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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

MERCY HOSPITAL OF FOLSOM

Folsom, CA · CCN 050414 · Rates published

11,308 distinct procedures filed
18 distinct payers
440,789 rate rows
2026-02-28 last MRF observed
Data quality

399,486 of 440,789 rate rows are consumer-grade (90.6%)

41,303 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 36,108
per-diem day rate — not a per-procedure price 2,737
template filing: same amount across many unrelated codes — excluded 1,768
exceeds 10× this hospital's gross charge — excluded from medians 611
placeholder amount (≤ $0.02) — excluded from medians 79
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dignityhealth.org/content/dam/dignity-health/documents/mrf-json/northern-california/json/941196203_mercy-hospital-of-folsom_standardcharges.json?target=%22_blank%22
Found on page https://www.dignityhealth.org/sacramento/patients-and-visitors/for-patients/billing-information/hospital-pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 9238c1e53bf0b150… · 105,603,275 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo 6 $342,182.00 $615,928.00 $479,055.00 nat. median
$309,665
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $9,770.00 $374,705.88 $363,792.11 nat. median
$370,174
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $255,224.00 $459,403.00 $357,313.50 nat. median
$246,434
1.4× median
5833
APR_DRG 		Neonate With Ecmo 6 $297,996.00 $372,495.00 $335,245.50 nat. median
$244,017
1.4× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $173,475.00 $312,255.00 $242,865.00 nat. median
$150,721
1.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $235,408.00 $235,408.00 $235,408.00 nat. median
$207,730
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $167,781.00 $302,006.00 $234,893.50 nat. median
$151,838
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $166,108.00 $298,994.00 $232,551.00 nat. median
$164,289
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $163,184.00 $293,731.00 $228,457.50 nat. median
$122,924
1.9× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $228,058.00 $228,058.00 $228,058.00 nat. median
$234,729
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $161,318.00 $290,372.00 $225,845.00 nat. median
$162,982
1.4× median
5832
APR_DRG 		Neonate With Ecmo 6 $187,000.00 $233,750.00 $210,375.00 nat. median
$156,126
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $163,694.00 $204,617.00 $184,155.50 nat. median
$182,665
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $159,340.00 $199,175.00 $179,257.50 nat. median
$145,336
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $17,820.00 $279,985.58 $178,587.00 nat. median
$265,286
0.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 6 $178,385.00 $178,385.00 $178,385.00 nat. median
$119,796
1.5× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $125,861.00 $226,549.00 $176,205.00 nat. median
$109,499
1.6× median
5831
APR_DRG 		Neonate With Ecmo 6 $151,436.00 $189,295.00 $170,365.50 nat. median
$144,745
1.2× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $121,068.00 $217,923.00 $169,495.50 nat. median
$118,620
1.4× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $169,074.00 $169,074.00 $169,074.00 nat. median
$160,267
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $151,952.00 $151,952.00 $151,952.00 nat. median
$164,834
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $16,961.00 $235,868.13 $150,403.00 nat. median
$206,474
0.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $149,142.00 $149,142.00 $149,142.00 nat. median
$105,658
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $147,645.00 $147,645.00 $147,645.00 nat. median
$187,061
0.8× median
23
APR_DRG 		Heart And/or Lung Transplant 6 $144,340.00 $144,340.00 $144,340.00 nat. median
$93,528
1.5× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $143,137.00 $143,137.00 $143,137.00 nat. median
$129,535
1.1× median
1612
APR_DRG 		Implantable Heart Assist Systems 6 $143,054.00 $143,054.00 $143,054.00 nat. median
$85,444
1.7× median
1611
APR_DRG 		Implantable Heart Assist Systems 6 $136,065.00 $136,065.00 $136,065.00 nat. median
$76,806
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 12 $16,961.00 $213,130.10 $135,876.00 nat. median
$202,976
0.7× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 $94,113.00 $169,403.00 $131,758.00 nat. median
$95,507
1.4× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $113,011.00 $141,264.00 $127,137.50 nat. median
$108,996
1.2× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $108,751.00 $135,938.00 $122,344.50 nat. median
$102,919
1.2× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $105,979.00 $132,474.00 $119,226.50 nat. median
$124,573
1.0× median
64
APR_DRG 		Pancreas Transplant 6 $114,046.00 $114,046.00 $114,046.00 nat. median
$91,009
1.3× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 6 $107,340.00 $107,340.00 $107,340.00 nat. median
$97,957
1.1× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $93,971.00 $117,464.00 $105,717.50 nat. median
$72,936
1.4× median
8634
APR_DRG 		Neonatal Aftercare 6 $74,967.00 $134,940.00 $104,953.50 nat. median
$69,502
1.5× median
22
APR_DRG 		Heart And/or Lung Transplant 6 $103,885.00 $103,885.00 $103,885.00 nat. median
$77,804
1.3× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $91,458.00 $114,323.00 $102,890.50 nat. median
$86,492
1.2× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 $102,402.00 $102,402.00 $102,402.00 nat. median
$68,217
1.5× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 $71,379.00 $128,482.00 $99,930.50 nat. median
$72,753
1.4× median
C1825
HCPCS 		Nrstm Crsn Br26149x-28764 16 $15,820.20 $142,381.80 $99,235.80 nat. median
$52,021
1.9× median
C1823
HCPCS 		Nrstm Trn S/s26149x-28764 16 $15,820.20 $142,381.80 $99,235.80 nat. median
$26,775
outlier · 3.7×
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $87,869.00 $109,837.00 $98,853.00 nat. median
$86,338
1.1× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $98,573.00 $98,573.00 $98,573.00 nat. median
$69,926
1.4× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 $68,610.00 $123,497.00 $96,053.50 nat. median
$66,146
1.5× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 $93,240.00 $93,240.00 $93,240.00 nat. median
$84,063
1.1× median
J7330
HCPCS 		Maci Imp 56051x-61656 13 $33,910.80 $252,789.60 $93,102.84 nat. median
$76,329
1.2× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 6 $92,287.00 $92,287.00 $92,287.00 nat. median
$80,416
1.1× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 $91,795.00 $91,795.00 $91,795.00 nat. median
$81,781
1.1× median

Other procedures at this hospital

Browse this hospital's 11,308 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Neonate With Ecmo 7 6 — — $342,182.00 $615,928.00 $479,055.00 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 7 — — $9,770.00 $374,705.88 $363,792.11 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $255,224.00 $459,403.00 $357,313.50 2026-02-28
5833 APR_DRG Neonate With Ecmo 7 6 — — $297,996.00 $372,495.00 $335,245.50 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $173,475.00 $312,255.00 $242,865.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 7 6 — — $235,408.00 $235,408.00 $235,408.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $167,781.00 $302,006.00 $234,893.50 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $166,108.00 $298,994.00 $232,551.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 6 — — $163,184.00 $293,731.00 $228,457.50 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 7 6 — — $228,058.00 $228,058.00 $228,058.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $161,318.00 $290,372.00 $225,845.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 7 6 — — $187,000.00 $233,750.00 $210,375.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $163,694.00 $204,617.00 $184,155.50 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $159,340.00 $199,175.00 $179,257.50 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 12 — — $17,820.00 $279,985.58 $178,587.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 7 6 — — $178,385.00 $178,385.00 $178,385.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $125,861.00 $226,549.00 $176,205.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 7 6 — — $151,436.00 $189,295.00 $170,365.50 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $121,068.00 $217,923.00 $169,495.50 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $169,074.00 $169,074.00 $169,074.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $151,952.00 $151,952.00 $151,952.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 12 — — $16,961.00 $235,868.13 $150,403.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $149,142.00 $149,142.00 $149,142.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $147,645.00 $147,645.00 $147,645.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 7 6 — — $144,340.00 $144,340.00 $144,340.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 6 — — $143,137.00 $143,137.00 $143,137.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 7 6 — — $143,054.00 $143,054.00 $143,054.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 7 6 — — $136,065.00 $136,065.00 $136,065.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 17 12 — — $16,961.00 $213,130.10 $135,876.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $94,113.00 $169,403.00 $131,758.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $113,011.00 $141,264.00 $127,137.50 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $108,751.00 $135,938.00 $122,344.50 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 6 — — $105,979.00 $132,474.00 $119,226.50 2026-02-28
64 APR_DRG Pancreas Transplant 7 6 — — $114,046.00 $114,046.00 $114,046.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 6 — — $107,340.00 $107,340.00 $107,340.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $93,971.00 $117,464.00 $105,717.50 2026-02-28
8634 APR_DRG Neonatal Aftercare 7 6 — — $74,967.00 $134,940.00 $104,953.50 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 7 6 — — $103,885.00 $103,885.00 $103,885.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $91,458.00 $114,323.00 $102,890.50 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $102,402.00 $102,402.00 $102,402.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 6 — — $71,379.00 $128,482.00 $99,930.50 2026-02-28
C1825 HCPCS Nrstm Crsn Br26149x-28764 40 16 $143,820.00 $55,945.98 61% off $15,820.20 $142,381.80 $99,235.80 2026-02-28
C1823 HCPCS Nrstm Trn S/s26149x-28764 40 16 $143,820.00 $55,945.98 61% off $15,820.20 $142,381.80 $99,235.80 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 6 — — $87,869.00 $109,837.00 $98,853.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $98,573.00 $98,573.00 $98,573.00 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $68,610.00 $123,497.00 $96,053.50 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $93,240.00 $93,240.00 $93,240.00 2026-02-28
J7330 HCPCS Maci Imp 56051x-61656 28 13 $308,280.00 $119,920.92 61% off $33,910.80 $252,789.60 $93,102.84 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 6 — — $92,287.00 $92,287.00 $92,287.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $91,795.00 $91,795.00 $91,795.00 2026-02-28
63 APR_DRG Pancreas Transplant 7 6 — — $90,289.00 $90,289.00 $90,289.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 17 12 — — $16,961.00 $140,668.50 $89,584.00 2026-02-28
4404 APR_DRG Kidney Transplant 7 6 — — $86,526.00 $86,526.00 $86,526.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 7 6 — — $85,404.00 $85,404.00 $85,404.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $84,634.00 $84,634.00 $84,634.00 2026-02-28
6332423 CDM Peg-electrolyte 4l Liq 24 9 $757,514.00 $294,672.95 61% off $16.28 $1,514,880.00 $83,392.40 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 17 12 — — $9,770.00 $130,464.56 $83,065.00 2026-02-28
7 MS_DRG Lung Transplant 17 12 — — $16,961.00 $130,137.08 $82,856.00 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 7 6 — — $81,444.00 $81,444.00 $81,444.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 6 — — $58,153.00 $104,676.00 $81,414.50 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 12 — — $26,020.00 $104,399.98 $81,099.23 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $70,952.00 $88,690.00 $79,821.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $70,822.00 $88,527.00 $79,674.50 2026-02-28
33287 CPT Rem Rep Phr Nrv Stim Gen 11 10 $106,229.00 $41,323.09 61% off $2,944.00 $106,229.00 $79,671.75 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $70,362.00 $87,952.00 $79,157.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 6 — — $55,751.00 $100,352.00 $78,051.50 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 6 — — $77,666.00 $77,666.00 $77,666.00 2026-02-28
A9543 HCPCS Y90 Ibritumm Tx To 40mctb 32 18 $170,352.00 $66,266.93 61% off $18,738.72 $211,372.58 $76,270.33 2026-02-28
4848967 CDM Cath Other 23772x-26149 12 8 $130,745.00 $50,859.81 61% off $14,381.95 $130,745.00 $75,832.10 2026-02-28
1784 APR_DRG External Heart Assist Systems 7 6 — — $74,624.00 $74,624.00 $74,624.00 2026-02-28
62 APR_DRG Pancreas Transplant 7 6 — — $74,166.00 $74,166.00 $74,166.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 6 — — $52,464.00 $94,436.00 $73,450.00 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $72,514.00 $72,514.00 $72,514.00 2026-02-28
33276 CPT Ins Phrenic Nrv Stim Sys 20 10 $94,115.00 $36,610.74 61% off $2,944.00 $144,375.00 $72,468.55 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 6 — — $64,284.00 $80,355.00 $72,319.50 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 6 — — $51,398.00 $92,516.00 $71,957.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 6 — — $71,939.00 $71,939.00 $71,939.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 6 — — $71,805.00 $71,805.00 $71,805.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 6 — — $71,668.00 $71,668.00 $71,668.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 16 12 — — $17,820.00 $91,860.93 $71,341.58 2026-02-28
C2624 HCPCS Wrless Sens 17861x-19647 131 16 $108,055.00 $42,033.40 61% off $2,584.45 $117,671.40 $70,235.75 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 12 — — $17,820.00 $109,801.66 $69,865.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $68,811.00 $68,811.00 $68,811.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 6 — — $60,775.00 $75,968.00 $68,371.50 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 6 — — $60,726.00 $75,908.00 $68,317.00 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 6 — — $48,703.00 $87,665.00 $68,184.00 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 7 6 — — $67,950.00 $67,950.00 $67,950.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 6 — — $67,724.00 $67,724.00 $67,724.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 12 — — $16,961.00 $106,126.78 $67,517.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $66,715.00 $66,715.00 $66,715.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $66,666.00 $66,666.00 $66,666.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 12 — — $26,020.00 $83,214.08 $65,481.97 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $64,177.00 $64,177.00 $64,177.00 2026-02-28
1794 APR_DRG Defibrillator Implants 7 6 — — $63,930.00 $63,930.00 $63,930.00 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 6 — — $63,835.00 $63,835.00 $63,835.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $63,748.00 $63,748.00 $63,748.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 6 — — $63,325.00 $63,325.00 $63,325.00 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 12 — — $17,820.00 $108,553.21 $63,186.61 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 6 — — $62,477.00 $62,477.00 $62,477.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $62,173.00 $62,173.00 $62,173.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 7 6 — — $61,759.00 $61,759.00 $61,759.00 2026-02-28
61 APR_DRG Pancreas Transplant 7 6 — — $61,610.00 $61,610.00 $61,610.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 19 12 — — $16,961.00 $105,584.92 $61,272.96 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 7 6 — — $60,565.00 $60,565.00 $60,565.00 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 6 — — $53,516.00 $66,895.00 $60,205.50 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 7 6 — — $59,624.00 $59,624.00 $59,624.00 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $51,524.00 $64,405.00 $57,964.50 2026-02-28
C1767 HCPCS Neurstm Nrec 10082x-11090 600 16 $98,235.00 $38,213.42 61% off $5,545.10 $208,454.40 $57,788.12 2026-02-28
1783 APR_DRG External Heart Assist Systems 7 6 — — $57,181.00 $57,181.00 $57,181.00 2026-02-28
3706229 CDM Inst/supp Ste17861x-19647 12 8 $98,235.00 $38,213.42 61% off $10,805.85 $98,235.00 $56,976.30 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 6 — — $56,956.00 $56,956.00 $56,956.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 6 — — $56,887.00 $56,887.00 $56,887.00 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 12 — — $26,020.00 $70,929.07 $56,775.12 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 7 6 — — $56,761.00 $56,761.00 $56,761.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $16,961.00 $96,219.58 $56,590.29 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 6 — — $50,252.00 $62,815.00 $56,533.50 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 6 — — $55,578.00 $55,578.00 $55,578.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 7 6 — — $55,565.00 $55,565.00 $55,565.00 2026-02-28
C1882 HCPCS Icd Not S/d 10082x-11090 560 16 $93,770.00 $36,476.54 61% off $5,545.10 $189,505.80 $55,279.78 2026-02-28
234 APR_DRG Spinal Procedures 7 6 — — $55,265.00 $55,265.00 $55,265.00 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 7 6 — — $54,503.00 $54,503.00 $54,503.00 2026-02-28
4403 APR_DRG Kidney Transplant 7 6 — — $54,068.00 $54,068.00 $54,068.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 12 — — $26,020.00 $66,979.29 $53,975.76 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $38,425.00 $69,164.00 $53,794.50 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 17 12 — — $22,054.00 $84,490.32 $53,695.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 6 — — $53,538.00 $53,538.00 $53,538.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 7 6 — — $53,522.00 $53,522.00 $53,522.00 2026-02-28
6904 APR_DRG Acute Leukemia 7 6 — — $53,130.00 $53,130.00 $53,130.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 7 6 — — $53,120.00 $53,120.00 $53,120.00 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $52,578.00 $52,578.00 $52,578.00 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 7 6 — — $52,397.00 $52,397.00 $52,397.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 7 6 — — $52,235.00 $52,235.00 $52,235.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 6 — — $52,201.00 $52,201.00 $52,201.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 7 6 — — $52,193.00 $52,193.00 $52,193.00 2026-02-28
3706499 CDM Inst/supp Ste16237x-17861 12 8 $89,305.00 $34,739.65 61% off $9,823.55 $89,305.00 $51,796.90 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 7 6 — — $36,936.00 $66,485.00 $51,710.50 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 6 — — $51,631.00 $51,631.00 $51,631.00 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 6 — — $45,847.00 $57,309.00 $51,578.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 6 — — $51,550.00 $51,550.00 $51,550.00 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 7 6 — — $36,774.00 $66,194.00 $51,484.00 2026-02-28
4414 APR_DRG Major Bladder Procedures 7 6 — — $51,399.00 $51,399.00 $51,399.00 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 6 — — $51,161.00 $51,161.00 $51,161.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 12 — — $16,961.00 $80,440.30 $51,107.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 6 — — $50,835.00 $50,835.00 $50,835.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 7 6 — — $50,752.00 $50,752.00 $50,752.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 12 — — $16,961.00 $84,536.96 $50,748.98 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 6 — — $50,700.00 $50,700.00 $50,700.00 2026-02-28
10 MS_DRG Pancreas Transplant 17 12 — — $16,961.00 $79,565.99 $50,549.00 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 12 — — $16,961.00 $79,112.46 $50,259.00 2026-02-28
0823T CPT Ins Tcat 1chmr Ldls Pm Ra 11 10 $66,386.00 $25,824.16 61% off $2,944.00 $66,386.00 $49,789.50 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 6 — — $44,226.00 $55,282.00 $49,754.00 2026-02-28
274 APR_DRG Other Open Craniotomy 7 6 — — $49,262.00 $49,262.00 $49,262.00 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $48,577.00 $48,577.00 $48,577.00 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $43,149.00 $53,937.00 $48,543.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 7 6 — — $48,329.00 $48,329.00 $48,329.00 2026-02-28
3666729 CDM Closure Impl 12199x-13419 38 16 $67,095.00 $26,099.96 61% off $7,380.45 $66,424.05 $48,308.40 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 6 — — $42,825.00 $53,532.00 $48,178.50 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $48,102.00 $48,102.00 $48,102.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 7 6 — — $47,894.00 $47,894.00 $47,894.00 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 7 6 — — $47,798.00 $47,798.00 $47,798.00 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 6 — — $34,031.00 $61,255.00 $47,643.00 2026-02-28
C2616 HCPCS Nm Brachy Sorc Yttrium-90 48 17 $80,000.00 $31,120.00 61% off $8,800.00 $79,200.00 $47,600.00 2026-02-28
4402 APR_DRG Kidney Transplant 7 6 — — $47,537.00 $47,537.00 $47,537.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 12 — — $16,961.00 $78,011.88 $47,486.44 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 6 — — $47,395.00 $47,395.00 $47,395.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 12 — — $16,961.00 $74,516.62 $47,323.00 2026-02-28
4014 APR_DRG Adrenal Procedures 7 6 — — $47,237.00 $47,237.00 $47,237.00 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $16,961.00 $77,228.87 $47,094.93 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 6 — — $41,724.00 $52,155.00 $46,939.50 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 7 6 — — $46,491.00 $46,491.00 $46,491.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 6 — — $46,451.00 $46,451.00 $46,451.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 7 6 — — $46,398.00 $46,398.00 $46,398.00 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $46,258.00 $46,258.00 $46,258.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 7 6 — — $45,699.00 $45,699.00 $45,699.00 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 12 — — $26,020.00 $55,064.45 $45,531.26 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 6 — — $45,467.00 $45,467.00 $45,467.00 2026-02-28
C1721 HCPCS Icd Dual 10082x-11090 440 16 $73,805.00 $28,710.15 61% off $4,265.25 $142,381.80 $45,369.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 12 — — $26,020.00 $54,731.00 $45,294.93 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 7 6 — — $45,034.00 $45,034.00 $45,034.00 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $39,980.00 $49,975.00 $44,977.50 2026-02-28
8633 APR_DRG Neonatal Aftercare 7 6 — — $39,925.00 $49,907.00 $44,916.00 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 7 6 — — $44,748.00 $44,748.00 $44,748.00 2026-02-28
C1722 HCPCS Icd Single 10082x-11090 511 16 $73,805.00 $28,710.15 61% off $3,280.75 $129,437.55 $44,651.75 2026-02-28
1793 APR_DRG Defibrillator Implants 7 6 — — $44,620.00 $44,620.00 $44,620.00 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 7 6 — — $44,575.00 $44,575.00 $44,575.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $44,562.00 $44,562.00 $44,562.00 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 7 6 — — $44,436.00 $44,436.00 $44,436.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 12 — — $17,820.00 $70,574.78 $44,197.39 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 12 — — $9,770.00 $69,478.17 $44,104.00 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 6 — — $44,063.00 $44,063.00 $44,063.00 2026-02-28
C1820 HCPCS Neurstm Rech 10082x-11090 520 16 $73,805.00 $28,710.15 61% off $882.75 $142,381.80 $43,805.50 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 7 6 — — $43,685.00 $43,685.00 $43,685.00 2026-02-28
2324 APR_DRG Gastric Fundoplication 7 6 — — $43,453.00 $43,453.00 $43,453.00 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 6 — — $43,439.00 $43,439.00 $43,439.00 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 12 — — $16,961.00 $68,205.90 $43,291.00 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 6 — — $43,062.00 $43,062.00 $43,062.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 12 — — $26,020.00 $51,551.33 $43,041.38 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 6 — — $42,949.00 $42,949.00 $42,949.00 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 6 — — $42,946.00 $42,946.00 $42,946.00 2026-02-28
3666853 CDM Inst/supp Ste13419x-14761 12 8 $73,805.00 $28,710.15 61% off $8,118.55 $73,805.00 $42,806.90 2026-02-28
4401 APR_DRG Kidney Transplant 7 6 — — $42,624.00 $42,624.00 $42,624.00 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 6 — — $42,582.00 $42,582.00 $42,582.00 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 6 — — $37,767.00 $47,208.00 $42,487.50 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 17 12 — — $16,961.00 $66,723.25 $42,344.00 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 7 6 — — $42,327.00 $42,327.00 $42,327.00 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 7 6 — — $42,209.00 $42,209.00 $42,209.00 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 6 — — $42,182.00 $42,182.00 $42,182.00 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 7 6 — — $41,934.00 $41,934.00 $41,934.00 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 12 — — $16,961.00 $66,611.10 $41,786.05 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 6 — — $37,139.00 $46,424.00 $41,781.50 2026-02-28
L8699 HCPCS Closure Laa 16237x-17861 873 16 $98,235.00 $38,213.42 61% off $7.15 $540,673.65 $41,707.80 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 12 — — $22,054.00 $61,342.42 $41,698.21 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 7 6 — — $41,488.00 $41,488.00 $41,488.00 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 7 6 — — $41,336.00 $41,336.00 $41,336.00 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 6 — — $41,277.00 $41,277.00 $41,277.00 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 7 6 — — $41,258.00 $41,258.00 $41,258.00 2026-02-28
L8614 HCPCS Cochlear Dvc 10082x-11090 752 16 $73,805.00 $28,710.15 61% off $237.05 $172,279.80 $41,234.10 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 7 6 — — $41,144.00 $41,144.00 $41,144.00 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 12 — — $9,770.00 $64,622.32 $41,002.00 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 7 6 — — $40,968.00 $40,968.00 $40,968.00 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 6 — — $36,266.00 $45,332.00 $40,799.00 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 7 6 — — $40,799.00 $40,799.00 $40,799.00 2026-02-28
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 6 — — $40,798.00 $40,798.00 $40,798.00 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $16,961.00 $64,530.03 $40,745.51 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 6 — — $36,136.00 $45,170.00 $40,653.00 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 6 — — $40,599.00 $40,599.00 $40,599.00 2026-02-28
4034 APR_DRG Procedures For Obesity 7 6 — — $40,415.00 $40,415.00 $40,415.00 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 7 6 — — $40,309.00 $40,309.00 $40,309.00 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $40,175.00 $40,175.00 $40,175.00 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 12 — — $16,961.00 $63,204.17 $40,096.00 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 7 6 — — $40,071.00 $40,071.00 $40,071.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 12 — — $17,820.00 $61,915.04 $39,867.52 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 12 — — $17,820.00 $61,835.64 $39,827.82 2026-02-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 7 6 — — $39,802.00 $39,802.00 $39,802.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 17 12 — — $22,054.00 $57,399.59 $39,726.79 2026-02-28
6504 APR_DRG Splenectomy 7 6 — — $39,684.00 $39,684.00 $39,684.00 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 7 6 — — $39,544.00 $39,544.00 $39,544.00 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 7 6 — — $39,524.00 $39,524.00 $39,524.00 2026-02-28
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 7 6 — — $28,172.00 $50,710.00 $39,441.00 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 7 6 — — $39,381.00 $39,381.00 $39,381.00 2026-02-28
C1772 HCPCS Inf Pump Prg 10082x-11090 114 16 $55,450.00 $21,570.05 61% off $5,545.10 $60,385.05 $39,341.78 2026-02-28
C1822 HCPCS Nurstm Hf Rc 17861x-19647 280 16 $98,235.00 $38,213.42 61% off $308.55 $142,381.80 $39,294.00 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 12 — — $16,961.00 $61,555.78 $39,258.39 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 7 6 — — $39,103.00 $39,103.00 $39,103.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 12 — — $16,961.00 $61,064.54 $39,012.77 2026-02-28
3209469 CDM Inst/supp Ste12199x-13419 12 8 $67,095.00 $26,099.96 61% off $7,380.45 $67,095.00 $38,915.10 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 6 — — $38,886.00 $38,886.00 $38,886.00 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 17 12 — — $16,961.00 $60,774.76 $38,867.88 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 6 — — $38,866.00 $38,866.00 $38,866.00 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 7 6 — — $38,659.00 $38,659.00 $38,659.00 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 7 6 — — $38,644.00 $38,644.00 $38,644.00 2026-02-28
913 APR_DRG Other Major Head And Neck Procedures 7 6 — — $38,520.00 $38,520.00 $38,520.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 12 — — $16,961.00 $59,894.49 $38,427.75 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $38,400.00 $38,400.00 $38,400.00 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 7 6 — — $38,366.00 $38,366.00 $38,366.00 2026-02-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 7 6 — — $38,338.00 $38,338.00 $38,338.00 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 17 12 — — $9,770.00 $60,342.07 $38,268.00 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 17 12 — — $9,770.00 $60,342.07 $38,268.00 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $16,961.00 $59,482.65 $38,221.82 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 7 6 — — $38,202.00 $38,202.00 $38,202.00 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 6 — — $38,189.00 $38,189.00 $38,189.00 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $38,166.00 $38,166.00 $38,166.00 2026-02-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 6 — — $33,813.00 $42,266.00 $38,039.50 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 7 6 — — $37,971.00 $37,971.00 $37,971.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 12 — — $16,961.00 $58,836.59 $37,898.79 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 17 12 — — $9,770.00 $59,437.99 $37,690.00 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 7 6 — — $37,640.00 $37,640.00 $37,640.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 12 — — $16,961.00 $58,222.29 $37,591.64 2026-02-28
1831 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $37,583.00 $37,583.00 $37,583.00 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 7 6 — — $37,436.00 $37,436.00 $37,436.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 12 — — $16,961.00 $57,059.19 $37,010.10 2026-02-28
3104 APR_DRG Intervertebral Disc Excision And Decompression 7 6 — — $36,987.00 $36,987.00 $36,987.00 2026-02-28
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 6 — — $36,986.00 $36,986.00 $36,986.00 2026-02-28
893 APR_DRG Major Cranial Or Facial Bone Procedures 7 6 — — $36,919.00 $36,919.00 $36,919.00 2026-02-28
1792 APR_DRG Defibrillator Implants 7 6 — — $36,728.00 $36,728.00 $36,728.00 2026-02-28
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 7 6 — — $36,663.00 $36,663.00 $36,663.00 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 12 — — $22,054.00 $51,000.55 $36,527.28 2026-02-28
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 6 — — $36,518.00 $36,518.00 $36,518.00 2026-02-28
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 6 — — $36,434.00 $36,434.00 $36,434.00 2026-02-28
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 7 6 — — $36,390.00 $36,390.00 $36,390.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 17 12 — — $16,961.00 $55,764.10 $36,362.55 2026-02-28
4844 APR_DRG Other Male Reproductive System And Related Procedures 7 6 — — $36,195.00 $36,195.00 $36,195.00 2026-02-28
5184 APR_DRG Other Female Reproductive System And Related Procedures 7 6 — — $36,181.00 $36,181.00 $36,181.00 2026-02-28
1693 APR_DRG Major Abdominal Vascular Procedures 7 6 — — $36,154.00 $36,154.00 $36,154.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 12 — — $16,961.00 $55,294.69 $36,127.85 2026-02-28
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 7 6 — — $36,029.00 $36,029.00 $36,029.00 2026-02-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 6 — — $35,876.00 $35,876.00 $35,876.00 2026-02-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 7 6 — — $35,858.00 $35,858.00 $35,858.00 2026-02-28
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 7 6 — — $35,855.00 $35,855.00 $35,855.00 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 12 — — $16,961.00 $54,439.23 $35,700.11 2026-02-28
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 7 6 — — $35,670.00 $35,670.00 $35,670.00 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 17 12 — — $16,961.00 $54,316.18 $35,638.59 2026-02-28
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 7 6 — — $35,620.00 $35,620.00 $35,620.00 2026-02-28
984 APR_DRG Other Ear Nose Mouth And Throat Procedures 7 6 — — $35,587.00 $35,587.00 $35,587.00 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 7 6 — — $35,572.00 $35,572.00 $35,572.00 2026-02-28
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 7 6 — — $35,515.00 $35,515.00 $35,515.00 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 12 — — $25,889.00 $40,966.32 $35,506.63 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 12 — — $16,961.00 $54,041.28 $35,501.14 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 12 — — $16,961.00 $53,990.67 $35,475.83 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 12 — — $16,961.00 $53,984.72 $35,472.86 2026-02-28
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