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

15,617 distinct procedures filed
14 distinct payers
298,663 rate rows
2026-02-28 last MRF observed
Data quality

232,755 of 298,663 rate rows are consumer-grade (77.9%)

65,908 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 41,068
per-diem day rate — not a per-procedure price 16,481
template filing: same amount across many unrelated codes — excluded 7,437
exceeds 10× this hospital's gross charge — excluded from medians 908
placeholder amount (≤ $0.02) — excluded from medians 14
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 not_modified · 2026-05-15
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 7 $370,831.00 $821,020.08 $595,925.54 nat. median
$309,665
1.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $276,593.00 $612,376.41 $444,484.71 nat. median
$246,434
1.8× median
5833
APR_DRG 		Neonate With Ecmo 7 $322,946.00 $523,172.52 $423,059.26 nat. median
$244,017
1.7× 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
$370,174
1.1× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $255,117.00 $405,636.03 $322,085.21 nat. median
$207,730
1.6× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $247,153.00 $392,973.27 $312,030.66 nat. median
$234,729
1.3× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $187,999.00 $416,230.77 $302,114.89 nat. median
$150,721
outlier · 2.0×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $181,829.00 $402,569.16 $292,199.08 nat. median
$151,838
1.9× 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
$265,286
1.1× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $180,015.00 $398,554.44 $289,284.72 nat. median
$164,289
1.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $176,846.00 $391,537.29 $284,191.65 nat. median
$122,924
outlier · 2.3×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $174,824.00 $387,061.32 $280,942.66 nat. median
$162,982
1.7× median
5832
APR_DRG 		Neonate With Ecmo 7 $202,657.00 $328,304.34 $265,480.67 nat. median
$156,126
1.7× 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
$206,474
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $193,320.00 $307,378.80 $244,066.50 nat. median
$119,796
outlier · 2.0×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $177,399.00 $287,386.38 $232,392.69 nat. median
$182,665
1.3× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $183,230.00 $291,335.70 $231,327.88 nat. median
$160,267
1.4× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $172,681.00 $279,743.22 $226,212.11 nat. median
$145,336
1.6× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $136,398.00 $301,985.91 $219,191.95 nat. median
$109,499
outlier · 2.0×
5831
APR_DRG 		Neonate With Ecmo 7 $164,115.00 $265,866.30 $214,990.65 nat. median
$144,745
1.5× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $131,205.00 $290,487.87 $210,846.43 nat. median
$118,620
1.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $164,674.00 $261,831.66 $207,900.92 nat. median
$164,834
1.3× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $161,629.00 $256,990.11 $204,056.61 nat. median
$105,658
1.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $160,007.00 $254,411.13 $202,008.84 nat. median
$187,061
1.1× median
23
APR_DRG 		Heart And/or Lung Transplant 7 $156,424.00 $248,714.16 $197,485.30 nat. median
$93,528
outlier · 2.1×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $155,122.00 $246,643.98 $195,841.52 nat. median
$129,535
1.5× median
1612
APR_DRG 		Implantable Heart Assist Systems 7 $155,032.00 $246,500.88 $195,727.90 nat. median
$85,444
outlier · 2.3×
1611
APR_DRG 		Implantable Heart Assist Systems 7 $147,457.00 $234,456.63 $186,164.46 nat. median
$76,806
outlier · 2.4×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 $101,992.00 $225,810.78 $163,901.39 nat. median
$95,507
1.7× median
J7330
HCPCS 		Maci Imp 56051x-61656 12 $79,081.20 $293,093.00 $161,132.26 nat. median
$76,329
outlier · 2.1×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $122,473.00 $198,406.26 $160,439.63 nat. median
$108,996
1.5× median
64
APR_DRG 		Pancreas Transplant 7 $123,595.00 $196,516.05 $156,038.69 nat. median
$91,009
1.7× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $117,856.00 $190,926.72 $154,391.36 nat. median
$102,919
1.5× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $114,852.00 $186,060.24 $150,456.12 nat. median
$124,573
1.2× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $116,327.00 $184,959.93 $146,862.84 nat. median
$97,957
1.5× median
22
APR_DRG 		Heart And/or Lung Transplant 7 $112,583.00 $179,006.97 $142,136.04 nat. median
$77,804
1.8× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $110,976.00 $176,451.84 $140,107.20 nat. median
$68,217
outlier · 2.1×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $106,826.00 $169,853.34 $134,867.83 nat. median
$69,926
1.9× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $101,839.00 $164,979.18 $133,409.09 nat. median
$72,936
1.8× median
8634
APR_DRG 		Neonatal Aftercare 7 $81,244.00 $179,872.74 $130,558.37 nat. median
$69,502
1.9× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $99,116.00 $160,567.92 $129,841.96 nat. median
$86,492
1.5× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 $101,047.00 $160,664.73 $127,571.84 nat. median
$84,063
1.5× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 7 $100,014.00 $159,022.26 $126,267.68 nat. median
$80,416
1.6× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 $99,480.00 $158,173.20 $125,593.50 nat. median
$81,781
1.5× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $95,226.00 $154,266.12 $124,746.06 nat. median
$86,338
1.4× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 $77,355.00 $171,263.97 $124,309.49 nat. median
$72,753
1.7× median
63
APR_DRG 		Pancreas Transplant 7 $97,849.00 $155,579.91 $123,534.36 nat. median
$64,159
1.9× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 $74,354.00 $164,619.51 $119,486.76 nat. median
$66,146
1.8× median
4404
APR_DRG 		Kidney Transplant 7 $93,770.00 $149,094.30 $118,384.62 nat. median
$79,034
1.5× median
21
APR_DRG 		Heart And/or Lung Transplant 7 $92,555.00 $147,162.45 $116,850.69 nat. median
$64,672
1.8× median

Other procedures at this hospital

Browse this hospital's 15,617 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Neonate With Ecmo 8 7 — — $370,831.00 $821,020.08 $595,925.54 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 7 — — $276,593.00 $612,376.41 $444,484.71 2026-02-28
5833 APR_DRG Neonate With Ecmo 8 7 — — $322,946.00 $523,172.52 $423,059.26 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 5 — — $10,285.00 $1,217,578.74 $389,002.79 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 8 7 — — $255,117.00 $405,636.03 $322,085.21 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 8 7 — — $247,153.00 $392,973.27 $312,030.66 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 7 — — $187,999.00 $416,230.77 $302,114.89 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 7 — — $181,829.00 $402,569.16 $292,199.08 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 5 — — $21,979.00 $909,682.39 $290,633.35 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 7 — — $180,015.00 $398,554.44 $289,284.72 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 7 — — $176,846.00 $391,537.29 $284,191.65 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 7 — — $174,824.00 $387,061.32 $280,942.66 2026-02-28
5832 APR_DRG Neonate With Ecmo 8 7 — — $202,657.00 $328,304.34 $265,480.67 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 5 — — $17,634.00 $766,274.87 $244,816.25 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 8 7 — — $193,320.00 $307,378.80 $244,066.50 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 7 — — $177,399.00 $287,386.38 $232,392.69 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 8 7 — — $183,230.00 $291,335.70 $231,327.88 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 7 — — $172,681.00 $279,743.22 $226,212.11 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 7 — — $136,398.00 $301,985.91 $219,191.95 2026-02-28
5831 APR_DRG Neonate With Ecmo 8 7 — — $164,115.00 $265,866.30 $214,990.65 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $131,205.00 $290,487.87 $210,846.43 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 7 — — $164,674.00 $261,831.66 $207,900.92 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 7 — — $161,629.00 $256,990.11 $204,056.61 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 8 7 — — $160,007.00 $254,411.13 $202,008.84 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 8 7 — — $156,424.00 $248,714.16 $197,485.30 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 8 7 — — $155,122.00 $246,643.98 $195,841.52 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 8 7 — — $155,032.00 $246,500.88 $195,727.90 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 8 7 — — $147,457.00 $234,456.63 $186,164.46 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $101,992.00 $225,810.78 $163,901.39 2026-02-28
J7330 HCPCS Maci Imp 56051x-61656 23 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 8 7 — — $122,473.00 $198,406.26 $160,439.63 2026-02-28
64 APR_DRG Pancreas Transplant 8 7 — — $123,595.00 $196,516.05 $156,038.69 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 7 — — $117,856.00 $190,926.72 $154,391.36 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 7 — — $114,852.00 $186,060.24 $150,456.12 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 7 — — $116,327.00 $184,959.93 $146,862.84 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 8 7 — — $112,583.00 $179,006.97 $142,136.04 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 7 — — $110,976.00 $176,451.84 $140,107.20 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 7 — — $106,826.00 $169,853.34 $134,867.83 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 7 — — $101,839.00 $164,979.18 $133,409.09 2026-02-28
8634 APR_DRG Neonatal Aftercare 8 7 — — $81,244.00 $179,872.74 $130,558.37 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $99,116.00 $160,567.92 $129,841.96 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 7 — — $101,047.00 $160,664.73 $127,571.84 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 7 — — $100,014.00 $159,022.26 $126,267.68 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 7 — — $99,480.00 $158,173.20 $125,593.50 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 7 — — $95,226.00 $154,266.12 $124,746.06 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 7 — — $77,355.00 $171,263.97 $124,309.49 2026-02-28
63 APR_DRG Pancreas Transplant 8 7 — — $97,849.00 $155,579.91 $123,534.36 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $74,354.00 $164,619.51 $119,486.76 2026-02-28
4404 APR_DRG Kidney Transplant 8 7 — — $93,770.00 $149,094.30 $118,384.62 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 8 7 — — $92,555.00 $147,162.45 $116,850.69 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 8 7 — — $91,720.00 $145,834.80 $115,796.50 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 8 — — $21,979.00 $356,485.13 $115,031.95 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 8 — — $21,979.00 $352,426.96 $113,722.43 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 8 7 — — $88,263.00 $140,338.17 $111,432.04 2026-02-28
215 MS_DRG Other Heart Assist System Implant 13 8 — — $17,634.00 $342,778.26 $109,513.82 2026-02-28
C1825 HCPCS Nrstm Crsn Br26149x-28764 25 12 $136,736.00 $61,531.20 55% off $30,081.92 $136,736.00 $109,388.80 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 8 — — $26,082.00 $338,926.55 $109,366.08 2026-02-28
J2351 HCPCS Ocr-ocsq920-23ku/23mljwtb 12 8 $123,845.76 $55,730.60 55% off $35,915.28 $123,845.76 $108,365.04 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 7 — — $84,168.00 $133,827.12 $106,262.10 2026-02-28
J9347 HCPCS Tre-actl300mg/15mlsdvjwtb 12 8 $117,000.00 $52,650.00 55% off $33,930.00 $117,000.00 $102,375.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 8 7 — — $80,872.00 $128,586.48 $102,100.90 2026-02-28
62 APR_DRG Pancreas Transplant 8 7 — — $80,376.00 $127,797.84 $101,474.70 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 7 — — $63,022.00 $139,531.20 $101,276.60 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $76,893.00 $124,566.66 $100,729.83 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $76,751.00 $124,336.62 $100,543.81 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 7 — — $76,253.00 $123,529.86 $99,891.43 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 8 — — $17,634.00 $312,335.41 $99,787.67 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 7 — — $78,585.00 $124,950.15 $99,213.56 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 7 — — $77,962.00 $123,959.58 $98,427.02 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 8 7 — — $77,817.00 $123,729.03 $98,243.96 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 8 7 — — $77,668.00 $123,492.12 $98,055.85 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 7 — — $60,419.00 $133,767.42 $97,093.21 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 12 8 — — $21,979.00 $298,167.25 $96,213.71 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 7 — — $74,572.00 $118,569.48 $94,147.15 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 8 7 — — $73,640.00 $117,087.60 $92,970.50 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 7 — — $73,394.00 $116,696.46 $92,659.92 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 8 7 — — $56,857.00 $125,880.66 $91,368.83 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 8 7 — — $72,301.00 $114,958.59 $91,280.01 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 7 — — $69,666.00 $112,858.92 $91,262.46 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 8 7 — — $72,248.00 $114,874.32 $91,213.10 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 7 — — $55,701.00 $123,322.26 $89,511.63 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 7 — — $69,550.00 $110,584.50 $87,806.88 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 8 — — $17,634.00 $274,360.09 $87,654.98 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 17 8 — — $16,908.00 $274,208.48 $87,606.54 2026-02-28
1794 APR_DRG Defibrillator Implants 8 7 — — $69,283.00 $110,159.97 $87,469.79 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 8 7 — — $69,180.00 $109,996.20 $87,339.75 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 7 — — $69,085.00 $109,845.15 $87,219.81 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 8 — — $26,082.00 $270,059.97 $87,143.96 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 7 — — $68,627.00 $109,116.93 $86,641.59 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 7 — — $65,863.00 $106,698.06 $86,280.53 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 7 — — $65,810.00 $106,612.20 $86,211.10 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 8 7 — — $67,708.00 $107,655.72 $85,481.35 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 7 — — $67,378.00 $107,131.02 $85,064.73 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 7 — — $52,780.00 $116,856.15 $84,818.07 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 8 7 — — $66,930.00 $106,418.70 $84,499.12 2026-02-28
61 APR_DRG Pancreas Transplant 8 7 — — $66,768.00 $106,161.12 $84,294.60 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 8 — — $17,634.00 $261,043.57 $83,400.50 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 8 7 — — $65,635.00 $104,359.65 $82,864.19 2026-02-28
10 MS_DRG Pancreas Transplant 17 8 — — $16,908.00 $258,201.53 $82,492.50 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 8 — — $17,634.00 $256,727.30 $82,021.50 2026-02-28
J9999 HCPCS Carmustine/polifeprosn 20 11 7 $96,080.00 $43,236.00 55% off $57,648.00 $96,080.00 $81,668.00 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 8 7 — — $64,617.00 $102,741.03 $81,578.96 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 8 — — $17,634.00 $253,149.77 $80,878.52 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 8 — — $17,634.00 $250,604.55 $80,065.35 2026-02-28
1783 APR_DRG External Heart Assist Systems 8 7 — — $61,969.00 $98,530.71 $78,235.86 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 8 7 — — $61,724.00 $98,141.16 $77,926.55 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 8 7 — — $61,650.00 $98,023.50 $77,833.12 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 8 7 — — $61,513.00 $97,805.67 $77,660.16 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 8 — — $16,908.00 $241,788.15 $77,248.61 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 8 7 — — $60,231.00 $95,767.29 $76,041.64 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 8 7 — — $60,218.00 $95,746.62 $76,025.23 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 7 — — $57,997.00 $93,955.14 $75,976.07 2026-02-28
234 APR_DRG Spinal Procedures 8 7 — — $59,892.00 $95,228.28 $75,613.65 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 8 7 — — $59,066.00 $93,914.94 $74,570.82 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 8 — — $26,082.00 $230,126.49 $74,258.07 2026-02-28
4403 APR_DRG Kidney Transplant 8 7 — — $58,595.00 $93,166.05 $73,976.19 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 8 — — $21,979.00 $228,974.87 $73,886.46 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 8 7 — — $58,021.00 $92,253.39 $73,251.51 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 8 7 — — $58,003.00 $92,224.77 $73,228.79 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $55,838.00 $90,457.56 $73,147.78 2026-02-28
6904 APR_DRG Acute Leukemia 8 7 — — $57,578.00 $91,549.02 $72,692.23 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 8 7 — — $57,568.00 $91,533.12 $72,679.60 2026-02-28
02RG3KZ OTHER Coronary Surgery 4 4 — — $72,279.00 $72,279.00 $72,279.00 2026-02-28
027G0DZ OTHER Coronary Surgery 4 4 — — $72,279.00 $72,279.00 $72,279.00 2026-02-28
02RG08Z OTHER Coronary Surgery 4 4 — — $72,279.00 $72,279.00 $72,279.00 2026-02-28
02RG4KZ OTHER Coronary Surgery 4 4 — — $72,279.00 $72,279.00 $72,279.00 2026-02-28
2020991 CDM Inst/supp Ste16237x-17861 9 6 $84,905.00 $38,207.25 55% off $55,188.25 $84,905.00 $72,169.25 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 5 — — $10,285.00 $225,410.24 $72,016.05 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 8 7 — — $56,980.00 $90,598.20 $71,937.25 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 8 7 — — $56,784.00 $90,286.56 $71,689.80 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 8 7 — — $56,609.00 $90,008.31 $71,468.86 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 7 — — $56,572.00 $89,949.48 $71,422.15 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 8 7 — — $56,563.00 $89,935.17 $71,410.79 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 7 — — $54,460.00 $88,225.20 $71,342.60 2026-02-28
C1767 HCPCS Neurstm Nrec 10082x-11090 225 12 $102,733.00 $46,229.85 55% off $9,771.74 $200,187.00 $71,194.41 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 8 — — $16,908.00 $221,274.64 $70,694.77 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 7 — — $55,954.00 $88,966.86 $70,641.92 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 8 7 — — $55,866.00 $88,826.94 $70,530.82 2026-02-28
4414 APR_DRG Major Bladder Procedures 8 7 — — $55,703.00 $88,567.77 $70,325.04 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 8 — — $26,082.00 $217,287.42 $70,115.11 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 7 — — $55,445.00 $88,157.55 $69,999.31 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 7 — — $55,091.00 $87,594.69 $69,552.39 2026-02-28
1782 APR_DRG External Heart Assist Systems 8 7 — — $55,001.00 $87,451.59 $69,438.76 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 7 — — $54,945.00 $87,362.55 $69,368.06 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 8 — — $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 13 8 — — $17,634.00 $216,090.60 $69,038.53 2026-02-28
274 APR_DRG Other Open Craniotomy 8 7 — — $53,387.00 $84,885.33 $67,401.09 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 5 — — $10,285.00 $209,625.90 $66,973.13 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $41,642.00 $92,194.65 $66,918.32 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 8 — — $17,634.00 $209,325.89 $66,877.28 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 7 — — $52,644.00 $83,703.96 $66,463.05 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 8 7 — — $52,375.00 $83,276.25 $66,123.44 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 7 — — $52,130.00 $82,886.70 $65,814.12 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 8 7 — — $51,904.00 $82,527.36 $65,528.80 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 8 — — $16,908.00 $205,016.07 $65,500.34 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 8 7 — — $51,800.00 $82,362.00 $65,397.50 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 7 — — $49,686.00 $80,491.32 $65,088.66 2026-02-28
4402 APR_DRG Kidney Transplant 8 7 — — $51,517.00 $81,912.03 $65,040.21 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 8 7 — — $51,364.00 $81,668.76 $64,847.05 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 8 — — $21,979.00 $200,825.63 $64,803.16 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 8 — — $21,979.00 $200,567.56 $64,719.88 2026-02-28
4014 APR_DRG Adrenal Procedures 8 7 — — $51,192.00 $81,395.28 $64,629.90 2026-02-28
C2616 HCPCS Nm Brachy Sorc Yttrium-90 31 13 $84,660.00 $38,097.00 55% off $18,625.20 $84,660.00 $64,341.60 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 8 7 — — $40,028.00 $88,622.73 $64,325.36 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 8 7 — — $39,853.00 $88,235.28 $64,044.14 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 8 — — $16,908.00 $199,657.85 $63,788.45 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 8 7 — — $50,383.00 $80,108.97 $63,608.54 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 8 — — $16,908.00 $198,964.28 $63,566.86 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 7 — — $50,340.00 $80,040.60 $63,554.25 2026-02-28
1781 APR_DRG External Heart Assist Systems 8 7 — — $50,282.00 $79,948.38 $63,481.03 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 7 — — $50,131.00 $79,708.29 $63,290.39 2026-02-28
C1882 HCPCS Icd Not S/d 10082x-11090 275 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 13 8 — — $17,634.00 $198,061.02 $63,278.28 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 17 8 — — $16,908.00 $197,119.05 $62,977.33 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 7 — — $47,928.00 $77,643.36 $62,785.68 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 8 — — $10,285.00 $195,712.58 $62,527.98 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 8 — — $10,285.00 $195,712.58 $62,527.98 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 8 7 — — $49,525.00 $78,744.75 $62,525.31 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 8 7 — — $49,273.00 $78,344.07 $62,207.16 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 8 — — $17,634.00 $194,257.70 $62,063.16 2026-02-28
02RG37Z OTHER Coronary Surgery 5 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02RG3JZ OTHER Cardiovascular Surgery 5 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02NG4ZZ OTHER Da Vinci Cardiac 5 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02RG0JZ OTHER Cardiovascular Surgery 5 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02VG0ZZ OTHER Da Vinci Cardiac 5 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02CG4ZZ OTHER Da Vinci Cardiac 5 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02RG38Z OTHER Cardiovascular Surgery 5 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02NG3ZZ OTHER Da Vinci Cardiac 5 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02NG0ZZ OTHER Coronary Surgery 5 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
02CG3ZZ OTHER Da Vinci Cardiac 5 4 — — $51,739.00 $72,279.00 $62,009.00 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 8 — — $17,634.00 $192,918.93 $61,635.44 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 8 7 — — $48,805.00 $77,599.95 $61,616.31 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 13 8 — — $10,285.00 $192,773.76 $61,589.06 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 7 — — $46,762.00 $75,754.44 $61,258.22 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 8 7 — — $48,494.00 $77,105.46 $61,223.68 2026-02-28
1793 APR_DRG Defibrillator Implants 8 7 — — $48,356.00 $76,886.04 $61,049.45 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 8 7 — — $48,307.00 $76,808.13 $60,987.59 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 8 7 — — $48,293.00 $76,785.87 $60,969.91 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 8 — — $17,634.00 $190,818.86 $60,964.49 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 7 — — $46,411.00 $75,185.82 $60,798.41 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 8 7 — — $48,156.00 $76,568.04 $60,796.95 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 8 — — $16,908.00 $188,822.04 $60,326.53 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 7 — — $47,752.00 $75,925.68 $60,286.90 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 8 7 — — $47,342.00 $75,273.78 $59,769.28 2026-02-28
2063026 CDM Inst/supp Ste13419x-14761 9 6 $70,169.00 $31,576.05 55% off $45,609.85 $70,169.00 $59,643.65 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 17 8 — — $16,908.00 $186,147.77 $59,472.13 2026-02-28
2324 APR_DRG Gastric Fundoplication 8 7 — — $47,091.00 $74,874.69 $59,452.39 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 8 7 — — $47,076.00 $74,850.84 $59,433.45 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 8 7 — — $36,880.00 $81,652.32 $59,266.16 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 7 — — $45,217.00 $73,251.54 $59,234.27 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 8 — — $16,908.00 $185,041.29 $59,118.62 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 7 — — $46,667.00 $74,200.53 $58,917.09 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 8 7 — — $46,545.00 $74,006.55 $58,763.06 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 7 — — $46,542.00 $74,001.78 $58,759.28 2026-02-28
4401 APR_DRG Kidney Transplant 8 7 — — $46,193.00 $73,446.87 $58,318.66 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 8 7 — — $46,147.00 $73,373.73 $58,260.59 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 8 7 — — $45,870.00 $72,933.30 $57,910.88 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 17 8 — — $16,908.00 $180,831.47 $57,773.63 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 8 7 — — $45,743.00 $72,731.37 $57,750.54 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 7 — — $45,713.00 $72,683.67 $57,712.66 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 8 — — $26,082.00 $178,557.21 $57,617.51 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 8 7 — — $45,445.00 $72,257.55 $57,374.31 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 13 8 — — $10,285.00 $179,305.62 $57,286.14 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 8 — — $17,634.00 $179,305.62 $57,286.14 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 8 — — $26,082.00 $177,473.32 $57,267.75 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 8 7 — — $44,962.00 $71,489.58 $56,764.53 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 7 — — $43,327.00 $70,189.74 $56,758.37 2026-02-28
8633 APR_DRG Neonatal Aftercare 8 7 — — $43,268.00 $70,094.16 $56,681.08 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 8 7 — — $44,796.00 $71,225.64 $56,554.95 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 8 7 — — $44,733.00 $71,125.47 $56,475.41 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 8 7 — — $44,713.00 $71,093.67 $56,450.16 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 8 — — $16,908.00 $176,524.90 $56,397.73 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 8 7 — — $44,589.00 $70,896.51 $56,293.61 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 17 8 — — $16,908.00 $176,124.89 $56,269.93 2026-02-28
2020982 CDM Closure Impl 13419x-14761 25 12 $70,169.00 $31,576.05 55% off $15,437.18 $70,169.00 $56,135.20 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 8 7 — — $44,399.00 $70,594.41 $56,053.74 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 8 — — $16,908.00 $175,231.30 $55,984.44 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 8 — — $16,908.00 $175,066.79 $55,931.88 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 8 — — $16,908.00 $175,047.45 $55,925.70 2026-02-28
36836 CPT Ir Perc Avf Creat Upp Sng 10 7 $65,695.00 $29,562.75 55% off $1,932.00 $65,695.00 $55,840.75 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 8 7 — — $44,215.00 $70,301.85 $55,821.44 2026-02-28
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 7 — — $44,214.00 $70,300.26 $55,820.18 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 7 — — $43,998.00 $69,956.82 $55,547.48 2026-02-28
4034 APR_DRG Procedures For Obesity 8 7 — — $43,799.00 $69,640.41 $55,296.24 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 8 — — $17,634.00 $172,624.76 $55,151.68 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 8 7 — — $43,684.00 $69,457.56 $55,151.05 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 7 — — $43,539.00 $69,227.01 $54,967.99 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 8 — — $17,634.00 $171,866.68 $54,909.48 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 8 7 — — $43,426.00 $69,047.34 $54,825.32 2026-02-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 8 7 — — $43,134.00 $68,583.06 $54,456.68 2026-02-28
6504 APR_DRG Splenectomy 8 7 — — $43,007.00 $68,381.13 $54,296.34 2026-02-28
4020141 CDM Kit/pack Disp12199x-13419 9 6 $63,789.00 $28,705.05 55% off $41,462.85 $63,789.00 $54,220.65 2026-02-28
C1721 HCPCS Icd Dual 10082x-11090 300 12 $73,677.50 $33,154.88 55% off $7,515.86 $136,736.00 $54,125.43 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 8 7 — — $42,855.00 $68,139.45 $54,104.44 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 8 7 — — $42,833.00 $68,104.47 $54,076.66 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 8 — — $26,082.00 $167,137.53 $53,932.56 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 8 7 — — $42,679.00 $67,859.61 $53,882.24 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 7 — — $40,929.00 $66,304.98 $53,616.99 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 8 7 — — $42,377.00 $67,379.43 $53,500.96 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 8 — — $17,634.00 $166,585.90 $53,222.33 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 7 — — $42,142.00 $67,005.78 $53,204.28 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 7 — — $42,120.00 $66,970.80 $53,176.50 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 8 7 — — $41,896.00 $66,614.64 $52,893.70 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 8 7 — — $41,879.00 $66,587.61 $52,872.24 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 8 — — $16,908.00 $165,347.14 $52,826.56 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 7 — — $40,249.00 $65,203.38 $52,726.19 2026-02-28
913 APR_DRG Other Major Head And Neck Procedures 8 7 — — $41,745.00 $66,374.55 $52,703.06 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 17 8 — — $16,908.00 $164,843.90 $52,665.78 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 8 7 — — $41,615.00 $66,167.85 $52,538.94 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 8 7 — — $41,578.00 $66,109.02 $52,492.23 2026-02-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 8 7 — — $41,548.00 $66,061.32 $52,454.35 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 8 — — $21,979.00 $162,401.90 $52,404.45 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 8 7 — — $41,401.00 $65,827.59 $52,268.76 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 7 — — $41,386.00 $65,803.74 $52,249.82 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 17 8 — — $16,908.00 $163,485.79 $52,231.88 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 7 — — $41,361.00 $65,763.99 $52,218.26 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 8 7 — — $41,150.00 $65,428.50 $51,951.88 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 8 — — $10,285.00 $162,527.70 $51,925.78 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 8 — — $16,908.00 $162,337.36 $51,864.97 2026-02-28
027G04Z OTHER Coronary Surgery 4 4 — — $51,739.00 $51,739.00 $51,739.00 2026-02-28
02RG4JZ OTHER Da Vinci Cardiac 4 4 — — $51,739.00 $51,739.00 $51,739.00 2026-02-28
02QG0ZZ OTHER Coronary Surgery 4 4 — — $51,739.00 $51,739.00 $51,739.00 2026-02-28
02RG48Z OTHER Cardiovascular Surgery 4 4 — — $51,739.00 $51,739.00 $51,739.00 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 8 — — $17,634.00 $161,756.71 $51,679.46 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 8 7 — — $40,792.00 $64,859.28 $51,499.90 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 7 — — $39,302.00 $63,669.24 $51,485.62 2026-02-28
1831 APR_DRG Percutaneous Structural Cardiac Procedures 8 7 — — $40,730.00 $64,760.70 $51,421.62 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 7 — — $39,162.00 $63,442.44 $51,302.22 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 8 7 — — $40,570.00 $64,506.30 $51,219.62 2026-02-28
245 MS_DRG Aicd Generator Procedures 13 8 — — $17,634.00 $158,643.71 $50,684.89 2026-02-28
3104 APR_DRG Intervertebral Disc Excision And Decompression 8 7 — — $40,084.00 $63,733.56 $50,606.05 2026-02-28
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 7 — — $40,082.00 $63,730.38 $50,603.53 2026-02-28
893 APR_DRG Major Cranial Or Facial Bone Procedures 8 7 — — $40,010.00 $63,615.90 $50,512.62 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 17 8 — — $16,908.00 $157,692.07 $50,380.85 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 17 8 — — $16,908.00 $157,430.77 $50,297.37 2026-02-28
1792 APR_DRG Defibrillator Implants 8 7 — — $39,803.00 $63,286.77 $50,251.29 2026-02-28
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 8 7 — — $39,732.00 $63,173.88 $50,161.65 2026-02-28
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 7 — — $39,575.00 $62,924.25 $49,963.44 2026-02-28
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 7 — — $39,484.00 $62,779.56 $49,848.55 2026-02-28
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 8 7 — — $39,436.00 $62,703.24 $49,787.95 2026-02-28
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