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

15,728 distinct procedures filed
22 distinct payers
1,051,458 rate rows
2026-02-28 last MRF observed
Data quality

935,950 of 1,051,458 rate rows are consumer-grade (89.0%)

115,508 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 81,160
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
placeholder amount (≤ $0.02) — excluded from medians 104
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dignityhealth.org/content/dam/dignity-health/documents/mrf-json/southern-california/json/941196203_mercy-medical-center-merced_standardcharges.json?target=%22_blank%22
Found on page https://www.dignityhealth.org/central-california/locations/mercymedical-merced/patients-and-visitors/for-patients/billing-information/hospital-pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 550b29df9e987db2… · 117,533,702 bytes · first seen 2026-05-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo 13 $309,665.00 $557,398.00 $433,531.50 nat. median
$309,665
1.4× 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
$370,174
1.1× median
5833
APR_DRG 		Neonate With Ecmo 13 $269,678.00 $436,878.36 $337,098.00 nat. median
$244,017
1.4× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 13 $230,971.00 $415,747.00 $323,359.00 nat. median
$246,434
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
$265,286
1.1× 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
$206,474
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
$202,976
1.1× median
6332423
CDM 		Peg-electrolyte 4l Liq 8 $43.20 $1,477,008.00 $221,623.20 nat. median
$148
outlier · 1497.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 $156,990.00 $282,582.00 $219,786.00 nat. median
$150,721
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 13 $213,038.00 $338,730.42 $213,038.00 nat. median
$207,730
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 13 $151,838.00 $273,308.00 $212,573.00 nat. median
$151,838
1.4× median
5832
APR_DRG 		Neonate With Ecmo 13 $169,230.00 $274,152.60 $211,538.00 nat. median
$156,126
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 13 $150,323.00 $270,582.00 $210,452.50 nat. median
$164,289
1.3× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 13 $147,677.00 $265,818.00 $206,747.50 nat. median
$122,924
1.7× median
24
APR_DRG 		Heart And/or Lung Transplant 13 $206,387.00 $328,155.33 $206,387.00 nat. median
$234,729
0.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 $145,988.00 $262,779.00 $204,383.50 nat. median
$162,982
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 13 $148,138.00 $239,983.56 $185,173.00 nat. median
$182,665
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 13 $144,199.00 $233,602.38 $180,248.00 nat. median
$145,336
1.2× median
5831
APR_DRG 		Neonate With Ecmo 13 $137,045.00 $222,012.90 $171,307.00 nat. median
$144,745
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 13 $161,433.00 $256,678.47 $161,433.00 nat. median
$119,796
1.3× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 $113,900.00 $205,021.00 $159,460.50 nat. median
$109,499
1.5× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 $109,564.00 $197,214.00 $153,389.00 nat. median
$118,620
1.3× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 13 $153,008.00 $243,282.72 $153,008.00 nat. median
$160,267
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 13 $137,513.00 $218,645.67 $137,513.00 nat. median
$164,834
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $7,150.00 $150,435.31 $136,759.37 nat. median
$117,357
1.2× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 13 $134,969.00 $214,600.71 $134,969.00 nat. median
$105,658
1.3× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 13 $133,615.00 $212,447.85 $133,615.00 nat. median
$187,061
0.7× median
23
APR_DRG 		Heart And/or Lung Transplant 13 $130,623.00 $207,690.57 $130,623.00 nat. median
$93,528
1.4× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 13 $129,535.00 $205,960.65 $129,535.00 nat. median
$129,535
1.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 13 $129,460.00 $205,841.40 $129,460.00 nat. median
$85,444
1.5× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 13 $102,272.00 $165,680.64 $127,840.00 nat. median
$108,996
1.2× median
1611
APR_DRG 		Implantable Heart Assist Systems 13 $123,135.00 $195,784.65 $123,135.00 nat. median
$76,806
1.6× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 13 $98,416.00 $159,433.92 $123,021.00 nat. median
$102,919
1.2× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 13 $95,908.00 $155,370.96 $119,885.00 nat. median
$124,573
1.0× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 $85,170.00 $153,305.00 $119,237.50 nat. median
$95,507
1.2× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 $85,041.00 $137,766.42 $106,302.00 nat. median
$72,936
1.5× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 $82,767.00 $134,082.54 $103,459.00 nat. median
$86,492
1.2× median
64
APR_DRG 		Pancreas Transplant 13 $103,209.00 $164,102.31 $103,209.00 nat. median
$91,009
1.1× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 13 $79,520.00 $128,822.40 $99,399.00 nat. median
$86,338
1.2× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 13 $97,139.00 $154,451.01 $97,139.00 nat. median
$97,957
1.0× median
8634
APR_DRG 		Neonatal Aftercare 13 $67,843.00 $122,117.00 $94,980.00 nat. median
$69,502
1.4× median
22
APR_DRG 		Heart And/or Lung Transplant 13 $94,014.00 $149,482.26 $94,014.00 nat. median
$77,804
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $15,360.00 $126,626.81 $93,054.34 nat. median
$108,660
0.9× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 $92,671.00 $147,346.89 $92,671.00 nat. median
$68,217
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $15,360.00 $125,188.31 $92,040.85 nat. median
$102,358
0.9× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 13 $64,596.00 $116,273.00 $90,434.50 nat. median
$72,753
1.2× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 13 $89,206.00 $141,837.54 $89,206.00 nat. median
$69,926
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $13,002.00 $120,402.83 $88,079.76 nat. median
$98,894
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 13 $12,198.00 $162,192.63 $87,195.32 nat. median
$133,161
0.7× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 13 $62,090.00 $111,762.00 $86,926.00 nat. median
$66,146
1.3× median

Other procedures at this hospital

Browse this hospital's 15,728 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 46 13 — — $309,665.00 $557,398.00 $433,531.50 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
5833 APR_DRG Neonate With Ecmo 46 13 — — $269,678.00 $436,878.36 $337,098.00 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 46 13 — — $230,971.00 $415,747.00 $323,359.00 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
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
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
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 46 13 — — $156,990.00 $282,582.00 $219,786.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 46 13 — — $213,038.00 $338,730.42 $213,038.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 46 13 — — $151,838.00 $273,308.00 $212,573.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 46 13 — — $169,230.00 $274,152.60 $211,538.00 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 46 13 — — $150,323.00 $270,582.00 $210,452.50 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 46 13 — — $147,677.00 $265,818.00 $206,747.50 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 46 13 — — $206,387.00 $328,155.33 $206,387.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 46 13 — — $145,988.00 $262,779.00 $204,383.50 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 46 13 — — $148,138.00 $239,983.56 $185,173.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 46 13 — — $144,199.00 $233,602.38 $180,248.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 46 13 — — $137,045.00 $222,012.90 $171,307.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 46 13 — — $161,433.00 $256,678.47 $161,433.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 46 13 — — $113,900.00 $205,021.00 $159,460.50 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 46 13 — — $109,564.00 $197,214.00 $153,389.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 46 13 — — $153,008.00 $243,282.72 $153,008.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 46 13 — — $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
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 46 13 — — $134,969.00 $214,600.71 $134,969.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 46 13 — — $133,615.00 $212,447.85 $133,615.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 46 13 — — $130,623.00 $207,690.57 $130,623.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 46 13 — — $129,535.00 $205,960.65 $129,535.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 46 13 — — $129,460.00 $205,841.40 $129,460.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 46 13 — — $102,272.00 $165,680.64 $127,840.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 46 13 — — $123,135.00 $195,784.65 $123,135.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 46 13 — — $98,416.00 $159,433.92 $123,021.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 46 13 — — $95,908.00 $155,370.96 $119,885.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 46 13 — — $85,170.00 $153,305.00 $119,237.50 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 46 13 — — $85,041.00 $137,766.42 $106,302.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 46 13 — — $82,767.00 $134,082.54 $103,459.00 2026-02-28
64 APR_DRG Pancreas Transplant 46 13 — — $103,209.00 $164,102.31 $103,209.00 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 46 13 — — $79,520.00 $128,822.40 $99,399.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 46 13 — — $97,139.00 $154,451.01 $97,139.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 46 13 — — $67,843.00 $122,117.00 $94,980.00 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 46 13 — — $94,014.00 $149,482.26 $94,014.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 36 13 — — $15,360.00 $126,626.81 $93,054.34 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 46 13 — — $92,671.00 $147,346.89 $92,671.00 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 36 13 — — $15,360.00 $125,188.31 $92,040.85 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 46 13 — — $64,596.00 $116,273.00 $90,434.50 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 46 13 — — $89,206.00 $141,837.54 $89,206.00 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 13 — — $13,002.00 $120,402.83 $88,079.76 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 38 13 — — $12,198.00 $162,192.63 $87,195.32 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 46 13 — — $62,090.00 $111,762.00 $86,926.00 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 46 13 — — $84,380.00 $134,164.20 $84,380.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 46 13 — — $83,517.00 $132,792.03 $83,517.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 46 13 — — $83,072.00 $132,084.48 $83,072.00 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
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
63 APR_DRG Pancreas Transplant 46 13 — — $81,709.00 $129,917.31 $81,709.00 2026-02-28
7 MS_DRG Lung Transplant 38 13 — — $12,198.00 $150,057.97 $81,127.99 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 46 13 — — $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… 46 13 — — $64,092.00 $103,829.04 $80,115.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 46 13 — — $63,675.00 $103,153.50 $79,594.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 36 13 — — $15,360.00 $105,954.90 $78,490.04 2026-02-28
4404 APR_DRG Kidney Transplant 46 13 — — $78,303.00 $124,501.77 $78,303.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 46 13 — — $77,288.00 $122,887.92 $77,288.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 46 13 — — $76,592.00 $121,781.28 $76,592.00 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
13 APR_DRG Liver Transplant And/or Intestinal Transplant 46 13 — — $73,704.00 $117,189.36 $73,704.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 46 13 — — $52,627.00 $94,729.00 $73,678.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 46 13 — — $58,175.00 $94,243.50 $72,719.00 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
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 36 13 — — $13,002.00 $95,991.71 $70,881.02 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 46 13 — — $50,453.00 $90,816.00 $70,634.50 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 46 13 — — $70,285.00 $111,753.15 $70,285.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 46 13 — — $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… 46 13 — — $54,955.00 $89,027.10 $68,694.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 46 13 — — $67,533.00 $107,377.47 $67,533.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 38 13 — — $12,198.00 $122,392.49 $67,295.24 2026-02-28
62 APR_DRG Pancreas Transplant 46 13 — — $67,118.00 $106,717.62 $67,118.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 38 13 — — $12,198.00 $121,768.15 $66,983.07 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 46 13 — — $47,479.00 $85,462.00 $66,470.50 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 46 13 — — $65,623.00 $104,340.57 $65,623.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 46 13 — — $46,514.00 $83,725.00 $65,119.50 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 46 13 — — $65,103.00 $103,513.77 $65,103.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 46 13 — — $64,981.00 $103,319.79 $64,981.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 46 13 — — $64,857.00 $103,122.63 $64,857.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 46 13 — — $62,272.00 $99,012.48 $62,272.00 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 46 13 — — $44,075.00 $79,334.00 $61,704.50 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 13 — — $12,198.00 $110,977.08 $61,587.54 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 46 13 — — $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 46 13 — — $61,288.00 $97,447.92 $61,288.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 36 13 — — $15,360.00 $81,428.29 $61,209.93 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 13 — — $13,002.00 $81,836.51 $60,908.04 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 46 13 — — $48,431.00 $78,458.22 $60,538.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 46 13 — — $60,375.00 $95,996.25 $60,375.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 46 13 — — $60,331.00 $95,926.29 $60,331.00 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 46 13 — — $46,628.00 $75,537.36 $58,285.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 46 13 — — $58,078.00 $92,344.02 $58,078.00 2026-02-28
1794 APR_DRG Defibrillator Implants 46 13 — — $57,855.00 $91,989.45 $57,855.00 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 46 13 — — $57,769.00 $91,852.71 $57,769.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 36 13 — — $13,002.00 $77,285.44 $57,701.61 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 46 13 — — $57,690.00 $91,727.10 $57,690.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 46 13 — — $57,308.00 $91,119.72 $57,308.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 46 13 — — $45,477.00 $73,672.74 $56,846.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 46 13 — — $56,540.00 $89,898.60 $56,540.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 46 13 — — $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 46 13 — — $55,890.00 $88,865.10 $55,890.00 2026-02-28
61 APR_DRG Pancreas Transplant 46 13 — — $55,755.00 $88,650.45 $55,755.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 38 13 — — $12,198.00 $97,515.97 $54,856.99 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 46 13 — — $54,809.00 $87,146.31 $54,809.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 36 13 — — $15,360.00 $71,450.24 $54,179.94 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 36 13 — — $15,360.00 $71,358.76 $54,115.49 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 46 13 — — $53,959.00 $85,794.81 $53,959.00 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 38 13 — — $10,326.00 $97,462.24 $53,894.12 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 38 13 — — $12,198.00 $63,307.52 $52,552.10 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 38 13 — — $12,198.00 $92,795.67 $52,496.83 2026-02-28
10 MS_DRG Pancreas Transplant 38 13 — — $12,198.00 $91,788.26 $51,993.13 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 46 13 — — $41,490.00 $67,213.80 $51,863.00 2026-02-28
1783 APR_DRG External Heart Assist Systems 46 13 — — $51,748.00 $82,279.32 $51,748.00 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 38 13 — — $12,198.00 $91,265.68 $51,731.84 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 46 13 — — $51,543.00 $81,953.37 $51,543.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 46 13 — — $51,481.00 $81,854.79 $51,481.00 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 46 13 — — $51,367.00 $81,673.53 $51,367.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 13 — — $12,198.00 $89,997.56 $51,097.78 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 13 — — $12,198.00 $89,095.35 $50,646.68 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 46 13 — — $50,296.00 $79,970.64 $50,296.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 46 13 — — $50,285.00 $79,953.15 $50,285.00 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 46 13 — — $40,023.00 $64,837.26 $50,029.00 2026-02-28
234 APR_DRG Spinal Procedures 46 13 — — $50,013.00 $79,520.67 $50,013.00 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 46 13 — — $49,323.00 $78,423.57 $49,323.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 38 13 — — $12,198.00 $85,970.21 $49,084.11 2026-02-28
4403 APR_DRG Kidney Transplant 46 13 — — $48,930.00 $77,798.70 $48,930.00 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 46 13 — — $39,049.00 $63,259.38 $48,811.00 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 46 13 — — $34,773.00 $62,592.00 $48,682.50 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 46 13 — — $48,451.00 $77,037.09 $48,451.00 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 46 13 — — $38,756.00 $62,784.72 $48,445.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 46 13 — — $48,436.00 $77,013.24 $48,436.00 2026-02-28
6904 APR_DRG Acute Leukemia 46 13 — — $48,081.00 $76,448.79 $48,081.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 46 13 — — $48,072.00 $76,434.48 $48,072.00 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 13 — — $13,002.00 $63,556.76 $48,029.12 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 36 13 — — $13,002.00 $63,172.55 $47,758.43 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 46 13 — — $47,582.00 $75,655.38 $47,582.00 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 46 13 — — $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 46 13 — — $47,272.00 $75,162.48 $47,272.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 46 13 — — $47,240.00 $75,111.60 $47,240.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 46 13 — — $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 46 13 — — $37,759.00 $61,169.58 $47,199.00 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 46 13 — — $33,426.00 $60,167.00 $46,796.50 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 46 13 — — $46,725.00 $74,292.75 $46,725.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 46 13 — — $46,651.00 $74,175.09 $46,651.00 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 46 13 — — $33,280.00 $59,904.00 $46,592.00 2026-02-28
4414 APR_DRG Major Bladder Procedures 46 13 — — $46,515.00 $73,958.85 $46,515.00 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 46 13 — — $46,300.00 $73,617.00 $46,300.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 46 13 — — $46,004.00 $73,146.36 $46,004.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 46 13 — — $45,929.00 $73,027.11 $45,929.00 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 46 13 — — $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
955 MS_DRG Craniotomy For Multiple Significant Trauma 38 13 — — $12,198.00 $78,698.79 $45,448.39 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 46 13 — — $36,181.00 $58,613.22 $45,226.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 36 13 — — $13,002.00 $59,508.83 $45,177.17 2026-02-28
8633 APR_DRG Neonatal Aftercare 46 13 — — $36,131.00 $58,532.22 $45,164.00 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 38 13 — — $12,198.00 $76,990.42 $44,594.21 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 36 13 — — $15,360.00 $57,830.19 $44,584.00 2026-02-28
274 APR_DRG Other Open Craniotomy 46 13 — — $44,581.00 $70,883.79 $44,581.00 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 38 13 — — $12,198.00 $76,861.21 $44,529.61 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 46 13 — — $43,961.00 $69,897.99 $43,961.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 46 13 — — $43,736.00 $69,540.24 $43,736.00 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 38 13 — — $7,150.00 $80,164.74 $43,657.37 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 46 13 — — $43,531.00 $69,214.29 $43,531.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 46 13 — — $43,343.00 $68,915.37 $43,343.00 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 13 — — $12,198.00 $74,463.32 $43,330.66 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 46 13 — — $43,256.00 $68,777.04 $43,256.00 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 46 13 — — $30,797.00 $55,434.00 $43,115.50 2026-02-28
4402 APR_DRG Kidney Transplant 46 13 — — $43,020.00 $68,401.80 $43,020.00 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 46 13 — — $42,892.00 $68,198.28 $42,892.00 2026-02-28
4014 APR_DRG Adrenal Procedures 46 13 — — $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 46 13 — — $34,178.00 $55,368.36 $42,722.00 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 38 13 — — $12,198.00 $72,935.63 $42,566.82 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 46 13 — — $42,073.00 $66,896.07 $42,073.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 46 13 — — $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… 46 13 — — $33,610.00 $54,448.20 $42,013.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 46 13 — — $41,989.00 $66,762.51 $41,989.00 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 46 13 — — $41,863.00 $66,562.17 $41,863.00 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 36 13 — — $15,360.00 $53,811.98 $41,752.99 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 38 13 — — $12,198.00 $71,036.30 $41,617.15 2026-02-28
8E0YXCZ OTHER Da Vinci Non Cardiac 18 6 — — $26,996.00 $56,123.00 $41,559.50 2026-02-28
8E0Y4CZ 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
8E0X4CZ 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
8E0WXCZ 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
8E0W0CZ 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
8E098CZ 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
8E0W8CZ 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
6954 APR_DRG Chemotherapy For Acute Leukemia 46 13 — — $41,356.00 $65,756.04 $41,356.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 38 13 — — $12,198.00 $70,470.27 $41,334.14 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 38 13 — — $12,198.00 $70,136.38 $41,167.19 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 46 13 — — $41,146.00 $65,422.14 $41,146.00 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 46 13 — — $32,820.00 $53,168.40 $41,024.00 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 46 13 — — $32,702.00 $52,977.24 $40,878.00 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 38 13 — — $7,150.00 $74,569.66 $40,859.83 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 46 13 — — $40,755.00 $64,800.45 $40,755.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 38 13 — — $12,198.00 $69,122.10 $40,660.05 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 38 13 — — $10,326.00 $70,790.45 $40,558.22 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 46 13 — — $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
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 13 — — $12,198.00 $68,647.56 $40,422.78 2026-02-28
1793 APR_DRG Defibrillator Implants 46 13 — — $40,380.00 $64,204.20 $40,380.00 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 46 13 — — $40,339.00 $64,139.01 $40,339.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 46 13 — — $40,327.00 $64,119.93 $40,327.00 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 46 13 — — $40,213.00 $63,938.67 $40,213.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 38 13 — — $12,198.00 $67,903.15 $40,050.57 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 46 13 — — $39,876.00 $63,402.84 $39,876.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 38 13 — — $12,198.00 $67,195.33 $39,696.67 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 46 13 — — $39,534.00 $62,859.06 $39,534.00 2026-02-28
2324 APR_DRG Gastric Fundoplication 46 13 — — $39,323.00 $62,523.57 $39,323.00 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 46 13 — — $39,311.00 $62,504.49 $39,311.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 13 — — $12,198.00 $65,855.17 $39,026.58 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 46 13 — — $38,970.00 $61,962.30 $38,970.00 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 46 13 — — $38,868.00 $61,800.12 $38,868.00 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 46 13 — — $38,865.00 $61,795.35 $38,865.00 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 36 13 — — $15,360.00 $49,323.81 $38,590.86 2026-02-28
4401 APR_DRG Kidney Transplant 46 13 — — $38,574.00 $61,332.66 $38,574.00 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 46 13 — — $38,536.00 $61,272.24 $38,536.00 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 38 13 — — $7,150.00 $69,637.81 $38,393.90 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 38 13 — — $7,150.00 $69,637.81 $38,393.90 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 46 13 — — $38,304.00 $60,903.36 $38,304.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 38 13 — — $10,326.00 $66,247.38 $38,286.69 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 38 13 — — $12,198.00 $64,362.92 $38,280.46 2026-02-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 46 13 — — $30,600.00 $49,572.00 $38,249.00 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 46 13 — — $38,198.00 $60,734.82 $38,198.00 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 46 13 — — $38,173.00 $60,695.07 $38,173.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 38 13 — — $12,198.00 $63,822.05 $38,010.03 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 46 13 — — $37,949.00 $60,338.91 $37,949.00 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 38 13 — — $7,150.00 $68,596.10 $37,873.05 2026-02-28
8E0W4CZ OTHER Da Vinci Non Cardiac 22 7 — — $19,307.00 $56,123.00 $37,715.00 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 46 13 — — $37,546.00 $59,698.14 $37,546.00 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 38 13 — — $12,198.00 $62,836.37 $37,517.18 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 38 13 — — $12,198.00 $62,694.57 $37,446.29 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 46 13 — — $37,408.00 $59,478.72 $37,408.00 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 46 13 — — $37,355.00 $59,394.45 $37,355.00 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 46 13 — — $37,338.00 $59,367.42 $37,338.00 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 13 — — $12,198.00 $62,377.83 $37,287.92 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 38 13 — — $12,198.00 $62,319.51 $37,258.75 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 38 13 — — $12,198.00 $62,312.65 $37,255.32 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 46 13 — — $37,234.00 $59,202.06 $37,234.00 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 46 13 — — $37,075.00 $58,949.25 $37,075.00 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 46 13 — — $36,922.00 $58,705.98 $36,922.00 2026-02-28
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 46 13 — — $36,921.00 $58,704.39 $36,921.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 38 13 — — $12,198.00 $61,453.89 $36,825.94 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 46 13 — — $36,741.00 $58,418.19 $36,741.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 13 — — $12,198.00 $61,185.17 $36,691.58 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 36 13 — — $13,002.00 $47,312.41 $36,584.24 2026-02-28
4034 APR_DRG Procedures For Obesity 46 13 — — $36,575.00 $58,154.25 $36,575.00 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 46 13 — — $36,479.00 $58,001.61 $36,479.00 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 46 13 — — $36,358.00 $57,809.22 $36,358.00 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 46 13 — — $36,264.00 $57,659.76 $36,264.00 2026-02-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 46 13 — — $36,019.00 $57,270.21 $36,019.00 2026-02-28
6504 APR_DRG Splenectomy 46 13 — — $35,913.00 $57,101.67 $35,913.00 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 46 13 — — $35,786.00 $56,899.74 $35,786.00 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 46 13 — — $35,768.00 $56,871.12 $35,768.00 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 38 13 — — $12,198.00 $59,313.29 $35,755.64 2026-02-28
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 46 13 — — $25,495.00 $45,891.00 $35,693.00 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 46 13 — — $35,639.00 $56,666.01 $35,639.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 38 13 — — $7,150.00 $63,822.05 $35,486.03 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 38 13 — — $12,198.00 $58,695.81 $35,446.90 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 46 13 — — $35,387.00 $56,265.33 $35,387.00 2026-02-28
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 46 13 — — $28,257.00 $45,776.34 $35,322.00 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 38 13 — — $12,198.00 $58,214.40 $35,206.20 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 36 13 — — $13,002.00 $45,353.63 $35,204.19 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 46 13 — — $35,191.00 $55,953.69 $35,191.00 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 46 13 — — $35,173.00 $55,925.07 $35,173.00 2026-02-28
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 46 13 — — $28,122.00 $45,557.64 $35,153.00 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 46 13 — — $34,985.00 $55,626.15 $34,985.00 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 46 13 — — $34,971.00 $55,603.89 $34,971.00 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 38 13 — — $12,198.00 $57,601.49 $34,899.75 2026-02-28
913 APR_DRG Other Major Head And Neck Procedures 46 13 — — $34,859.00 $55,425.81 $34,859.00 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 46 13 — — $34,751.00 $55,254.09 $34,751.00 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 46 13 — — $34,720.00 $55,204.80 $34,720.00 2026-02-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 46 13 — — $34,695.00 $55,165.05 $34,695.00 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 38 13 — — $10,326.00 $58,874.19 $34,600.10 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 46 13 — — $34,572.00 $54,969.48 $34,572.00 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 46 13 — — $34,560.00 $54,950.40 $34,560.00 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 46 13 — — $34,539.00 $54,917.01 $34,539.00 2026-02-28
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 46 13 — — $27,584.00 $44,686.08 $34,480.00 2026-02-28
C1824 HCPCS Gener Ccm 21611x-23772 100 12 $47,653.00 $24,541.29 49% off $10,438.32 $49,922.00 $34,469.01 2026-02-28
C1735 HCPCS Cth IV Rd Rf14761x-16237 50 12 $46,497.00 $23,945.96 48% off $10,694.31 $46,497.00 $34,407.78 2026-02-28
02B73ZK OTHER Cardiovascular Surgery 12 5 — — $34,405.00 $34,405.00 $34,405.00 2026-02-28
02CF4ZZ OTHER Cardiovascular Surgery 12 5 — — $34,405.00 $34,405.00 $34,405.00 2026-02-28
02B73ZZ OTHER Ip Rf Ablation 12 5 — — $34,405.00 $34,405.00 $34,405.00 2026-02-28
02B63ZZ OTHER Cardiovascular Surgery 12 5 — — $34,405.00 $34,405.00 $34,405.00 2026-02-28
02H400Z OTHER Cardiovascular Surgery 12 5 — — $34,405.00 $34,405.00 $34,405.00 2026-02-28
02H640Z OTHER Cardiovascular Surgery 12 5 — — $34,405.00 $34,405.00 $34,405.00 2026-02-28
02570ZK OTHER Cardiovascular Surgery 12 5 — — $34,405.00 $34,405.00 $34,405.00 2026-02-28
02H700Z OTHER Cardiovascular Surgery 12 5 — — $34,405.00 $34,405.00 $34,405.00 2026-02-28
02B70ZK OTHER Cardiovascular Surgery 12 5 — — $34,405.00 $34,405.00 $34,405.00 2026-02-28
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