Price Transparency 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

MARSHALL MEDICAL CENTER

Placerville, CA · CCN 050254 · Rates published

5,858 distinct procedures filed
29 distinct payers
181,511 rate rows
2026-02-19 last MRF observed
Data quality

163,557 of 181,511 rate rows are consumer-grade (90.1%)

17,954 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 17,172
per-diem day rate — not a per-procedure price 579
template filing: same amount across many unrelated codes — excluded 110
exceeds 10× this hospital's gross charge — excluded from medians 57
percent-of-charges filed in the dollar field — excluded from medians 23
placeholder amount (≤ $0.02) — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.marshallmedical.org/03000009_Marshall_standardcharges.csv
Found on page https://www.marshallmedical.org/patients-visitors/patient-information/insurance-billing-information/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 337b1a948d310c38… · 31,945,362 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 3 $1,613,444.52 $1,690,208.00 $1,659,220.77 nat. median
$309,665
outlier · 5.4×
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $1,019,757.32 $1,068,274.72 $1,048,689.62 nat. median
$246,434
outlier · 4.3×
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 3 $974,156.68 $1,020,504.52 $1,001,795.21 nat. median
$244,017
outlier · 4.1×
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $913,777.79 $957,252.95 $939,703.27 nat. median
$117,173
outlier · 8.0×
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 3 $829,846.28 $869,328.20 $853,390.48 nat. median
$234,738
outlier · 3.6×
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $717,099.72 $751,217.45 $737,445.09 nat. median
$162,982
outlier · 4.5×
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $713,204.42 $747,136.82 $733,439.28 nat. median
$60,845
outlier · 12.1×
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $701,655.97 $735,038.93 $721,563.18 nat. median
$164,279
outlier · 4.4×
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 3 $689,999.02 $722,827.37 $709,575.50 nat. median
$207,730
outlier · 3.4×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 $664,059.31 $695,653.52 $682,899.84 nat. median
$164,834
outlier · 4.1×
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $660,124.23 $691,531.22 $678,853.11 nat. median
$182,736
outlier · 3.7×
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $636,651.19 $666,941.39 $654,714.10 nat. median
$145,336
outlier · 4.5×
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $619,359.26 $648,826.76 $636,931.56 nat. median
$151,838
outlier · 4.2×
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $612,038.85 $641,158.06 $629,403.46 nat. median
$122,924
outlier · 5.1×
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 3 $611,304.64 $640,388.92 $628,648.42 nat. median
$156,126
outlier · 4.0×
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $602,682.18 $631,356.23 $619,781.33 nat. median
$58,674
outlier · 10.6×
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 3 $590,294.64 $618,379.32 $607,042.33 nat. median
$160,267
outlier · 3.8×
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 3 $555,226.13 $581,642.34 $570,978.86 nat. median
$119,796
outlier · 4.8×
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 $541,605.25 $567,373.41 $556,971.54 nat. median
$69,788
outlier · 8.0×
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 $541,605.25 $567,373.41 $556,971.54 nat. median
$89,790
outlier · 6.2×
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 $541,605.25 $567,373.41 $556,971.54 nat. median
$93,260
outlier · 6.0×
152
MS_DRG 		Otitis Media And Uri With Mcc 10 $16,855.00 $676,493.15 $552,469.41 nat. median
$12,253
outlier · 45.1×
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $533,131.08 $558,496.07 $548,256.94 nat. median
$102,636
outlier · 5.3×
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 $520,070.81 $544,814.42 $534,826.13 nat. median
$150,721
outlier · 3.5×
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 3 $515,788.52 $540,328.39 $530,422.34 nat. median
$145,122
outlier · 3.7×
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 $511,202.41 $535,524.09 $525,706.12 nat. median
$187,294
outlier · 2.8×
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $507,307.12 $531,443.46 $521,700.31 nat. median
$105,658
outlier · 4.9×
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 3 $470,484.45 $492,868.88 $483,832.92 nat. median
$129,535
outlier · 3.7×
6024
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 $452,371.51 $473,894.17 $465,206.08 nat. median
$118,620
outlier · 3.9×
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 3 $448,751.09 $470,101.50 $461,482.94 nat. median
$93,528
outlier · 4.9×
5933
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $442,457.86 $463,508.85 $455,011.16 nat. median
$108,996
outlier · 4.2×
5912
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $432,895.03 $453,491.05 $445,177.02 nat. median
$81,294
outlier · 5.5×
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $423,444.33 $443,590.70 $435,458.18 nat. median
$124,573
outlier · 3.5×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 13 $16,855.00 $552,960.96 $409,805.51 nat. median
$32,829
outlier · 12.5×
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 $375,669.99 $393,543.39 $386,328.40 nat. median
$79,160
outlier · 4.9×
1612
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 3 $375,264.91 $393,119.03 $385,911.83 nat. median
$85,406
outlier · 4.5×
1611
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 3 $375,264.91 $393,119.03 $385,911.83 nat. median
$76,806
outlier · 5.0×
1604
APR_DRG 		Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 3 $364,805.12 $382,161.59 $375,155.28 nat. median
$97,957
outlier · 3.8×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 10 $16,855.00 $450,077.49 $367,563.29 nat. median
$62,270
outlier · 5.9×
54
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 $321,233.12 $378,039.29 $360,870.04 nat. median
$68,217
outlier · 5.3×
22
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 3 $346,373.89 $362,853.46 $356,201.13 nat. median
$78,029
outlier · 4.6×
5932
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $344,019.36 $360,386.90 $353,779.79 nat. median
$86,258
outlier · 4.1×
J2350
CPT 		Ocrelizumab 30 Mg/ml Intravenous Solution 17 $59.75 $619,587.90 $351,099.81 nat. median
$712
outlier · 493.2×
6074
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 3 $336,727.88 $352,748.52 $346,281.44 nat. median
$95,507
outlier · 3.6×
43
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $336,283.02 $352,282.48 $345,823.95 nat. median
$69,926
outlier · 4.9×
6034
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 3 $327,183.14 $342,749.66 $336,465.90 nat. median
$109,499
outlier · 3.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $16,855.00 $445,066.52 $329,843.75 nat. median
$66,526
outlier · 5.0×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 10 $16,855.00 $399,716.40 $326,435.06 nat. median
$39,075
outlier · 8.4×
64
APR_DRG 		Apr-DRG 42.00: Pancreas Transplant 3 $317,273.11 $332,368.13 $326,274.70 nat. median
$91,748
outlier · 3.6×
8424
APR_DRG 		Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 3 $315,670.86 $330,689.66 $324,627.00 nat. median
$80,494
outlier · 4.0×

Other procedures at this hospital

Browse this hospital's 5,858 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 Apr-DRG 42.00: Neonate With Ecmo 3 3 — — $1,613,444.52 $1,690,208.00 $1,659,220.77 2026-02-19
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $1,019,757.32 $1,068,274.72 $1,048,689.62 2026-02-19
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 3 3 — — $974,156.68 $1,020,504.52 $1,001,795.21 2026-02-19
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $913,777.79 $957,252.95 $939,703.27 2026-02-19
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 3 3 — — $829,846.28 $869,328.20 $853,390.48 2026-02-19
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $717,099.72 $751,217.45 $737,445.09 2026-02-19
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $713,204.42 $747,136.82 $733,439.28 2026-02-19
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $701,655.97 $735,038.93 $721,563.18 2026-02-19
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 3 3 — — $689,999.02 $722,827.37 $709,575.50 2026-02-19
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $664,059.31 $695,653.52 $682,899.84 2026-02-19
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $660,124.23 $691,531.22 $678,853.11 2026-02-19
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $636,651.19 $666,941.39 $654,714.10 2026-02-19
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $619,359.26 $648,826.76 $636,931.56 2026-02-19
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $612,038.85 $641,158.06 $629,403.46 2026-02-19
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 3 3 — — $611,304.64 $640,388.92 $628,648.42 2026-02-19
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $602,682.18 $631,356.23 $619,781.33 2026-02-19
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 3 3 — — $590,294.64 $618,379.32 $607,042.33 2026-02-19
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 3 3 — — $555,226.13 $581,642.34 $570,978.86 2026-02-19
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 3 — — $541,605.25 $567,373.41 $556,971.54 2026-02-19
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 3 — — $541,605.25 $567,373.41 $556,971.54 2026-02-19
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 3 — — $541,605.25 $567,373.41 $556,971.54 2026-02-19
152 MS_DRG Otitis Media And Uri With Mcc 10 10 $751,659.06 — $16,855.00 $676,493.15 $552,469.41 2024-04-30
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $533,131.08 $558,496.07 $548,256.94 2026-02-19
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 3 — — $520,070.81 $544,814.42 $534,826.13 2026-02-19
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 3 3 — — $515,788.52 $540,328.39 $530,422.34 2026-02-19
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 3 — — $511,202.41 $535,524.09 $525,706.12 2026-02-19
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $507,307.12 $531,443.46 $521,700.31 2026-02-19
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 3 3 — — $470,484.45 $492,868.88 $483,832.92 2026-02-19
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 3 — — $452,371.51 $473,894.17 $465,206.08 2026-02-19
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 3 3 — — $448,751.09 $470,101.50 $461,482.94 2026-02-19
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $442,457.86 $463,508.85 $455,011.16 2026-02-19
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $432,895.03 $453,491.05 $445,177.02 2026-02-19
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $423,444.33 $443,590.70 $435,458.18 2026-02-19
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 13 13 $614,401.07 — $16,855.00 $552,960.96 $409,805.51 2024-04-30
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $375,669.99 $393,543.39 $386,328.40 2026-02-19
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 3 3 — — $375,264.91 $393,119.03 $385,911.83 2026-02-19
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 3 3 — — $375,264.91 $393,119.03 $385,911.83 2026-02-19
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $364,805.12 $382,161.59 $375,155.28 2026-02-19
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 10 $500,086.10 — $16,855.00 $450,077.49 $367,563.29 2024-04-30
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 $1,014,730.46 — $321,233.12 $378,039.29 $360,870.04 2026-02-19
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 3 3 — — $346,373.89 $362,853.46 $356,201.13 2026-02-19
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $344,019.36 $360,386.90 $353,779.79 2026-02-19
J2350 CPT Ocrelizumab 30 Mg/ml Intravenous Solution 19 17 $688,431.00 — $59.75 $619,587.90 $351,099.81 2024-04-30
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 3 3 — — $336,727.88 $352,748.52 $346,281.44 2026-02-19
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $336,283.02 $352,282.48 $345,823.95 2026-02-19
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 3 3 — — $327,183.14 $342,749.66 $336,465.90 2026-02-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 13 $494,518.36 — $16,855.00 $445,066.52 $329,843.75 2024-04-30
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 10 $444,129.33 — $16,855.00 $399,716.40 $326,435.06 2024-04-30
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 3 3 — — $317,273.11 $332,368.13 $326,274.70 2026-02-19
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $315,670.86 $330,689.66 $324,627.00 2026-02-19
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 3 — — $315,330.88 $330,333.50 $324,277.37 2026-02-19
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 13 13 $477,047.39 — $10,703.28 $429,342.65 $318,190.61 2024-04-30
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 3 — — $304,578.13 $319,069.16 $313,219.54 2026-02-19
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $283,756.20 $297,256.58 $291,806.86 2026-02-19
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 3 — — $282,450.54 $295,888.79 $290,464.15 2026-02-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 13 $434,449.69 — $16,855.00 $391,004.72 $289,777.94 2024-04-30
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $275,571.38 $288,682.34 $283,389.82 2026-02-19
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 3 3 — — $270,732.10 $283,612.82 $278,413.24 2026-02-19
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 3 3 — — $270,023.20 $282,870.20 $277,684.23 2026-02-19
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 10 10 $375,804.00 — $16,855.00 $338,223.60 $276,215.94 2024-04-30
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 3 3 — — $265,520.29 $278,153.05 $273,053.56 2026-02-19
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 3 3 — — $262,351.97 $274,833.99 $269,795.35 2026-02-19
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 3 3 — — $259,823.82 $272,185.56 $267,195.48 2026-02-19
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $254,604.78 $266,718.21 $261,828.36 2026-02-19
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $254,597.54 $266,710.63 $261,820.92 2026-02-19
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $252,626.39 $264,645.69 $259,793.84 2026-02-19
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 3 3 — — $242,253.40 $253,779.18 $249,126.55 2026-02-19
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 3 3 — — $237,475.60 $248,774.07 $244,213.20 2026-02-19
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 3 3 — — $236,473.75 $247,724.55 $243,182.92 2026-02-19
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 3 — — $230,524.11 $241,491.84 $237,064.48 2026-02-19
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 3 3 — — $228,560.19 $239,434.48 $235,044.84 2026-02-19
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 3 3 — — $228,332.33 $239,195.78 $234,810.51 2026-02-19
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 3 — — $226,697.53 $237,483.21 $233,129.34 2026-02-19
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 3 3 — — $225,956.09 $236,706.49 $232,366.86 2026-02-19
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 3 3 — — $222,133.13 $232,701.64 $228,435.43 2026-02-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 13 $342,447.74 — $16,855.00 $308,202.97 $228,412.64 2024-04-30
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $220,212.61 $230,689.75 $226,460.42 2026-02-19
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $217,188.96 $227,522.24 $223,350.99 2026-02-19
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $209,716.65 $219,694.42 $215,666.68 2026-02-19
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 3 3 — — $209,640.69 $219,614.85 $215,588.57 2026-02-19
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 3 3 — — $207,948.03 $217,841.66 $213,847.88 2026-02-19
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $206,150.48 $215,958.58 $211,999.33 2026-02-19
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $203,564.47 $213,249.53 $209,339.95 2026-02-19
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 $520,928.63 — $185,690.23 $239,761.15 $208,451.68 2026-02-19
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 3 3 — — $200,504.65 $210,044.14 $206,193.32 2026-02-19
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $197,383.35 $206,774.34 $202,983.46 2026-02-19
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 3 3 — — $194,432.04 $203,682.61 $199,948.42 2026-02-19
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $194,280.14 $203,523.48 $199,792.20 2026-02-19
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 10 10 $270,324.62 — $16,855.00 $243,292.16 $198,688.60 2024-04-30
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 13 13 $295,421.21 — $8,556.46 $265,879.09 $197,045.95 2024-04-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 13 $293,718.07 — $16,855.00 $264,346.26 $195,909.95 2024-04-30
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 3 — — $188,703.03 $197,681.03 $194,056.86 2026-02-19
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $187,806.06 $196,741.38 $193,134.45 2026-02-19
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 3 3 — — $187,621.60 $196,548.15 $192,944.76 2026-02-19
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 3 3 — — $186,684.85 $195,566.83 $191,981.43 2026-02-19
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 3 3 — — $184,333.93 $193,104.06 $189,563.81 2026-02-19
61 APR_DRG Apr-DRG 42.00: Pancreas Transplant 3 3 — — $184,254.36 $193,020.70 $189,481.98 2026-02-19
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 3 3 — — $183,708.22 $192,448.58 $188,920.35 2026-02-19
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 3 3 — — $183,227.19 $191,944.66 $188,425.67 2026-02-19
C1822 HCPCS Neurostimulator System 14 9 $258,460.00 $147,244.66 43% off $77,538.00 $232,614.00 $188,029.65 2026-02-19
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 3 3 — — $181,111.36 $189,728.17 $186,249.81 2026-02-19
919 MS_DRG Complications Of Treatment With Mcc 10 10 $253,050.91 — $16,855.00 $227,745.82 $185,992.42 2024-04-30
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 3 3 — — $180,796.70 $189,398.53 $185,926.22 2026-02-19
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 13 13 $278,598.63 — $16,568.02 $250,738.77 $185,825.29 2024-04-30
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 3 3 — — $179,190.84 $187,716.27 $184,274.80 2026-02-19
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 10 10 $250,134.29 — $16,855.00 $225,120.86 $183,848.70 2024-04-30
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 3 3 — — $178,503.65 $186,996.38 $183,568.11 2026-02-19
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 13 $274,929.71 — $16,855.00 $247,436.74 $183,378.12 2024-04-30
9124 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 3 3 — — $178,225.15 $186,704.64 $183,281.71 2026-02-19
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 3 3 — — $174,640.90 $182,949.86 $179,595.77 2026-02-19
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 3 3 — — $172,825.27 $181,047.84 $177,728.62 2026-02-19
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 3 3 — — $172,261.05 $180,456.78 $177,148.39 2026-02-19
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $170,539.45 $178,653.27 $175,377.95 2026-02-19
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $170,492.43 $178,604.01 $175,329.60 2026-02-19
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 10 $238,389.69 — $16,855.00 $214,550.72 $175,216.42 2024-04-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 10 $238,237.90 — $16,855.00 $214,414.11 $175,104.86 2024-04-30
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 3 3 — — $169,570.14 $177,637.85 $174,381.15 2026-02-19
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 3 3 — — $169,363.99 $177,421.88 $174,169.14 2026-02-19
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $169,262.72 $177,315.80 $174,065.00 2026-02-19
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $168,651.48 $176,675.47 $173,436.41 2026-02-19
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $166,792.44 $174,727.99 $171,524.63 2026-02-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 13 $257,099.85 — $16,855.00 $231,389.87 $171,485.60 2024-04-30
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 3 3 — — $165,598.90 $173,477.66 $170,297.23 2026-02-19
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 3 3 — — $164,893.62 $172,738.83 $169,571.94 2026-02-19
6083 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 3 3 — — $164,893.62 $172,738.83 $169,571.94 2026-02-19
1304 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $163,555.40 $171,336.94 $168,195.76 2026-02-19
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 3 3 — — $163,410.73 $171,185.39 $168,046.98 2026-02-19
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 3 3 — — $161,070.66 $168,733.98 $165,640.52 2026-02-19
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 3 3 — — $160,897.05 $168,552.12 $165,461.98 2026-02-19
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $160,347.30 $167,976.21 $164,896.63 2026-02-19
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 3 3 — — $160,220.71 $167,843.60 $164,766.45 2026-02-19
1653 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $160,119.44 $167,737.51 $164,662.31 2026-02-19
J9144 CPT Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 19 17 $324,945.00 — $49.05 $292,450.50 $161,822.61 2024-04-30
786 MS_DRG Cesarean Section Without Sterilization With Mcc 10 10 $219,512.01 — $16,855.00 $197,560.81 $161,341.33 2024-04-30
894 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 3 3 — — $156,383.28 $163,823.59 $160,820.15 2026-02-19
2204 APR_DRG Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $155,739.49 $163,149.17 $160,158.10 2026-02-19
7404 APR_DRG Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure 3 3 — — $155,352.50 $162,743.76 $159,760.12 2026-02-19
C2624 HCPCS System Cardiomems Pa Sensor-delivery- 14 9 $219,500.00 $125,049.15 43% off $65,850.00 $197,550.00 $159,686.25 2026-02-19
4014 APR_DRG Apr-DRG 42.00: Adrenal Procedures 3 3 — — $154,535.10 $161,887.48 $158,919.53 2026-02-19
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 3 3 — — $153,797.27 $161,114.54 $158,160.77 2026-02-19
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 10 $215,164.87 — $16,855.00 $193,648.38 $158,146.18 2024-04-30
1204 APR_DRG Apr-DRG 42.00: Major Respiratory And Chest Procedures 3 3 — — $153,500.69 $160,803.86 $157,855.78 2026-02-19
9504 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $152,657.98 $159,921.05 $156,989.15 2026-02-19
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 13 13 $234,428.62 — $16,855.00 $210,985.76 $156,363.89 2024-04-30
1622 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $151,059.35 $158,246.36 $155,345.17 2026-02-19
4402 APR_DRG Apr-DRG 42.00: Kidney Transplant 3 3 — — $150,741.07 $157,912.94 $155,017.86 2026-02-19
204 APR_DRG Apr-DRG 42.00: Open Craniotomy For Trauma 3 3 — — $150,061.11 $157,200.63 $154,318.61 2026-02-19
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 13 $231,145.94 — $16,855.00 $208,031.35 $154,174.34 2024-04-30
41 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $148,581.84 $155,650.98 $152,797.37 2026-02-19
3124 APR_DRG Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $148,325.05 $155,381.97 $152,533.29 2026-02-19
4414 APR_DRG Apr-DRG 42.00: Major Bladder Procedures 3 3 — — $148,256.33 $155,309.98 $152,462.62 2026-02-19
682 MS_DRG Renal Failure With Mcc 13 13 $228,234.31 — $15,860.88 $205,410.88 $152,232.28 2024-04-30
375 MS_DRG Digestive Malignancy With Cc 13 13 $227,997.31 — $12,506.09 $205,197.58 $152,074.21 2024-04-30
1782 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 3 3 — — $147,706.58 $154,734.07 $151,897.27 2026-02-19
5204 APR_DRG Apr-DRG 42.00: Other GYN Procedures For Malignancy 3 3 — — $146,636.00 $153,612.56 $150,796.32 2026-02-19
6814 APR_DRG Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 3 3 — — $146,144.12 $153,097.27 $150,290.48 2026-02-19
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 3 3 — — $145,699.25 $152,631.24 $149,832.99 2026-02-19
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 10 10 $203,777.50 — $16,855.00 $183,399.75 $149,776.46 2024-04-30
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 13 13 $224,501.70 — $16,855.00 $202,051.53 $149,742.63 2024-04-30
264 MS_DRG Other Circulatory System O.r. Procedures 13 13 $224,417.62 — $16,855.00 $201,975.86 $149,686.55 2024-04-30
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 10 10 $202,384.16 — $16,855.00 $182,145.74 $148,752.36 2024-04-30
J7189 CPT Coagulation Factor Viia Recomb 1 Mg (1,000 Mcg) Intravenous Solution 52 14 $169,743.00 — $2.43 $611,075.70 $148,525.12 2024-04-30
6123 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 3 3 — — $143,883.62 $150,729.22 $147,965.85 2026-02-19
196 MS_DRG Interstitial Lung Disease With Mcc 10 10 $200,828.24 — $16,855.00 $180,745.42 $147,608.76 2024-04-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 10 $200,768.11 — $16,855.00 $180,691.30 $147,564.56 2024-04-30
2614 APR_DRG Apr-DRG 42.00: Major Biliary Tract Procedures 3 3 — — $141,919.69 $148,671.86 $145,946.20 2026-02-19
4854 APR_DRG Apr-DRG 42.00: Prostatectomy Procedures 3 3 — — $141,489.29 $148,220.99 $145,503.59 2026-02-19
1833 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 3 3 — — $141,275.90 $147,997.44 $145,284.15 2026-02-19
6092 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $141,011.88 $147,720.85 $145,012.63 2026-02-19
3614 APR_DRG Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $139,666.43 $146,311.39 $143,629.01 2026-02-19
603 MS_DRG Cellulitis Without Mcc 13 13 $213,769.01 — $9,449.81 $192,392.11 $142,583.93 2024-04-30
1793 APR_DRG Apr-DRG 42.00: Defibrillator Implants 3 3 — — $138,509.05 $145,098.95 $142,438.79 2026-02-19
4401 APR_DRG Apr-DRG 42.00: Kidney Transplant 3 3 — — $137,716.97 $144,269.18 $141,624.24 2026-02-19
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 13 13 $211,557.09 — $16,855.00 $190,401.38 $141,108.58 2024-04-30
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 3 3 — — $137,094.88 $143,617.50 $140,984.50 2026-02-19
3214 APR_DRG Apr-DRG 42.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc … 3 3 — — $136,711.50 $143,215.88 $140,590.24 2026-02-19
1663 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $136,338.97 $142,825.62 $140,207.14 2026-02-19
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 3 $1,037,610.78 — $140,005.31 $140,005.31 $140,005.31 2024-04-30
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 13 13 $209,405.81 — $6,399.43 $188,465.23 $139,673.68 2024-04-30
1781 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 3 3 — — $135,517.95 $141,965.54 $139,362.84 2026-02-19
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 3 — — $135,174.36 $141,605.60 $139,009.49 2026-02-19
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 13 13 $208,374.82 — $13,466.70 $187,537.34 $138,986.00 2024-04-30
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 13 13 $207,092.86 — $16,855.00 $186,383.57 $138,130.94 2024-04-30
2992 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 3 3 — — $134,255.69 $140,643.23 $138,064.76 2026-02-19
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 3 3 — — $133,904.86 $140,275.70 $137,703.98 2026-02-19
924 APR_DRG Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 3 3 — — $133,680.62 $140,040.79 $137,473.37 2026-02-19
6133 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 3 3 — — $133,554.03 $139,908.18 $137,343.19 2026-02-19
2304 APR_DRG Apr-DRG 42.00: Major Small Bowel Procedures 3 3 — — $133,199.58 $139,536.87 $136,978.69 2026-02-19
6954 APR_DRG Apr-DRG 42.00: Chemotherapy For Acute Leukemia 3 3 — — $133,145.33 $139,480.04 $136,922.90 2026-02-19
274 APR_DRG Apr-DRG 42.00: Other Open Craniotomy 3 3 — — $133,047.68 $139,377.74 $136,822.47 2026-02-19
1814 APR_DRG Apr-DRG 42.00: Lower Extremity Vascular Procedures 3 3 — — $132,931.94 $139,256.50 $136,703.45 2026-02-19
3043 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $132,638.98 $138,949.60 $136,402.18 2026-02-19
7924 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $132,197.73 $138,487.35 $135,948.41 2026-02-19
J9223 CPT Lurbinectedin 4 Mg Intravenous Solution 19 17 $272,934.00 — $200.01 $245,640.60 $135,921.13 2024-04-30
1652 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $131,579.26 $137,839.45 $135,312.39 2026-02-19
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 13 13 $202,645.13 — $16,855.00 $182,380.62 $135,164.30 2024-04-30
6514 APR_DRG Apr-DRG 42.00: Other Procedures Of Blood And Blood-forming Organs 3 3 — — $131,434.58 $137,687.90 $135,163.61 2026-02-19
5114 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 3 — — $130,794.41 $137,017.27 $134,505.28 2026-02-19
5124 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mal… 3 3 — — $130,154.24 $136,346.64 $133,846.94 2026-02-19
1621 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $129,792.56 $135,967.75 $133,475.00 2026-02-19
1214 APR_DRG Apr-DRG 42.00: Other Respiratory And Chest Procedures 3 3 — — $129,781.71 $135,956.38 $133,463.84 2026-02-19
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 13 $198,766.40 — $16,855.00 $178,889.76 $132,577.19 2024-04-30
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 10 10 $180,139.12 — $16,855.00 $162,125.21 $132,402.26 2024-04-30
330 MS_DRG Major Small And Large Bowel Procedures With Cc 13 13 $198,455.89 — $16,855.00 $178,610.30 $132,370.08 2024-04-30
7104 APR_DRG Apr-DRG 42.00: Infectious And Parasitic Diseases Including HIV With O.r. Procedu… 5 5 $646,660.73 — $125,897.26 $279,056.26 $131,887.12 2026-02-19
304 APR_DRG Apr-DRG 42.00: Percutaneous Intracranial And Extracranial Vascular Procedures 3 3 — — $127,828.63 $133,910.39 $131,455.36 2026-02-19
3032 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $126,056.40 $132,053.83 $129,632.84 2026-02-19
1632 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 3 3 — — $125,864.71 $131,853.02 $129,435.71 2026-02-19
8633 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 3 3 — — $125,325.81 $131,288.48 $128,881.52 2026-02-19
4054 APR_DRG Apr-DRG 42.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 3 3 — — $125,318.57 $131,280.90 $128,874.08 2026-02-19
1602 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $125,177.52 $131,133.14 $128,729.02 2026-02-19
1704 APR_DRG Apr-DRG 42.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh… 3 3 — — $124,439.69 $130,360.21 $127,970.26 2026-02-19
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 3 3 — — $124,374.59 $130,292.01 $127,903.31 2026-02-19
4034 APR_DRG Apr-DRG 42.00: Procedures For Obesity 3 3 — — $124,352.89 $130,269.27 $127,881.00 2026-02-19
2644 APR_DRG Apr-DRG 42.00: Other Hepatobiliary, Pancreas And Abdominal Procedures 6 6 $997,294.68 — $122,595.12 $136,974.83 $127,736.01 2026-02-19
694 MS_DRG Urinary Stones Without Mcc 3 3 $128,896.78 — $127,594.78 $127,594.78 $127,594.78 2024-04-30
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 10 10 $173,098.93 — $16,855.00 $155,789.04 $127,227.71 2024-04-30
6113 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $123,354.65 $129,223.54 $126,854.44 2026-02-19
1754 APR_DRG Apr-DRG 42.00: Percutaneous Cardiac Intervention Without Ami 3 3 — — $123,018.29 $128,871.18 $126,508.53 2026-02-19
C1882 HCPCS Gallant(tm) Bipolar Df4 Hf Cdhfa500d 105 9 $176,619.77 $100,620.28 43% off $37,303.71 $215,382.24 $126,493.01 2026-02-19
J2783 CPT Rasburicase 7.5 Mg Intravenous Solution 16 14 $188,396.00 — $367.27 $169,556.40 $125,942.73 2024-04-30
1303 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $122,309.39 $128,128.55 $125,779.52 2026-02-19
294 APR_DRG Apr-DRG 42.00: Other Percutaneous Intracranial Procedures 3 3 — — $122,215.36 $128,030.04 $125,682.82 2026-02-19
224 APR_DRG Apr-DRG 42.00: Ventricular Shunt Procedures 3 3 — — $122,124.94 $127,935.32 $125,589.83 2026-02-19
7114 APR_DRG Apr-DRG 42.00: Post-operative, Post-trauma, Other Device Infections With O.r. Pr… 3 3 — — $121,716.24 $127,507.18 $125,169.54 2026-02-19
6224 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 3 3 — — $121,448.59 $127,226.80 $124,894.30 2026-02-19
1651 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $120,124.84 $125,840.07 $123,533.00 2026-02-19
4044 APR_DRG Apr-DRG 42.00: Thyroid, Parathyroid And Thyroglossal Procedures 3 3 — — $120,030.81 $125,741.56 $123,436.29 2026-02-19
6504 APR_DRG Apr-DRG 42.00: Splenic Procedures 3 3 — — $119,578.71 $125,267.95 $122,971.36 2026-02-19
3134 APR_DRG Apr-DRG 42.00: Knee And Lower Leg Procedures Except Foot 6 6 $454,417.80 — $111,686.85 $138,829.40 $122,882.44 2026-02-19
C1820 HCPCS Medtronic Charge Sys Neurostim 40 9 $200,140.50 $114,020.04 43% off $10,217.25 $206,550.00 $122,854.44 2026-02-19
C1721 HCPCS Defibrillator Cardiac Ellipse Dr Implantable 31.3ml 2-chamber Cd2411-36q 66 9 $172,439.82 $98,238.96 43% off $35,568.00 $233,019.18 $122,713.43 2026-02-19
393 MS_DRG Other Digestive System Diagnoses With Mcc 13 13 $183,806.39 — $11,685.38 $165,425.75 $122,598.86 2024-04-30
4474 APR_DRG Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Non-percutaneous Procedur… 3 3 — — $118,815.56 $124,468.50 $122,186.57 2026-02-19
4424 APR_DRG Apr-DRG 42.00: Kidney And Urinary Tract Procedures For Malignancy 3 3 — — $118,508.13 $124,146.44 $121,870.42 2026-02-19
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 20 12 $241,592.70 $137,635.36 43% off $149.40 $217,433.43 $121,762.72 2026-02-19
3003 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 3 3 — — $118,066.88 $123,684.20 $121,416.65 2026-02-19
82 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 3 3 — — $117,918.60 $123,528.85 $121,264.15 2026-02-19
291 MS_DRG Heart Failure And Shock With Mcc 13 13 $180,761.21 — $13,273.75 $162,685.09 $120,567.73 2024-04-30
6234 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 3 3 — — $116,739.52 $122,293.68 $120,051.62 2026-02-19
913 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 3 3 — — $116,685.27 $122,236.85 $119,995.83 2026-02-19
2314 APR_DRG Apr-DRG 42.00: Major Large Bowel Procedures 3 3 — — $116,558.68 $122,104.24 $119,865.65 2026-02-19
9514 APR_DRG Apr-DRG 42.00: Moderately Extensive O.r. Procedure Unrelated To Principal Diagno… 3 3 — — $116,059.56 $121,581.37 $119,352.37 2026-02-19
1764 APR_DRG Apr-DRG 42.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 3 3 — — $115,766.60 $121,274.47 $119,051.10 2026-02-19
1832 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 3 3 — — $115,556.82 $121,054.72 $118,835.37 2026-02-19
213 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 3 3 — — $115,397.68 $120,888.01 $118,671.72 2026-02-19
4484 APR_DRG Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Percutaneous Procedures 3 3 — — $115,368.75 $120,857.69 $118,641.96 2026-02-19
6344 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr… 3 3 — — $115,307.26 $120,793.28 $118,578.73 2026-02-19
1693 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 3 3 — — $115,249.40 $120,732.66 $118,519.22 2026-02-19
6032 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 3 3 — — $115,205.99 $120,687.19 $118,474.59 2026-02-19
9103 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 3 3 — — $115,137.27 $120,615.21 $118,403.92 2026-02-19
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 13 13 $176,634.60 — $16,855.00 $158,971.14 $117,815.28 2024-04-30
3174 APR_DRG Apr-DRG 42.00: Tendon, Muscle And Other Soft Tissue Procedures 6 6 $969,942.28 — $92,539.50 $149,468.50 $117,787.15 2026-02-19
1673 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 3 3 — — $114,410.30 $119,853.64 $117,656.32 2026-02-19
2991 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 3 3 — — $114,251.16 $119,686.93 $117,492.66 2026-02-19
3254 APR_DRG Apr-DRG 42.00: Non-elective Or Complex Knee Joint Replacement 3 3 — — $114,142.65 $119,573.26 $117,381.08 2026-02-19
1792 APR_DRG Apr-DRG 42.00: Defibrillator Implants 3 3 — — $113,860.54 $119,277.73 $117,090.97 2026-02-19
7524 APR_DRG Apr-DRG 42.00: Personality Disorders 3 3 — — $113,658.00 $119,065.55 $116,882.68 2026-02-19
6143 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 3 3 — — $113,632.69 $119,039.03 $116,856.64 2026-02-19
6091 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $113,502.48 $118,902.63 $116,722.74 2026-02-19
1662 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $112,804.44 $118,171.38 $116,004.90 2026-02-19
787 MS_DRG Cesarean Section Without Sterilization With Cc 10 10 $157,505.58 — $16,855.00 $141,755.02 $115,766.60 2024-04-30
357 MS_DRG Other Digestive System O.r. Procedures With Cc 10 10 $157,374.48 — $16,855.00 $141,637.03 $115,670.24 2024-04-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 13 $172,730.85 — $16,855.00 $155,457.77 $115,211.48 2024-04-30
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 13 13 $172,598.38 — $16,855.00 $155,338.54 $115,123.12 2024-04-30
264 APR_DRG Apr-DRG 42.00: Other Nervous System And Related Procedures 3 3 — — $111,867.69 $117,190.06 $115,041.57 2026-02-19
434 APR_DRG Apr-DRG 42.00: Multiple Sclerosis, Other Demyelinating Disease And Inflammatory … 3 3 — — $111,513.24 $116,818.75 $114,677.06 2026-02-19
6302 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 3 — — $111,256.45 $116,549.74 $114,412.99 2026-02-19
3031 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $111,223.90 $116,515.64 $114,379.51 2026-02-19
1744 APR_DRG Apr-DRG 42.00: Percutaneous Cardiac Intervention With Ami 3 3 — — $111,010.50 $116,292.09 $114,160.07 2026-02-19
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 3 3 — — $110,891.15 $116,167.06 $114,037.33 2026-02-19
2294 APR_DRG Apr-DRG 42.00: Other Digestive System And Abdominal Procedures 3 3 — — $110,392.03 $115,644.20 $113,524.05 2026-02-19
913 MS_DRG Traumatic Injury With Mcc 10 10 $154,256.34 — $16,855.00 $138,830.71 $113,378.41 2024-04-30
8423 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $110,099.07 $115,337.30 $113,222.77 2026-02-19
2244 APR_DRG Apr-DRG 42.00: Peritoneal Adhesiolysis 3 3 — — $109,332.31 $114,534.05 $112,434.26 2026-02-19
893 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 3 3 — — $109,068.28 $114,257.47 $112,162.74 2026-02-19
1831 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 3 3 — — $109,042.96 $114,230.94 $112,136.70 2026-02-19
1631 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 3 3 — — $108,963.39 $114,147.59 $112,054.88 2026-02-19
2224 APR_DRG Apr-DRG 42.00: Other Stomach, Esophageal And Duodenal Procedures 3 3 — — $108,883.82 $114,064.23 $111,973.05 2026-02-19
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 10 10 $152,197.29 — $16,855.00 $136,977.56 $111,865.01 2024-04-30
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 13 13 $167,465.38 — $16,855.00 $150,718.84 $111,699.41 2024-04-30
2274 APR_DRG Apr-DRG 42.00: Hernia Procedures Except Inguinal, Femoral And Umbilical 3 3 — — $108,203.87 $113,351.92 $111,273.80 2026-02-19
1714 APR_DRG Apr-DRG 42.00: Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or… 3 3 — — $108,149.61 $113,295.09 $111,218.01 2026-02-19
3094 APR_DRG Apr-DRG 42.00: Other Significant Hip And Femur Surgery 3 3 — — $108,008.56 $113,147.32 $111,072.95 2026-02-19
1824 APR_DRG Apr-DRG 42.00: Other Peripheral Vascular And Related Procedures 3 3 — — $107,241.80 $112,344.08 $110,284.43 2026-02-19
1804 APR_DRG Apr-DRG 42.00: Other Circulatory System Procedures 3 3 — — $107,097.12 $112,192.53 $110,135.66 2026-02-19
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 13 13 $165,041.86 — $16,855.00 $148,537.67 $110,082.92 2024-04-30
5194 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Leiomyoma 3 3 — — $106,887.35 $111,972.77 $109,919.93 2026-02-19
C1772 HCPCS Synchromed Iii 20ml Pump 8667-20 14 9 $150,960.50 $86,002.20 43% off $45,288.15 $135,864.45 $109,823.76 2026-02-19
3054 APR_DRG Apr-DRG 42.00: Amputation Of Lower Limb Except Toes 3 3 — — $106,514.82 $111,582.52 $109,536.83 2026-02-19
233 APR_DRG Apr-DRG 42.00: Spinal Procedures 3 3 — — $106,330.36 $111,389.28 $109,347.14 2026-02-19
9123 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 3 3 — — $105,813.16 $110,847.47 $108,815.26 2026-02-19
4444 APR_DRG Apr-DRG 42.00: Renal Dialysis Access Device Procedures 3 3 — — $105,769.76 $110,802.01 $108,770.63 2026-02-19
5184 APR_DRG Apr-DRG 42.00: Other Female Reproductive System And Related Procedures 3 3 — — $105,256.17 $110,263.99 $108,242.47 2026-02-19
2234 APR_DRG Apr-DRG 42.00: Other Small And Large Bowel Procedures 3 3 — — $105,151.28 $110,154.11 $108,134.61 2026-02-19
3154 APR_DRG Apr-DRG 42.00: Shoulder, Upper Arm And Forearm Procedures Except Joint Replaceme… 3 3 — — $104,843.86 $109,832.05 $107,818.46 2026-02-19
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 10 10 $146,631.37 — $16,855.00 $131,968.23 $107,774.06 2024-04-30
4844 APR_DRG Apr-DRG 42.00: Other Male Reproductive System And Related Procedures 3 3 — — $104,576.21 $109,551.68 $107,543.22 2026-02-19
5134 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 3 3 — — $104,453.24 $109,422.85 $107,416.76 2026-02-19
984 APR_DRG Apr-DRG 42.00: Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures 3 3 — — $104,427.92 $109,396.33 $107,390.73 2026-02-19
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