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

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Hospital

METHODIST HOSPITAL OF SACRAMENTO

Sacramento, CA · CCN 050590 · Rates published

11,591 distinct procedures filed
18 distinct payers
443,523 rate rows
2026-02-28 last MRF observed
Data quality

386,903 of 443,523 rate rows are consumer-grade (87.2%)

56,620 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 49,143
per-diem day rate — not a per-procedure price 4,053
template filing: same amount across many unrelated codes — excluded 2,378
exceeds 10× this hospital's gross charge — excluded from medians 970
placeholder amount (≤ $0.02) — excluded from medians 76
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/815009488_methodist-hospital-of-sacramento_standardcharges.json?target=%22_blank%22
Found on page https://www.dignityhealth.org/sacramento/patients-and-visitors/for-patients/billing-information/hospital-pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 201c9428e1ae64cd… · 110,680,483 bytes · first seen 2026-05-08

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 5 $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 9 $11,076.00 $422,862.23 $410,545.85 nat. median
$370,174
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $255,224.00 $459,403.00 $357,313.50 nat. median
$246,434
1.4× median
5833
APR_DRG 		Neonate With Ecmo 5 $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 13 $19,493.00 $316,037.80 $289,957.01 nat. median
$265,286
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $18,895.00 $266,282.65 $244,307.87 nat. median
$206,474
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $173,475.00 $312,255.00 $242,865.00 nat. median
$150,721
1.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $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 5 $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 5 $166,108.00 $298,994.00 $232,551.00 nat. median
$164,289
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $163,184.00 $293,731.00 $228,457.50 nat. median
$122,924
1.9× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $228,058.00 $228,058.00 $228,058.00 nat. median
$234,729
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $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… 13 $18,895.00 $240,638.97 $220,780.41 nat. median
$202,976
1.1× median
5832
APR_DRG 		Neonate With Ecmo 5 $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 5 $163,694.00 $204,617.00 $184,155.50 nat. median
$182,665
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $159,340.00 $199,175.00 $179,257.50 nat. median
$145,336
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $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 5 $125,861.00 $226,549.00 $176,205.00 nat. median
$109,499
1.6× median
5831
APR_DRG 		Neonate With Ecmo 5 $151,436.00 $189,295.00 $170,365.50 nat. median
$144,745
1.2× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $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 5 $169,074.00 $169,074.00 $169,074.00 nat. median
$160,267
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $151,952.00 $151,952.00 $151,952.00 nat. median
$164,834
0.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $149,142.00 $149,142.00 $149,142.00 nat. median
$105,658
1.4× median
J7330
HCPCS 		Maci Imp 56051x-61656 12 $51,975.00 $308,280.00 $148,494.43 nat. median
$76,329
1.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $147,645.00 $147,645.00 $147,645.00 nat. median
$187,061
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 13 $18,895.00 $158,917.63 $145,803.07 nat. median
$133,161
1.1× median
23
APR_DRG 		Heart And/or Lung Transplant 5 $144,340.00 $144,340.00 $144,340.00 nat. median
$93,528
1.5× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 5 $143,137.00 $143,137.00 $143,137.00 nat. median
$129,535
1.1× median
1612
APR_DRG 		Implantable Heart Assist Systems 5 $143,054.00 $143,054.00 $143,054.00 nat. median
$85,444
1.7× median
1611
APR_DRG 		Implantable Heart Assist Systems 5 $136,065.00 $136,065.00 $136,065.00 nat. median
$76,806
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $11,076.00 $147,409.76 $135,244.88 nat. median
$117,357
1.2× median
7
MS_DRG 		Lung Transplant 13 $18,895.00 $147,040.42 $134,906.01 nat. median
$122,708
1.1× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 $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 5 $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 5 $108,751.00 $135,938.00 $122,344.50 nat. median
$102,919
1.2× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $105,979.00 $132,474.00 $119,226.50 nat. median
$124,573
1.0× median
64
APR_DRG 		Pancreas Transplant 5 $114,046.00 $114,046.00 $114,046.00 nat. median
$91,009
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $19,493.00 $124,106.38 $113,864.60 nat. median
$108,660
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $20,162.00 $118,014.44 $111,426.25 nat. median
$98,894
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $18,895.00 $119,961.89 $110,062.12 nat. median
$100,136
1.1× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 5 $107,340.00 $107,340.00 $107,340.00 nat. median
$97,957
1.1× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $93,971.00 $117,464.00 $105,717.50 nat. median
$72,936
1.4× median
8634
APR_DRG 		Neonatal Aftercare 5 $74,967.00 $134,940.00 $104,953.50 nat. median
$69,502
1.5× median
4848967
CDM 		Cath Other 23772x-26149 7 $30,071.35 $130,745.00 $103,942.27 nat. median
$98,059
1.1× median
22
APR_DRG 		Heart And/or Lung Transplant 5 $103,885.00 $103,885.00 $103,885.00 nat. median
$77,804
1.3× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $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 5 $102,402.00 $102,402.00 $102,402.00 nat. median
$68,217
1.5× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 $71,379.00 $128,482.00 $99,930.50 nat. median
$72,753
1.4× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $87,869.00 $109,837.00 $98,853.00 nat. median
$86,338
1.1× median

Other procedures at this hospital

Browse this hospital's 11,591 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 6 5 — — $342,182.00 $615,928.00 $479,055.00 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 9 — — $11,076.00 $422,862.23 $410,545.85 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $255,224.00 $459,403.00 $357,313.50 2026-02-28
5833 APR_DRG Neonate With Ecmo 6 5 — — $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 19 13 — — $19,493.00 $316,037.80 $289,957.01 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 13 — — $18,895.00 $266,282.65 $244,307.87 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 5 — — $173,475.00 $312,255.00 $242,865.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 6 5 — — $235,408.00 $235,408.00 $235,408.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 5 — — $167,781.00 $302,006.00 $234,893.50 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 5 — — $166,108.00 $298,994.00 $232,551.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 5 — — $163,184.00 $293,731.00 $228,457.50 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 6 5 — — $228,058.00 $228,058.00 $228,058.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 5 — — $161,318.00 $290,372.00 $225,845.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 19 13 — — $18,895.00 $240,638.97 $220,780.41 2026-02-28
5832 APR_DRG Neonate With Ecmo 6 5 — — $187,000.00 $233,750.00 $210,375.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $163,694.00 $204,617.00 $184,155.50 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $159,340.00 $199,175.00 $179,257.50 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 6 5 — — $178,385.00 $178,385.00 $178,385.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 5 — — $125,861.00 $226,549.00 $176,205.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 6 5 — — $151,436.00 $189,295.00 $170,365.50 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $121,068.00 $217,923.00 $169,495.50 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 5 — — $169,074.00 $169,074.00 $169,074.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $151,952.00 $151,952.00 $151,952.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $149,142.00 $149,142.00 $149,142.00 2026-02-28
J7330 HCPCS Maci Imp 56051x-61656 27 12 $308,280.00 $88,784.64 71% off $51,975.00 $308,280.00 $148,494.43 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $147,645.00 $147,645.00 $147,645.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 19 13 — — $18,895.00 $158,917.63 $145,803.07 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 6 5 — — $144,340.00 $144,340.00 $144,340.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $143,137.00 $143,137.00 $143,137.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 6 5 — — $143,054.00 $143,054.00 $143,054.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 6 5 — — $136,065.00 $136,065.00 $136,065.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 19 13 — — $11,076.00 $147,409.76 $135,244.88 2026-02-28
7 MS_DRG Lung Transplant 19 13 — — $18,895.00 $147,040.42 $134,906.01 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $94,113.00 $169,403.00 $131,758.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 5 — — $113,011.00 $141,264.00 $127,137.50 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 5 — — $108,751.00 $135,938.00 $122,344.50 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $105,979.00 $132,474.00 $119,226.50 2026-02-28
64 APR_DRG Pancreas Transplant 6 5 — — $114,046.00 $114,046.00 $114,046.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 13 — — $19,493.00 $124,106.38 $113,864.60 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 13 — — $20,162.00 $118,014.44 $111,426.25 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 13 — — $18,895.00 $119,961.89 $110,062.12 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 5 — — $107,340.00 $107,340.00 $107,340.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 5 — — $93,971.00 $117,464.00 $105,717.50 2026-02-28
8634 APR_DRG Neonatal Aftercare 6 5 — — $74,967.00 $134,940.00 $104,953.50 2026-02-28
4848967 CDM Cath Other 23772x-26149 14 7 $130,745.00 $37,654.56 71% off $30,071.35 $130,745.00 $103,942.27 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 6 5 — — $103,885.00 $103,885.00 $103,885.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $91,458.00 $114,323.00 $102,890.50 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $102,402.00 $102,402.00 $102,402.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 5 — — $71,379.00 $128,482.00 $99,930.50 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 5 — — $87,869.00 $109,837.00 $98,853.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $98,573.00 $98,573.00 $98,573.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 18 13 — — $19,493.00 $103,873.03 $98,074.30 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $68,610.00 $123,497.00 $96,053.50 2026-02-28
A9543 HCPCS Y90 Ibritumm Tx To 40mctb 33 18 $170,352.00 $49,061.38 71% off $59,623.20 $211,372.58 $93,760.51 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $93,240.00 $93,240.00 $93,240.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 5 — — $92,287.00 $92,287.00 $92,287.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $91,795.00 $91,795.00 $91,795.00 2026-02-28
C1825 HCPCS Nrstm Crsn Br26149x-28764 40 15 $143,820.00 $41,420.16 71% off $33,078.60 $136,629.00 $90,606.60 2026-02-28
C1823 HCPCS Nrstm Trn S/s26149x-28764 40 15 $143,820.00 $41,420.16 71% off $33,078.60 $136,629.00 $90,606.60 2026-02-28
63 APR_DRG Pancreas Transplant 6 5 — — $90,289.00 $90,289.00 $90,289.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 13 — — $20,162.00 $94,121.22 $88,866.88 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 19 13 — — $20,162.00 $95,560.54 $87,674.48 2026-02-28
4404 APR_DRG Kidney Transplant 6 5 — — $86,526.00 $86,526.00 $86,526.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 6 5 — — $85,404.00 $85,404.00 $85,404.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $84,634.00 $84,634.00 $84,634.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 13 — — $18,895.00 $90,992.99 $83,483.86 2026-02-28
10 MS_DRG Pancreas Transplant 19 13 — — $18,895.00 $90,006.95 $82,579.19 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 13 — — $18,895.00 $89,495.47 $82,109.92 2026-02-28
33287 CPT Rem Rep Phr Nrv Stim Gen 10 9 $106,229.00 $30,593.96 71% off $2,859.00 $106,229.00 $81,796.33 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $81,444.00 $81,444.00 $81,444.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 5 — — $58,153.00 $104,676.00 $81,414.50 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $70,952.00 $88,690.00 $79,821.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $70,822.00 $88,527.00 $79,674.50 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 5 — — $70,362.00 $87,952.00 $79,157.00 2026-02-28
3706229 CDM Inst/supp Ste17861x-19647 14 7 $98,235.00 $28,291.68 71% off $22,594.05 $98,235.00 $78,096.82 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 5 — — $55,751.00 $100,352.00 $78,051.50 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 5 — — $77,666.00 $77,666.00 $77,666.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 13 — — $18,895.00 $84,312.33 $77,354.52 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 13 — — $20,162.00 $80,266.34 $75,785.45 2026-02-28
33276 CPT Ins Phrenic Nrv Stim Sys 18 9 $94,115.00 $27,105.12 71% off $2,859.00 $144,375.00 $75,762.57 2026-02-28
1784 APR_DRG External Heart Assist Systems 6 5 — — $74,624.00 $74,624.00 $74,624.00 2026-02-28
62 APR_DRG Pancreas Transplant 6 5 — — $74,166.00 $74,166.00 $74,166.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 5 — — $52,464.00 $94,436.00 $73,450.00 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $72,514.00 $72,514.00 $72,514.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 5 — — $64,284.00 $80,355.00 $72,319.50 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 13 — — $11,076.00 $78,630.03 $72,141.14 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 5 — — $51,398.00 $92,516.00 $71,957.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 5 — — $71,939.00 $71,939.00 $71,939.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 5 — — $71,805.00 $71,805.00 $71,805.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 5 — — $71,668.00 $71,668.00 $71,668.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 13 — — $20,162.00 $75,811.82 $71,579.60 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 13 — — $19,493.00 $122,698.39 $71,095.70 2026-02-28
3706499 CDM Inst/supp Ste16237x-17861 14 7 $89,305.00 $25,719.84 71% off $20,540.15 $89,305.00 $70,997.48 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 13 — — $18,895.00 $77,195.18 $70,824.70 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 13 — — $18,895.00 $75,523.06 $69,290.57 2026-02-28
215 MS_DRG Other Heart Assist System Implant 21 13 — — $18,895.00 $119,350.79 $69,122.90 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $68,811.00 $68,811.00 $68,811.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 5 — — $60,775.00 $75,968.00 $68,371.50 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 5 — — $60,726.00 $75,908.00 $68,317.00 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 5 — — $48,703.00 $87,665.00 $68,184.00 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $67,950.00 $67,950.00 $67,950.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 5 — — $67,724.00 $67,724.00 $67,724.00 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 13 — — $11,076.00 $73,153.66 $67,116.71 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 5 — — $66,715.00 $66,715.00 $66,715.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $66,666.00 $66,666.00 $66,666.00 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 13 — — $18,895.00 $71,554.29 $65,649.33 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $64,177.00 $64,177.00 $64,177.00 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 13 — — $18,895.00 $69,695.25 $63,943.70 2026-02-28
1794 APR_DRG Defibrillator Implants 6 5 — — $63,930.00 $63,930.00 $63,930.00 2026-02-28
C2624 HCPCS Wrless Sens 17861x-19647 133 15 $108,055.00 $31,119.84 71% off $8,223.25 $112,917.00 $63,852.75 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 13 — — $18,895.00 $108,788.67 $63,841.83 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 5 — — $63,835.00 $63,835.00 $63,835.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $63,748.00 $63,748.00 $63,748.00 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 13 — — $20,162.00 $69,454.63 $63,722.93 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 5 — — $63,325.00 $63,325.00 $63,325.00 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 19 13 — — $18,895.00 $68,814.43 $63,135.57 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 13 — — $11,076.00 $68,326.45 $62,687.86 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 13 — — $11,076.00 $68,326.45 $62,687.86 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 5 — — $62,477.00 $62,477.00 $62,477.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $62,173.00 $62,173.00 $62,173.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 6 5 — — $61,759.00 $61,759.00 $61,759.00 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 19 13 — — $11,076.00 $67,306.83 $61,752.38 2026-02-28
61 APR_DRG Pancreas Transplant 6 5 — — $61,610.00 $61,610.00 $61,610.00 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $60,565.00 $60,565.00 $60,565.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 13 — — $18,895.00 $65,935.77 $60,494.47 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 5 — — $53,516.00 $66,895.00 $60,205.50 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 19 13 — — $20,162.00 $65,007.94 $59,643.21 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 6 5 — — $59,624.00 $59,624.00 $59,624.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 13 — — $18,895.00 $64,624.05 $59,291.00 2026-02-28
0266T CPT Imp/rpl Car Sin Bf Ad Tot 31 15 $153,250.00 $44,136.00 71% off $1,500.00 $153,250.00 $59,135.16 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 13 — — $20,162.00 $62,374.41 $58,892.33 2026-02-28
3666853 CDM Inst/supp Ste13419x-14761 14 7 $73,805.00 $21,255.84 71% off $16,975.15 $73,805.00 $58,674.97 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 13 — — $20,162.00 $61,998.34 $58,537.26 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $51,524.00 $64,405.00 $57,964.50 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 19 13 — — $18,895.00 $63,163.46 $57,950.94 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 13 — — $18,895.00 $62,634.07 $57,465.24 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 19 13 — — $11,076.00 $62,634.07 $57,465.24 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 13 — — $18,895.00 $95,613.15 $57,254.07 2026-02-28
1783 APR_DRG External Heart Assist Systems 6 5 — — $57,181.00 $57,181.00 $57,181.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 5 — — $56,956.00 $56,956.00 $56,956.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 5 — — $56,887.00 $56,887.00 $56,887.00 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 6 5 — — $56,761.00 $56,761.00 $56,761.00 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 13 — — $18,895.00 $61,669.30 $56,580.08 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 5 — — $50,252.00 $62,815.00 $56,533.50 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 19 13 — — $18,895.00 $61,530.51 $56,452.75 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 13 — — $18,895.00 $61,220.49 $56,168.31 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 13 — — $18,895.00 $61,163.40 $56,115.94 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 13 — — $18,895.00 $61,156.69 $56,109.78 2026-02-28
C1767 HCPCS Neurstm Nrec 10082x-11090 600 15 $98,235.00 $28,291.68 71% off $11,594.30 $200,032.00 $55,993.95 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 5 — — $55,578.00 $55,578.00 $55,578.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 6 5 — — $55,565.00 $55,565.00 $55,565.00 2026-02-28
234 APR_DRG Spinal Procedures 6 5 — — $55,265.00 $55,265.00 $55,265.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 13 — — $20,162.00 $58,412.35 $55,151.46 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 6 5 — — $54,503.00 $54,503.00 $54,503.00 2026-02-28
C1882 HCPCS Icd Not S/d 10082x-11090 560 15 $93,770.00 $27,005.76 71% off $11,594.30 $181,849.00 $54,188.10 2026-02-28
4403 APR_DRG Kidney Transplant 6 5 — — $54,068.00 $54,068.00 $54,068.00 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $38,425.00 $69,164.00 $53,794.50 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 13 — — $18,895.00 $88,254.25 $53,574.62 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 5 — — $53,538.00 $53,538.00 $53,538.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 6 5 — — $53,522.00 $53,522.00 $53,522.00 2026-02-28
3209469 CDM Inst/supp Ste12199x-13419 14 7 $67,095.00 $19,323.36 71% off $15,431.85 $67,095.00 $53,340.53 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 13 — — $18,895.00 $87,371.18 $53,133.09 2026-02-28
6904 APR_DRG Acute Leukemia 6 5 — — $53,130.00 $53,130.00 $53,130.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 6 5 — — $53,120.00 $53,120.00 $53,120.00 2026-02-28
0823T CPT Ins Tcat 1chmr Ldls Pm Ra 13 9 $66,386.00 $19,119.17 71% off $2,859.00 $66,386.00 $53,108.80 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 19 13 — — $18,895.00 $57,616.58 $52,861.81 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $52,578.00 $52,578.00 $52,578.00 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 5 — — $52,397.00 $52,397.00 $52,397.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 6 5 — — $52,235.00 $52,235.00 $52,235.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 5 — — $52,201.00 $52,201.00 $52,201.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 6 5 — — $52,193.00 $52,193.00 $52,193.00 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 13 — — $11,076.00 $56,812.97 $52,124.52 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 13 — — $18,895.00 $56,746.94 $52,063.94 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 5 — — $36,936.00 $66,485.00 $51,710.50 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 5 — — $51,631.00 $51,631.00 $51,631.00 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 5 — — $45,847.00 $57,309.00 $51,578.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 5 — — $51,550.00 $51,550.00 $51,550.00 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 5 — — $36,774.00 $66,194.00 $51,484.00 2026-02-28
4414 APR_DRG Major Bladder Procedures 6 5 — — $51,399.00 $51,399.00 $51,399.00 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 5 — — $51,161.00 $51,161.00 $51,161.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 5 — — $50,835.00 $50,835.00 $50,835.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 6 5 — — $50,752.00 $50,752.00 $50,752.00 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 5 — — $50,700.00 $50,700.00 $50,700.00 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 19 13 — — $20,162.00 $55,135.26 $50,585.26 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 19 13 — — $18,895.00 $55,044.60 $50,502.08 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 5 — — $44,226.00 $55,282.00 $49,754.00 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 13 — — $18,895.00 $54,219.73 $49,745.29 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 13 — — $19,493.00 $79,866.77 $49,679.89 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 19 13 — — $18,895.00 $53,988.05 $49,532.73 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 13 — — $18,895.00 $53,977.98 $49,523.49 2026-02-28
274 APR_DRG Other Open Craniotomy 6 5 — — $49,262.00 $49,262.00 $49,262.00 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 13 — — $18,895.00 $53,145.28 $48,759.50 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $48,577.00 $48,577.00 $48,577.00 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $43,149.00 $53,937.00 $48,543.00 2026-02-28
3706200 CDM Inst/supp Ste11090x-12199 14 7 $60,995.00 $17,566.56 71% off $14,028.85 $60,995.00 $48,491.03 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 6 5 — — $48,329.00 $48,329.00 $48,329.00 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 5 — — $42,825.00 $53,532.00 $48,178.50 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $48,102.00 $48,102.00 $48,102.00 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 19 13 — — $18,895.00 $52,358.46 $48,037.62 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 13 — — $18,895.00 $52,337.20 $48,018.11 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 6 5 — — $47,894.00 $47,894.00 $47,894.00 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 13 — — $1,000.00 $52,164.84 $47,859.97 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 5 — — $47,798.00 $47,798.00 $47,798.00 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 6 5 — — $34,031.00 $61,255.00 $47,643.00 2026-02-28
4402 APR_DRG Kidney Transplant 6 5 — — $47,537.00 $47,537.00 $47,537.00 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 5 — — $47,395.00 $47,395.00 $47,395.00 2026-02-28
4014 APR_DRG Adrenal Procedures 6 5 — — $47,237.00 $47,237.00 $47,237.00 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 13 — — $18,895.00 $75,396.59 $47,145.79 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 13 — — $18,895.00 $51,266.09 $47,035.40 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 5 — — $41,724.00 $52,155.00 $46,939.50 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 13 — — $18,895.00 $50,965.02 $46,759.17 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 13 — — $18,895.00 $50,826.24 $46,631.84 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 6 5 — — $46,491.00 $46,491.00 $46,491.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $46,451.00 $46,451.00 $46,451.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 6 5 — — $46,398.00 $46,398.00 $46,398.00 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $46,258.00 $46,258.00 $46,258.00 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 19 13 — — $18,895.00 $50,358.40 $46,202.61 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 13 — — $20,162.00 $57,791.18 $45,999.30 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 13 — — $18,895.00 $73,049.57 $45,972.29 2026-02-28
3666729 CDM Closure Impl 12199x-13419 38 15 $67,095.00 $19,323.36 71% off $15,431.85 $63,740.25 $45,960.07 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 6 5 — — $45,699.00 $45,699.00 $45,699.00 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 5 — — $45,467.00 $45,467.00 $45,467.00 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 13 — — $11,076.00 $49,198.89 $45,138.79 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 19 13 — — $20,162.00 $49,099.28 $45,047.40 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 6 5 — — $45,034.00 $45,034.00 $45,034.00 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 5 — — $39,980.00 $49,975.00 $44,977.50 2026-02-28
8633 APR_DRG Neonatal Aftercare 6 5 — — $39,925.00 $49,907.00 $44,916.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 13 — — $19,493.00 $70,100.41 $44,796.71 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 13 — — $19,493.00 $70,010.88 $44,751.94 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 6 5 — — $44,748.00 $44,748.00 $44,748.00 2026-02-28
L8699 HCPCS Closure Laa 16237x-17861 879 15 $98,235.00 $28,291.68 71% off $14.95 $518,828.25 $44,652.50 2026-02-28
1793 APR_DRG Defibrillator Implants 6 5 — — $44,620.00 $44,620.00 $44,620.00 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 6 5 — — $44,575.00 $44,575.00 $44,575.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 5 — — $44,562.00 $44,562.00 $44,562.00 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 13 — — $18,895.00 $48,513.92 $44,510.35 2026-02-28
C1721 HCPCS Icd Dual 10082x-11090 440 15 $73,805.00 $21,255.84 71% off $8,918.25 $136,629.00 $44,443.18 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 5 — — $44,436.00 $44,436.00 $44,436.00 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 19 13 — — $18,895.00 $48,105.40 $44,135.54 2026-02-28
3209301 CDM Kit/pack Disp10082x-11090 14 7 $55,450.00 $15,969.60 71% off $12,753.50 $55,450.00 $44,082.75 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 5 — — $44,063.00 $44,063.00 $44,063.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 13 — — $18,895.00 $69,141.24 $44,018.12 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 13 — — $20,162.00 $46,474.70 $43,880.24 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 13 — — $18,895.00 $47,673.38 $43,739.17 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 13 — — $18,895.00 $47,662.19 $43,728.91 2026-02-28
C1722 HCPCS Icd Single 10082x-11090 514 15 $73,805.00 $21,255.84 71% off $6,859.75 $124,207.75 $43,708.62 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 6 5 — — $43,685.00 $43,685.00 $43,685.00 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 19 13 — — $11,076.00 $47,448.42 $43,532.77 2026-02-28
2324 APR_DRG Gastric Fundoplication 6 5 — — $43,453.00 $43,453.00 $43,453.00 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 5 — — $43,439.00 $43,439.00 $43,439.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 13 — — $18,895.00 $67,821.67 $43,358.33 2026-02-28
C2616 HCPCS Nm Brachy Sorc Yttrium-90 50 17 $80,000.00 $23,040.00 71% off $18,400.00 $76,000.00 $43,200.00 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 13 — — $18,895.00 $67,357.19 $43,126.10 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 5 — — $43,062.00 $43,062.00 $43,062.00 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 5 — — $42,949.00 $42,949.00 $42,949.00 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 5 — — $42,946.00 $42,946.00 $42,946.00 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 13 — — $18,895.00 $46,769.05 $42,909.47 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 13 — — $18,895.00 $46,700.78 $42,846.83 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 13 — — $18,895.00 $66,628.58 $42,761.79 2026-02-28
4401 APR_DRG Kidney Transplant 6 5 — — $42,624.00 $42,624.00 $42,624.00 2026-02-28
C1820 HCPCS Neurstm Rech 10082x-11090 520 15 $73,805.00 $21,255.84 71% off $1,845.75 $136,629.00 $42,585.03 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 5 — — $42,582.00 $42,582.00 $42,582.00 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 5 — — $37,767.00 $47,208.00 $42,487.50 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 13 — — $18,895.00 $46,294.50 $42,474.08 2026-02-28
791 MS_DRG Prematurity With Major Problems 19 13 — — $11,076.00 $46,210.55 $42,397.06 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 6 5 — — $42,327.00 $42,327.00 $42,327.00 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 6 5 — — $42,209.00 $42,209.00 $42,209.00 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $42,182.00 $42,182.00 $42,182.00 2026-02-28
33270 CPT Defib Subq Ins/rep W Lead 40 17 $113,889.00 $32,800.04 71% off $508.93 $113,889.00 $42,132.12 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 13 — — $20,162.00 $44,557.47 $42,070.03 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 6 5 — — $41,934.00 $41,934.00 $41,934.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 5 — — $37,139.00 $46,424.00 $41,781.50 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 13 — — $18,895.00 $45,357.70 $41,614.59 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 13 — — $18,895.00 $45,326.37 $41,585.85 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 6 5 — — $41,488.00 $41,488.00 $41,488.00 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 6 5 — — $41,336.00 $41,336.00 $41,336.00 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 6 5 — — $41,277.00 $41,277.00 $41,277.00 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 6 5 — — $41,258.00 $41,258.00 $41,258.00 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 19 13 — — $18,895.00 $44,932.41 $41,224.39 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 5 — — $41,144.00 $41,144.00 $41,144.00 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 13 — — $18,895.00 $44,841.75 $41,141.21 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 13 — — $18,895.00 $44,752.21 $41,059.06 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 6 5 — — $40,968.00 $40,968.00 $40,968.00 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 5 — — $36,266.00 $45,332.00 $40,799.00 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 6 5 — — $40,799.00 $40,799.00 $40,799.00 2026-02-28
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 5 — — $40,798.00 $40,798.00 $40,798.00 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 5 — — $36,136.00 $45,170.00 $40,653.00 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 13 — — $18,895.00 $44,294.44 $40,639.08 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $40,599.00 $40,599.00 $40,599.00 2026-02-28
L8614 HCPCS Cochlear Dvc 10082x-11090 758 15 $73,805.00 $21,255.84 71% off $495.65 $165,319.00 $40,535.50 2026-02-28
4034 APR_DRG Procedures For Obesity 6 5 — — $40,415.00 $40,415.00 $40,415.00 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 19 13 — — $18,895.00 $44,029.19 $40,395.71 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 19 13 — — $18,895.00 $43,985.54 $40,355.66 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 6 5 — — $40,309.00 $40,309.00 $40,309.00 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 13 — — $18,895.00 $43,864.67 $40,244.77 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $40,175.00 $40,175.00 $40,175.00 2026-02-28
3209145 CDM Inst/supp Ster7755x-10082 14 7 $50,410.00 $14,518.08 71% off $11,594.30 $50,410.00 $40,075.95 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 6 5 — — $40,071.00 $40,071.00 $40,071.00 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 19 13 — — $18,895.00 $43,552.40 $39,958.27 2026-02-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 6 5 — — $39,802.00 $39,802.00 $39,802.00 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 13 — — $18,895.00 $43,320.72 $39,745.71 2026-02-28
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