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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MARSHALL MEDICAL CENTER

Placerville, CA · CCN 050254 · Rates published

5,623 distinct procedures filed
25 distinct payers
136,918 rate rows
2026-07-31 last MRF observed
Data quality

116,004 of 136,918 rate rows are consumer-grade (84.7%)

20,914 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 18,317
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,943
per-diem day rate — not a per-procedure price 437
template filing: same amount across many unrelated codes — excluded 110
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 45
exceeds 10× this hospital's gross charge — excluded from medians 32
percent-of-charges filed in the dollar field — excluded from medians 21
placeholder amount (≤ $0.02) — excluded from medians 6
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.marshallmedical.org/documents/standard_charges/941450151_marshall-medical-center_standardcharges.csv
Found on page https://www.marshallmedical.org/patients-visitors/patient-information/insurance-billing-information/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-12
Content fingerprint a4b098a26924de14… · 71,064,372 bytes · first seen 2026-05-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 1 $1,690,208.00 $1,690,208.00 $1,690,208.00 nat. median
$311,018
outlier · 5.4×
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $1,068,274.72 $1,068,274.72 $1,068,274.72 nat. median
$254,667
outlier · 4.2×
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 1 $1,020,504.52 $1,020,504.52 $1,020,504.52 nat. median
$250,089
outlier · 4.1×
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $957,252.95 $957,252.95 $957,252.95 nat. median
$119,243
outlier · 8.0×
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 1 $869,328.20 $869,328.20 $869,328.20 nat. median
$243,231
outlier · 3.6×
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $751,217.45 $751,217.45 $751,217.45 nat. median
$168,174
outlier · 4.5×
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $747,136.82 $747,136.82 $747,136.82 nat. median
$67,603
outlier · 11.1×
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $735,038.93 $735,038.93 $735,038.93 nat. median
$168,361
outlier · 4.4×
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 1 $722,827.37 $722,827.37 $722,827.37 nat. median
$209,486
outlier · 3.5×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 1 $695,653.52 $695,653.52 $695,653.52 nat. median
$165,599
outlier · 4.2×
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $691,531.22 $691,531.22 $691,531.22 nat. median
$180,995
outlier · 3.8×
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $666,941.39 $666,941.39 $666,941.39 nat. median
$147,847
outlier · 4.5×
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $648,826.76 $648,826.76 $648,826.76 nat. median
$156,285
outlier · 4.2×
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $641,158.06 $641,158.06 $641,158.06 nat. median
$147,677
outlier · 4.3×
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 1 $640,388.92 $640,388.92 $640,388.92 nat. median
$169,230
outlier · 3.8×
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $631,356.23 $631,356.23 $631,356.23 nat. median
$63,564
outlier · 9.9×
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 1 $618,379.32 $618,379.32 $618,379.32 nat. median
$165,646
outlier · 3.7×
152
MS_DRG 		Otitis Media And Uri With Mcc 9 $16,855.00 $676,493.15 $601,327.25 nat. median
$12,033
outlier · 50.0×
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 1 $581,642.34 $581,642.34 $581,642.34 nat. median
$127,938
outlier · 4.5×
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 1 $567,373.41 $567,373.41 $567,373.41 nat. median
$96,420
outlier · 5.9×
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 1 $567,373.41 $567,373.41 $567,373.41 nat. median
$89,188
outlier · 6.4×
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 1 $567,373.41 $567,373.41 $567,373.41 nat. median
$71,350
outlier · 8.0×
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $558,496.07 $558,496.07 $558,496.07 nat. median
$108,751
outlier · 5.1×
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 1 $544,814.42 $544,814.42 $544,814.42 nat. median
$160,171
outlier · 3.4×
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 1 $540,328.39 $540,328.39 $540,328.39 nat. median
$154,685
outlier · 3.5×
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 1 $535,524.09 $535,524.09 $535,524.09 nat. median
$175,480
outlier · 3.1×
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $531,443.46 $531,443.46 $531,443.46 nat. median
$127,600
outlier · 4.2×
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 1 $492,868.88 $492,868.88 $492,868.88 nat. median
$137,901
outlier · 3.6×
6024
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 $473,894.17 $473,894.17 $473,894.17 nat. median
$123,690
outlier · 3.8×
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 1 $470,101.50 $470,101.50 $470,101.50 nat. median
$116,111
outlier · 4.0×
5933
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $463,508.85 $463,508.85 $463,508.85 nat. median
$112,711
outlier · 4.1×
5912
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $453,491.05 $453,491.05 $453,491.05 nat. median
$84,000
outlier · 5.4×
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $443,590.70 $443,590.70 $443,590.70 nat. median
$120,928
outlier · 3.7×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 12 $16,855.00 $552,960.96 $410,727.11 nat. median
$32,539
outlier · 12.6×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 9 $16,855.00 $450,077.49 $400,068.88 nat. median
$57,648
outlier · 6.9×
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 1 $393,543.39 $393,543.39 $393,543.39 nat. median
$80,413
outlier · 4.9×
1612
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 1 $393,119.03 $393,119.03 $393,119.03 nat. median
$93,192
outlier · 4.2×
1611
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 1 $393,119.03 $393,119.03 $393,119.03 nat. median
$82,164
outlier · 4.8×
1604
APR_DRG 		Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 1 $382,161.59 $382,161.59 $382,161.59 nat. median
$101,315
outlier · 3.8×
22
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 1 $362,853.46 $362,853.46 $362,853.46 nat. median
$94,014
outlier · 3.9×
5932
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $360,386.90 $360,386.90 $360,386.90 nat. median
$89,063
outlier · 4.0×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 9 $16,855.00 $399,716.40 $355,303.46 nat. median
$37,051
outlier · 9.6×
6074
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 1 $352,748.52 $352,748.52 $352,748.52 nat. median
$99,613
outlier · 3.5×
43
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $352,282.48 $352,282.48 $352,282.48 nat. median
$78,024
outlier · 4.5×
6034
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 1 $342,749.66 $342,749.66 $342,749.66 nat. median
$109,499
outlier · 3.1×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $321,233.12 $378,039.29 $336,255.34 nat. median
$88,000
outlier · 3.8×
64
APR_DRG 		Apr-DRG 42.00: Pancreas Transplant 1 $332,368.13 $332,368.13 $332,368.13 nat. median
$92,994
outlier · 3.6×
8424
APR_DRG 		Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 1 $330,689.66 $330,689.66 $330,689.66 nat. median
$83,517
outlier · 4.0×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $16,855.00 $445,066.52 $330,585.53 nat. median
$65,958
outlier · 5.0×
6023
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 $330,333.50 $330,333.50 $330,333.50 nat. median
$92,000
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 5,623 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 1 1 — — $1,690,208.00 $1,690,208.00 $1,690,208.00 2026-02-19
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $1,068,274.72 $1,068,274.72 $1,068,274.72 2026-02-19
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 1 1 — — $1,020,504.52 $1,020,504.52 $1,020,504.52 2026-02-19
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $957,252.95 $957,252.95 $957,252.95 2026-02-19
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 1 1 — — $869,328.20 $869,328.20 $869,328.20 2026-02-19
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $751,217.45 $751,217.45 $751,217.45 2026-02-19
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $747,136.82 $747,136.82 $747,136.82 2026-02-19
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $735,038.93 $735,038.93 $735,038.93 2026-02-19
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 1 1 — — $722,827.37 $722,827.37 $722,827.37 2026-02-19
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $695,653.52 $695,653.52 $695,653.52 2026-02-19
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $691,531.22 $691,531.22 $691,531.22 2026-02-19
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $666,941.39 $666,941.39 $666,941.39 2026-02-19
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $648,826.76 $648,826.76 $648,826.76 2026-02-19
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $641,158.06 $641,158.06 $641,158.06 2026-02-19
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 1 1 — — $640,388.92 $640,388.92 $640,388.92 2026-02-19
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $631,356.23 $631,356.23 $631,356.23 2026-02-19
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 1 1 — — $618,379.32 $618,379.32 $618,379.32 2026-02-19
152 MS_DRG Otitis Media And Uri With Mcc 9 9 $751,659.06 — $16,855.00 $676,493.15 $601,327.25 2024-04-30
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 1 1 — — $581,642.34 $581,642.34 $581,642.34 2026-02-19
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 1 1 — — $567,373.41 $567,373.41 $567,373.41 2026-02-19
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 1 1 — — $567,373.41 $567,373.41 $567,373.41 2026-02-19
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 1 1 — — $567,373.41 $567,373.41 $567,373.41 2026-02-19
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $558,496.07 $558,496.07 $558,496.07 2026-02-19
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 1 1 — — $544,814.42 $544,814.42 $544,814.42 2026-02-19
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 1 1 — — $540,328.39 $540,328.39 $540,328.39 2026-02-19
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 1 1 — — $535,524.09 $535,524.09 $535,524.09 2026-02-19
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $531,443.46 $531,443.46 $531,443.46 2026-02-19
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 1 1 — — $492,868.88 $492,868.88 $492,868.88 2026-02-19
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 1 — — $473,894.17 $473,894.17 $473,894.17 2026-02-19
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 1 1 — — $470,101.50 $470,101.50 $470,101.50 2026-02-19
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $463,508.85 $463,508.85 $463,508.85 2026-02-19
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $453,491.05 $453,491.05 $453,491.05 2026-02-19
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $443,590.70 $443,590.70 $443,590.70 2026-02-19
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 12 $614,401.07 — $16,855.00 $552,960.96 $410,727.11 2024-04-30
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 9 9 $500,086.10 — $16,855.00 $450,077.49 $400,068.88 2024-04-30
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $393,543.39 $393,543.39 $393,543.39 2026-02-19
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 1 1 — — $393,119.03 $393,119.03 $393,119.03 2026-02-19
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 1 1 — — $393,119.03 $393,119.03 $393,119.03 2026-02-19
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $382,161.59 $382,161.59 $382,161.59 2026-02-19
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 1 1 — — $362,853.46 $362,853.46 $362,853.46 2026-02-19
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $360,386.90 $360,386.90 $360,386.90 2026-02-19
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 9 9 $444,129.33 — $16,855.00 $399,716.40 $355,303.46 2024-04-30
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 1 1 — — $352,748.52 $352,748.52 $352,748.52 2026-02-19
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $352,282.48 $352,282.48 $352,282.48 2026-02-19
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 1 1 — — $342,749.66 $342,749.66 $342,749.66 2026-02-19
54 APR_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 3 $1,014,730.46 — $321,233.12 $378,039.29 $336,255.34 2026-02-19
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 1 1 — — $332,368.13 $332,368.13 $332,368.13 2026-02-19
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $330,689.66 $330,689.66 $330,689.66 2026-02-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 12 $494,518.36 — $16,855.00 $445,066.52 $330,585.53 2024-04-30
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 1 — — $330,333.50 $330,333.50 $330,333.50 2026-02-19
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 1 1 — — $319,069.16 $319,069.16 $319,069.16 2026-02-19
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 12 12 $477,047.39 — $10,703.28 $429,342.65 $318,906.18 2024-04-30
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 9 9 $375,804.00 — $16,855.00 $338,223.60 $300,643.20 2024-04-30
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $297,256.58 $297,256.58 $297,256.58 2026-02-19
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 1 1 — — $295,888.79 $295,888.79 $295,888.79 2026-02-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 12 $434,449.69 — $16,855.00 $391,004.72 $290,429.61 2024-04-30
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $288,682.34 $288,682.34 $288,682.34 2026-02-19
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 1 1 — — $283,612.82 $283,612.82 $283,612.82 2026-02-19
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 1 1 — — $282,870.20 $282,870.20 $282,870.20 2026-02-19
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 1 1 — — $278,153.05 $278,153.05 $278,153.05 2026-02-19
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 1 1 — — $274,833.99 $274,833.99 $274,833.99 2026-02-19
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 1 1 — — $272,185.56 $272,185.56 $272,185.56 2026-02-19
7104 APR_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 $646,660.73 — $131,887.12 $279,056.26 $270,928.41 2026-02-19
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $266,718.21 $266,718.21 $266,718.21 2026-02-19
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $266,710.63 $266,710.63 $266,710.63 2026-02-19
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $264,645.69 $264,645.69 $264,645.69 2026-02-19
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 1 1 — — $253,779.18 $253,779.18 $253,779.18 2026-02-19
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 1 1 — — $248,774.07 $248,774.07 $248,774.07 2026-02-19
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 1 1 — — $247,724.55 $247,724.55 $247,724.55 2026-02-19
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 1 — — $241,491.84 $241,491.84 $241,491.84 2026-02-19
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 1 1 — — $239,434.48 $239,434.48 $239,434.48 2026-02-19
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 1 1 — — $239,195.78 $239,195.78 $239,195.78 2026-02-19
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 1 1 — — $237,483.21 $237,483.21 $237,483.21 2026-02-19
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 1 1 — — $236,706.49 $236,706.49 $236,706.49 2026-02-19
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 1 1 — — $232,701.64 $232,701.64 $232,701.64 2026-02-19
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $230,689.75 $230,689.75 $230,689.75 2026-02-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 12 $342,447.74 — $16,855.00 $308,202.97 $228,926.32 2024-04-30
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $227,522.24 $227,522.24 $227,522.24 2026-02-19
3044 APR_DRG Spinal Fusion Except Cervical With Mcc 4 4 $520,928.63 — $194,524.89 $239,761.15 $225,714.15 2026-02-19
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $219,694.42 $219,694.42 $219,694.42 2026-02-19
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 1 1 — — $219,614.85 $219,614.85 $219,614.85 2026-02-19
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 1 1 — — $217,841.66 $217,841.66 $217,841.66 2026-02-19
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 9 9 $270,324.62 — $16,855.00 $243,292.16 $216,259.70 2024-04-30
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $215,958.58 $215,958.58 $215,958.58 2026-02-19
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 — — $213,249.53 $213,249.53 $213,249.53 2026-02-19
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 1 1 — — $210,044.14 $210,044.14 $210,044.14 2026-02-19
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $206,774.34 $206,774.34 $206,774.34 2026-02-19
C1822 HCPCS Neurostimulator System 8 6 $258,460.00 $147,244.66 43% off $173,168.20 $232,614.00 $204,700.32 2026-02-19
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 1 1 — — $203,682.61 $203,682.61 $203,682.61 2026-02-19
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $203,523.48 $203,523.48 $203,523.48 2026-02-19
919 MS_DRG Complications Of Treatment With Mcc 9 9 $253,050.91 — $16,855.00 $227,745.82 $202,440.73 2024-04-30
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 9 9 $250,134.29 — $16,855.00 $225,120.86 $200,107.43 2024-04-30
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 1 1 — — $197,681.03 $197,681.03 $197,681.03 2026-02-19
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 12 12 $295,421.21 — $8,556.46 $265,879.09 $197,489.08 2024-04-30
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $196,741.38 $196,741.38 $196,741.38 2026-02-19
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 1 1 — — $196,548.15 $196,548.15 $196,548.15 2026-02-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 12 $293,718.07 — $16,855.00 $264,346.26 $196,350.53 2024-04-30
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 1 1 — — $195,566.83 $195,566.83 $195,566.83 2026-02-19
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 1 1 — — $193,104.06 $193,104.06 $193,104.06 2026-02-19
61 APR_DRG Apr-DRG 42.00: Pancreas Transplant 1 1 — — $193,020.70 $193,020.70 $193,020.70 2026-02-19
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 1 1 — — $192,448.58 $192,448.58 $192,448.58 2026-02-19
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 1 1 — — $191,944.66 $191,944.66 $191,944.66 2026-02-19
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 9 9 $238,389.69 — $16,855.00 $214,550.72 $190,711.75 2024-04-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 9 $238,237.90 — $16,855.00 $214,414.11 $190,590.32 2024-04-30
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 1 1 — — $189,728.17 $189,728.17 $189,728.17 2026-02-19
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 1 1 — — $189,398.53 $189,398.53 $189,398.53 2026-02-19
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 1 1 — — $187,716.27 $187,716.27 $187,716.27 2026-02-19
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 1 1 — — $186,996.38 $186,996.38 $186,996.38 2026-02-19
9124 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 1 1 — — $186,704.64 $186,704.64 $186,704.64 2026-02-19
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 12 12 $278,598.63 — $16,568.02 $250,738.77 $186,243.18 2024-04-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 12 $274,929.71 — $16,855.00 $247,436.74 $183,790.52 2024-04-30
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 1 1 — — $182,949.86 $182,949.86 $182,949.86 2026-02-19
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 1 1 — — $181,047.84 $181,047.84 $181,047.84 2026-02-19
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 1 1 — — $180,456.78 $180,456.78 $180,456.78 2026-02-19
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $178,653.27 $178,653.27 $178,653.27 2026-02-19
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $178,604.01 $178,604.01 $178,604.01 2026-02-19
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 1 1 — — $177,637.85 $177,637.85 $177,637.85 2026-02-19
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 1 1 — — $177,421.88 $177,421.88 $177,421.88 2026-02-19
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $177,315.80 $177,315.80 $177,315.80 2026-02-19
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $176,675.47 $176,675.47 $176,675.47 2026-02-19
786 MS_DRG Cesarean Section Without Sterilization With Mcc 9 9 $219,512.01 — $16,855.00 $197,560.81 $175,609.61 2024-04-30
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $174,727.99 $174,727.99 $174,727.99 2026-02-19
C2624 HCPCS System Cardiomems Pa Sensor-delivery- 8 6 $219,500.00 $125,049.15 43% off $147,065.00 $197,550.00 $173,844.00 2026-02-19
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 1 1 — — $173,477.66 $173,477.66 $173,477.66 2026-02-19
6083 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 1 1 — — $172,738.83 $172,738.83 $172,738.83 2026-02-19
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 1 1 — — $172,738.83 $172,738.83 $172,738.83 2026-02-19
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 9 9 $215,164.87 — $16,855.00 $193,648.38 $172,131.90 2024-04-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 12 $257,099.85 — $16,855.00 $231,389.87 $171,871.25 2024-04-30
1304 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $171,336.94 $171,336.94 $171,336.94 2026-02-19
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 1 1 — — $171,185.39 $171,185.39 $171,185.39 2026-02-19
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 1 1 — — $168,733.98 $168,733.98 $168,733.98 2026-02-19
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 1 1 — — $168,552.12 $168,552.12 $168,552.12 2026-02-19
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $167,976.21 $167,976.21 $167,976.21 2026-02-19
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 1 1 — — $167,843.60 $167,843.60 $167,843.60 2026-02-19
1653 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $167,737.51 $167,737.51 $167,737.51 2026-02-19
894 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 1 1 — — $163,823.59 $163,823.59 $163,823.59 2026-02-19
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 11 8 $208,265.00 $118,648.57 43% off $318.53 $187,438.50 $163,279.76 2026-02-19
2204 APR_DRG Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures 1 1 — — $163,149.17 $163,149.17 $163,149.17 2026-02-19
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 9 9 $203,777.50 — $16,855.00 $183,399.75 $163,022.00 2024-04-30
7404 APR_DRG Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure 1 1 — — $162,743.76 $162,743.76 $162,743.76 2026-02-19
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 9 9 $202,384.16 — $16,855.00 $182,145.74 $161,907.33 2024-04-30
4014 APR_DRG Apr-DRG 42.00: Adrenal Procedures 1 1 — — $161,887.48 $161,887.48 $161,887.48 2026-02-19
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 1 1 — — $161,114.54 $161,114.54 $161,114.54 2026-02-19
1204 APR_DRG Apr-DRG 42.00: Major Respiratory And Chest Procedures 1 1 — — $160,803.86 $160,803.86 $160,803.86 2026-02-19
196 MS_DRG Interstitial Lung Disease With Mcc 9 9 $200,828.24 — $16,855.00 $180,745.42 $160,662.59 2024-04-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 9 $200,768.11 — $16,855.00 $180,691.30 $160,614.49 2024-04-30
9504 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $159,921.05 $159,921.05 $159,921.05 2026-02-19
1622 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $158,246.36 $158,246.36 $158,246.36 2026-02-19
4402 APR_DRG Apr-DRG 42.00: Kidney Transplant 1 1 — — $157,912.94 $157,912.94 $157,912.94 2026-02-19
204 APR_DRG Apr-DRG 42.00: Open Craniotomy For Trauma 1 1 — — $157,200.63 $157,200.63 $157,200.63 2026-02-19
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 12 12 $234,428.62 — $16,855.00 $210,985.76 $156,715.54 2024-04-30
41 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $155,650.98 $155,650.98 $155,650.98 2026-02-19
3124 APR_DRG Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 1 1 — — $155,381.97 $155,381.97 $155,381.97 2026-02-19
C1820 HCPCS Medtronic Charge Sys Neurostim 24 6 $200,140.50 $114,020.04 43% off $22,818.53 $206,550.00 $155,337.58 2026-02-19
4414 APR_DRG Apr-DRG 42.00: Major Bladder Procedures 1 1 — — $155,309.98 $155,309.98 $155,309.98 2026-02-19
1782 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 1 1 — — $154,734.07 $154,734.07 $154,734.07 2026-02-19
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 12 $231,145.94 — $16,855.00 $208,031.35 $154,521.06 2024-04-30
5204 APR_DRG Apr-DRG 42.00: Other GYN Procedures For Malignancy 1 1 — — $153,612.56 $153,612.56 $153,612.56 2026-02-19
6814 APR_DRG Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 1 1 — — $153,097.27 $153,097.27 $153,097.27 2026-02-19
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 1 1 — — $152,631.24 $152,631.24 $152,631.24 2026-02-19
682 MS_DRG Renal Failure With Mcc 12 12 $228,234.31 — $15,860.88 $205,410.88 $152,574.64 2024-04-30
375 MS_DRG Digestive Malignancy With Cc 12 12 $227,997.31 — $12,506.09 $205,197.58 $152,416.21 2024-04-30
6123 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 1 1 — — $150,729.22 $150,729.22 $150,729.22 2026-02-19
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 12 $224,501.70 — $16,855.00 $202,051.53 $150,079.39 2024-04-30
264 MS_DRG Other Circulatory System O.r. Procedures 12 12 $224,417.62 — $16,855.00 $201,975.86 $150,023.18 2024-04-30
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 29 24 $688,431.00 $100,058.21 85% off $59.41 $619,587.90 $149,288.19 2026-02-19
2614 APR_DRG Apr-DRG 42.00: Major Biliary Tract Procedures 1 1 — — $148,671.86 $148,671.86 $148,671.86 2026-02-19
J7189 HCPCS Coagulation Factor Viia Recomb 1 Mg (1,000 Mcg) Intravenous Solution 48 13 $169,743.00 — $2.43 $611,075.70 $148,525.12 2024-04-30
4854 APR_DRG Apr-DRG 42.00: Prostatectomy Procedures 1 1 — — $148,220.99 $148,220.99 $148,220.99 2026-02-19
1833 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 1 1 — — $147,997.44 $147,997.44 $147,997.44 2026-02-19
6092 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $147,720.85 $147,720.85 $147,720.85 2026-02-19
3614 APR_DRG Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 1 1 — — $146,311.39 $146,311.39 $146,311.39 2026-02-19
1793 APR_DRG Apr-DRG 42.00: Defibrillator Implants 1 1 — — $145,098.95 $145,098.95 $145,098.95 2026-02-19
4401 APR_DRG Apr-DRG 42.00: Kidney Transplant 1 1 — — $144,269.18 $144,269.18 $144,269.18 2026-02-19
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 9 9 $180,139.12 — $16,855.00 $162,125.21 $144,111.30 2024-04-30
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 1 1 — — $143,617.50 $143,617.50 $143,617.50 2026-02-19
3214 APR_DRG Apr-DRG 42.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc … 1 1 — — $143,215.88 $143,215.88 $143,215.88 2026-02-19
603 MS_DRG Cellulitis Without Mcc 12 12 $213,769.01 — $9,449.81 $192,392.11 $142,904.58 2024-04-30
1663 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $142,825.62 $142,825.62 $142,825.62 2026-02-19
1781 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 1 1 — — $141,965.54 $141,965.54 $141,965.54 2026-02-19
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 1 — — $141,605.60 $141,605.60 $141,605.60 2026-02-19
C1882 HCPCS Defibrillator Cardiac Quadra Assura Implantable Quadripolar Biventricular Df-4 C… 64 6 $174,507.90 $99,417.15 43% off $83,311.63 $215,382.24 $141,520.57 2026-02-19
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 12 $211,557.09 — $16,855.00 $190,401.38 $141,425.91 2024-04-30
3174 APR_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 $969,942.28 — $96,942.28 $149,468.50 $140,711.51 2026-02-19
2992 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 1 1 — — $140,643.23 $140,643.23 $140,643.23 2026-02-19
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 1 1 — — $140,275.70 $140,275.70 $140,275.70 2026-02-19
924 APR_DRG Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 1 1 — — $140,040.79 $140,040.79 $140,040.79 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 12 12 $209,405.81 — $6,399.43 $188,465.23 $139,987.79 2024-04-30
6133 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 1 1 — — $139,908.18 $139,908.18 $139,908.18 2026-02-19
2304 APR_DRG Apr-DRG 42.00: Major Small Bowel Procedures 1 1 — — $139,536.87 $139,536.87 $139,536.87 2026-02-19
6954 APR_DRG Apr-DRG 42.00: Chemotherapy For Acute Leukemia 1 1 — — $139,480.04 $139,480.04 $139,480.04 2026-02-19
274 APR_DRG Apr-DRG 42.00: Other Open Craniotomy 1 1 — — $139,377.74 $139,377.74 $139,377.74 2026-02-19
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 12 12 $208,374.82 — $13,466.70 $187,537.34 $139,298.57 2024-04-30
1814 APR_DRG Apr-DRG 42.00: Lower Extremity Vascular Procedures 1 1 — — $139,256.50 $139,256.50 $139,256.50 2026-02-19
3043 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $138,949.60 $138,949.60 $138,949.60 2026-02-19
7924 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $138,487.35 $138,487.35 $138,487.35 2026-02-19
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 9 9 $173,098.93 — $16,855.00 $155,789.04 $138,479.14 2024-04-30
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 12 12 $207,092.86 — $16,855.00 $186,383.57 $138,441.58 2024-04-30
C1721 HCPCS Defibrillator Cardiac Ellipse Dr Implantable 31.3ml 2-chamber Cd2411-36q 40 6 $172,439.82 $98,238.96 43% off $79,435.20 $233,019.18 $138,314.79 2026-02-19
1652 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $137,839.45 $137,839.45 $137,839.45 2026-02-19
6514 APR_DRG Apr-DRG 42.00: Other Procedures Of Blood And Blood-forming Organs 1 1 — — $137,687.90 $137,687.90 $137,687.90 2026-02-19
5114 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 1 1 — — $137,017.27 $137,017.27 $137,017.27 2026-02-19
5124 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mal… 1 1 — — $136,346.64 $136,346.64 $136,346.64 2026-02-19
1621 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $135,967.75 $135,967.75 $135,967.75 2026-02-19
1214 APR_DRG Apr-DRG 42.00: Other Respiratory And Chest Procedures 1 1 — — $135,956.38 $135,956.38 $135,956.38 2026-02-19
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 12 12 $202,645.13 — $16,855.00 $182,380.62 $135,468.27 2024-04-30
304 APR_DRG Apr-DRG 42.00: Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $133,910.39 $133,910.39 $133,910.39 2026-02-19
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 12 $198,766.40 — $16,855.00 $178,889.76 $132,875.34 2024-04-30
330 MS_DRG Major Small And Large Bowel Procedures With Cc 12 12 $198,455.89 — $16,855.00 $178,610.30 $132,667.77 2024-04-30
3032 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $132,053.83 $132,053.83 $132,053.83 2026-02-19
1632 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 1 1 — — $131,853.02 $131,853.02 $131,853.02 2026-02-19
8633 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 1 1 — — $131,288.48 $131,288.48 $131,288.48 2026-02-19
4054 APR_DRG Apr-DRG 42.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 1 1 — — $131,280.90 $131,280.90 $131,280.90 2026-02-19
1602 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $131,133.14 $131,133.14 $131,133.14 2026-02-19
3134 APR_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 4 4 $454,417.80 — $117,000.61 $138,829.40 $130,695.74 2026-02-19
1704 APR_DRG Apr-DRG 42.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh… 1 1 — — $130,360.21 $130,360.21 $130,360.21 2026-02-19
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 1 1 — — $130,292.01 $130,292.01 $130,292.01 2026-02-19
4034 APR_DRG Apr-DRG 42.00: Procedures For Obesity 1 1 — — $130,269.27 $130,269.27 $130,269.27 2026-02-19
2644 APR_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 $997,294.68 — $127,044.15 $136,974.83 $129,641.68 2026-02-19
6113 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $129,223.54 $129,223.54 $129,223.54 2026-02-19
1754 APR_DRG Apr-DRG 42.00: Percutaneous Cardiac Intervention Without Ami 1 1 — — $128,871.18 $128,871.18 $128,871.18 2026-02-19
1303 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $128,128.55 $128,128.55 $128,128.55 2026-02-19
294 APR_DRG Apr-DRG 42.00: Other Percutaneous Intracranial Procedures 1 1 — — $128,030.04 $128,030.04 $128,030.04 2026-02-19
224 APR_DRG Apr-DRG 42.00: Ventricular Shunt Procedures 1 1 — — $127,935.32 $127,935.32 $127,935.32 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
7114 APR_DRG Apr-DRG 42.00: Post-operative, Post-trauma, Other Device Infections With O.r. Pr… 1 1 — — $127,507.18 $127,507.18 $127,507.18 2026-02-19
6224 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 1 1 — — $127,226.80 $127,226.80 $127,226.80 2026-02-19
C1767 HCPCS Neurostimulator Vanta 977006 24 6 $160,020.00 $91,163.39 43% off $53,868.00 $206,550.00 $126,735.84 2026-02-19
J2783 HCPCS Rasburicase 7.5 Mg Intravenous Solution 15 13 $188,396.00 — $367.27 $169,556.40 $126,225.32 2024-04-30
787 MS_DRG Cesarean Section Without Sterilization With Cc 9 9 $157,505.58 — $16,855.00 $141,755.02 $126,004.46 2024-04-30
357 MS_DRG Other Digestive System O.r. Procedures With Cc 9 9 $157,374.48 — $16,855.00 $141,637.03 $125,899.58 2024-04-30
1651 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $125,840.07 $125,840.07 $125,840.07 2026-02-19
4044 APR_DRG Apr-DRG 42.00: Thyroid, Parathyroid And Thyroglossal Procedures 1 1 — — $125,741.56 $125,741.56 $125,741.56 2026-02-19
6504 APR_DRG Apr-DRG 42.00: Splenic Procedures 1 1 — — $125,267.95 $125,267.95 $125,267.95 2026-02-19
4474 APR_DRG Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Non-percutaneous Procedur… 1 1 — — $124,468.50 $124,468.50 $124,468.50 2026-02-19
4424 APR_DRG Apr-DRG 42.00: Kidney And Urinary Tract Procedures For Malignancy 1 1 — — $124,146.44 $124,146.44 $124,146.44 2026-02-19
3003 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 1 1 — — $123,684.20 $123,684.20 $123,684.20 2026-02-19
82 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 1 1 — — $123,528.85 $123,528.85 $123,528.85 2026-02-19
913 MS_DRG Traumatic Injury With Mcc 9 9 $154,256.34 — $16,855.00 $138,830.71 $123,405.07 2024-04-30
393 MS_DRG Other Digestive System Diagnoses With Mcc 12 12 $183,806.39 — $11,685.38 $165,425.75 $122,874.57 2024-04-30
6234 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 1 1 — — $122,293.68 $122,293.68 $122,293.68 2026-02-19
913 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 1 1 — — $122,236.85 $122,236.85 $122,236.85 2026-02-19
2314 APR_DRG Apr-DRG 42.00: Major Large Bowel Procedures 1 1 — — $122,104.24 $122,104.24 $122,104.24 2026-02-19
3204 APR_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 3 $253,206.14 — $104,910.30 $127,550.34 $121,852.03 2026-02-19
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 9 9 $152,197.29 — $16,855.00 $136,977.56 $121,757.83 2024-04-30
9514 APR_DRG Apr-DRG 42.00: Moderately Extensive O.r. Procedure Unrelated To Principal Diagno… 1 1 — — $121,581.37 $121,581.37 $121,581.37 2026-02-19
1764 APR_DRG Apr-DRG 42.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 1 1 — — $121,274.47 $121,274.47 $121,274.47 2026-02-19
1832 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 1 1 — — $121,054.72 $121,054.72 $121,054.72 2026-02-19
213 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 1 1 — — $120,888.01 $120,888.01 $120,888.01 2026-02-19
4484 APR_DRG Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Percutaneous Procedures 1 1 — — $120,857.69 $120,857.69 $120,857.69 2026-02-19
291 MS_DRG Heart Failure And Shock With Mcc 12 12 $180,761.21 — $13,273.75 $162,685.09 $120,838.87 2024-04-30
6344 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr… 1 1 — — $120,793.28 $120,793.28 $120,793.28 2026-02-19
1693 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 1 1 — — $120,732.66 $120,732.66 $120,732.66 2026-02-19
6032 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 1 1 — — $120,687.19 $120,687.19 $120,687.19 2026-02-19
9103 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 1 1 — — $120,615.21 $120,615.21 $120,615.21 2026-02-19
1673 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 1 1 — — $119,853.64 $119,853.64 $119,853.64 2026-02-19
2991 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 1 1 — — $119,686.93 $119,686.93 $119,686.93 2026-02-19
3254 APR_DRG Apr-DRG 42.00: Non-elective Or Complex Knee Joint Replacement 1 1 — — $119,573.26 $119,573.26 $119,573.26 2026-02-19
C1772 HCPCS Synchromed Iii 20ml Pump 8667-20 8 6 $150,960.50 $86,002.20 43% off $101,143.54 $135,864.45 $119,560.71 2026-02-19
1792 APR_DRG Apr-DRG 42.00: Defibrillator Implants 1 1 — — $119,277.73 $119,277.73 $119,277.73 2026-02-19
7524 APR_DRG Apr-DRG 42.00: Personality Disorders 1 1 — — $119,065.55 $119,065.55 $119,065.55 2026-02-19
6143 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 1 1 — — $119,039.03 $119,039.03 $119,039.03 2026-02-19
6091 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $118,902.63 $118,902.63 $118,902.63 2026-02-19
1662 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $118,171.38 $118,171.38 $118,171.38 2026-02-19
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 12 12 $176,634.60 — $16,855.00 $158,971.14 $118,080.23 2024-04-30
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 9 9 $146,631.37 — $16,855.00 $131,968.23 $117,305.10 2024-04-30
264 APR_DRG Apr-DRG 42.00: Other Nervous System And Related Procedures 1 1 — — $117,190.06 $117,190.06 $117,190.06 2026-02-19
434 APR_DRG Apr-DRG 42.00: Multiple Sclerosis, Other Demyelinating Disease And Inflammatory … 1 1 — — $116,818.75 $116,818.75 $116,818.75 2026-02-19
6302 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 1 1 — — $116,549.74 $116,549.74 $116,549.74 2026-02-19
3031 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $116,515.64 $116,515.64 $116,515.64 2026-02-19
1744 APR_DRG Apr-DRG 42.00: Percutaneous Cardiac Intervention With Ami 1 1 — — $116,292.09 $116,292.09 $116,292.09 2026-02-19
C1778 HCPCS Specify SureScan MRI Lead Kit 2 X 8, 65cm 8 6 $146,740.00 $83,597.78 43% off $98,315.80 $132,066.00 $116,218.08 2026-02-19
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 1 1 — — $116,167.06 $116,167.06 $116,167.06 2026-02-19
643 MS_DRG Endocrine Disorders With Mcc 9 9 $144,972.72 — $16,855.00 $130,475.45 $115,978.18 2024-04-30
2294 APR_DRG Apr-DRG 42.00: Other Digestive System And Abdominal Procedures 1 1 — — $115,644.20 $115,644.20 $115,644.20 2026-02-19
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 12 $172,730.85 — $16,855.00 $155,457.77 $115,470.57 2024-04-30
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 12 12 $172,598.38 — $16,855.00 $155,338.54 $115,382.01 2024-04-30
8423 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $115,337.30 $115,337.30 $115,337.30 2026-02-19
2244 APR_DRG Apr-DRG 42.00: Peritoneal Adhesiolysis 1 1 — — $114,534.05 $114,534.05 $114,534.05 2026-02-19
893 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 1 1 — — $114,257.47 $114,257.47 $114,257.47 2026-02-19
1831 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 1 1 — — $114,230.94 $114,230.94 $114,230.94 2026-02-19
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 9 9 $142,757.66 — $16,855.00 $128,481.89 $114,206.13 2024-04-30
1631 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 1 1 — — $114,147.59 $114,147.59 $114,147.59 2026-02-19
2224 APR_DRG Apr-DRG 42.00: Other Stomach, Esophageal And Duodenal Procedures 1 1 — — $114,064.23 $114,064.23 $114,064.23 2026-02-19
2844 APR_DRG Disorders Of The Biliary Tract With Mcc 4 4 $568,251.15 — $60,970.66 $120,575.73 $113,511.50 2026-02-19
2274 APR_DRG Apr-DRG 42.00: Hernia Procedures Except Inguinal, Femoral And Umbilical 1 1 — — $113,351.92 $113,351.92 $113,351.92 2026-02-19
1714 APR_DRG Apr-DRG 42.00: Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or… 1 1 — — $113,295.09 $113,295.09 $113,295.09 2026-02-19
3094 APR_DRG Apr-DRG 42.00: Other Significant Hip And Femur Surgery 1 1 — — $113,147.32 $113,147.32 $113,147.32 2026-02-19
1824 APR_DRG Apr-DRG 42.00: Other Peripheral Vascular And Related Procedures 1 1 — — $112,344.08 $112,344.08 $112,344.08 2026-02-19
1804 APR_DRG Apr-DRG 42.00: Other Circulatory System Procedures 1 1 — — $112,192.53 $112,192.53 $112,192.53 2026-02-19
5194 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Leiomyoma 1 1 — — $111,972.77 $111,972.77 $111,972.77 2026-02-19
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 12 12 $167,465.38 — $16,855.00 $150,718.84 $111,950.61 2024-04-30
3054 APR_DRG Apr-DRG 42.00: Amputation Of Lower Limb Except Toes 1 1 — — $111,582.52 $111,582.52 $111,582.52 2026-02-19
233 APR_DRG Apr-DRG 42.00: Spinal Procedures 1 1 — — $111,389.28 $111,389.28 $111,389.28 2026-02-19
9123 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 1 1 — — $110,847.47 $110,847.47 $110,847.47 2026-02-19
4444 APR_DRG Apr-DRG 42.00: Renal Dialysis Access Device Procedures 1 1 — — $110,802.01 $110,802.01 $110,802.01 2026-02-19
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 12 12 $165,041.86 — $16,855.00 $148,537.67 $110,330.49 2024-04-30
5184 APR_DRG Apr-DRG 42.00: Other Female Reproductive System And Related Procedures 1 1 — — $110,263.99 $110,263.99 $110,263.99 2026-02-19
2234 APR_DRG Apr-DRG 42.00: Other Small And Large Bowel Procedures 1 1 — — $110,154.11 $110,154.11 $110,154.11 2026-02-19
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