Price Transparency 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 SAN JUAN MEDICAL CENTER

Carmichael, CA · CCN 050516 · Rates published

16,261 distinct procedures filed
21 distinct payers
566,870 rate rows
2026-02-28 last MRF observed
Data quality

468,391 of 566,870 rate rows are consumer-grade (82.6%)

98,479 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 57,660
per-diem day rate — not a per-procedure price 36,102
template filing: same amount across many unrelated codes — excluded 3,949
exceeds 10× this hospital's gross charge — excluded from medians 667
placeholder amount (≤ $0.02) — excluded from medians 101
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-san-juan-medical-center_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 · 2026-05-18
Content fingerprint 9cd4a5b0b2884687… · 136,508,008 bytes · first seen 2026-05-09

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
6332423
CDM 		Peg-electrolyte 4l Liq 9 $166,636.80 $1,514,880.00 $1,211,904.00 nat. median
$148
outlier · 8188.5×
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 11 $11,174.00 $572,890.77 $381,927.18 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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $22,030.00 $428,154.51 $285,436.34 nat. median
$265,286
1.1× 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
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $18,973.00 $360,741.33 $240,494.22 nat. median
$206,368
1.2× 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
$164,279
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
$234,738
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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 16 $18,973.00 $491,026.31 $217,331.16 nat. median
$202,986
1.1× 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
$182,736
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
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
$145,122
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
J9347
HCPCS 		Tre-actl300mg/15mlsdvjwtb 9 $20,592.00 $187,200.00 $149,760.00 nat. median
$3,461
outlier · 43.3×
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
$187,294
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
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 16 $18,973.00 $215,272.64 $143,515.09 nat. median
$133,176
1.1× 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
$85,406
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
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $11,174.00 $199,680.63 $133,120.42 nat. median
$117,303
1.1× median
7
MS_DRG 		Lung Transplant 16 $18,973.00 $199,180.20 $132,786.80 nat. median
$122,708
1.1× 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
$102,636
1.2× median
J7330
HCPCS 		Maci Imp 56051x-61656 13 $33,910.80 $255,872.40 $120,116.70 nat. median
$76,377
1.6× 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
$91,748
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $22,030.00 $168,106.91 $112,071.27 nat. median
$108,660
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $18,973.00 $162,491.55 $108,327.70 nat. median
$100,136
1.1× 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
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $26,334.00 $159,852.95 $106,568.63 nat. median
$98,905
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
$78,029
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
215
MS_DRG 		Other Heart Assist System Implant 16 $203.41 $161,663.58 $101,848.06 nat. median
$99,019
1.0× median

Other procedures at this hospital

Browse this hospital's 16,261 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 7 6 — — $41,336.00 $41,336.00 $41,336.00 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
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 7 6 — — $41,934.00 $41,934.00 $41,934.00 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
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 7 6 — — $42,209.00 $42,209.00 $42,209.00 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
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 6 — — $42,582.00 $42,582.00 $42,582.00 2026-02-28
4401 APR_DRG Kidney Transplant 7 6 — — $42,624.00 $42,624.00 $42,624.00 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
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
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
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 6 — — $43,439.00 $43,439.00 $43,439.00 2026-02-28
2324 APR_DRG Gastric Fundoplication 7 6 — — $43,453.00 $43,453.00 $43,453.00 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
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
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
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $44,562.00 $44,562.00 $44,562.00 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
1793 APR_DRG Defibrillator Implants 7 6 — — $44,620.00 $44,620.00 $44,620.00 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
2304 APR_DRG Major Small Bowel Procedures 7 6 — — $45,034.00 $45,034.00 $45,034.00 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
6954 APR_DRG Chemotherapy For Acute Leukemia 7 6 — — $45,699.00 $45,699.00 $45,699.00 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
1781 APR_DRG External Heart Assist Systems 7 6 — — $46,398.00 $46,398.00 $46,398.00 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
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
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
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
4014 APR_DRG Adrenal Procedures 7 6 — — $47,237.00 $47,237.00 $47,237.00 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
4402 APR_DRG Kidney Transplant 7 6 — — $47,537.00 $47,537.00 $47,537.00 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
1814 APR_DRG Lower Extremity Arterial Procedures 7 6 — — $47,894.00 $47,894.00 $47,894.00 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
2614 APR_DRG Major Biliary Tract Procedures 7 6 — — $48,329.00 $48,329.00 $48,329.00 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
274 APR_DRG Other Open Craniotomy 7 6 — — $49,262.00 $49,262.00 $49,262.00 2026-02-28
8633 APR_DRG Neonatal Aftercare 7 6 — — $39,925.00 $49,907.00 $44,916.00 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
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 6 — — $50,700.00 $50,700.00 $50,700.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 7 6 — — $50,752.00 $50,752.00 $50,752.00 2026-02-28
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
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
4414 APR_DRG Major Bladder Procedures 7 6 — — $51,399.00 $51,399.00 $51,399.00 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
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
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
204 APR_DRG Open Craniotomy For Trauma 7 6 — — $52,193.00 $52,193.00 $52,193.00 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
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
894 APR_DRG Major Cranial Or Facial Bone Procedures 7 6 — — $52,397.00 $52,397.00 $52,397.00 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $52,578.00 $52,578.00 $52,578.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 7 6 — — $53,120.00 $53,120.00 $53,120.00 2026-02-28
6904 APR_DRG Acute Leukemia 7 6 — — $53,130.00 $53,130.00 $53,130.00 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
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
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
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
4403 APR_DRG Kidney Transplant 7 6 — — $54,068.00 $54,068.00 $54,068.00 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
234 APR_DRG Spinal Procedures 7 6 — — $55,265.00 $55,265.00 $55,265.00 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
3209301 CDM Kit/pack Disp10082x-11090 15 8 $55,450.00 $15,193.30 73% off $6,099.50 $55,450.00 $41,587.50 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 7 6 — — $55,565.00 $55,565.00 $55,565.00 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
1694 APR_DRG Major Abdominal Vascular Procedures 7 6 — — $56,761.00 $56,761.00 $56,761.00 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
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
1783 APR_DRG External Heart Assist Systems 7 6 — — $57,181.00 $57,181.00 $57,181.00 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
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
11 APR_DRG Liver Transplant And/or Intestinal Transplant 7 6 — — $60,565.00 $60,565.00 $60,565.00 2026-02-28
3706200 CDM Inst/supp Ste11090x-12199 15 8 $60,995.00 $16,712.63 73% off $6,709.45 $60,995.00 $45,746.25 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
61 APR_DRG Pancreas Transplant 7 6 — — $61,610.00 $61,610.00 $61,610.00 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
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
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
791 MS_DRG Prematurity With Major Problems 23 16 — — $11,174.00 $62,565.98 $41,710.65 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 16 — — $18,973.00 $62,679.71 $41,786.47 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
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 16 — — $25,889.00 $62,923.86 $41,949.24 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 16 — — $18,973.00 $63,230.18 $42,153.45 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 23 16 — — $18,973.00 $63,322.68 $42,215.12 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
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
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 6 — — $63,835.00 $63,835.00 $63,835.00 2026-02-28
1794 APR_DRG Defibrillator Implants 7 6 — — $63,930.00 $63,930.00 $63,930.00 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 16 — — $18,973.00 $64,094.55 $41,533.78 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
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
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 23 16 — — $18,973.00 $64,532.79 $43,021.86 2026-02-28
3666729 CDM Closure Impl 12199x-13419 39 16 $67,095.00 $18,384.03 73% off $7,380.45 $65,082.15 $43,611.75 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 23 16 — — $18,973.00 $65,133.30 $43,422.20 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 16 — — $18,973.00 $65,686.80 $43,791.20 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
0823T CPT Ins Tcat 1chmr Ldls Pm Ra 14 10 $66,386.00 $18,189.77 73% off $2,846.00 $66,386.00 $49,789.50 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 23 16 — — $22,687.00 $66,479.90 $44,319.93 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
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 16 — — $11,174.00 $66,614.87 $44,409.91 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $66,666.00 $66,666.00 $66,666.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 6 — — $66,715.00 $66,715.00 $66,715.00 2026-02-28
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
J9298 HCPCS Ni/re-r240/80mg20mlsdjwtb 15 9 $67,048.00 $18,371.16 73% off $7,375.28 $67,048.00 $53,638.40 2026-02-28
3209469 CDM Inst/supp Ste12199x-13419 15 8 $67,095.00 $18,384.03 73% off $7,380.45 $67,095.00 $50,321.25 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 16 — — $18,973.00 $67,614.20 $43,293.60 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
12 APR_DRG Liver Transplant And/or Intestinal Transplant 7 6 — — $67,950.00 $67,950.00 $67,950.00 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 23 16 — — $18,973.00 $68,185.89 $45,457.26 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $68,811.00 $68,811.00 $68,811.00 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 16 — — $18,973.00 $69,007.80 $46,005.20 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
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 16 — — $18,973.00 $69,415.73 $46,277.15 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 16 — — $18,973.00 $70,633.43 $47,088.95 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $18,973.00 $70,644.03 $44,808.51 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 16 — — $18,973.00 $70,866.95 $47,244.63 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 23 16 — — $18,973.00 $70,895.76 $47,263.84 2026-02-28
02RG4JZ OTHER Da Vinci Cardiac 6 6 — — $70,967.00 $70,967.00 $70,967.00 2026-02-28
02RG0KZ OTHER Da Vinci Cardiac 6 6 — — $70,967.00 $70,967.00 $70,967.00 2026-02-28
027G04Z OTHER Cardiovascular Surgery 2 7 6 — — $50,691.00 $70,967.00 $60,829.00 2026-02-28
02RG4KZ OTHER Coronary Surgery 7 6 — — $50,691.00 $70,967.00 $60,829.00 2026-02-28
02RG37Z OTHER Cardiovascular Surgery 7 6 — — $40,553.00 $70,967.00 $55,760.00 2026-02-28
02VG0ZZ OTHER Da Vinci Cardiac 8 6 — — $40,553.00 $70,967.00 $55,760.00 2026-02-28
02QG0ZZ OTHER Cardiovascular Surgery 8 6 — — $40,553.00 $70,967.00 $55,760.00 2026-02-28
02NG3ZZ OTHER Da Vinci Cardiac 8 6 — — $40,553.00 $70,967.00 $55,760.00 2026-02-28
02NG4ZZ OTHER Da Vinci Cardiac 8 6 — — $40,553.00 $70,967.00 $55,760.00 2026-02-28
02RG08Z OTHER Cardiovascular Surgery 8 6 — — $40,553.00 $70,967.00 $55,760.00 2026-02-28
02RG3KZ OTHER Da Vinci Cardiac 7 6 — — $40,553.00 $70,967.00 $55,760.00 2026-02-28
02RG48Z OTHER Da Vinci Cardiac 7 6 — — $40,553.00 $70,967.00 $55,760.00 2026-02-28
027G0DZ OTHER Cardiovascular Surgery 7 6 — — $40,553.00 $70,967.00 $55,760.00 2026-02-28
02CG3ZZ OTHER Da Vinci Cardiac 8 6 — — $40,553.00 $70,967.00 $55,760.00 2026-02-28
02CG4ZZ OTHER Da Vinci Cardiac 8 6 — — $40,553.00 $70,967.00 $55,760.00 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 16 — — $22,030.00 $71,543.28 $46,786.64 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
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 6 — — $71,805.00 $71,805.00 $71,805.00 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
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 16 — — $18,973.00 $71,961.81 $47,974.54 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 16 — — $18,973.00 $72,343.97 $45,658.49 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
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 16 — — $18,973.00 $73,090.05 $48,726.70 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 23 16 — — $18,973.00 $73,103.70 $48,735.80 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 16 — — $18,973.00 $73,417.59 $48,945.06 2026-02-28
3666853 CDM Inst/supp Ste13419x-14761 15 8 $73,805.00 $20,222.57 73% off $8,118.55 $73,805.00 $55,353.75 2026-02-28
62 APR_DRG Pancreas Transplant 7 6 — — $74,166.00 $74,166.00 $74,166.00 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 23 16 — — $18,973.00 $74,535.21 $49,690.14 2026-02-28
1784 APR_DRG External Heart Assist Systems 7 6 — — $74,624.00 $74,624.00 $74,624.00 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 23 16 — — $22,687.00 $74,658.05 $49,772.03 2026-02-28
245 MS_DRG Aicd Generator Procedures 25 16 — — $18,973.00 $75,105.39 $47,039.19 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
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 16 — — $18,973.00 $76,568.75 $47,770.88 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 16 — — $18,973.00 $76,841.72 $51,227.81 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 16 — — $22,030.00 $76,872.05 $49,451.03 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 16 — — $11,174.00 $76,931.18 $51,287.45 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 16 — — $18,973.00 $77,381.57 $48,177.29 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
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 23 16 — — $87.77 $78,019.98 $52,013.32 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 16 — — $22,687.00 $78,256.55 $52,171.03 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 16 — — $18,973.00 $78,838.86 $48,905.93 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 16 — — $26,334.00 $79,098.17 $52,732.11 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
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $18,973.00 $81,321.26 $50,147.13 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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 16 — — $91.94 $81,677.63 $50,325.32 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 23 16 — — $18,973.00 $82,816.47 $55,210.98 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 16 — — $18,973.00 $82,825.56 $55,217.04 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 16 — — $18,973.00 $82,902.90 $55,268.60 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 23 16 — — $18,973.00 $83,322.96 $55,548.64 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 16 — — $18,973.00 $83,511.00 $55,674.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 16 — — $26,334.00 $83,956.83 $55,971.22 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 16 — — $26,334.00 $84,466.35 $56,310.90 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $84,634.00 $84,634.00 $84,634.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 23 16 — — $11,174.00 $84,818.16 $56,545.44 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
653 MS_DRG Major Bladder Procedures With Mcc 23 16 — — $18,973.00 $85,535.45 $57,023.63 2026-02-28
4404 APR_DRG Kidney Transplant 7 6 — — $86,526.00 $86,526.00 $86,526.00 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
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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 23 16 — — $22,687.00 $88,034.52 $58,689.68 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
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
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 16 — — $18,973.00 $89,291.66 $59,527.77 2026-02-28
3706499 CDM Inst/supp Ste16237x-17861 15 8 $89,305.00 $24,469.57 73% off $9,823.55 $89,305.00 $66,978.75 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 16 — — $18,973.00 $90,230.33 $54,601.67 2026-02-28
63 APR_DRG Pancreas Transplant 7 6 — — $90,289.00 $90,289.00 $90,289.00 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 23 16 — — $11,174.00 $91,149.29 $60,766.19 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $18,973.00 $91,217.52 $55,095.26 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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 16 — — $18,973.00 $91,846.85 $55,409.93 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
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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 23 16 — — $11,174.00 $92,530.76 $61,687.17 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 23 16 — — $11,174.00 $92,530.76 $61,687.17 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 32 16 — — $16,599.00 $93,191.93 $54,895.46 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
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 24 16 — — $22,030.00 $93,406.56 $43,810.64 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 16 — — $18,973.00 $93,634.73 $56,303.86 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 16 — — $22,687.00 $94,059.33 $62,706.22 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 16 — — $18,973.00 $94,385.36 $62,923.57 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
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 16 — — $22,030.00 $94,812.99 $59,076.84 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 16 — — $22,030.00 $94,934.31 $59,145.39 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 16 — — $18,973.00 $96,904.16 $64,602.77 2026-02-28
3706229 CDM Inst/supp Ste17861x-19647 15 8 $98,235.00 $26,916.39 73% off $10,805.85 $98,235.00 $73,676.25 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
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $18,973.00 $98,930.12 $58,951.56 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 16 — — $11,174.00 $99,071.15 $66,047.43 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
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 16 — — $18,973.00 $102,110.09 $60,541.54 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 23 16 — — $18,973.00 $102,281.45 $68,187.63 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
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 16 — — $26,334.00 $102,672.69 $68,448.46 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
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 16 — — $16,599.00 $104,547.00 $60,573.00 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
33287 CPT Rem Rep Phr Nrv Stim Gen 12 10 $106,229.00 $29,106.75 73% off $2,846.00 $106,229.00 $68,517.71 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 16 — — $11,174.00 $106,491.08 $70,994.05 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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 16 — — $22,030.00 $108,166.74 $66,621.71 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 16 — — $26,334.00 $108,708.11 $72,472.07 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
64 APR_DRG Pancreas Transplant 7 6 — — $114,046.00 $114,046.00 $114,046.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 16 — — $18,973.00 $114,190.02 $76,126.68 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
C2624 HCPCS Wrless Sens 17861x-19647 137 16 $108,055.00 $29,607.07 73% off $2,584.45 $115,294.20 $60,510.80 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
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $18,973.00 $118,334.45 $68,653.73 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 16 — — $18,973.00 $119,530.91 $69,251.96 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 16 — — $18,973.00 $121,212.63 $80,808.42 2026-02-28
10 MS_DRG Pancreas Transplant 23 16 — — $18,973.00 $121,905.65 $81,270.43 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 16 — — $16,599.00 $123,241.62 $69,920.31 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
C1722 HCPCS Icd Single 10082x-11090 524 16 $73,805.00 $20,222.57 73% off $3,280.75 $126,822.65 $41,990.88 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 16 — — $26,334.00 $127,480.07 $84,986.71 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
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 23 16 — — $22,687.00 $129,430.20 $86,286.80 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 16 — — $18,973.00 $129,501.48 $74,237.24 2026-02-28
4848967 CDM Cath Other 23772x-26149 15 8 $130,745.00 $35,824.13 73% off $14,381.95 $130,745.00 $98,058.75 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
8634 APR_DRG Neonatal Aftercare 7 6 — — $74,967.00 $134,940.00 $104,953.50 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
1611 APR_DRG Implantable Heart Assist Systems 7 6 — — $136,065.00 $136,065.00 $136,065.00 2026-02-28
6320188 CDM Carmustine Polife 7.7mg 45 9 $121,484.00 $33,286.62 73% off $10,235.83 $139,366.00 $93,053.00 2026-02-28
C1823 HCPCS Nrstm Trn S/s26149x-28764 41 16 $143,820.00 $39,406.68 73% off $15,820.20 $139,505.40 $80,539.20 2026-02-28
C1825 HCPCS Nrstm Crsn Br26149x-28764 41 16 $143,820.00 $39,406.68 73% off $15,820.20 $139,505.40 $80,539.20 2026-02-28
C1721 HCPCS Icd Dual 10082x-11090 451 16 $73,805.00 $20,222.57 73% off $4,265.25 $139,505.40 $42,848.50 2026-02-28
C1820 HCPCS Neurstm Rech 10082x-11090 533 16 $73,805.00 $20,222.57 73% off $882.75 $139,505.40 $41,336.20 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 22 16 — — $22,030.00 $140,692.77 $93,795.18 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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 16 — — $85.27 $142,240.94 $42,709.38 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 7 6 — — $143,054.00 $143,054.00 $143,054.00 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
23 APR_DRG Heart And/or Lung Transplant 7 6 — — $144,340.00 $144,340.00 $144,340.00 2026-02-28
33276 CPT Ins Phrenic Nrv Stim Sys 22 10 $94,115.00 $25,787.51 73% off $2,846.00 $144,375.00 $72,939.12 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $18,973.00 $147,352.97 $83,162.99 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 7 6 — — $147,645.00 $147,645.00 $147,645.00 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
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 6 — — $151,952.00 $151,952.00 $151,952.00 2026-02-28
0266T CPT Imp/rpl Car Sin Bf Ad Tot 42 18 $153,250.00 $41,990.50 73% off $1,745.00 $153,250.00 $59,135.16 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 16 — — $26,334.00 $159,852.95 $106,568.63 2026-02-28
215 MS_DRG Other Heart Assist System Implant 25 16 — — $203.41 $161,663.58 $101,848.06 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 16 — — $18,973.00 $162,491.55 $108,327.70 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 16 — — $22,030.00 $166,199.24 $99,410.07 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 16 — — $22,030.00 $168,106.91 $112,071.27 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
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
793 MS_DRG Full Term Neonate With Major Problems 23 16 — — $11,174.00 $169,986.00 $42,828.77 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 7 6 — — $178,385.00 $178,385.00 $178,385.00 2026-02-28
C1882 HCPCS Icd Not S/d 10082x-11090 574 16 $93,770.00 $25,692.98 73% off $5,545.10 $185,677.40 $52,908.57 2026-02-28
J9347 HCPCS Tre-actl300mg/15mlsdvjwtb 15 9 $187,200.00 $51,292.80 73% off $20,592.00 $187,200.00 $149,760.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 7 6 — — $151,436.00 $189,295.00 $170,365.50 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
7 MS_DRG Lung Transplant 23 16 — — $18,973.00 $199,180.20 $132,786.80 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 23 16 — — $11,174.00 $199,680.63 $133,120.42 2026-02-28
C1767 HCPCS Neurstm Nrec 10082x-11090 615 16 $98,235.00 $26,916.39 73% off $5,545.10 $204,243.20 $54,895.50 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
A9543 HCPCS Y90 Ibritumm Tx To 40mctb 36 21 $170,352.00 $46,676.45 73% off $18,738.72 $211,372.58 $93,550.97 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 23 16 — — $18,973.00 $215,272.64 $143,515.09 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
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 16 — — $16,599.00 $222,214.81 $52,056.69 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
24 APR_DRG Heart And/or Lung Transplant 7 6 — — $228,058.00 $228,058.00 $228,058.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 7 6 — — $187,000.00 $233,750.00 $210,375.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 7 6 — — $235,408.00 $235,408.00 $235,408.00 2026-02-28
J7330 HCPCS Maci Imp 56051x-61656 29 13 $308,280.00 $84,468.72 73% off $33,910.80 $255,872.40 $120,116.70 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
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
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 16 — — $16,599.00 $296,468.15 $50,708.58 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
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
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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 16 — — $18,973.00 $360,741.33 $240,494.22 2026-02-28
5833 APR_DRG Neonate With Ecmo 7 6 — — $297,996.00 $372,495.00 $335,245.50 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 16 — — $22,030.00 $428,154.51 $285,436.34 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
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 23 16 — — $18,973.00 $491,026.31 $217,331.16 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 11 — — $11,174.00 $572,890.77 $381,927.18 2026-02-28
5834 APR_DRG Neonate With Ecmo 7 6 — — $342,182.00 $615,928.00 $479,055.00 2026-02-28
6332423 CDM Peg-electrolyte 4l Liq 15 9 $1,514,880.00 $415,077.12 73% off $166,636.80 $1,514,880.00 $1,211,904.00 2026-02-28
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