Price Transparencybeta Hospital negotiated rates

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

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Hospital

LOMA LINDA UNIVERSITY MEDICAL CENTER

Loma Linda, CA · CCN 050327 · Rates published

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MS-DRG 29.00: HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC

This hospital’s price: $24,654 across 12 payers · range $18,329-$60,760

Source: https://pricetransparency.healthcare/llu-mc/charges/export · observed 2026-02-19

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

9,107 distinct procedures filed
34 distinct payers
508,632 rate rows
2026-02-19 last MRF observed
Data quality

498,970 of 508,632 rate rows are consumer-grade (98.1%)

9,662 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
per-diem day rate — not a per-procedure price 5,123
placeholder amount (≤ $0.02) — excluded from medians 3,819
exceeds 10× this hospital's gross charge — excluded from medians 533
template filing: same amount across many unrelated codes — excluded 120
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 31
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 24
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.healthcare/llu-mc/charges/export
Found on page https://pricetransparency.healthcare/llu-mc/charges/
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-03
Content fingerprint ef8ca3ea863a2f5d… · 276,536,315 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 3 $854,676.64 $1,353,238.01 $1,018,489.66 nat. median
$309,665
outlier · 3.3×
5884
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $637,479.10 $1,009,341.90 $759,662.59 nat. median
$249,123
outlier · 3.0×
5833
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 3 $566,324.83 $896,680.98 $674,870.42 nat. median
$244,017
outlier · 2.8×
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $402,609.47 $992,563.18 $543,522.78 nat. median
$360,195
1.5× median
6304
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 $433,292.86 $686,047.02 $516,340.65 nat. median
$154,211
outlier · 3.3×
5934
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $419,071.58 $663,530.01 $499,393.64 nat. median
$152,569
outlier · 3.3×
5914
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $414,891.95 $656,912.25 $494,412.90 nat. median
$165,334
outlier · 3.0×
6314
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $407,587.94 $645,347.58 $485,708.97 nat. median
$138,094
outlier · 3.5×
6094
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $402,927.62 $637,968.74 $480,155.42 nat. median
$165,846
outlier · 2.9×
5832
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 3 $355,383.36 $562,690.32 $423,498.50 nat. median
$159,829
outlier · 2.6×
6034
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 3 $314,365.15 $497,744.82 $374,618.47 nat. median
$107,562
outlier · 3.5×
5883
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $311,090.23 $492,559.53 $370,715.86 nat. median
$177,531
outlier · 2.1×
5882
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $302,817.19 $479,460.55 $360,857.15 nat. median
$145,336
outlier · 2.5×
6024
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 $302,395.31 $478,792.57 $360,354.41 nat. median
$119,800
outlier · 3.0×
5831
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 3 $287,794.98 $455,675.39 $342,955.68 nat. median
$148,245
outlier · 2.3×
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 10 $253,784.66 $624,360.37 $342,609.29 nat. median
$197,664
1.7× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 10 $229,410.99 $564,058.28 $309,704.84 nat. median
$190,274
1.6× median
1614
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 3 $255,645.07 $404,771.36 $304,643.71 nat. median
$202,660
1.5× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $125,000.00 $741,361.49 $301,075.62 nat. median
$247,805
1.2× median
24
APR_DRG 		Apr-DRG 41.00: Heart And/or Lung Transplant 3 $247,663.90 $392,134.50 $295,132.81 nat. median
$243,231
1.2× median
6074
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 3 $235,068.05 $372,191.08 $280,122.76 nat. median
$96,980
outlier · 2.9×
5933
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $214,771.12 $340,054.27 $255,935.58 nat. median
$109,393
outlier · 2.3×
5913
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $206,674.64 $327,234.85 $246,287.28 nat. median
$103,993
outlier · 2.4×
5881
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $201,407.30 $318,894.90 $240,010.37 nat. median
$122,978
2.0× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $118,649.81 $306,425.00 $233,081.62 nat. median
$103,911
outlier · 2.2×
1613
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 3 $193,719.79 $306,723.00 $230,849.42 nat. median
$121,888
1.9× median
114
APR_DRG 		Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $192,382.99 $304,606.40 $229,256.40 nat. median
$122,909
1.9× median
8634
APR_DRG 		Apr-DRG 41.00: Neonatal Aftercare 3 $187,246.69 $296,473.93 $223,135.64 nat. median
$71,420
outlier · 3.1×
8414
APR_DRG 		Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 3 $183,609.10 $290,714.40 $218,800.84 nat. median
$160,390
1.4× median
6303
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 $178,587.08 $282,762.88 $212,816.28 nat. median
$76,612
outlier · 2.8×
6114
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 $178,285.19 $282,284.88 $212,456.52 nat. median
$76,467
outlier · 2.8×
6023
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 $173,811.59 $275,201.68 $207,125.48 nat. median
$89,743
outlier · 2.3×
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 10 $151,737.00 $371,887.47 $204,844.95 nat. median
$126,240
1.6× median
6124
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 3 $171,367.93 $271,332.56 $204,213.45 nat. median
$67,068
outlier · 3.0×
5932
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $166,990.96 $264,402.35 $198,997.56 nat. median
$86,338
outlier · 2.3×
94
APR_DRG 		Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 3 $165,015.18 $261,274.04 $196,643.09 nat. median
$165,169
1.2× median
44
APR_DRG 		Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $161,963.23 $256,441.78 $193,006.18 nat. median
$122,016
1.6× median
74
APR_DRG 		Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 3 $160,338.18 $253,868.79 $191,069.66 nat. median
$171,358
1.1× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 13 $140,799.07 $344,826.27 $189,374.74 nat. median
$109,875
1.7× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 11 $140,448.02 $343,957.75 $188,902.59 nat. median
$117,943
1.6× median
23
APR_DRG 		Apr-DRG 41.00: Heart And/or Lung Transplant 3 $156,748.15 $248,184.57 $186,791.55 nat. median
$111,079
1.7× median
14
APR_DRG 		Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 3 $155,442.58 $246,117.41 $185,235.74 nat. median
$137,215
1.3× median
1612
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 3 $155,352.49 $245,974.78 $185,128.39 nat. median
$85,665
outlier · 2.2×
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 17 $114,710.58 $285,000.00 $183,525.23 nat. median
$94,844
1.9× median
1611
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 3 $147,761.66 $233,955.97 $176,082.65 nat. median
$77,137
outlier · 2.3×
6134
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 3 $145,251.41 $229,981.40 $173,091.26 nat. median
$56,729
outlier · 3.1×
6214
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 $139,251.29 $220,481.21 $165,941.12 nat. median
$68,185
outlier · 2.4×
6022
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 $134,840.45 $213,497.38 $160,684.87 nat. median
$70,228
outlier · 2.3×
6073
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 3 $134,592.42 $213,104.67 $160,389.30 nat. median
$69,311
outlier · 2.3×
6093
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $133,718.04 $211,720.23 $159,347.33 nat. median
$70,199
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 9,107 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 41.00: Neonate With Ecmo 3 3 — — $854,676.64 $1,353,238.01 $1,018,489.66 2026-02-19
5884 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $637,479.10 $1,009,341.90 $759,662.59 2026-02-19
5833 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 3 3 — — $566,324.83 $896,680.98 $674,870.42 2026-02-19
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 10 — — $402,609.47 $992,563.18 $543,522.78 2026-02-19
6304 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 3 — — $433,292.86 $686,047.02 $516,340.65 2026-02-19
5934 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $419,071.58 $663,530.01 $499,393.64 2026-02-19
5914 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $414,891.95 $656,912.25 $494,412.90 2026-02-19
6314 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $407,587.94 $645,347.58 $485,708.97 2026-02-19
6094 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $402,927.62 $637,968.74 $480,155.42 2026-02-19
5832 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 3 3 — — $355,383.36 $562,690.32 $423,498.50 2026-02-19
6034 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 3 3 — — $314,365.15 $497,744.82 $374,618.47 2026-02-19
5883 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $311,090.23 $492,559.53 $370,715.86 2026-02-19
5882 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $302,817.19 $479,460.55 $360,857.15 2026-02-19
6024 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 3 — — $302,395.31 $478,792.57 $360,354.41 2026-02-19
5831 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 3 3 — — $287,794.98 $455,675.39 $342,955.68 2026-02-19
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 15 10 — — $253,784.66 $624,360.37 $342,609.29 2026-02-19
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 15 10 — — $229,410.99 $564,058.28 $309,704.84 2026-02-19
1614 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 3 3 — — $255,645.07 $404,771.36 $304,643.71 2026-02-19
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 27 16 — — $125,000.00 $741,361.49 $301,075.62 2026-02-19
24 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 3 3 — — $247,663.90 $392,134.50 $295,132.81 2026-02-19
6074 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 3 3 — — $235,068.05 $372,191.08 $280,122.76 2026-02-19
5933 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $214,771.12 $340,054.27 $255,935.58 2026-02-19
5913 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $206,674.64 $327,234.85 $246,287.28 2026-02-19
5881 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $201,407.30 $318,894.90 $240,010.37 2026-02-19
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 16 — — $118,649.81 $306,425.00 $233,081.62 2026-02-19
1613 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 3 3 — — $193,719.79 $306,723.00 $230,849.42 2026-02-19
114 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $192,382.99 $304,606.40 $229,256.40 2026-02-19
8634 APR_DRG Apr-DRG 41.00: Neonatal Aftercare 3 3 — — $187,246.69 $296,473.93 $223,135.64 2026-02-19
8414 APR_DRG Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 3 3 — — $183,609.10 $290,714.40 $218,800.84 2026-02-19
6303 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 3 — — $178,587.08 $282,762.88 $212,816.28 2026-02-19
6114 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $178,285.19 $282,284.88 $212,456.52 2026-02-19
6023 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 3 — — $173,811.59 $275,201.68 $207,125.48 2026-02-19
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 15 10 — — $151,737.00 $371,887.47 $204,844.95 2026-02-19
6124 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 3 3 — — $171,367.93 $271,332.56 $204,213.45 2026-02-19
5932 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $166,990.96 $264,402.35 $198,997.56 2026-02-19
94 APR_DRG Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $165,015.18 $261,274.04 $196,643.09 2026-02-19
44 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $161,963.23 $256,441.78 $193,006.18 2026-02-19
74 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 3 3 — — $160,338.18 $253,868.79 $191,069.66 2026-02-19
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 20 13 — — $140,799.07 $344,826.27 $189,374.74 2026-02-19
7 MS_DRG Ms-DRG 42.00: Lung Transplant 16 11 — — $140,448.02 $343,957.75 $188,902.59 2026-02-19
23 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 3 3 — — $156,748.15 $248,184.57 $186,791.55 2026-02-19
14 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 3 3 — — $155,442.58 $246,117.41 $185,235.74 2026-02-19
1612 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 3 3 — — $155,352.49 $245,974.78 $185,128.39 2026-02-19
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 28 17 — — $114,710.58 $285,000.00 $183,525.23 2026-02-19
1611 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 3 3 — — $147,761.66 $233,955.97 $176,082.65 2026-02-19
6134 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 3 3 — — $145,251.41 $229,981.40 $173,091.26 2026-02-19
6214 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $139,251.29 $220,481.21 $165,941.12 2026-02-19
6022 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 3 — — $134,840.45 $213,497.38 $160,684.87 2026-02-19
6073 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 3 3 — — $134,592.42 $213,104.67 $160,389.30 2026-02-19
6093 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $133,718.04 $211,720.23 $159,347.33 2026-02-19
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 15 10 — — $117,311.56 $286,716.55 $158,370.61 2026-02-19
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 19 11 — — $114,129.75 $278,844.54 $157,887.00 2026-02-19
6334 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $131,041.19 $207,481.88 $156,157.42 2026-02-19
6084 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 3 3 — — $128,378.16 $203,265.42 $152,983.97 2026-02-19
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 15 10 — — $112,859.58 $275,702.05 $152,360.43 2026-02-19
64 APR_DRG Apr-DRG 41.00: Pancreas Transplant 3 3 — — $123,850.56 $196,096.72 $147,588.58 2026-02-19
5912 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $122,168.15 $193,432.90 $145,583.71 2026-02-19
6144 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 3 3 — — $121,645.98 $192,606.14 $144,961.46 2026-02-19
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 20 12 — — $30,123.00 $254,007.30 $140,002.02 2026-02-19
1604 APR_DRG Apr-DRG 41.00: Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $116,567.22 $184,564.77 $138,909.27 2026-02-19
6033 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 3 3 — — $115,498.86 $182,873.20 $137,636.14 2026-02-19
5891 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 3 — — $115,406.38 $182,726.76 $137,525.93 2026-02-19
22 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 3 3 — — $112,816.25 $178,625.73 $134,439.36 2026-02-19
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 15 10 — — $99,418.53 $242,448.00 $134,215.02 2026-02-19
4404 APR_DRG Apr-DRG 41.00: Kidney Transplant 3 3 — — $93,964.09 $148,776.48 $133,898.83 2026-02-19
54 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $111,205.60 $176,075.53 $132,520.00 2026-02-19
43 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $107,047.45 $169,491.80 $127,564.88 2026-02-19
113 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $103,373.35 $163,674.47 $123,186.58 2026-02-19
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 10 — — $90,152.51 $219,516.25 $121,705.89 2026-02-19
6313 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $101,704.15 $161,031.57 $121,197.45 2026-02-19
3034 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $101,255.84 $160,321.75 $120,663.21 2026-02-19
C2624 HCPCS Hc Impl Stj Cardiomems Sensor 39 23 $193,000.00 $86,850.00 55% off $38,600.00 $173,700.00 $119,467.00 2026-02-19
8424 APR_DRG Apr-DRG 41.00: Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $100,220.52 $158,682.49 $119,429.45 2026-02-19
1624 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $99,686.04 $157,836.23 $118,792.53 2026-02-19
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 15 10 — — $87,180.36 $212,160.09 $117,693.49 2026-02-19
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 20 12 — — $29,434.00 $222,900.87 $117,392.42 2026-02-19
63 APR_DRG Apr-DRG 41.00: Pancreas Transplant 3 3 — — $98,051.36 $155,247.99 $116,844.54 2026-02-19
6072 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 3 3 — — $97,918.64 $155,037.85 $116,686.38 2026-02-19
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 25 17 — — $60,000.00 $209,841.39 $115,566.32 2026-02-19
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 20 12 — — $33,409.00 $223,024.57 $115,066.40 2026-02-19
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 16 — — $85,757.55 $208,638.61 $114,915.12 2026-02-19
222 MS_DRG Ms-DRG 29.00: Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 4 2 — — $12,764.00 $124,263.00 $114,737.00 2026-02-19
6224 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 3 3 — — $95,974.22 $151,959.19 $114,369.28 2026-02-19
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 20 12 — — $25,551.00 $216,703.00 $114,281.57 2026-02-19
6083 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 3 3 — — $95,501.47 $151,210.66 $113,805.92 2026-02-19
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 20 12 — — $33,409.00 $205,719.83 $113,334.87 2026-02-19
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 20 12 — — $30,123.00 $203,643.26 $112,629.30 2026-02-19
21 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 3 3 — — $92,746.20 $146,848.15 $110,522.55 2026-02-19
6254 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 3 3 — — $92,255.92 $146,071.87 $109,938.30 2026-02-19
73 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 3 3 — — $91,910.24 $145,524.55 $109,526.37 2026-02-19
6234 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 3 3 — — $91,852.60 $145,433.28 $109,457.68 2026-02-19
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 10 — — $80,833.03 $196,450.28 $109,124.59 2026-02-19
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 28 17 — — $53,025.55 $285,000.00 $108,359.07 2026-02-19
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 22 15 — — $65,644.72 $214,200.00 $106,308.17 2026-02-19
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 22 15 — — $65,644.72 $214,200.00 $106,308.17 2026-02-19
13 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 3 3 — — $88,445.12 $140,038.11 $105,397.11 2026-02-19
8514 APR_DRG Apr-DRG 41.00: Gender Related Procedures 3 3 — — $88,230.13 $139,697.71 $105,140.91 2026-02-19
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 15 10 — — $76,988.89 $186,935.96 $103,935.00 2026-02-19
6302 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 3 — — $87,129.65 $137,955.28 $103,829.50 2026-02-19
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 10 — — $76,609.27 $185,996.37 $103,422.51 2026-02-19
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 15 10 — — $75,434.23 $183,088.12 $101,836.21 2026-02-19
6344 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr… 3 3 — — $84,998.87 $134,581.54 $101,290.32 2026-02-19
1634 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 3 3 — — $84,342.24 $133,541.88 $100,507.84 2026-02-19
5892 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 3 — — $84,048.28 $133,076.44 $100,157.53 2026-02-19
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 15 10 — — $74,070.97 $179,714.03 $99,995.81 2026-02-19
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 15 10 — — $72,756.63 $176,461.00 $98,221.45 2026-02-19
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 15 10 — — $72,482.27 $175,781.97 $97,851.06 2026-02-19
6123 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 3 3 — — $82,003.14 $129,838.30 $97,720.41 2026-02-19
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 29 14 — — $50,453.23 $285,000.00 $97,450.65 2026-02-19
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 20 12 — — $25,661.00 $175,484.56 $97,327.04 2026-02-19
224 MS_DRG Ms-DRG 29.00: Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 4 2 — — $12,764.00 $113,336.00 $97,245.50 2026-02-19
6113 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $81,387.29 $128,863.21 $96,986.52 2026-02-19
453 MS_DRG Ms-DRG 29.00: Combined Anterior/posterior Spinal Fusion W Mcc 5 2 — — $29,434.00 $152,808.00 $96,665.00 2026-02-19
1784 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 3 3 — — $81,039.26 $128,312.17 $96,571.79 2026-02-19
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 20 12 — — $30,123.00 $169,965.47 $96,196.73 2026-02-19
62 APR_DRG Apr-DRG 41.00: Pancreas Transplant 3 3 — — $80,542.02 $127,524.87 $95,979.24 2026-02-19
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 20 12 — — $30,123.00 $146,353.00 $95,948.60 2026-02-19
225 MS_DRG Ms-DRG 29.00: Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 4 2 — — $12,764.00 $101,501.00 $95,247.00 2026-02-19
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 15 10 — — $70,231.09 $170,210.24 $94,811.97 2026-02-19
6133 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 3 3 — — $79,293.80 $125,548.52 $94,491.78 2026-02-19
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 24 17 — — $59,319.72 $171,250.00 $94,277.07 2026-02-19
53 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $78,747.61 $124,683.72 $93,840.90 2026-02-19
906811453 CDM Hc Tavi Tavr 38 22 $148,359.00 $66,761.55 55% off $5,113.68 $133,523.10 $93,391.99 2026-02-19
1654 APR_DRG Apr-DRG 41.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $78,123.05 $123,694.83 $93,096.63 2026-02-19
1674 APR_DRG Apr-DRG 41.00: Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $77,977.72 $123,464.72 $92,923.44 2026-02-19
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 15 10 — — $68,711.51 $166,449.25 $92,760.54 2026-02-19
84 APR_DRG Apr-DRG 41.00: Autologous Bone Marrow Transplant 3 3 — — $77,828.78 $123,228.91 $92,745.97 2026-02-19
0424T CPT Hc Neurostim Insrt/repl Gen, Lead 69 22 $125,023.00 $56,260.35 55% off $5,113.68 $129,398.40 $92,016.64 2026-02-19
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 15 10 — — $67,330.18 $163,030.41 $90,895.74 2026-02-19
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 10 — — $67,245.11 $162,819.86 $90,780.90 2026-02-19
904700002 CDM Hc Acq-deceased Donor-kidney 40 24 $147,372.00 $66,317.40 55% off $29,474.40 $132,634.80 $90,633.78 2026-02-19
223 MS_DRG Ms-DRG 29.00: Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 4 2 — — $12,764.00 $106,570.00 $90,583.00 2026-02-19
6092 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $75,979.12 $120,300.27 $90,541.78 2026-02-19
8633 APR_DRG Apr-DRG 41.00: Neonatal Aftercare 3 3 — — $75,876.13 $120,137.21 $90,419.06 2026-02-19
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 10 — — $66,945.24 $162,077.67 $90,376.07 2026-02-19
904700001 CDM Hc Acq-live Donor-kidney 42 25 $147,372.00 $66,317.40 55% off $29,474.40 $132,634.80 $89,771.65 2026-02-19
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 20 12 — — $25,551.00 $162,712.00 $89,747.70 2026-02-19
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 19 11 — — $45,279.00 $161,511.81 $89,400.26 2026-02-19
93 APR_DRG Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $74,726.39 $118,316.78 $89,048.95 2026-02-19
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 20 12 — — $33,409.00 $160,774.88 $89,001.29 2026-02-19
112 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $73,838.80 $116,911.43 $87,991.23 2026-02-19
12 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 3 3 — — $73,791.95 $116,837.25 $87,935.40 2026-02-19
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 20 12 — — $30,123.00 $164,634.00 $87,893.58 2026-02-19
3044 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $73,545.73 $116,447.41 $87,642.00 2026-02-19
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 20 12 — — $30,123.00 $171,252.00 $87,609.26 2026-02-19
0427T CPT Hc Neurostim Insert/repl Gen 69 22 $125,023.00 $56,260.35 55% off $5,113.68 $129,398.40 $87,516.10 2026-02-19
0431T CPT Hc Phrnc Nrv Stim Removal, Repl Gen 69 22 $143,776.00 $64,699.20 55% off $5,113.68 $129,398.40 $87,516.10 2026-02-19
226 MS_DRG Ms-DRG 29.00: Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 4 2 — — $12,764.00 $92,297.00 $87,469.50 2026-02-19
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 10 — — $64,675.97 $156,461.19 $87,312.56 2026-02-19
1834 APR_DRG Apr-DRG 41.00: Percutaneous Structural Cardiac Procedures 3 3 — — $72,450.35 $114,713.05 $86,336.66 2026-02-19
72 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 3 3 — — $72,397.50 $114,629.38 $86,273.69 2026-02-19
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 10 — — $63,373.33 $153,237.11 $85,554.00 2026-02-19
6143 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 3 3 — — $71,773.24 $113,640.96 $85,529.77 2026-02-19
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 20 12 — — $33,409.00 $154,866.26 $84,796.65 2026-02-19
902200101 CDM Hc Acq-cadaveric-heart 40 24 $137,547.00 $61,896.15 55% off $27,509.40 $123,792.30 $84,591.40 2026-02-19
5893 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 3 — — $70,581.47 $111,753.99 $84,109.58 2026-02-19
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 15 10 — — $62,127.04 $150,152.53 $83,871.50 2026-02-19
6364 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal In… 3 3 — — $70,366.00 $111,412.83 $83,852.81 2026-02-19
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 20 12 — — $29,434.00 $151,055.27 $83,739.00 2026-02-19
4403 APR_DRG Apr-DRG 41.00: Kidney Transplant 3 3 — — $58,716.00 $92,967.00 $83,670.30 2026-02-19
42 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $69,693.86 $110,348.62 $83,051.85 2026-02-19
1794 APR_DRG Apr-DRG 41.00: Defibrillator Implants 3 3 — — $69,426.02 $109,924.54 $82,732.68 2026-02-19
9104 APR_DRG Apr-DRG 41.00: Craniotomy For Multiple Significant Trauma 3 3 — — $69,322.74 $109,761.01 $82,609.60 2026-02-19
3033 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $69,227.84 $109,610.75 $82,496.51 2026-02-19
6091 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $68,920.97 $109,124.87 $82,130.82 2026-02-19
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 15 10 — — $60,739.34 $146,717.90 $81,998.11 2026-02-19
1664 APR_DRG Apr-DRG 41.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $68,769.04 $108,884.31 $81,949.77 2026-02-19
6082 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 3 3 — — $68,675.05 $108,735.50 $81,837.77 2026-02-19
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 20 12 — — $25,651.00 $131,155.47 $81,592.50 2026-02-19
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 15 10 — — $60,236.36 $145,473.01 $81,319.09 2026-02-19
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 15 10 — — $60,236.36 $145,473.01 $81,319.09 2026-02-19
227 MS_DRG Ms-DRG 29.00: Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 4 2 — — $12,764.00 $91,296.00 $81,167.50 2026-02-19
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 15 10 — — $59,989.64 $144,862.41 $80,986.01 2026-02-19
6804 APR_DRG Apr-DRG 41.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 3 3 — — $67,847.81 $107,425.70 $80,851.97 2026-02-19
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 10 — — $59,632.35 $143,978.09 $80,503.67 2026-02-19
1623 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $67,517.51 $106,902.72 $80,458.36 2026-02-19
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 20 12 — — $25,604.00 $160,006.36 $80,213.10 2026-02-19
914 APR_DRG Apr-DRG 41.00: Other Major Head And Neck Procedures 3 3 — — $67,068.31 $106,191.49 $79,923.07 2026-02-19
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 15 10 — — $59,187.85 $142,877.96 $79,903.60 2026-02-19
61 APR_DRG Apr-DRG 41.00: Pancreas Transplant 3 3 — — $66,906.16 $105,934.75 $79,729.84 2026-02-19
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 15 10 — — $58,839.07 $142,014.69 $79,432.74 2026-02-19
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 10 — — $58,832.68 $141,998.90 $79,424.12 2026-02-19
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 19 11 — — $46,778.00 $142,148.92 $78,917.02 2026-02-19
11 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 3 3 — — $65,771.14 $104,137.63 $78,377.27 2026-02-19
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 20 12 — — $33,409.00 $140,022.34 $78,055.84 2026-02-19
8504 APR_DRG Apr-DRG 41.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 3 3 — — $64,750.22 $102,521.19 $77,160.68 2026-02-19
6122 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 3 3 — — $64,258.98 $101,743.38 $76,575.28 2026-02-19
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 15 10 — — $56,225.28 $135,545.48 $75,904.13 2026-02-19
454 MS_DRG Ms-DRG 29.00: Combined Anterior/posterior Spinal Fusion W Cc 5 2 — — $29,434.00 $128,918.00 $75,453.00 2026-02-19
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 20 12 — — $25,651.00 $135,095.43 $75,378.43 2026-02-19
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 15 10 — — $55,469.21 $133,674.20 $74,883.43 2026-02-19
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 19 11 — — $39,477.00 $134,084.78 $74,551.03 2026-02-19
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 15 10 — — $55,021.53 $132,566.17 $74,279.07 2026-02-19
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 29 14 — — $38,385.95 $285,000.00 $74,205.29 2026-02-19
1783 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 3 3 — — $62,097.04 $98,320.31 $73,998.97 2026-02-19
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 15 10 — — $54,705.69 $131,784.50 $73,852.68 2026-02-19
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 15 10 — — $54,664.22 $131,681.85 $73,796.70 2026-02-19
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 10 — — $54,642.96 $131,629.21 $73,768.00 2026-02-19
9124 APR_DRG Apr-DRG 41.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 3 3 — — $61,852.02 $97,932.37 $73,706.99 2026-02-19
9114 APR_DRG Apr-DRG 41.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 3 3 — — $61,777.55 $97,814.45 $73,618.24 2026-02-19
4402 APR_DRG Apr-DRG 41.00: Kidney Transplant 3 3 — — $51,623.62 $81,737.39 $73,563.65 2026-02-19
1694 APR_DRG Apr-DRG 41.00: Major Abdominal Vascular Procedures 3 3 — — $61,640.63 $97,597.66 $73,455.08 2026-02-19
6394 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Significant Conditio… 3 3 — — $61,321.62 $97,092.57 $73,074.93 2026-02-19
8413 APR_DRG Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 3 3 — — $60,355.48 $95,562.84 $71,923.61 2026-02-19
214 APR_DRG Apr-DRG 41.00: Open Craniotomy Except Trauma 3 3 — — $60,342.26 $95,541.92 $71,907.86 2026-02-19
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 16 11 — — $9,547.00 $128,615.69 $71,857.13 2026-02-19
234 APR_DRG Apr-DRG 41.00: Spinal Procedures 3 3 — — $60,015.56 $95,024.64 $71,518.55 2026-02-19
C1823 HCPCS Hc Remede System Device Code 39 23 $115,230.00 $51,853.50 55% off $23,046.00 $103,707.00 $71,327.37 2026-02-19
6312 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $59,340.56 $93,955.89 $70,714.17 2026-02-19
1204 APR_DRG Apr-DRG 41.00: Major Respiratory And Chest Procedures 3 3 — — $59,188.02 $93,714.37 $70,532.39 2026-02-19
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 15 10 — — $52,241.83 $125,686.38 $70,526.47 2026-02-19
6233 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 3 3 — — $59,056.80 $93,506.60 $70,376.02 2026-02-19
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 15 10 — — $52,021.71 $125,141.58 $70,229.31 2026-02-19
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 15 10 — — $52,012.14 $125,117.89 $70,216.39 2026-02-19
6814 APR_DRG Apr-DRG 41.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 3 3 — — $58,140.68 $92,056.08 $69,284.32 2026-02-19
2204 APR_DRG Apr-DRG 41.00: Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $58,122.66 $92,027.54 $69,262.84 2026-02-19
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 10 — — $51,220.99 $123,159.76 $69,148.34 2026-02-19
904700502 CDM Hc Acq-deceased Donor-liver 40 24 $112,283.00 $50,527.35 55% off $22,456.60 $101,054.70 $69,054.04 2026-02-19
6032 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 3 3 — — $57,925.99 $91,716.15 $69,028.47 2026-02-19
6904 APR_DRG Apr-DRG 41.00: Acute Leukemia 3 3 — — $57,697.48 $91,354.34 $68,756.16 2026-02-19
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 15 10 — — $50,927.49 $122,433.36 $68,752.11 2026-02-19
2604 APR_DRG Apr-DRG 41.00: Major Pancreas, Liver And Shunt Procedures 3 3 — — $57,686.68 $91,337.24 $68,743.29 2026-02-19
L7180 HCPCS Hc Elect Elbow Utah Myoelect Cont 44 24 $113,996.00 $51,298.20 55% off $22,799.20 $102,596.40 $68,397.60 2026-02-19
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 15 10 — — $50,473.42 $121,309.53 $68,139.12 2026-02-19
71 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 3 3 — — $57,098.15 $90,405.40 $68,041.96 2026-02-19
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 15 10 — — $50,289.46 $120,854.22 $67,890.77 2026-02-19
894 APR_DRG Apr-DRG 41.00: Major Cranial Or Facial Bone Procedures 3 3 — — $56,901.17 $90,093.52 $67,807.23 2026-02-19
3124 APR_DRG Apr-DRG 41.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 3 3 — — $56,725.81 $89,815.87 $67,598.26 2026-02-19
9504 APR_DRG Apr-DRG 41.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $56,688.58 $89,756.91 $67,553.89 2026-02-19
204 APR_DRG Apr-DRG 41.00: Open Craniotomy For Trauma 3 3 — — $56,680.16 $89,743.59 $67,543.86 2026-02-19
652 MS_DRG Ms-DRG 42.00: Kidney Transplant 29 15 — — $34,120.73 $322,497.00 $66,973.49 2026-02-19
1653 APR_DRG Apr-DRG 41.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $56,070.01 $88,777.52 $66,816.76 2026-02-19
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 15 10 — — $49,435.57 $118,740.80 $66,738.02 2026-02-19
3614 APR_DRG Apr-DRG 41.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $55,981.14 $88,636.80 $66,710.86 2026-02-19
4414 APR_DRG Apr-DRG 41.00: Major Bladder Procedures 3 3 — — $55,817.80 $88,378.18 $66,516.21 2026-02-19
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 15 10 — — $49,149.51 $118,032.82 $66,351.84 2026-02-19
1633 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 3 3 — — $55,559.56 $87,969.30 $66,208.47 2026-02-19
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 15 10 — — $49,017.66 $117,706.46 $66,173.84 2026-02-19
4401 APR_DRG Apr-DRG 41.00: Kidney Transplant 3 3 — — $46,288.43 $73,290.01 $65,961.01 2026-02-19
1304 APR_DRG Apr-DRG 41.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $55,205.24 $87,408.30 $65,786.25 2026-02-19
1782 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 3 3 — — $55,115.16 $87,265.67 $65,678.90 2026-02-19
1603 APR_DRG Apr-DRG 41.00: Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $55,058.71 $87,176.29 $65,611.63 2026-02-19
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 15 10 — — $48,573.15 $116,606.33 $65,573.75 2026-02-19
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 19 11 — — $48,172.27 $115,614.10 $65,032.56 2026-02-19
6264 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate W… 3 3 — — $54,415.40 $86,157.72 $64,845.02 2026-02-19
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 15 10 — — $47,471.49 $113,879.68 $64,086.51 2026-02-19
274 APR_DRG Apr-DRG 41.00: Other Open Craniotomy 3 3 — — $53,497.31 $84,704.07 $63,750.96 2026-02-19
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 20 12 — — $24,564.00 $127,839.28 $63,734.01 2026-02-19
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 20 12 — — $29,434.00 $113,645.44 $63,721.88 2026-02-19
455 MS_DRG Ms-DRG 29.00: Combined Anterior/posterior Spinal Fusion Without Cc/mcc 5 2 — — $29,434.00 $111,708.00 $63,390.00 2026-02-19
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 15 10 — — $46,820.71 $112,268.96 $63,207.96 2026-02-19
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 15 10 — — $46,753.71 $112,103.15 $63,117.51 2026-02-19
A9543 HCPCS Hc Y-90 Zevalin Up To 40 Mci 52 27 $107,795.00 $48,507.75 55% off $21,559.00 $126,928.84 $62,907.50 2026-02-19
1622 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $52,752.64 $83,525.01 $62,863.56 2026-02-19
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 15 10 — — $46,432.57 $111,308.31 $62,683.97 2026-02-19
2614 APR_DRG Apr-DRG 41.00: Major Biliary Tract Procedures 3 3 — — $52,483.60 $83,099.03 $62,542.95 2026-02-19
52 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $52,237.37 $82,709.17 $62,249.53 2026-02-19
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 15 10 — — $46,022.10 $110,292.40 $62,129.83 2026-02-19
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 15 10 — — $46,011.47 $110,266.08 $62,115.48 2026-02-19
1814 APR_DRG Apr-DRG 41.00: Lower Extremity Arterial Procedures 3 3 — — $52,011.56 $82,351.64 $61,980.45 2026-02-19
7404 APR_DRG Apr-DRG 41.00: Mental Illness Diagnosis With O.r. Procedure 3 3 — — $51,907.08 $82,186.21 $61,855.94 2026-02-19
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 15 10 — — $45,808.37 $109,763.39 $61,841.30 2026-02-19
230 MS_DRG Ms-DRG 29.00: Other Cardiothoracic Procedures Without Cc/mcc 3 1 — — $56,499.00 $81,188.00 $61,670.00 2026-02-19
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 20 12 — — $25,661.00 $109,505.46 $61,472.08 2026-02-19
6213 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $51,582.48 $81,672.26 $61,469.12 2026-02-19
1764 APR_DRG Apr-DRG 41.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 3 3 — — $51,469.88 $81,493.98 $61,334.95 2026-02-19
4014 APR_DRG Apr-DRG 41.00: Adrenal Procedures 3 3 — — $51,298.13 $81,222.04 $61,130.27 2026-02-19
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 15 10 — — $45,162.89 $108,165.83 $60,969.90 2026-02-19
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 15 10 — — $45,098.02 $108,005.28 $60,882.33 2026-02-19
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 20 12 — — $33,409.00 $108,226.36 $60,776.99 2026-02-19
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 15 10 — — $44,883.22 $107,473.64 $60,592.35 2026-02-19
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 10 — — $44,712.01 $107,049.90 $60,361.21 2026-02-19
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 15 10 — — $44,632.27 $106,852.51 $60,253.56 2026-02-19
5104 APR_DRG Apr-DRG 41.00: Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynec… 3 3 — — $50,487.40 $79,938.38 $60,164.15 2026-02-19
237 MS_DRG Ms-DRG 29.00: Major Cardiovasc Procedures W Mcc 3 1 — — $55,106.00 $79,185.00 $60,147.00 2026-02-19
41 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $50,444.16 $79,869.92 $60,112.62 2026-02-19
1781 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 3 3 — — $50,386.51 $79,778.64 $60,043.93 2026-02-19
3032 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $50,235.17 $79,539.02 $59,863.58 2026-02-19
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 15 10 — — $43,821.97 $104,847.00 $59,159.66 2026-02-19
6954 APR_DRG Apr-DRG 41.00: Chemotherapy For Acute Leukemia 3 3 — — $49,627.43 $78,576.76 $59,139.35 2026-02-19
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 15 10 — — $43,792.19 $104,773.31 $59,119.46 2026-02-19
7924 APR_DRG Apr-DRG 41.00: Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $49,375.20 $78,177.40 $58,838.78 2026-02-19
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 15 10 — — $43,417.87 $103,846.88 $58,614.12 2026-02-19
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 15 10 — — $43,331.74 $103,633.69 $58,497.85 2026-02-19
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 15 10 — — $43,246.67 $103,423.14 $58,383.00 2026-02-19
2304 APR_DRG Apr-DRG 41.00: Major Small Bowel Procedures 3 3 — — $48,905.58 $77,433.84 $58,279.15 2026-02-19
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 15 10 — — $43,061.65 $102,965.19 $58,133.23 2026-02-19
900700060 CDM Hc Surgery Level Vi 1st Hr 38 22 $92,272.00 $41,522.40 55% off $5,113.68 $83,044.80 $58,085.23 2026-02-19
0426T CPT Hc Phrnc Nrv Stim Removal , Repl Trnsvns Lead 70 22 $95,194.00 $42,837.30 55% off $5,113.68 $85,674.60 $57,943.90 2026-02-19
3214 APR_DRG Apr-DRG 41.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc … 3 3 — — $48,594.49 $76,941.28 $57,908.44 2026-02-19
229 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures Without Mcc 20 12 — — $25,651.00 $81,754.71 $57,809.60 2026-02-19
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 15 10 — — $42,811.76 $102,346.70 $57,795.88 2026-02-19
1793 APR_DRG Apr-DRG 41.00: Defibrillator Implants 3 3 — — $48,456.37 $76,722.59 $57,743.84 2026-02-19
6253 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 3 3 — — $48,444.36 $76,703.57 $57,729.53 2026-02-19
5114 APR_DRG Apr-DRG 41.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 3 — — $48,407.12 $76,644.61 $57,685.16 2026-02-19
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 20 12 — — $7,978.00 $102,915.19 $57,675.54 2026-02-19
1833 APR_DRG Apr-DRG 41.00: Percutaneous Structural Cardiac Procedures 3 3 — — $48,392.71 $76,621.79 $57,667.98 2026-02-19
904700501 CDM Hc Acq-live Donor-liver 42 25 $93,569.00 $42,106.05 55% off $18,713.80 $84,212.10 $57,544.93 2026-02-19
904701001 CDM Hc Acq-deceased Donor-pancreas 40 24 $93,569.00 $42,106.05 55% off $18,713.80 $84,212.10 $57,544.93 2026-02-19
924 APR_DRG Apr-DRG 41.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 3 3 — — $48,255.79 $76,405.00 $57,504.82 2026-02-19
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