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 — reason	Rows
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 via	Discovered 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.

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

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
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
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
10	MS_DRG	Pancreas Transplant	19	13	—	—	$18,895.00	$90,006.95	$82,579.19	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
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
12	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	5	—	—	$67,950.00	$67,950.00	$67,950.00	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
1204	APR_DRG	Major Respiratory And Chest Procedures	6	5	—	—	$54,503.00	$54,503.00	$54,503.00	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
13	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	5	—	—	$81,444.00	$81,444.00	$81,444.00	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
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	5	—	—	$143,137.00	$143,137.00	$143,137.00	2026-02-28
14	MS_DRG	Allogeneic Bone Marrow Transplant	19	13	—	—	$11,076.00	$147,409.76	$135,244.88	2026-02-28
140	MS_DRG	Major Head And Neck Procedures With Mcc	19	13	—	—	$18,895.00	$48,105.40	$44,135.54	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
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	5	—	—	$50,700.00	$50,700.00	$50,700.00	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
1611	APR_DRG	Implantable Heart Assist Systems	6	5	—	—	$136,065.00	$136,065.00	$136,065.00	2026-02-28
1612	APR_DRG	Implantable Heart Assist Systems	6	5	—	—	$143,054.00	$143,054.00	$143,054.00	2026-02-28
1613	APR_DRG	Implantable Heart Assist Systems	6	5	—	—	$178,385.00	$178,385.00	$178,385.00	2026-02-28
1614	APR_DRG	Implantable Heart Assist Systems	6	5	—	—	$235,408.00	$235,408.00	$235,408.00	2026-02-28
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
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
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
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
163	MS_DRG	Major Chest Procedures With Mcc	19	13	—	—	$18,895.00	$52,358.46	$48,037.62	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
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
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
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
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
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
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
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
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
1673	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	6	5	—	—	$43,439.00	$43,439.00	$43,439.00	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
1694	APR_DRG	Major Abdominal Vascular Procedures	6	5	—	—	$56,761.00	$56,761.00	$56,761.00	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
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
1754	APR_DRG	Percutaneous Cardiac Intervention Without Ami	6	5	—	—	$40,799.00	$40,799.00	$40,799.00	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
1781	APR_DRG	External Heart Assist Systems	6	5	—	—	$46,398.00	$46,398.00	$46,398.00	2026-02-28
1782	APR_DRG	External Heart Assist Systems	6	5	—	—	$50,752.00	$50,752.00	$50,752.00	2026-02-28
1783	APR_DRG	External Heart Assist Systems	6	5	—	—	$57,181.00	$57,181.00	$57,181.00	2026-02-28
1784	APR_DRG	External Heart Assist Systems	6	5	—	—	$74,624.00	$74,624.00	$74,624.00	2026-02-28
1793	APR_DRG	Defibrillator Implants	6	5	—	—	$44,620.00	$44,620.00	$44,620.00	2026-02-28
1794	APR_DRG	Defibrillator Implants	6	5	—	—	$63,930.00	$63,930.00	$63,930.00	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
1814	APR_DRG	Lower Extremity Arterial Procedures	6	5	—	—	$47,894.00	$47,894.00	$47,894.00	2026-02-28
1824	APR_DRG	Other Peripheral Vascular Procedures	6	5	—	—	$40,968.00	$40,968.00	$40,968.00	2026-02-28
1833	APR_DRG	Percutaneous Structural Cardiac Procedures	6	5	—	—	$44,562.00	$44,562.00	$44,562.00	2026-02-28
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	6	5	—	—	$66,715.00	$66,715.00	$66,715.00	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
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
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
204	APR_DRG	Open Craniotomy For Trauma	6	5	—	—	$52,193.00	$52,193.00	$52,193.00	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
21	APR_DRG	Heart And/or Lung Transplant	6	5	—	—	$85,404.00	$85,404.00	$85,404.00	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
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	19	13	—	—	$19,493.00	$122,698.39	$71,095.70	2026-02-28
214	APR_DRG	Open Craniotomy Except Trauma	6	5	—	—	$55,565.00	$55,565.00	$55,565.00	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
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
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
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
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
22	APR_DRG	Heart And/or Lung Transplant	6	5	—	—	$103,885.00	$103,885.00	$103,885.00	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
23	APR_DRG	Heart And/or Lung Transplant	6	5	—	—	$144,340.00	$144,340.00	$144,340.00	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
2304	APR_DRG	Major Small Bowel Procedures	6	5	—	—	$45,034.00	$45,034.00	$45,034.00	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
2314	APR_DRG	Major Large Bowel Procedures	6	5	—	—	$40,071.00	$40,071.00	$40,071.00	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
2324	APR_DRG	Gastric Fundoplication	6	5	—	—	$43,453.00	$43,453.00	$43,453.00	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
234	APR_DRG	Spinal Procedures	6	5	—	—	$55,265.00	$55,265.00	$55,265.00	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
24	APR_DRG	Heart And/or Lung Transplant	6	5	—	—	$228,058.00	$228,058.00	$228,058.00	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
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	19	13	—	—	$18,895.00	$50,826.24	$46,631.84	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
2614	APR_DRG	Major Biliary Tract Procedures	6	5	—	—	$48,329.00	$48,329.00	$48,329.00	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
2644	APR_DRG	Other Hepatobiliary Pancreas And Abdominal Procedures	6	5	—	—	$41,934.00	$41,934.00	$41,934.00	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
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
274	APR_DRG	Other Open Craniotomy	6	5	—	—	$49,262.00	$49,262.00	$49,262.00	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
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
28	MS_DRG	Spinal Procedures With Mcc	19	13	—	—	$18,895.00	$68,814.43	$63,135.57	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
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
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
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
304	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	6	5	—	—	$42,582.00	$42,582.00	$42,582.00	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
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
31	MS_DRG	Ventricular Shunt Procedures With Mcc	19	13	—	—	$18,895.00	$47,673.38	$43,739.17	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
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
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
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
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
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
3254	APR_DRG	Non-elective Or Complex Knee Joint Replacement	6	5	—	—	$42,209.00	$42,209.00	$42,209.00	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
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
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
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
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
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	19	13	—	—	$18,895.00	$44,294.44	$40,639.08	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
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
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
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
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
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
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
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
4014	APR_DRG	Adrenal Procedures	6	5	—	—	$47,237.00	$47,237.00	$47,237.00	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
4034	APR_DRG	Procedures For Obesity	6	5	—	—	$40,415.00	$40,415.00	$40,415.00	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
405	MS_DRG	Pancreas Liver And Shunt Procedures With Mcc	19	13	—	—	$18,895.00	$61,530.51	$56,452.75	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
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
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
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
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
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
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
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
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
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
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
4401	APR_DRG	Kidney Transplant	6	5	—	—	$42,624.00	$42,624.00	$42,624.00	2026-02-28
4402	APR_DRG	Kidney Transplant	6	5	—	—	$47,537.00	$47,537.00	$47,537.00	2026-02-28
4403	APR_DRG	Kidney Transplant	6	5	—	—	$54,068.00	$54,068.00	$54,068.00	2026-02-28
4404	APR_DRG	Kidney Transplant	6	5	—	—	$86,526.00	$86,526.00	$86,526.00	2026-02-28
4414	APR_DRG	Major Bladder Procedures	6	5	—	—	$51,399.00	$51,399.00	$51,399.00	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
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
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
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
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
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
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
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
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
471	MS_DRG	Cervical Spinal Fusion With Mcc	19	13	—	—	$20,162.00	$55,135.26	$50,585.26	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
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
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	19	13	—	—	$18,895.00	$119,961.89	$110,062.12	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
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
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
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
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
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
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
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
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
5831	APR_DRG	Neonate With Ecmo	6	5	—	—	$151,436.00	$189,295.00	$170,365.50	2026-02-28
5832	APR_DRG	Neonate With Ecmo	6	5	—	—	$187,000.00	$233,750.00	$210,375.00	2026-02-28
5833	APR_DRG	Neonate With Ecmo	6	5	—	—	$297,996.00	$372,495.00	$335,245.50	2026-02-28
5834	APR_DRG	Neonate With Ecmo	6	5	—	—	$342,182.00	$615,928.00	$479,055.00	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
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
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
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
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
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
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
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
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
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
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
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
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
6	MS_DRG	Liver Transplant Without Mcc	19	13	—	—	$18,895.00	$55,044.60	$50,502.08	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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
61	APR_DRG	Pancreas Transplant	6	5	—	—	$61,610.00	$61,610.00	$61,610.00	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
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
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
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
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
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
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
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
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
62	APR_DRG	Pancreas Transplant	6	5	—	—	$74,166.00	$74,166.00	$74,166.00	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
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
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
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
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
63	APR_DRG	Pancreas Transplant	6	5	—	—	$90,289.00	$90,289.00	$90,289.00	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
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
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
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
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
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
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
64	APR_DRG	Pancreas Transplant	6	5	—	—	$114,046.00	$114,046.00	$114,046.00	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
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
653	MS_DRG	Major Bladder Procedures With Mcc	19	13	—	—	$18,895.00	$63,163.46	$57,950.94	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
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
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
6904	APR_DRG	Acute Leukemia	6	5	—	—	$53,130.00	$53,130.00	$53,130.00	2026-02-28
6954	APR_DRG	Chemotherapy For Acute Leukemia	6	5	—	—	$45,699.00	$45,699.00	$45,699.00	2026-02-28
7	MS_DRG	Lung Transplant	19	13	—	—	$18,895.00	$147,040.42	$134,906.01	2026-02-28
71	APR_DRG	Allogeneic Bone Marrow Transplant	6	5	—	—	$52,578.00	$52,578.00	$52,578.00	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
72	APR_DRG	Allogeneic Bone Marrow Transplant	6	5	—	—	$66,666.00	$66,666.00	$66,666.00	2026-02-28
73	APR_DRG	Allogeneic Bone Marrow Transplant	6	5	—	—	$84,634.00	$84,634.00	$84,634.00	2026-02-28
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
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
74	APR_DRG	Allogeneic Bone Marrow Transplant	6	5	—	—	$147,645.00	$147,645.00	$147,645.00	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
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome Neonate	19	13	—	—	$11,076.00	$67,306.83	$61,752.38	2026-02-28
791	MS_DRG	Prematurity With Major Problems	19	13	—	—	$11,076.00	$46,210.55	$42,397.06	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
793	MS_DRG	Full Term Neonate With Major Problems	19	13	—	—	$11,076.00	$47,448.42	$43,532.77	2026-02-28
799	MS_DRG	Splenic Procedures With Mcc	19	13	—	—	$18,895.00	$53,988.05	$49,532.73	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
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
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
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
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
834	MS_DRG	Acute Leukemia With Mcc	19	13	—	—	$11,076.00	$62,634.07	$57,465.24	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
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
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	6	5	—	—	$55,578.00	$55,578.00	$55,578.00	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
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
850	MS_DRG	Acute Leukemia With Other Procedures	18	13	—	—	$19,493.00	$103,873.03	$98,074.30	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
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
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
8633	APR_DRG	Neonatal Aftercare	6	5	—	—	$39,925.00	$49,907.00	$44,916.00	2026-02-28
8634	APR_DRG	Neonatal Aftercare	6	5	—	—	$74,967.00	$134,940.00	$104,953.50	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
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
894	APR_DRG	Major Cranial Or Facial Bone Procedures	6	5	—	—	$52,397.00	$52,397.00	$52,397.00	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
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	19	13	—	—	$18,895.00	$43,985.54	$40,355.66	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
9103	APR_DRG	Craniotomy For Multiple Significant Trauma	6	5	—	—	$39,802.00	$39,802.00	$39,802.00	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
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
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
914	APR_DRG	Other Major Head And Neck Procedures	6	5	—	—	$61,759.00	$61,759.00	$61,759.00	2026-02-28
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	5	—	—	$40,175.00	$40,175.00	$40,175.00	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
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
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
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	5	—	—	$68,811.00	$68,811.00	$68,811.00	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
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	5	—	—	$151,952.00	$151,952.00	$151,952.00	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
955	MS_DRG	Craniotomy For Multiple Significant Trauma	19	13	—	—	$18,895.00	$77,195.18	$70,824.70	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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

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