MS_DRG Pancreas Transplant 44 14 — — $21,588.00 $268,280.29 $85,712.55 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 40 14 — — $26,128.00 $266,742.55 $85,221.26 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 28 8 — — $67,638.00 $103,992.81 $84,547.00 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 28 8 — — $67,584.00 $103,910.40 $84,480.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 40 14 — — $26,128.00 $263,010.93 $84,029.05 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 14 — — $26,128.00 $260,356.03 $83,180.84 2026-02-28
1784 APR_DRG External Heart Assist Systems 28 8 — — $83,051.00 $102,152.73 $83,051.00 2026-02-28
62 APR_DRG Pancreas Transplant 28 8 — — $82,542.00 $101,526.66 $82,542.00 2026-02-28
C1824 HCPCS Gener Ccm 21611x-23772 88 12 $126,278.00 $45,965.19 64% off $26,458.30 $132,291.00 $82,020.42 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 28 8 — — $80,703.00 $99,264.69 $80,703.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 44 14 — — $21,588.00 $251,159.88 $80,242.77 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 28 8 — — $80,063.00 $98,477.49 $80,063.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 28 8 — — $79,914.00 $98,294.22 $79,914.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 28 8 — — $79,761.00 $98,106.03 $79,761.00 2026-02-28
C1825 HCPCS Nrstm Crsn Br21611x-23772 44 12 $120,265.00 $43,776.46 64% off $26,458.30 $120,265.00 $78,172.25 2026-02-28
3E053KZ OTHER Ip Rf Ablation 8 4 — — $76,701.50 $76,701.50 $76,701.50 2026-02-28
3E063KZ OTHER Ip Rf Ablation 8 4 — — $76,701.50 $76,701.50 $76,701.50 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 28 8 — — $76,582.00 $94,195.86 $76,582.00 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 14 — — $26,592.00 $238,995.91 $76,356.52 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 14 — — $26,128.00 $237,794.65 $75,972.73 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 28 8 — — $75,624.00 $93,017.52 $75,624.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 28 8 — — $75,372.00 $92,707.56 $75,372.00 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 14 — — $14,504.00 $234,076.49 $74,784.82 2026-02-28
C2624 HCPCS Wrless Sens 19647x-21611 88 12 $114,799.50 $41,787.02 64% off $24,053.48 $120,265.00 $74,564.30 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 28 8 — — $59,560.00 $91,572.27 $74,449.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 28 8 — — $74,249.00 $91,326.27 $74,249.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 28 8 — — $74,195.00 $91,259.85 $74,195.00 2026-02-28
1984038 CDM Ins/rpl Crd Mod Sy Pg Tve 8 4 $101,516.00 $36,951.83 64% off $43,651.88 $83,243.12 $73,599.10 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 44 14 — — $21,588.00 $229,762.76 $73,406.63 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 40 14 — — $26,592.00 $225,603.77 $72,077.88 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 40 14 — — $26,128.00 $224,735.63 $71,800.52 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 40 14 — — $26,128.00 $224,355.40 $71,679.04 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 28 8 — — $57,343.00 $88,163.94 $71,678.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 28 8 — — $71,424.00 $87,851.52 $71,424.00 2026-02-28
1794 APR_DRG Defibrillator Implants 28 8 — — $71,150.00 $87,514.50 $71,150.00 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 28 8 — — $71,044.00 $87,384.12 $71,044.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 28 8 — — $70,947.00 $87,264.81 $70,947.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 28 8 — — $70,476.00 $86,685.48 $70,476.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 28 8 — — $55,927.00 $85,988.07 $69,909.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 28 8 — — $69,532.00 $85,524.36 $69,532.00 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 14 — — $14,504.00 $217,612.22 $69,524.67 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 14 — — $26,128.00 $217,299.32 $69,424.70 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 28 8 — — $69,194.00 $85,108.62 $69,194.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 28 8 — — $68,733.00 $84,541.59 $68,733.00 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 28 8 — — $42,764.00 $94,679.25 $68,721.62 2026-02-28
6069971 CDM Closure Impl 17861x-19647 40 12 $99,397.00 $36,180.51 64% off $21,867.34 $99,397.00 $68,583.93 2026-02-28
61 APR_DRG Pancreas Transplant 28 8 — — $68,567.00 $84,337.41 $68,567.00 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 44 14 — — $21,588.00 $212,803.85 $67,988.45 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 28 8 — — $67,404.00 $82,906.92 $67,404.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 14 — — $26,128.00 $208,432.90 $66,591.98 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 40 14 — — $26,128.00 $208,163.69 $66,505.97 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 28 8 — — $66,358.00 $81,620.34 $66,358.00 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 44 14 — — $21,588.00 $207,214.83 $66,202.82 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 28 8 — — $41,107.00 $91,011.39 $66,059.20 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 44 14 — — $21,588.00 $206,491.36 $65,971.68 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 28 8 — — $40,927.00 $90,612.87 $65,769.93 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 40 14 — — $26,128.00 $205,549.20 $65,670.67 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 44 14 — — $21,588.00 $204,566.66 $65,356.76 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 40 14 — — $14,504.00 $203,099.60 $64,888.05 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 40 14 — — $14,504.00 $203,099.60 $64,888.05 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 14 — — $26,128.00 $201,582.05 $64,403.21 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 14 — — $26,128.00 $200,185.63 $63,957.07 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 40 14 — — $14,504.00 $200,034.20 $63,908.69 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 28 8 — — $51,024.00 $78,450.63 $63,781.00 2026-02-28
1783 APR_DRG External Heart Assist Systems 28 8 — — $63,639.00 $78,275.97 $63,639.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 28 8 — — $63,388.00 $77,967.24 $63,388.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 28 8 — — $63,311.00 $77,872.53 $63,311.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 40 14 — — $26,128.00 $197,995.10 $63,257.22 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 28 8 — — $63,171.00 $77,700.33 $63,171.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 44 14 — — $21,588.00 $195,912.25 $62,591.77 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 28 8 — — $61,854.00 $76,080.42 $61,854.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 28 8 — — $61,840.00 $76,063.20 $61,840.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 44 14 — — $21,588.00 $193,122.79 $61,700.57 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 28 8 — — $49,220.00 $75,675.75 $61,525.00 2026-02-28
234 APR_DRG Spinal Procedures 28 8 — — $61,506.00 $75,652.38 $61,506.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 14 — — $21,588.00 $191,968.63 $61,331.83 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 28 8 — — $37,874.00 $83,851.56 $60,862.78 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 28 8 — — $60,658.00 $74,609.34 $60,658.00 2026-02-28
4403 APR_DRG Kidney Transplant 28 8 — — $60,174.00 $74,014.02 $60,174.00 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 28 8 — — $48,022.00 $73,834.44 $60,028.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 44 14 — — $21,588.00 $187,577.49 $59,928.91 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 28 8 — — $59,584.00 $73,288.32 $59,584.00 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 28 8 — — $47,662.00 $73,279.71 $59,577.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 28 8 — — $59,566.00 $73,266.18 $59,566.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 40 14 — — $26,128.00 $185,985.92 $59,420.42 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 40 14 — — $14,504.00 $185,985.92 $59,420.42 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 14 — — $26,592.00 $185,205.27 $59,171.01 2026-02-28
6904 APR_DRG Acute Leukemia 28 8 — — $59,130.00 $72,729.90 $59,130.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 28 8 — — $59,119.00 $72,716.37 $59,119.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 40 14 — — $26,592.00 $184,074.68 $58,809.80 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 28 8 — — $58,516.00 $71,974.68 $58,516.00 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 44 14 — — $21,588.00 $183,085.41 $58,493.74 2026-02-28
02563ZZ OTHER Ip Rf Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02BL3ZZ OTHER Cardiac Ablation/eps Studies 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02B63ZZ OTHER Cardiac Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02T83ZZ OTHER Cardiac Ablation/eps Studies 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02BF3ZZ OTHER Intracardiac Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
025G3ZZ OTHER Intracardiac Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
025F3ZZ OTHER Ip Rf Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02K80ZZ OTHER Cardiac Ablation/eps Studies 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
025J3ZZ OTHER Intracardiac Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02B73ZZ OTHER Intracardiac Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02B83ZZ OTHER Ip Rf Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02BM3ZZ OTHER Ip Rf Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
025M3ZZ OTHER Intracardiac Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
025L3ZZ OTHER Intracardiac Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
4A023FZ OTHER Cardiac Ablation/eps Studies 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
025K3ZZ OTHER Intracardiac Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02B93ZZ OTHER Intracardiac Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02BK3ZZ OTHER Coronary Surgery 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02BH3ZZ OTHER Intracardiac Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02593ZZ OTHER Intracardiac Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02573ZZ OTHER Cardiac Ablation/eps Studies 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02B53ZZ OTHER Cardiovascular Surgery 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02BG3ZZ OTHER Ip Rf Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02BJ3ZZ OTHER Intracardiac Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02553ZZ OTHER Ip Rf Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
025H3ZZ OTHER Cardiac Ablation/eps Studies 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
02583ZZ OTHER Intracardiac Ablation 8 4 — — $58,369.00 $58,369.00 $58,369.00 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 44 14 — — $21,588.00 $182,668.15 $58,360.43 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 28 8 — — $58,314.00 $71,726.22 $58,314.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 28 8 — — $58,134.00 $71,504.82 $58,134.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 28 8 — — $58,096.00 $71,458.08 $58,096.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 28 8 — — $58,087.00 $71,447.01 $58,087.00 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 44 14 — — $21,588.00 $181,736.10 $58,062.65 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 28 8 — — $46,436.00 $71,395.35 $58,045.00 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 44 14 — — $21,588.00 $181,564.48 $58,007.82 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 44 14 — — $21,588.00 $181,544.29 $58,001.37 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 28 8 — — $57,462.00 $70,678.26 $57,462.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 28 8 — — $57,371.00 $70,566.33 $57,371.00 2026-02-28
4414 APR_DRG Major Bladder Procedures 28 8 — — $57,204.00 $70,360.92 $57,204.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 40 14 — — $26,128.00 $179,017.29 $57,194.02 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 14 — — $26,128.00 $178,226.56 $56,941.39 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 28 8 — — $56,939.00 $70,034.97 $56,939.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 28 8 — — $56,576.00 $69,588.48 $56,576.00 2026-02-28
C1882 HCPCS Icd Not S/d 10082x-11090 484 12 $90,360.00 $32,891.04 64% off $10,399.18 $145,520.00 $56,495.57 2026-02-28
1782 APR_DRG External Heart Assist Systems 28 8 — — $56,484.00 $69,475.32 $56,484.00 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 28 8 — — $56,426.00 $69,403.98 $56,426.00 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 28 8 — — $44,495.00 $68,410.14 $55,618.00 2026-02-28
8633 APR_DRG Neonatal Aftercare 28 8 — — $44,434.00 $68,317.89 $55,543.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 40 14 — — $26,592.00 $173,293.68 $55,365.39 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 40 14 — — $26,128.00 $172,718.29 $55,181.56 2026-02-28
274 APR_DRG Other Open Craniotomy 28 8 — — $54,826.00 $67,435.98 $54,826.00 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 44 14 — — $21,588.00 $171,426.16 $54,768.74 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 44 14 — — $21,588.00 $170,901.26 $54,601.04 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 44 14 — — $21,588.00 $169,484.65 $54,148.45 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 28 8 — — $54,062.00 $66,496.26 $54,062.00 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 40 14 — — $14,504.00 $168,485.28 $53,829.16 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 14 — — $26,128.00 $168,354.03 $53,787.23 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 28 8 — — $53,787.00 $66,158.01 $53,787.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 44 14 — — $21,588.00 $168,286.74 $53,765.73 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 40 14 — — $26,128.00 $167,681.08 $53,572.23 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 28 8 — — $53,534.00 $65,846.82 $53,534.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 28 8 — — $53,303.00 $65,562.69 $53,303.00 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 28 8 — — $53,196.00 $65,431.08 $53,196.00 2026-02-28
4402 APR_DRG Kidney Transplant 28 8 — — $52,905.00 $65,073.15 $52,905.00 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 28 8 — — $52,748.00 $64,880.04 $52,748.00 2026-02-28
4014 APR_DRG Adrenal Procedures 28 8 — — $52,572.00 $64,663.56 $52,572.00 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 28 8 — — $42,032.00 $64,622.97 $52,539.00 2026-02-28
245 MS_DRG Aicd Generator Procedures 40 14 — — $26,128.00 $164,433.99 $52,534.82 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 44 14 — — $21,588.00 $163,441.34 $52,217.68 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 44 14 — — $21,588.00 $163,168.81 $52,130.61 2026-02-28
C1767 HCPCS Neurstm Nrec 10082x-11090 352 12 $87,037.00 $31,681.47 64% off $7,998.76 $132,291.00 $51,993.93 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 28 8 — — $51,741.00 $63,641.43 $51,741.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 28 8 — — $51,697.00 $63,587.31 $51,697.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 28 8 — — $41,334.00 $63,550.41 $51,667.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 28 8 — — $51,637.00 $63,513.51 $51,637.00 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 28 8 — — $51,482.00 $63,322.86 $51,482.00 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 44 14 — — $21,588.00 $160,688.92 $51,338.31 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 44 14 — — $21,588.00 $159,992.37 $51,115.77 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 44 14 — — $21,588.00 $159,962.10 $51,106.10 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 28 8 — — $50,860.00 $62,557.80 $50,860.00 2026-02-28
C1722 HCPCS Icd Single 10082x-11090 440 12 $78,411.00 $28,541.60 64% off $10,399.18 $120,265.00 $50,693.74 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 28 8 — — $50,601.00 $62,239.23 $50,601.00 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 40 14 — — $26,128.00 $158,306.58 $50,577.18 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 28 8 — — $40,361.00 $62,055.96 $50,452.00 2026-02-28
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 28 8 — — $31,353.00 $69,416.28 $50,384.64 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 44 14 — — $21,588.00 $157,458.63 $50,306.27 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 28 8 — — $40,217.00 $61,833.33 $50,271.00 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 28 8 — — $50,120.00 $61,647.60 $50,120.00 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 40 14 — — $26,128.00 $156,529.93 $50,009.56 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 28 8 — — $49,801.00 $61,255.23 $49,801.00 2026-02-28
1793 APR_DRG Defibrillator Implants 28 8 — — $49,659.00 $61,080.57 $49,659.00 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 28 8 — — $49,609.00 $61,019.07 $49,609.00 2026-02-28
4A027FZ OTHER Cardiac Electrophysiology Studies 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
025F4ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
4A0279Z OTHER Cardiac Electrophysiology Studies 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
02BG4ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
02BM4ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
4A0284Z OTHER Cardiac Electrophysiology Studies 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
4A028PZ OTHER Cardiac Electrophysiology Studies 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
025K4ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
02B84ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
4A027HZ OTHER Cardiac Electrophysiology Studies 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
025H4ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
4A0274Z OTHER Cardiac Electrophysiology Studies 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
4A0289Z OTHER Cardiac Electrophysiology Studies 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
02BJ4ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
02BH4ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
02574ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
4A0234Z OTHER Cardiac Electrophysiology Studies 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
02594ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
4A023PZ OTHER Cardiac Electrophysiology Studies 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
4A027CZ OTHER Cardiac Electrophysiology Studies 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
025L4ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
02T84ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
4A027PZ OTHER Cardiac Electrophysiology Studies 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
4A028FZ OTHER Cardiac Electrophysiology Studies 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
02564ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
025J4ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
025M4ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
02554ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
02584ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
025G4ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
02B94ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
02BF4ZZ OTHER Cardiac Ablation 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
4A028CZ OTHER Cardiac Electrophysiology Studies 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
4A028HZ OTHER Cardiac Electrophysiology Studies 8 4 — — $49,601.00 $49,601.00 $49,601.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 28 8 — — $49,594.00 $61,000.62 $49,594.00 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 44 14 — — $21,588.00 $155,093.13 $49,550.52 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 40 14 — — $26,128.00 $155,029.22 $49,530.10 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 28 8 — — $49,454.00 $60,828.42 $49,454.00 2026-02-28
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