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

DOMINICAN HOSPITAL

Santa Cruz, CA · CCN 050242 · Rates published

15,611 distinct procedures filed
14 distinct payers
597,326 rate rows
2026-02-28 last MRF observed
Data quality

452,722 of 597,326 rate rows are consumer-grade (75.8%)

144,604 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 82,044
per-diem day rate — not a per-procedure price 32,962
template filing: same amount across many unrelated codes — excluded 14,874
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,854
exceeds 10× this hospital's gross charge — excluded from medians 1,816
placeholder amount (≤ $0.02) — excluded from medians 28
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 26
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/941196203_dominican-hospital_standardcharges.json?target=%22_blank%22
Found on page https://www.dignityhealth.org/bayarea/locations/dominican/patients-and-visitors/for-patients/billing-and-payment/hospital-pricing-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-07
Content fingerprint 2210465d18fd2ff4… · 67,202,695 bytes · first seen 2026-05-05

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 4 $370,831.00 $821,020.08 $600,746.22 nat. median
$390,362
1.5× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $276,593.00 $612,376.41 $448,080.66 nat. median
$286,698
1.6× median
5833
APR_DRG 		Neonate With Ecmo 4 $322,946.00 $523,172.52 $403,682.00 nat. median
$268,208
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $10,285.00 $1,217,578.74 $389,002.79 nat. median
$168,055
outlier · 2.3×
1614
APR_DRG 		Implantable Heart Assist Systems 4 $255,117.00 $405,636.03 $313,793.91 nat. median
$202,242
1.6× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $187,999.00 $416,230.77 $304,558.38 nat. median
$187,567
1.6× median
24
APR_DRG 		Heart And/or Lung Transplant 4 $247,153.00 $392,973.27 $303,998.19 nat. median
$225,531
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $181,829.00 $402,569.16 $294,562.98 nat. median
$168,439
1.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $180,015.00 $398,554.44 $291,624.30 nat. median
$171,497
1.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $21,979.00 $909,682.39 $290,633.35 nat. median
$186,516
1.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 $176,846.00 $391,537.29 $286,490.52 nat. median
$181,762
1.6× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $174,824.00 $387,061.32 $283,214.88 nat. median
$198,578
1.4× median
5832
APR_DRG 		Neonate With Ecmo 4 $202,657.00 $328,304.34 $253,321.00 nat. median
$201,678
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $17,634.00 $766,274.87 $244,816.25 nat. median
$131,925
1.9× median
1613
APR_DRG 		Implantable Heart Assist Systems 4 $193,320.00 $307,378.80 $237,783.60 nat. median
$155,539
1.5× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $183,230.00 $291,335.70 $225,372.90 nat. median
$173,018
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $177,399.00 $287,386.38 $221,748.00 nat. median
$173,134
1.3× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 $136,398.00 $301,985.91 $220,964.76 nat. median
$115,963
1.9× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $172,681.00 $279,743.22 $215,851.00 nat. median
$152,383
1.4× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $131,205.00 $290,487.87 $212,552.10 nat. median
$124,731
1.7× median
5831
APR_DRG 		Neonate With Ecmo 4 $164,115.00 $265,866.30 $205,143.00 nat. median
$173,909
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $164,674.00 $261,831.66 $202,549.02 nat. median
$152,792
1.3× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $161,629.00 $256,990.11 $198,803.67 nat. median
$135,630
1.5× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $160,007.00 $254,411.13 $196,808.61 nat. median
$149,836
1.3× median
23
APR_DRG 		Heart And/or Lung Transplant 4 $156,424.00 $248,714.16 $192,401.52 nat. median
$117,894
1.6× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $155,122.00 $246,643.98 $190,800.06 nat. median
$136,566
1.4× median
1612
APR_DRG 		Implantable Heart Assist Systems 4 $155,032.00 $246,500.88 $190,689.36 nat. median
$109,992
1.7× median
1611
APR_DRG 		Implantable Heart Assist Systems 4 $147,457.00 $234,456.63 $181,372.11 nat. median
$108,954
1.7× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 $101,992.00 $225,810.78 $165,227.04 nat. median
$100,752
1.6× median
J7330
HCPCS 		Maci Imp 56051x-61656 12 $79,081.20 $293,093.00 $161,132.26 nat. median
$92,809
1.7× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $122,473.00 $198,406.26 $153,091.00 nat. median
$114,205
1.3× median
64
APR_DRG 		Pancreas Transplant 4 $123,595.00 $196,516.05 $152,021.85 nat. median
$92,994
1.6× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $117,856.00 $190,926.72 $147,320.00 nat. median
$120,079
1.2× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $114,852.00 $186,060.24 $143,565.00 nat. median
$130,862
1.1× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $116,327.00 $184,959.93 $143,082.21 nat. median
$106,926
1.3× median
22
APR_DRG 		Heart And/or Lung Transplant 4 $112,583.00 $179,006.97 $138,477.09 nat. median
$95,481
1.5× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 $110,976.00 $176,451.84 $136,500.48 nat. median
$91,350
1.5× median
8634
APR_DRG 		Neonatal Aftercare 4 $81,244.00 $179,872.74 $131,615.28 nat. median
$79,210
1.7× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $106,826.00 $169,853.34 $131,395.98 nat. median
$85,032
1.5× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $101,839.00 $164,979.18 $127,299.00 nat. median
$95,499
1.3× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 $77,355.00 $171,263.97 $125,315.10 nat. median
$85,322
1.5× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 $101,047.00 $160,664.73 $124,287.81 nat. median
$75,821
1.6× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $99,116.00 $160,567.92 $123,895.00 nat. median
$95,757
1.3× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 4 $100,014.00 $159,022.26 $123,017.22 nat. median
$91,950
1.3× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 $99,480.00 $158,173.20 $122,360.40 nat. median
$77,606
1.6× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 $74,354.00 $164,619.51 $120,453.48 nat. median
$71,851
1.7× median
63
APR_DRG 		Pancreas Transplant 4 $97,849.00 $155,579.91 $120,354.27 nat. median
$69,792
1.7× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $95,226.00 $154,266.12 $119,033.00 nat. median
$91,110
1.3× median
4404
APR_DRG 		Kidney Transplant 4 $93,770.00 $149,094.30 $115,337.10 nat. median
$76,896
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $21,979.00 $356,485.13 $113,893.01 nat. median
$65,418
1.7× median

Other procedures at this hospital

Browse this hospital's 15,611 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 10 4 — — $370,831.00 $821,020.08 $600,746.22 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 4 — — $276,593.00 $612,376.41 $448,080.66 2026-02-28
5833 APR_DRG Neonate With Ecmo 10 4 — — $322,946.00 $523,172.52 $403,682.00 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 5 — — $10,285.00 $1,217,578.74 $389,002.79 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 10 4 — — $255,117.00 $405,636.03 $313,793.91 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 4 — — $187,999.00 $416,230.77 $304,558.38 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 10 4 — — $247,153.00 $392,973.27 $303,998.19 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 4 — — $181,829.00 $402,569.16 $294,562.98 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 4 — — $180,015.00 $398,554.44 $291,624.30 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 5 — — $21,979.00 $909,682.39 $290,633.35 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 4 — — $176,846.00 $391,537.29 $286,490.52 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 4 — — $174,824.00 $387,061.32 $283,214.88 2026-02-28
5832 APR_DRG Neonate With Ecmo 10 4 — — $202,657.00 $328,304.34 $253,321.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 5 — — $17,634.00 $766,274.87 $244,816.25 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 10 4 — — $193,320.00 $307,378.80 $237,783.60 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 4 — — $183,230.00 $291,335.70 $225,372.90 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 4 — — $177,399.00 $287,386.38 $221,748.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 4 — — $136,398.00 $301,985.91 $220,964.76 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 4 — — $172,681.00 $279,743.22 $215,851.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 4 — — $131,205.00 $290,487.87 $212,552.10 2026-02-28
5831 APR_DRG Neonate With Ecmo 10 4 — — $164,115.00 $265,866.30 $205,143.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 4 — — $164,674.00 $261,831.66 $202,549.02 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 4 — — $161,629.00 $256,990.11 $198,803.67 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 10 4 — — $160,007.00 $254,411.13 $196,808.61 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 10 4 — — $156,424.00 $248,714.16 $192,401.52 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 4 — — $155,122.00 $246,643.98 $190,800.06 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 10 4 — — $155,032.00 $246,500.88 $190,689.36 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 10 4 — — $147,457.00 $234,456.63 $181,372.11 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 4 — — $101,992.00 $225,810.78 $165,227.04 2026-02-28
J7330 HCPCS Maci Imp 56051x-61656 46 12 $293,093.00 $131,891.85 55% off $79,081.20 $293,093.00 $161,132.26 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 4 — — $122,473.00 $198,406.26 $153,091.00 2026-02-28
64 APR_DRG Pancreas Transplant 10 4 — — $123,595.00 $196,516.05 $152,021.85 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 4 — — $117,856.00 $190,926.72 $147,320.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 4 — — $114,852.00 $186,060.24 $143,565.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 4 — — $116,327.00 $184,959.93 $143,082.21 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 10 4 — — $112,583.00 $179,006.97 $138,477.09 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 4 — — $110,976.00 $176,451.84 $136,500.48 2026-02-28
8634 APR_DRG Neonatal Aftercare 10 4 — — $81,244.00 $179,872.74 $131,615.28 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 4 — — $106,826.00 $169,853.34 $131,395.98 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 4 — — $101,839.00 $164,979.18 $127,299.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 4 — — $77,355.00 $171,263.97 $125,315.10 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 4 — — $101,047.00 $160,664.73 $124,287.81 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 4 — — $99,116.00 $160,567.92 $123,895.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 4 — — $100,014.00 $159,022.26 $123,017.22 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 4 — — $99,480.00 $158,173.20 $122,360.40 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 4 — — $74,354.00 $164,619.51 $120,453.48 2026-02-28
63 APR_DRG Pancreas Transplant 10 4 — — $97,849.00 $155,579.91 $120,354.27 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 4 — — $95,226.00 $154,266.12 $119,033.00 2026-02-28
4404 APR_DRG Kidney Transplant 10 4 — — $93,770.00 $149,094.30 $115,337.10 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 5 — — $21,979.00 $356,485.13 $113,893.01 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 10 4 — — $92,555.00 $147,162.45 $113,842.65 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 10 4 — — $91,720.00 $145,834.80 $112,815.60 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 5 — — $21,979.00 $352,426.96 $112,596.47 2026-02-28
215 MS_DRG Other Heart Assist System Implant 20 5 — — $17,634.00 $342,778.26 $109,513.82 2026-02-28
C1825 HCPCS Nrstm Crsn Br26149x-28764 50 12 $136,736.00 $61,531.20 55% off $30,081.92 $136,736.00 $109,388.80 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 10 4 — — $88,263.00 $140,338.17 $108,563.49 2026-02-28
J2351 HCPCS Ocr-ocsq920-23ku/23mljwtb 24 8 $123,845.76 $55,730.60 55% off $35,915.28 $123,845.76 $108,365.04 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 5 — — $26,082.00 $338,926.55 $108,283.24 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 4 — — $84,168.00 $133,827.12 $103,526.64 2026-02-28
J9347 HCPCS Tre-actl300mg/15mlsdvjwtb 24 8 $117,000.00 $52,650.00 55% off $33,930.00 $117,000.00 $102,375.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 4 — — $63,022.00 $139,531.20 $102,095.64 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 5 — — $17,634.00 $312,335.41 $99,787.67 2026-02-28
1784 APR_DRG External Heart Assist Systems 10 4 — — $80,872.00 $128,586.48 $99,472.56 2026-02-28
62 APR_DRG Pancreas Transplant 10 4 — — $80,376.00 $127,797.84 $98,862.48 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 4 — — $60,419.00 $133,767.42 $97,878.78 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 4 — — $78,585.00 $124,950.15 $96,659.55 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 4 — — $76,893.00 $124,566.66 $96,116.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 4 — — $76,751.00 $124,336.62 $95,939.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 4 — — $77,962.00 $123,959.58 $95,893.26 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 4 — — $77,817.00 $123,729.03 $95,714.91 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 4 — — $77,668.00 $123,492.12 $95,531.64 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 4 — — $76,253.00 $123,529.86 $95,316.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 18 5 — — $21,979.00 $298,167.25 $95,261.10 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 10 4 — — $56,857.00 $125,880.66 $92,108.34 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 4 — — $74,572.00 $118,569.48 $91,723.56 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 10 4 — — $73,640.00 $117,087.60 $90,577.20 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 4 — — $73,394.00 $116,696.46 $90,274.62 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 4 — — $55,701.00 $123,322.26 $90,235.62 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 4 — — $72,301.00 $114,958.59 $88,930.23 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 10 4 — — $72,248.00 $114,874.32 $88,865.04 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 5 — — $17,634.00 $274,360.09 $87,654.98 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 4 — — $69,666.00 $112,858.92 $87,083.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 5 — — $26,082.00 $270,059.97 $86,281.14 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 4 — — $69,550.00 $110,584.50 $85,546.50 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 4 — — $52,780.00 $116,856.15 $85,503.60 2026-02-28
1794 APR_DRG Defibrillator Implants 10 4 — — $69,283.00 $110,159.97 $85,218.09 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 4 — — $69,180.00 $109,996.20 $85,091.40 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 4 — — $69,085.00 $109,845.15 $84,974.55 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 4 — — $68,627.00 $109,116.93 $84,411.21 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 5 — — $17,634.00 $261,043.57 $83,400.50 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 10 4 — — $67,708.00 $107,655.72 $83,280.84 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 4 — — $67,378.00 $107,131.02 $82,874.94 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 4 — — $65,863.00 $106,698.06 $82,329.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 10 4 — — $66,930.00 $106,418.70 $82,323.90 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 4 — — $65,810.00 $106,612.20 $82,263.00 2026-02-28
61 APR_DRG Pancreas Transplant 10 4 — — $66,768.00 $106,161.12 $82,124.64 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 5 — — $17,634.00 $256,727.30 $82,021.50 2026-02-28
J9999 HCPCS Carmustine/polifeprosn 20 22 7 $96,080.00 $43,236.00 55% off $57,648.00 $96,080.00 $81,668.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 5 — — $17,634.00 $253,149.77 $80,878.52 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 10 4 — — $65,635.00 $104,359.65 $80,731.05 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 5 — — $17,634.00 $250,604.55 $80,065.35 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 10 4 — — $64,617.00 $102,741.03 $79,478.91 2026-02-28
1783 APR_DRG External Heart Assist Systems 10 4 — — $61,969.00 $98,530.71 $76,221.87 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 4 — — $61,724.00 $98,141.16 $75,920.52 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 10 4 — — $61,650.00 $98,023.50 $75,829.50 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 10 4 — — $61,513.00 $97,805.67 $75,660.99 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 10 4 — — $60,231.00 $95,767.29 $74,084.13 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 10 4 — — $60,218.00 $95,746.62 $74,068.14 2026-02-28
234 APR_DRG Spinal Procedures 10 4 — — $59,892.00 $95,228.28 $73,667.16 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 5 — — $26,082.00 $230,126.49 $73,522.84 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 5 — — $21,979.00 $228,974.87 $73,154.91 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 10 4 — — $59,066.00 $93,914.94 $72,651.18 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 4 — — $57,997.00 $93,955.14 $72,496.00 2026-02-28
02RG08Z OTHER Coronary Surgery 8 4 — — $72,279.00 $72,279.00 $72,279.00 2026-02-28
02RG3KZ OTHER Coronary Surgery 8 4 — — $72,279.00 $72,279.00 $72,279.00 2026-02-28
027G0DZ OTHER Coronary Surgery 8 4 — — $72,279.00 $72,279.00 $72,279.00 2026-02-28
02RG4KZ OTHER Coronary Surgery 8 4 — — $72,279.00 $72,279.00 $72,279.00 2026-02-28
2020991 CDM Inst/supp Ste16237x-17861 18 6 $84,905.00 $38,207.25 55% off $55,188.25 $84,905.00 $72,169.25 2026-02-28
4403 APR_DRG Kidney Transplant 10 4 — — $58,595.00 $93,166.05 $72,071.85 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 5 — — $10,285.00 $225,410.24 $72,016.05 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 10 4 — — $58,021.00 $92,253.39 $71,365.83 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 10 4 — — $58,003.00 $92,224.77 $71,343.69 2026-02-28
C1767 HCPCS Neurstm Nrec 10082x-11090 450 12 $102,733.00 $46,229.85 55% off $9,771.74 $200,187.00 $71,194.41 2026-02-28
6904 APR_DRG Acute Leukemia 10 4 — — $57,578.00 $91,549.02 $70,820.94 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 10 4 — — $57,568.00 $91,533.12 $70,808.64 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 10 4 — — $56,980.00 $90,598.20 $70,085.40 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 10 4 — — $56,784.00 $90,286.56 $69,844.32 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 4 — — $55,838.00 $90,457.56 $69,797.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 10 4 — — $56,609.00 $90,008.31 $69,629.07 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 4 — — $56,572.00 $89,949.48 $69,583.56 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 10 4 — — $56,563.00 $89,935.17 $69,572.49 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 5 — — $26,082.00 $217,287.42 $69,420.90 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 5 — — $17,634.00 $216,455.12 $69,154.99 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 5 — — $17,634.00 $216,090.60 $69,038.53 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 4 — — $55,954.00 $88,966.86 $68,823.42 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 4 — — $55,866.00 $88,826.94 $68,715.18 2026-02-28
4414 APR_DRG Major Bladder Procedures 10 4 — — $55,703.00 $88,567.77 $68,514.69 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 4 — — $55,445.00 $88,157.55 $68,197.35 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 4 — — $54,460.00 $88,225.20 $68,074.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 4 — — $55,091.00 $87,594.69 $67,761.93 2026-02-28
1782 APR_DRG External Heart Assist Systems 10 4 — — $55,001.00 $87,451.59 $67,651.23 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 4 — — $54,945.00 $87,362.55 $67,582.35 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 10 4 — — $41,642.00 $92,194.65 $67,460.04 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 5 — — $10,285.00 $209,625.90 $66,973.13 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 5 — — $17,634.00 $209,325.89 $66,877.28 2026-02-28
274 APR_DRG Other Open Craniotomy 10 4 — — $53,387.00 $84,885.33 $65,666.01 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 10 4 — — $40,028.00 $88,622.73 $64,845.36 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 4 — — $52,644.00 $83,703.96 $64,752.12 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 10 4 — — $39,853.00 $88,235.28 $64,561.86 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 10 4 — — $52,375.00 $83,276.25 $64,421.25 2026-02-28
C2616 HCPCS Nm Brachy Sorc Yttrium-90 62 13 $84,660.00 $38,097.00 55% off $18,625.20 $84,660.00 $64,341.60 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 5 — — $21,979.00 $200,825.63 $64,161.54 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 4 — — $52,130.00 $82,886.70 $64,119.90 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 5 — — $21,979.00 $200,567.56 $64,079.09 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 10 4 — — $51,904.00 $82,527.36 $63,841.92 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 10 4 — — $51,800.00 $82,362.00 $63,714.00 2026-02-28
4402 APR_DRG Kidney Transplant 10 4 — — $51,517.00 $81,912.03 $63,365.91 2026-02-28
C1882 HCPCS Icd Not S/d 10082x-11090 550 12 $84,905.00 $38,207.25 55% off $9,771.74 $136,736.00 $63,283.92 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 5 — — $17,634.00 $198,061.02 $63,278.28 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 10 4 — — $51,364.00 $81,668.76 $63,177.72 2026-02-28
4014 APR_DRG Adrenal Procedures 10 4 — — $51,192.00 $81,395.28 $62,966.16 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 5 — — $10,285.00 $195,712.58 $62,527.98 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 5 — — $10,285.00 $195,712.58 $62,527.98 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 4 — — $49,686.00 $80,491.32 $62,107.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 5 — — $17,634.00 $194,257.70 $62,063.16 2026-02-28
02NG0ZZ OTHER Coronary Surgery 10 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02CG4ZZ OTHER Da Vinci Cardiac 10 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02RG0JZ OTHER Cardiovascular Surgery 10 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02NG3ZZ OTHER Da Vinci Cardiac 10 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02RG38Z OTHER Cardiovascular Surgery 10 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02NG4ZZ OTHER Da Vinci Cardiac 10 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02RG3JZ OTHER Cardiovascular Surgery 10 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02VG0ZZ OTHER Da Vinci Cardiac 10 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02RG37Z OTHER Coronary Surgery 10 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02CG3ZZ OTHER Da Vinci Cardiac 10 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 10 4 — — $50,383.00 $80,108.97 $61,971.09 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 4 — — $50,340.00 $80,040.60 $61,918.20 2026-02-28
1781 APR_DRG External Heart Assist Systems 10 4 — — $50,282.00 $79,948.38 $61,846.86 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 4 — — $50,131.00 $79,708.29 $61,661.13 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 5 — — $17,634.00 $192,918.93 $61,635.44 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 20 5 — — $10,285.00 $192,773.76 $61,589.06 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 5 — — $17,634.00 $190,818.86 $60,964.49 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 10 4 — — $49,525.00 $78,744.75 $60,915.75 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 10 4 — — $49,273.00 $78,344.07 $60,605.79 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 10 4 — — $48,805.00 $77,599.95 $60,030.15 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 4 — — $47,928.00 $77,643.36 $59,911.00 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 10 4 — — $36,880.00 $81,652.32 $59,745.60 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 10 4 — — $48,494.00 $77,105.46 $59,647.62 2026-02-28
2063026 CDM Inst/supp Ste13419x-14761 18 6 $70,169.00 $31,576.05 55% off $45,609.85 $70,169.00 $59,643.65 2026-02-28
1793 APR_DRG Defibrillator Implants 10 4 — — $48,356.00 $76,886.04 $59,477.88 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 10 4 — — $48,307.00 $76,808.13 $59,417.61 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 10 4 — — $48,293.00 $76,785.87 $59,400.39 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 10 4 — — $48,156.00 $76,568.04 $59,231.88 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 4 — — $47,752.00 $75,925.68 $58,734.96 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 4 — — $46,762.00 $75,754.44 $58,453.00 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 10 4 — — $47,342.00 $75,273.78 $58,230.66 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 4 — — $46,411.00 $75,185.82 $58,014.00 2026-02-28
2324 APR_DRG Gastric Fundoplication 10 4 — — $47,091.00 $74,874.69 $57,921.93 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 4 — — $47,076.00 $74,850.84 $57,903.48 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 4 — — $46,667.00 $74,200.53 $57,400.41 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 20 5 — — $10,285.00 $179,305.62 $57,286.14 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 5 — — $17,634.00 $179,305.62 $57,286.14 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 4 — — $46,545.00 $74,006.55 $57,250.35 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 4 — — $46,542.00 $74,001.78 $57,246.66 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 5 — — $26,082.00 $178,557.21 $57,047.03 2026-02-28
4401 APR_DRG Kidney Transplant 10 4 — — $46,193.00 $73,446.87 $56,817.39 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 10 4 — — $46,147.00 $73,373.73 $56,760.81 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 5 — — $26,082.00 $177,473.32 $56,700.74 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 4 — — $45,217.00 $73,251.54 $56,521.00 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 10 4 — — $45,870.00 $72,933.30 $56,420.10 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 10 4 — — $45,743.00 $72,731.37 $56,263.89 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 4 — — $45,713.00 $72,683.67 $56,226.99 2026-02-28
2020982 CDM Closure Impl 13419x-14761 50 12 $70,169.00 $31,576.05 55% off $15,437.18 $70,169.00 $56,135.20 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 10 4 — — $45,445.00 $72,257.55 $55,897.35 2026-02-28
36836 CPT Ir Perc Avf Creat Upp Sng 20 7 $65,695.00 $29,562.75 55% off $1,932.00 $65,695.00 $55,840.75 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 10 4 — — $44,962.00 $71,489.58 $55,303.26 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 5 — — $17,634.00 $172,624.76 $55,151.68 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 10 4 — — $44,796.00 $71,225.64 $55,099.08 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 10 4 — — $44,733.00 $71,125.47 $55,021.59 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 10 4 — — $44,713.00 $71,093.67 $54,996.99 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 5 — — $17,634.00 $171,866.68 $54,909.48 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 10 4 — — $44,589.00 $70,896.51 $54,844.47 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 10 4 — — $44,399.00 $70,594.41 $54,610.77 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 10 4 — — $44,215.00 $70,301.85 $54,384.45 2026-02-28
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 4 — — $44,214.00 $70,300.26 $54,383.22 2026-02-28
4020141 CDM Kit/pack Disp12199x-13419 18 6 $63,789.00 $28,705.05 55% off $41,462.85 $63,789.00 $54,220.65 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 4 — — $43,327.00 $70,189.74 $54,159.00 2026-02-28
C1721 HCPCS Icd Dual 10082x-11090 600 12 $73,677.50 $33,154.88 55% off $7,515.86 $136,736.00 $54,125.43 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 4 — — $43,998.00 $69,956.82 $54,117.54 2026-02-28
8633 APR_DRG Neonatal Aftercare 10 4 — — $43,268.00 $70,094.16 $54,085.00 2026-02-28
4034 APR_DRG Procedures For Obesity 10 4 — — $43,799.00 $69,640.41 $53,872.77 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 10 4 — — $43,684.00 $69,457.56 $53,731.32 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 4 — — $43,539.00 $69,227.01 $53,552.97 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 10 4 — — $43,426.00 $69,047.34 $53,413.98 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 5 — — $26,082.00 $167,137.53 $53,398.57 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 5 — — $17,634.00 $166,585.90 $53,222.33 2026-02-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 10 4 — — $43,134.00 $68,583.06 $53,054.82 2026-02-28
6504 APR_DRG Splenectomy 10 4 — — $43,007.00 $68,381.13 $52,898.61 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 10 4 — — $42,855.00 $68,139.45 $52,711.65 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 10 4 — — $42,833.00 $68,104.47 $52,684.59 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 10 4 — — $42,679.00 $67,859.61 $52,495.17 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 10 4 — — $42,377.00 $67,379.43 $52,123.71 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 5 — — $10,285.00 $162,527.70 $51,925.78 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 5 — — $21,979.00 $162,401.90 $51,885.59 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 4 — — $42,142.00 $67,005.78 $51,834.66 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 4 — — $42,120.00 $66,970.80 $51,807.60 2026-02-28
02RG4JZ OTHER Da Vinci Cardiac 8 4 — — $51,739.00 $51,739.00 $51,739.00 2026-02-28
02QG0ZZ OTHER Coronary Surgery 8 4 — — $51,739.00 $51,739.00 $51,739.00 2026-02-28
027G04Z OTHER Coronary Surgery 8 4 — — $51,739.00 $51,739.00 $51,739.00 2026-02-28
02RG48Z OTHER Cardiovascular Surgery 8 4 — — $51,739.00 $51,739.00 $51,739.00 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 5 — — $17,634.00 $161,756.71 $51,679.46 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 10 4 — — $41,896.00 $66,614.64 $51,532.08 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 10 4 — — $41,879.00 $66,587.61 $51,511.17 2026-02-28
913 APR_DRG Other Major Head And Neck Procedures 10 4 — — $41,745.00 $66,374.55 $51,346.35 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 10 4 — — $41,615.00 $66,167.85 $51,186.45 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 4 — — $40,929.00 $66,304.98 $51,161.00 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 10 4 — — $41,578.00 $66,109.02 $51,140.94 2026-02-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 10 4 — — $41,548.00 $66,061.32 $51,104.04 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 10 4 — — $41,401.00 $65,827.59 $50,923.23 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 4 — — $41,386.00 $65,803.74 $50,904.78 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 4 — — $41,361.00 $65,763.99 $50,874.03 2026-02-28
245 MS_DRG Aicd Generator Procedures 20 5 — — $17,634.00 $158,643.71 $50,684.89 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 10 4 — — $41,150.00 $65,428.50 $50,614.50 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 4 — — $40,249.00 $65,203.38 $50,311.00 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 10 4 — — $40,792.00 $64,859.28 $50,174.16 2026-02-28
1831 APR_DRG Percutaneous Structural Cardiac Procedures 10 4 — — $40,730.00 $64,760.70 $50,097.90 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 10 4 — — $40,570.00 $64,506.30 $49,901.10 2026-02-28
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 10 4 — — $30,531.00 $67,594.65 $49,460.22 2026-02-28
3104 APR_DRG Intervertebral Disc Excision And Decompression 10 4 — — $40,084.00 $63,733.56 $49,303.32 2026-02-28
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 4 — — $40,082.00 $63,730.38 $49,300.86 2026-02-28
2020264 CDM Inst/supp Ste11090x-12199 18 6 $57,993.00 $26,096.85 55% off $37,695.45 $57,993.00 $49,294.05 2026-02-28
893 APR_DRG Major Cranial Or Facial Bone Procedures 10 4 — — $40,010.00 $63,615.90 $49,212.30 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 4 — — $39,302.00 $63,669.24 $49,128.00 2026-02-28
1792 APR_DRG Defibrillator Implants 10 4 — — $39,803.00 $63,286.77 $48,957.69 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 4 — — $39,162.00 $63,442.44 $48,952.00 2026-02-28
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 10 4 — — $39,732.00 $63,173.88 $48,870.36 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 5 — — $17,634.00 $152,769.36 $48,808.10 2026-02-28
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 4 — — $39,575.00 $62,924.25 $48,677.25 2026-02-28
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 4 — — $39,484.00 $62,779.56 $48,565.32 2026-02-28
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 10 4 — — $39,436.00 $62,703.24 $48,506.28 2026-02-28
C1722 HCPCS Icd Single 10082x-11090 450 12 $63,789.00 $28,705.05 55% off $7,515.86 $113,007.00 $48,416.61 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 5 — — $21,979.00 $151,066.07 $48,263.92 2026-02-28
4844 APR_DRG Other Male Reproductive System And Related Procedures 10 4 — — $39,225.00 $62,367.75 $48,246.75 2026-02-28
5184 APR_DRG Other Female Reproductive System And Related Procedures 10 4 — — $39,210.00 $62,343.90 $48,228.30 2026-02-28
1693 APR_DRG Major Abdominal Vascular Procedures 10 4 — — $39,181.00 $62,297.79 $48,192.63 2026-02-28
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 10 4 — — $39,046.00 $62,083.14 $48,026.58 2026-02-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 4 — — $38,880.00 $61,819.20 $47,822.40 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 5 — — $17,634.00 $149,627.31 $47,804.25 2026-02-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 10 4 — — $38,860.00 $61,787.40 $47,797.80 2026-02-28
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 10 4 — — $38,857.00 $61,782.63 $47,794.11 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 5 — — $17,634.00 $149,153.11 $47,652.75 2026-02-28
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 10 4 — — $38,656.00 $61,463.04 $47,546.88 2026-02-28
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 10 4 — — $38,602.00 $61,377.18 $47,480.46 2026-02-28
984 APR_DRG Other Ear Nose Mouth And Throat Procedures 10 4 — — $38,566.00 $61,319.94 $47,436.18 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 10 4 — — $38,551.00 $61,296.09 $47,417.73 2026-02-28
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 10 4 — — $38,488.00 $61,195.92 $47,340.24 2026-02-28
3224 APR_DRG Shoulder And Elbow Joint Replacement 10 4 — — $38,384.00 $61,030.56 $47,212.32 2026-02-28
213 APR_DRG Open Craniotomy Except Trauma 10 4 — — $38,371.00 $61,009.89 $47,196.33 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 10 4 — — $38,301.00 $60,898.59 $47,110.23 2026-02-28
2234 APR_DRG Other Small And Large Bowel Procedures 10 4 — — $38,167.00 $60,685.53 $46,945.41 2026-02-28
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