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

MERCY MEDICAL CENTER

Merced, CA · CCN 050444 · Rates published

15,726 distinct procedures filed
22 distinct payers
1,051,458 rate rows
2026-02-28 last MRF observed
Data quality

910,110 of 1,051,458 rate rows are consumer-grade (86.6%)

141,348 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 81,100
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 25,464
per-diem day rate — not a per-procedure price 24,696
template filing: same amount across many unrelated codes — excluded 6,348
exceeds 10× this hospital's gross charge — excluded from medians 3,200
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 420
placeholder amount (≤ $0.02) — excluded from medians 104
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/dhcva/cacv/finance/price-transparency/941196203-1518018191_dignity-health_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/dignity-health-central-cal-price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint e1d39c4fb5804543… · 117,533,689 bytes · first seen 2026-07-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo 9 $309,665.00 $557,398.00 $501,657.30 nat. median
$390,362
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $7,150.00 $431,858.38 $392,598.52 nat. median
$168,055
outlier · 2.3×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $230,971.00 $415,747.00 $374,173.02 nat. median
$286,698
1.3× median
5833
APR_DRG 		Neonate With Ecmo 9 $269,678.00 $436,878.36 $337,098.00 nat. median
$268,208
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $15,360.00 $322,718.47 $293,380.42 nat. median
$186,516
1.6× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $156,990.00 $282,582.00 $254,323.80 nat. median
$187,567
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $12,198.00 $271,884.84 $247,168.03 nat. median
$131,925
1.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $151,838.00 $273,308.00 $245,977.56 nat. median
$168,439
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $150,323.00 $270,582.00 $243,523.26 nat. median
$171,497
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $147,677.00 $265,818.00 $239,236.74 nat. median
$181,762
1.3× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $145,988.00 $262,779.00 $236,500.56 nat. median
$198,578
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 9 $12,198.00 $245,685.31 $223,350.28 nat. median
$145,435
1.5× median
6332423
CDM 		Peg-electrolyte 4l Liq 8 $43.20 $1,477,008.00 $221,623.20 —
1614
APR_DRG 		Implantable Heart Assist Systems 9 $213,038.00 $338,730.42 $213,038.00 nat. median
$202,242
1.1× median
5832
APR_DRG 		Neonate With Ecmo 9 $169,230.00 $274,152.60 $211,538.00 nat. median
$201,678
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 9 $206,387.00 $328,155.33 $206,387.00 nat. median
$225,531
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $148,138.00 $239,983.56 $185,173.00 nat. median
$173,134
1.1× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 $113,900.00 $205,021.00 $184,518.00 nat. median
$115,963
1.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $144,199.00 $233,602.38 $180,248.00 nat. median
$152,383
1.2× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $109,564.00 $197,214.00 $177,493.68 nat. median
$124,731
1.4× median
5831
APR_DRG 		Neonate With Ecmo 9 $137,045.00 $222,012.90 $171,307.00 nat. median
$173,909
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 9 $161,433.00 $256,678.47 $161,433.00 nat. median
$155,539
1.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $153,008.00 $243,282.72 $153,008.00 nat. median
$173,018
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 9 $12,198.00 $162,192.63 $147,447.84 nat. median
$97,418
1.5× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 $85,170.00 $153,305.00 $137,975.40 nat. median
$100,752
1.4× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $137,513.00 $218,645.67 $137,513.00 nat. median
$152,792
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $7,150.00 $150,435.31 $136,759.37 nat. median
$72,715
1.9× median
7
MS_DRG 		Lung Transplant 9 $12,198.00 $150,057.97 $136,416.33 nat. median
$70,649
1.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $134,969.00 $214,600.71 $134,969.00 nat. median
$135,630
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $133,615.00 $212,447.85 $133,615.00 nat. median
$149,836
0.9× median
23
APR_DRG 		Heart And/or Lung Transplant 9 $130,623.00 $207,690.57 $130,623.00 nat. median
$117,894
1.1× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 9 $129,535.00 $205,960.65 $129,535.00 nat. median
$136,566
0.9× median
1612
APR_DRG 		Implantable Heart Assist Systems 9 $129,460.00 $205,841.40 $129,460.00 nat. median
$109,992
1.2× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $102,272.00 $165,680.64 $127,840.00 nat. median
$114,205
1.1× median
1611
APR_DRG 		Implantable Heart Assist Systems 9 $123,135.00 $195,784.65 $123,135.00 nat. median
$108,954
1.1× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $98,416.00 $159,433.92 $123,021.00 nat. median
$120,079
1.0× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $95,908.00 $155,370.96 $119,885.00 nat. median
$130,862
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $15,360.00 $126,626.81 $115,115.28 nat. median
$65,418
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $15,360.00 $125,188.31 $113,807.55 nat. median
$74,509
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $12,198.00 $122,392.49 $111,265.90 nat. median
$69,922
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 9 $12,198.00 $121,768.15 $110,698.31 nat. median
$73,023
1.5× median
8634
APR_DRG 		Neonatal Aftercare 9 $67,843.00 $122,117.00 $109,905.66 nat. median
$79,210
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $13,002.00 $120,402.83 $109,457.11 nat. median
$2,736
outlier · 40.0×
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $85,041.00 $137,766.42 $106,302.00 nat. median
$95,499
1.1× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 $64,596.00 $116,273.00 $104,645.52 nat. median
$85,322
1.2× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $82,767.00 $134,082.54 $103,459.00 nat. median
$95,757
1.1× median
64
APR_DRG 		Pancreas Transplant 9 $103,209.00 $164,102.31 $103,209.00 nat. median
$92,994
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $17,475.00 $110,977.08 $100,888.25 nat. median
$69,822
1.4× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 $62,090.00 $111,762.00 $100,585.80 nat. median
$71,851
1.4× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $79,520.00 $128,822.40 $99,399.00 nat. median
$91,110
1.1× median

Other procedures at this hospital

Browse this hospital's 15,726 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 34 9 — — $309,665.00 $557,398.00 $501,657.30 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 9 — — $7,150.00 $431,858.38 $392,598.52 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 34 9 — — $230,971.00 $415,747.00 $374,173.02 2026-02-28
5833 APR_DRG Neonate With Ecmo 34 9 — — $269,678.00 $436,878.36 $337,098.00 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 9 — — $15,360.00 $322,718.47 $293,380.42 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 34 9 — — $156,990.00 $282,582.00 $254,323.80 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 9 — — $12,198.00 $271,884.84 $247,168.03 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 34 9 — — $151,838.00 $273,308.00 $245,977.56 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 34 9 — — $150,323.00 $270,582.00 $243,523.26 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 34 9 — — $147,677.00 $265,818.00 $239,236.74 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 34 9 — — $145,988.00 $262,779.00 $236,500.56 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 26 9 — — $12,198.00 $245,685.31 $223,350.28 2026-02-28
6332423 CDM Peg-electrolyte 4l Liq 60 8 $738,576.00 $380,366.64 49% off $43.20 $1,477,008.00 $221,623.20 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 34 9 — — $213,038.00 $338,730.42 $213,038.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 34 9 — — $169,230.00 $274,152.60 $211,538.00 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 34 9 — — $206,387.00 $328,155.33 $206,387.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 34 9 — — $148,138.00 $239,983.56 $185,173.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 34 9 — — $113,900.00 $205,021.00 $184,518.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 34 9 — — $144,199.00 $233,602.38 $180,248.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 34 9 — — $109,564.00 $197,214.00 $177,493.68 2026-02-28
5831 APR_DRG Neonate With Ecmo 34 9 — — $137,045.00 $222,012.90 $171,307.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 34 9 — — $161,433.00 $256,678.47 $161,433.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 34 9 — — $153,008.00 $243,282.72 $153,008.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 26 9 — — $12,198.00 $162,192.63 $147,447.84 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 34 9 — — $85,170.00 $153,305.00 $137,975.40 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 34 9 — — $137,513.00 $218,645.67 $137,513.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 26 9 — — $7,150.00 $150,435.31 $136,759.37 2026-02-28
7 MS_DRG Lung Transplant 26 9 — — $12,198.00 $150,057.97 $136,416.33 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 34 9 — — $134,969.00 $214,600.71 $134,969.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 34 9 — — $133,615.00 $212,447.85 $133,615.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 34 9 — — $130,623.00 $207,690.57 $130,623.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 34 9 — — $129,535.00 $205,960.65 $129,535.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 34 9 — — $129,460.00 $205,841.40 $129,460.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 34 9 — — $102,272.00 $165,680.64 $127,840.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 34 9 — — $123,135.00 $195,784.65 $123,135.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 34 9 — — $98,416.00 $159,433.92 $123,021.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 34 9 — — $95,908.00 $155,370.96 $119,885.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 9 — — $15,360.00 $126,626.81 $115,115.28 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 9 — — $15,360.00 $125,188.31 $113,807.55 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 9 — — $12,198.00 $122,392.49 $111,265.90 2026-02-28
215 MS_DRG Other Heart Assist System Implant 26 9 — — $12,198.00 $121,768.15 $110,698.31 2026-02-28
8634 APR_DRG Neonatal Aftercare 34 9 — — $67,843.00 $122,117.00 $109,905.66 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 9 — — $13,002.00 $120,402.83 $109,457.11 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 34 9 — — $85,041.00 $137,766.42 $106,302.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 34 9 — — $64,596.00 $116,273.00 $104,645.52 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 34 9 — — $82,767.00 $134,082.54 $103,459.00 2026-02-28
64 APR_DRG Pancreas Transplant 34 9 — — $103,209.00 $164,102.31 $103,209.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 9 — — $17,475.00 $110,977.08 $100,888.25 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 34 9 — — $62,090.00 $111,762.00 $100,585.80 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 34 9 — — $79,520.00 $128,822.40 $99,399.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 34 9 — — $97,139.00 $154,451.01 $97,139.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 24 9 — — $15,360.00 $105,954.90 $96,322.63 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 34 9 — — $94,014.00 $149,482.26 $94,014.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 34 9 — — $92,671.00 $147,346.89 $92,671.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 34 9 — — $89,206.00 $141,837.54 $89,206.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 9 — — $15,360.00 $97,515.97 $88,650.88 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 22 9 — — $14,791.00 $97,462.24 $88,602.03 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 9 — — $13,002.00 $95,991.71 $87,265.19 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 34 9 — — $52,627.00 $94,729.00 $85,255.74 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 34 9 — — $84,380.00 $134,164.20 $84,380.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 9 — — $12,198.00 $92,795.67 $84,359.70 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 34 9 — — $83,517.00 $132,792.03 $83,517.00 2026-02-28
10 MS_DRG Pancreas Transplant 26 9 — — $12,198.00 $91,788.26 $83,443.87 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 34 9 — — $83,072.00 $132,084.48 $83,072.00 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 9 — — $12,198.00 $91,265.68 $82,968.80 2026-02-28
0483T CPT Tmvi Vlv Percutaneous App 38 11 $128,602.00 $66,230.03 48% off $1,932.00 $128,602.00 $82,305.28 2026-02-28
0484T CPT Tmvi Valve Transthoracic 38 11 $128,602.00 $66,230.03 48% off $1,932.00 $128,602.00 $82,305.28 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 9 — — $15,360.00 $89,997.56 $81,815.96 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 34 9 — — $50,453.00 $90,816.00 $81,733.86 2026-02-28
63 APR_DRG Pancreas Transplant 34 9 — — $81,709.00 $129,917.31 $81,709.00 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 9 — — $15,360.00 $89,095.35 $80,995.77 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 34 9 — — $64,210.00 $104,020.20 $80,262.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 34 9 — — $64,092.00 $103,829.04 $80,115.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 34 9 — — $63,675.00 $103,153.50 $79,594.00 2026-02-28
4404 APR_DRG Kidney Transplant 34 9 — — $78,303.00 $124,501.77 $78,303.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 9 — — $12,198.00 $85,970.21 $78,154.73 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 34 9 — — $77,288.00 $122,887.92 $77,288.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 34 9 — — $47,479.00 $85,462.00 $76,915.98 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 34 9 — — $76,592.00 $121,781.28 $76,592.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 34 9 — — $46,514.00 $83,725.00 $75,352.68 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 9 — — $13,002.00 $81,836.51 $74,396.82 2026-02-28
J7330 HCPCS Maci Imp 42112x-46323 48 11 $76,377.00 $39,334.16 48% off $19,094.25 $76,377.00 $74,085.69 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 9 — — $15,360.00 $81,428.29 $74,025.71 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 34 9 — — $73,704.00 $117,189.36 $73,704.00 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 9 — — $7,150.00 $80,164.74 $72,877.03 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 34 9 — — $58,175.00 $94,243.50 $72,719.00 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 9 — — $12,198.00 $78,698.79 $71,544.35 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 34 9 — — $44,075.00 $79,334.00 $71,401.50 2026-02-28
Q2043 HCPCS Sipuleucel-t 250ml Pbtb 64 15 $94,005.00 $48,412.58 48% off $47,367.53 $94,005.00 $71,084.95 2026-02-28
A9543 HCPCS Y90 Ibritummab Tx To 40mc 56 15 $70,321.00 $36,215.32 48% off $42,192.60 $73,365.82 $70,321.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 34 9 — — $70,285.00 $111,753.15 $70,285.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 9 — — $13,002.00 $77,285.44 $70,259.49 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 26 9 — — $12,198.00 $76,990.42 $69,991.29 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 9 — — $15,360.00 $76,861.21 $69,873.82 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 34 9 — — $54,999.00 $89,098.38 $68,749.00 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 34 9 — — $54,955.00 $89,027.10 $68,694.00 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 9 — — $7,150.00 $74,569.66 $67,790.60 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 9 — — $12,198.00 $74,463.32 $67,693.92 2026-02-28
1784 APR_DRG External Heart Assist Systems 34 9 — — $67,533.00 $107,377.47 $67,533.00 2026-02-28
62 APR_DRG Pancreas Transplant 34 9 — — $67,118.00 $106,717.62 $67,118.00 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 9 — — $12,198.00 $72,935.63 $66,305.11 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 34 9 — — $65,623.00 $104,340.57 $65,623.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 34 9 — — $65,103.00 $103,513.77 $65,103.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 34 9 — — $64,981.00 $103,319.79 $64,981.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 9 — — $15,360.00 $71,450.24 $64,954.76 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 9 — — $15,360.00 $71,358.76 $64,871.60 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 34 9 — — $64,857.00 $103,122.63 $64,857.00 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 9 — — $12,198.00 $71,036.30 $64,578.45 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 9 — — $10,326.00 $70,790.45 $64,354.95 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 9 — — $12,198.00 $70,470.27 $64,063.88 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 26 9 — — $12,198.00 $70,136.38 $63,760.34 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 26 9 — — $7,150.00 $69,637.81 $63,307.10 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 26 9 — — $7,150.00 $69,637.81 $63,307.10 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 9 — — $12,198.00 $69,122.10 $62,838.27 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 9 — — $12,198.00 $68,647.56 $62,406.87 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 26 9 — — $7,150.00 $68,596.10 $62,360.09 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 34 9 — — $62,272.00 $99,012.48 $62,272.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 9 — — $12,198.00 $67,903.15 $61,730.13 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 34 9 — — $61,493.00 $97,773.87 $61,493.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 34 9 — — $61,288.00 $97,447.92 $61,288.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 9 — — $12,198.00 $67,195.33 $61,086.66 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 34 9 — — $48,431.00 $78,458.22 $60,538.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 34 9 — — $60,375.00 $95,996.25 $60,375.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 34 9 — — $60,331.00 $95,926.29 $60,331.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 26 9 — — $10,326.00 $66,247.38 $60,224.89 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 9 — — $12,198.00 $65,855.17 $59,868.33 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 26 9 — — $12,198.00 $64,362.92 $58,511.74 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 34 9 — — $46,628.00 $75,537.36 $58,285.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 34 9 — — $58,078.00 $92,344.02 $58,078.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 9 — — $12,198.00 $63,822.05 $58,020.04 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 26 9 — — $7,150.00 $63,822.05 $58,020.04 2026-02-28
1794 APR_DRG Defibrillator Implants 34 9 — — $57,855.00 $91,989.45 $57,855.00 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 9 — — $13,002.00 $63,556.76 $57,778.87 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 34 9 — — $57,769.00 $91,852.71 $57,769.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 34 9 — — $57,690.00 $91,727.10 $57,690.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 9 — — $13,002.00 $63,172.55 $57,429.59 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 34 9 — — $57,308.00 $91,119.72 $57,308.00 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 9 — — $12,198.00 $62,836.37 $57,123.97 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 26 9 — — $12,198.00 $62,694.57 $56,995.06 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 34 9 — — $45,477.00 $73,672.74 $56,846.00 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 9 — — $12,198.00 $62,377.83 $56,707.11 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 9 — — $12,198.00 $62,319.51 $56,654.10 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 9 — — $12,198.00 $62,312.65 $56,647.86 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 34 9 — — $56,540.00 $89,898.60 $56,540.00 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 34 9 — — $34,773.00 $62,592.00 $56,332.26 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 34 9 — — $56,265.00 $89,461.35 $56,265.00 2026-02-28
J9347 HCPCS Tre-actl25mg/1.25mlsdjwtb 54 8 $93,600.00 $48,204.00 48% off $1,950.00 $93,600.00 $56,160.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 34 9 — — $55,890.00 $88,865.10 $55,890.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 9 — — $12,198.00 $61,453.89 $55,867.17 2026-02-28
61 APR_DRG Pancreas Transplant 34 9 — — $55,755.00 $88,650.45 $55,755.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 9 — — $12,198.00 $61,185.17 $55,622.88 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 34 9 — — $54,809.00 $87,146.31 $54,809.00 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 34 9 — — $33,426.00 $60,167.00 $54,150.12 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 9 — — $13,002.00 $59,508.83 $54,098.93 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 34 9 — — $53,959.00 $85,794.81 $53,959.00 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 9 — — $12,198.00 $59,313.29 $53,921.17 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 34 9 — — $33,280.00 $59,904.00 $53,913.60 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 9 — — $10,326.00 $58,874.19 $53,521.99 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 26 9 — — $12,198.00 $58,695.81 $53,359.82 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 9 — — $12,198.00 $58,214.40 $52,922.18 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 9 — — $7,150.00 $57,874.79 $52,613.44 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 9 — — $15,360.00 $57,830.19 $52,572.90 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 9 — — $12,198.00 $57,807.31 $52,552.10 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 9 — — $12,198.00 $57,601.49 $52,364.99 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 34 9 — — $41,490.00 $67,213.80 $51,863.00 2026-02-28
1783 APR_DRG External Heart Assist Systems 34 9 — — $51,748.00 $82,279.32 $51,748.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 34 9 — — $51,543.00 $81,953.37 $51,543.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 34 9 — — $51,481.00 $81,854.79 $51,481.00 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 34 9 — — $51,367.00 $81,673.53 $51,367.00 2026-02-28
245 MS_DRG Aicd Generator Procedures 26 9 — — $12,198.00 $56,498.03 $51,361.84 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 26 9 — — $10,326.00 $56,160.70 $51,055.18 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 26 9 — — $12,198.00 $56,068.08 $50,970.98 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 34 9 — — $50,296.00 $79,970.64 $50,296.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 34 9 — — $50,285.00 $79,953.15 $50,285.00 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 9 — — $12,198.00 $55,225.33 $50,204.84 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 34 9 — — $40,023.00 $64,837.26 $50,029.00 2026-02-28
234 APR_DRG Spinal Procedures 34 9 — — $50,013.00 $79,520.67 $50,013.00 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 26 9 — — $12,198.00 $54,988.63 $49,989.66 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 9 — — $12,198.00 $54,978.33 $49,980.30 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 34 9 — — $30,797.00 $55,434.00 $49,891.14 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 9 — — $12,198.00 $54,415.74 $49,468.85 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 34 9 — — $49,323.00 $78,423.57 $49,323.00 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 9 — — $12,198.00 $54,127.58 $49,206.89 2026-02-28
4403 APR_DRG Kidney Transplant 34 9 — — $48,930.00 $77,798.70 $48,930.00 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 9 — — $15,360.00 $53,811.98 $48,919.98 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 34 9 — — $39,049.00 $63,259.38 $48,811.00 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 26 9 — — $12,198.00 $53,323.71 $48,476.10 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 9 — — $12,198.00 $53,301.99 $48,456.35 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 34 9 — — $48,451.00 $77,037.09 $48,451.00 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 34 9 — — $38,756.00 $62,784.72 $48,445.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 34 9 — — $48,436.00 $77,013.24 $48,436.00 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 9 — — $12,198.00 $53,133.90 $48,303.54 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 9 — — $12,198.00 $53,125.89 $48,296.26 2026-02-28
6904 APR_DRG Acute Leukemia 34 9 — — $48,081.00 $76,448.79 $48,081.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 34 9 — — $48,072.00 $76,434.48 $48,072.00 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 34 9 — — $47,582.00 $75,655.38 $47,582.00 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 9 — — $12,198.00 $52,207.68 $47,461.52 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 34 9 — — $47,418.00 $75,394.62 $47,418.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 34 9 — — $47,272.00 $75,162.48 $47,272.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 34 9 — — $47,240.00 $75,111.60 $47,240.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 34 9 — — $47,233.00 $75,100.47 $47,233.00 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 34 9 — — $37,759.00 $61,169.58 $47,199.00 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 9 — — $12,198.00 $51,900.07 $47,181.88 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 9 — — $12,198.00 $51,758.28 $47,052.98 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 34 9 — — $46,725.00 $74,292.75 $46,725.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 34 9 — — $46,651.00 $74,175.09 $46,651.00 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 26 9 — — $12,198.00 $51,280.31 $46,618.46 2026-02-28
4414 APR_DRG Major Bladder Procedures 34 9 — — $46,515.00 $73,958.85 $46,515.00 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 34 9 — — $46,300.00 $73,617.00 $46,300.00 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 9 — — $12,198.00 $50,849.21 $46,226.55 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 34 9 — — $46,004.00 $73,146.36 $46,004.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 34 9 — — $45,929.00 $73,027.11 $45,929.00 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 34 9 — — $45,882.00 $72,952.38 $45,882.00 2026-02-28
C2616 HCPCS Nm Brachy Sorc Yttrium-90 70 16 $70,321.00 $36,215.32 48% off $16,173.83 $70,321.00 $45,708.65 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 26 9 — — $7,150.00 $50,095.65 $45,541.50 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 26 9 — — $10,326.00 $49,993.88 $45,448.98 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 34 9 — — $36,181.00 $58,613.22 $45,226.00 2026-02-28
8633 APR_DRG Neonatal Aftercare 34 9 — — $36,131.00 $58,532.22 $45,164.00 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 9 — — $12,198.00 $49,395.85 $44,905.31 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 24 9 — — $15,360.00 $49,323.81 $44,839.82 2026-02-28
274 APR_DRG Other Open Craniotomy 34 9 — — $44,581.00 $70,883.79 $44,581.00 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 26 9 — — $12,198.00 $48,978.47 $44,525.88 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 9 — — $12,198.00 $48,537.09 $44,124.62 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 9 — — $12,198.00 $48,525.66 $44,114.23 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 34 9 — — $43,961.00 $69,897.99 $43,961.00 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 26 9 — — $7,150.00 $48,307.25 $43,915.68 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 9 — — $12,198.00 $48,195.18 $43,813.80 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 34 9 — — $43,736.00 $69,540.24 $43,736.00 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 34 9 — — $43,531.00 $69,214.29 $43,531.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 34 9 — — $43,343.00 $68,915.37 $43,343.00 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 9 — — $12,198.00 $47,639.45 $43,308.59 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 9 — — $12,198.00 $47,613.15 $43,284.68 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 34 9 — — $43,256.00 $68,777.04 $43,256.00 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 9 — — $12,198.00 $47,543.40 $43,221.27 2026-02-28
4402 APR_DRG Kidney Transplant 34 9 — — $43,020.00 $68,401.80 $43,020.00 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 9 — — $13,002.00 $47,312.41 $43,011.28 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 34 9 — — $42,892.00 $68,198.28 $42,892.00 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 9 — — $12,198.00 $47,128.32 $42,843.92 2026-02-28
791 MS_DRG Prematurity With Major Problems 26 9 — — $7,150.00 $47,042.55 $42,765.95 2026-02-28
4014 APR_DRG Adrenal Procedures 34 9 — — $42,748.00 $67,969.32 $42,748.00 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 34 9 — — $34,178.00 $55,368.36 $42,722.00 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 34 9 — — $42,073.00 $66,896.07 $42,073.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 34 9 — — $42,037.00 $66,838.83 $42,037.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 34 9 — — $33,610.00 $54,448.20 $42,013.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 34 9 — — $41,989.00 $66,762.51 $41,989.00 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 9 — — $12,198.00 $46,171.22 $41,973.83 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 9 — — $12,198.00 $46,139.20 $41,944.72 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 34 9 — — $41,863.00 $66,562.17 $41,863.00 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 26 9 — — $12,198.00 $45,736.70 $41,578.81 2026-02-28
8E0Y4CZ OTHER Da Vinci Non Cardiac 18 6 — — $26,996.00 $56,123.00 $41,559.50 2026-02-28
8E0YXCZ OTHER Da Vinci Non Cardiac 18 6 — — $26,996.00 $56,123.00 $41,559.50 2026-02-28
8E0XXCZ OTHER Da Vinci Non Cardiac 18 6 — — $26,996.00 $56,123.00 $41,559.50 2026-02-28
8E0X0CZ OTHER Da Vinci Non Cardiac 18 6 — — $26,996.00 $56,123.00 $41,559.50 2026-02-28
8E0Y0CZ OTHER Da Vinci Non Cardiac 18 6 — — $26,996.00 $56,123.00 $41,559.50 2026-02-28
8E0W0CZ OTHER Da Vinci Non Cardiac 18 6 — — $26,996.00 $56,123.00 $41,559.50 2026-02-28
8E0WXCZ OTHER Da Vinci Non Cardiac 18 6 — — $26,996.00 $56,123.00 $41,559.50 2026-02-28
8E098CZ OTHER Da Vinci Non Cardiac 18 6 — — $26,996.00 $56,123.00 $41,559.50 2026-02-28
8E0X4CZ OTHER Da Vinci Non Cardiac 18 6 — — $26,996.00 $56,123.00 $41,559.50 2026-02-28
8E09XCZ OTHER Da Vinci Non Cardiac 18 6 — — $26,996.00 $56,123.00 $41,559.50 2026-02-28
8E0W8CZ OTHER Da Vinci Non Cardiac 18 6 — — $26,996.00 $56,123.00 $41,559.50 2026-02-28
07TC4ZZ OTHER Da Vinci Non Cardiac 18 6 — — $26,996.00 $56,123.00 $41,559.50 2026-02-28
8E090CZ OTHER Da Vinci Non Cardiac 18 6 — — $26,996.00 $56,123.00 $41,559.50 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 9 — — $12,198.00 $45,644.08 $41,494.61 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 9 — — $12,198.00 $45,552.59 $41,411.44 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 34 9 — — $41,356.00 $65,756.04 $41,356.00 2026-02-28
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 34 9 — — $25,495.00 $45,891.00 $41,301.90 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 9 — — $13,002.00 $45,353.63 $41,230.57 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 9 — — $12,198.00 $45,331.90 $41,210.81 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 34 9 — — $41,146.00 $65,422.14 $41,146.00 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 34 9 — — $32,820.00 $53,168.40 $41,024.00 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 9 — — $12,198.00 $45,084.91 $40,986.28 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 34 9 — — $32,702.00 $52,977.24 $40,878.00 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 34 9 — — $40,755.00 $64,800.45 $40,755.00 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 26 9 — — $12,198.00 $44,813.91 $40,739.91 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 26 9 — — $12,198.00 $44,769.30 $40,699.36 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 9 — — $12,198.00 $44,645.80 $40,587.09 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 34 9 — — $40,495.00 $64,387.05 $40,495.00 2026-02-28
C1605 HCPCS Pace Dl Ldles23772x-26149 80 10 $62,402.50 $32,137.29 48% off $11,482.06 $74,883.00 $40,436.82 2026-02-28
1793 APR_DRG Defibrillator Implants 34 9 — — $40,380.00 $64,204.20 $40,380.00 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 34 9 — — $40,339.00 $64,139.01 $40,339.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 34 9 — — $40,327.00 $64,119.93 $40,327.00 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 26 9 — — $12,198.00 $44,326.78 $40,297.07 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 34 9 — — $40,213.00 $63,938.67 $40,213.00 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 9 — — $12,198.00 $44,090.07 $40,081.88 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 34 9 — — $39,876.00 $63,402.84 $39,876.00 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 26 9 — — $12,198.00 $43,751.60 $39,774.18 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 34 9 — — $39,534.00 $62,859.06 $39,534.00 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 26 9 — — $12,198.00 $43,407.41 $39,461.28 2026-02-28
2324 APR_DRG Gastric Fundoplication 34 9 — — $39,323.00 $62,523.57 $39,323.00 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 34 9 — — $39,311.00 $62,504.49 $39,311.00 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 34 9 — — $38,970.00 $61,962.30 $38,970.00 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 34 9 — — $38,868.00 $61,800.12 $38,868.00 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 34 9 — — $38,865.00 $61,795.35 $38,865.00 2026-02-28
4401 APR_DRG Kidney Transplant 34 9 — — $38,574.00 $61,332.66 $38,574.00 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 34 9 — — $38,536.00 $61,272.24 $38,536.00 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 26 9 — — $7,150.00 $42,340.54 $38,491.40 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 34 9 — — $38,304.00 $60,903.36 $38,304.00 2026-02-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 34 9 — — $30,600.00 $49,572.00 $38,249.00 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 9 — — $12,198.00 $42,051.24 $38,228.40 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 34 9 — — $38,198.00 $60,734.82 $38,198.00 2026-02-28
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