Price Transparencybeta Hospital negotiated rates

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

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Hospital

SAN LUIS VALLEY REGIONAL MEDICAL CENTER

Alamosa, CO · CCN 060008 · Rates published

Your selected procedure

You selected 59510 (HCPCS)

CESAREAN DELIVERY

This hospital’s price: $2,395 across 1 payer

Source: https://sanluis.pt.panaceainc.com/MRFDownload/sanluis/slvhealth · observed 2026-03-26

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

16,701 distinct procedures filed
29 distinct payers
151,439 rate rows
2026-03-26 last MRF observed
Data quality

117,949 of 151,439 rate rows are consumer-grade (77.9%)

33,490 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
professional (physician) fee — not the facility price 15,669
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,998
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,643
percent-of-charges filed in the dollar field — excluded from medians 155
exceeds 10× this hospital's gross charge — excluded from medians 9
placeholder amount (≤ $0.02) — excluded from medians 9
per-diem day rate — not a per-procedure price 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sanluis.pt.panaceainc.com/MRFDownload/sanluis/slvhealth
Found on page https://www.sanluisvalleyhealth.org/patient-center/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint 883fcc7b688f88d7… · 45,485,537 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 3 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,672,900.00 $3,685,266.66 $3,685,266.66 nat. median
$3,685,267
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,605,000.00 $3,605,000.00 $3,605,000.00 nat. median
$3,508,750
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 3 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,325,454.76 $3,327,859.72 $3,327,859.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,252,508.07 $3,286,000.00 $3,252,508.07 nat. median
$3,248,446
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 3 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,939,968.88 $2,968,000.00 $2,939,968.88 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,388,614.23 $2,588,981.22 $2,588,981.22 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $770,620.00 $1,733,895.00 $770,620.00 nat. median
$813,967
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $527,123.43 $1,322,211.53 $587,649.57 nat. median
$599,737
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $529,192.86 $1,274,695.43 $566,531.30 nat. median
$621,313
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $516,726.08 $1,264,952.79 $562,201.24 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $526,587.59 $1,255,683.87 $558,081.72 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $489,455.96 $1,197,432.54 $532,192.24 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $460,530.40 $1,101,262.95 $489,450.20 nat. median
$513,770
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $278,250.00 $626,062.50 $278,250.00 nat. median
$286,598
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 5 $277,685.70 $577,138.12 $277,685.70 nat. median
$168,055
1.7× median
J3403
HCPCS 		Revakinagene, Per Implant 4 $265,000.00 $596,250.00 $265,000.00 nat. median
$264,195
1.0× median
5834
APR_DRG 		Neonate W Ecmo 1 $253,716.23 $253,716.23 $253,716.23 nat. median
$390,362
0.6× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $228,192.00 $228,192.00 $228,192.00 nat. median
$286,698
0.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 4 $201,669.02 $453,755.30 $201,669.02 nat. median
$207,733
1.0× median
24
APR_DRG 		Heart &/or Lung Transplant 1 $198,769.68 $198,769.68 $198,769.68 nat. median
$225,531
0.9× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 1 $198,260.43 $198,260.43 $198,260.43 nat. median
$202,242
1.0× median
34
APR_DRG 		Bone Marrow Transplant 1 $187,385.58 $187,385.58 $187,385.58 nat. median
$187,752
1.0× median
5833
APR_DRG 		Neonate W Ecmo 1 $182,467.35 $182,467.35 $182,467.35 nat. median
$268,208
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $180,206.85 $374,539.42 $180,206.85 nat. median
$186,516
1.0× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 $168,845.58 $168,845.58 $168,845.58 nat. median
$135,630
1.2× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 1 $167,275.56 $167,275.56 $167,275.56 nat. median
$173,018
1.0× median
5832
APR_DRG 		Neonate W Ecmo 1 $165,878.87 $165,878.87 $165,878.87 nat. median
$201,678
0.8× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 1 $161,556.13 $161,556.13 $161,556.13 nat. median
$136,566
1.2× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $150,510.43 $150,510.43 $150,510.43 nat. median
$173,134
0.9× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 1 $139,327.87 $139,327.87 $139,327.87 nat. median
$171,497
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $137,293.75 $285,349.43 $137,293.75 nat. median
$131,925
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $136,488.01 $283,674.80 $136,488.01 nat. median
$145,435
0.9× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 1 $128,972.21 $128,972.21 $128,972.21 nat. median
$168,439
0.8× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 1 $125,475.53 $125,475.53 $125,475.53 nat. median
$198,578
0.6× median
64
APR_DRG 		Pancreas Transplant 1 $124,219.86 $124,219.86 $124,219.86 nat. median
$92,994
1.3× median
9104
APR_DRG 		Craniotomy For Multiple Significant Trauma 1 $123,646.74 $123,646.74 $123,646.74 nat. median
$56,989
outlier · 2.2×
23
APR_DRG 		Heart &/or Lung Transplant 1 $121,808.84 $121,808.84 $121,808.84 nat. median
$117,894
1.0× median
5891
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 1 $121,613.94 $121,613.94 $121,613.94 nat. median
$99,483
1.2× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 $118,907.66 $118,907.66 $118,907.66 nat. median
$91,350
1.3× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 $118,036.80 $118,036.80 $118,036.80 nat. median
$187,567
0.6× median
5892
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 1 $110,559.10 $110,559.10 $110,559.10 nat. median
$96,548
1.1× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 $110,306.97 $110,306.97 $110,306.97 nat. median
$124,731
0.9× median
5831
APR_DRG 		Neonate W Ecmo 1 $105,049.52 $105,049.52 $105,049.52 nat. median
$173,909
0.6× median
9114
APR_DRG 		Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 1 $103,389.93 $103,389.93 $103,389.93 nat. median
$54,718
1.9× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 1 $101,451.66 $101,451.66 $101,451.66 nat. median
$181,762
0.6× median
4404
APR_DRG 		Kidney Transplant 1 $101,014.57 $101,014.57 $101,014.57 nat. median
$76,896
1.3× median

Other procedures at this hospital

Browse this hospital's 16,701 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 3 3 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-03-26
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 3 — — $3,672,900.00 $3,685,266.66 $3,685,266.66 2026-03-26
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,605,000.00 $3,605,000.00 $3,605,000.00 2026-03-26
J3389 HCPCS Topi Adm Prad Zami Per Treat 3 3 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-03-26
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 3 — — $3,325,454.76 $3,327,859.72 $3,327,859.72 2026-03-26
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 3 — — $3,252,508.07 $3,286,000.00 $3,252,508.07 2026-03-26
J3387 HCPCS Inj Elivaldogene Autotemecel 3 3 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-03-26
J3393 HCPCS Inj, Betibeglogene Autotemce 4 3 — — $2,939,968.88 $2,968,000.00 $2,939,968.88 2026-03-26
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 3 — — $2,388,614.23 $2,588,981.22 $2,588,981.22 2026-03-26
J3392 HCPCS Inj, Exagamglogene Autotem 3 3 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-03-26
Q2057 HCPCS Afamitresgene Autoleucel 4 4 — — $770,620.00 $1,733,895.00 $770,620.00 2026-03-26
Q2056 HCPCS Ciltacabtagene Car-pos T 5 4 — — $527,123.43 $1,322,211.53 $587,649.57 2026-03-26
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 4 — — $529,192.86 $1,274,695.43 $566,531.30 2026-03-26
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 4 — — $516,726.08 $1,264,952.79 $562,201.24 2026-03-26
Q2055 HCPCS Idecabtagene Vicleucel Car 5 4 — — $526,587.59 $1,255,683.87 $558,081.72 2026-03-26
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 4 — — $489,455.96 $1,197,432.54 $532,192.24 2026-03-26
Q2053 HCPCS Brexucabtagene Car Pos T 5 4 — — $460,530.40 $1,101,262.95 $489,450.20 2026-03-26
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 4 — — $278,250.00 $626,062.50 $278,250.00 2026-03-26
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 5 5 — — $277,685.70 $577,138.12 $277,685.70 2026-03-26
J3403 HCPCS Revakinagene, Per Implant 4 4 — — $265,000.00 $596,250.00 $265,000.00 2026-03-26
5834 APR_DRG Neonate W Ecmo 1 1 — — $253,716.23 $253,716.23 $253,716.23 2026-03-26
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $228,192.00 $228,192.00 $228,192.00 2026-03-26
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 4 4 — — $201,669.02 $453,755.30 $201,669.02 2026-03-26
24 APR_DRG Heart &/or Lung Transplant 1 1 — — $198,769.68 $198,769.68 $198,769.68 2026-03-26
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 1 1 — — $198,260.43 $198,260.43 $198,260.43 2026-03-26
34 APR_DRG Bone Marrow Transplant 1 1 — — $187,385.58 $187,385.58 $187,385.58 2026-03-26
5833 APR_DRG Neonate W Ecmo 1 1 — — $182,467.35 $182,467.35 $182,467.35 2026-03-26
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 5 — — $180,206.85 $374,539.42 $180,206.85 2026-03-26
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 1 — — $168,845.58 $168,845.58 $168,845.58 2026-03-26
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 1 1 — — $167,275.56 $167,275.56 $167,275.56 2026-03-26
5832 APR_DRG Neonate W Ecmo 1 1 — — $165,878.87 $165,878.87 $165,878.87 2026-03-26
14 APR_DRG Liver Transplant &/or Intestinal Transplant 1 1 — — $161,556.13 $161,556.13 $161,556.13 2026-03-26
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $150,510.43 $150,510.43 $150,510.43 2026-03-26
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $139,327.87 $139,327.87 $139,327.87 2026-03-26
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 5 — — $137,293.75 $285,349.43 $137,293.75 2026-03-26
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 5 — — $136,488.01 $283,674.80 $136,488.01 2026-03-26
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $128,972.21 $128,972.21 $128,972.21 2026-03-26
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $125,475.53 $125,475.53 $125,475.53 2026-03-26
64 APR_DRG Pancreas Transplant 1 1 — — $124,219.86 $124,219.86 $124,219.86 2026-03-26
9104 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $123,646.74 $123,646.74 $123,646.74 2026-03-26
23 APR_DRG Heart &/or Lung Transplant 1 1 — — $121,808.84 $121,808.84 $121,808.84 2026-03-26
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $121,613.94 $121,613.94 $121,613.94 2026-03-26
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $118,907.66 $118,907.66 $118,907.66 2026-03-26
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $118,036.80 $118,036.80 $118,036.80 2026-03-26
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $110,559.10 $110,559.10 $110,559.10 2026-03-26
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $110,306.97 $110,306.97 $110,306.97 2026-03-26
5831 APR_DRG Neonate W Ecmo 1 1 — — $105,049.52 $105,049.52 $105,049.52 2026-03-26
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 1 1 — — $103,389.93 $103,389.93 $103,389.93 2026-03-26
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 1 1 — — $101,451.66 $101,451.66 $101,451.66 2026-03-26
4404 APR_DRG Kidney Transplant 1 1 — — $101,014.57 $101,014.57 $101,014.57 2026-03-26
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 1 1 — — $100,508.65 $100,508.65 $100,508.65 2026-03-26
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 1 1 — — $100,063.27 $100,063.27 $100,063.27 2026-03-26
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $98,790.18 $98,790.18 $98,790.18 2026-03-26
33 APR_DRG Bone Marrow Transplant 1 1 — — $98,722.17 $98,722.17 $98,722.17 2026-03-26
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $97,232.59 $97,232.59 $97,232.59 2026-03-26
1624 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 1 1 — — $95,991.83 $95,991.83 $95,991.83 2026-03-26
22 APR_DRG Heart &/or Lung Transplant 1 1 — — $94,429.29 $94,429.29 $94,429.29 2026-03-26
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 1 — — $93,819.68 $93,819.68 $93,819.68 2026-03-26
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $92,981.18 $92,981.18 $92,981.18 2026-03-26
8424 APR_DRG Full Thickness Burns W Skin Graft 1 1 — — $92,325.97 $92,325.97 $92,325.97 2026-03-26
1634 APR_DRG Cardiac Valve Procedures Without Cardiac Catheterization 1 1 — — $89,330.24 $89,330.24 $89,330.24 2026-03-26
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 5 — — $89,071.01 $185,123.96 $89,071.01 2026-03-26
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $87,207.85 $87,207.85 $87,207.85 2026-03-26
8634 APR_DRG Neonatal Aftercare 1 1 — — $87,015.44 $87,015.44 $87,015.44 2026-03-26
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 1 1 — — $85,588.07 $85,588.07 $85,588.07 2026-03-26
13 APR_DRG Liver Transplant &/or Intestinal Transplant 1 1 — — $85,160.11 $85,160.11 $85,160.11 2026-03-26
21 APR_DRG Heart &/or Lung Transplant 1 1 — — $84,795.19 $84,795.19 $84,795.19 2026-03-26
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $83,740.20 $83,740.20 $83,740.20 2026-03-26
7 MS_DRG Lung Transplant 5 5 — — $83,275.87 $173,079.42 $83,275.87 2026-03-26
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 1 1 — — $82,629.67 $82,629.67 $82,629.67 2026-03-26
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $81,722.32 $81,722.32 $81,722.32 2026-03-26
63 APR_DRG Pancreas Transplant 1 1 — — $80,124.11 $80,124.11 $80,124.11 2026-03-26
62 APR_DRG Pancreas Transplant 1 1 — — $77,737.14 $77,737.14 $77,737.14 2026-03-26
14 MS_DRG Allogeneic Bone Marrow Transplant 5 5 — — $77,280.75 $160,619.23 $77,280.75 2026-03-26
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 1 — — $74,514.99 $74,514.99 $74,514.99 2026-03-26
214 APR_DRG Craniotomy Except For Trauma 1 1 — — $74,187.39 $74,187.39 $74,187.39 2026-03-26
1674 APR_DRG Other Cardiothoracic Procedures 1 1 — — $73,829.92 $73,829.92 $73,829.92 2026-03-26
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $73,761.91 $73,761.91 $73,761.91 2026-03-26
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 5 — — $72,868.80 $151,449.51 $72,868.80 2026-03-26
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 1 1 — — $72,295.56 $72,295.56 $72,295.56 2026-03-26
4014 APR_DRG Pituitary & Adrenal Procedures 1 1 — — $71,401.49 $71,401.49 $71,401.49 2026-03-26
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 1 1 — — $71,128.62 $71,128.62 $71,128.62 2026-03-26
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $70,871.50 $147,298.34 $70,871.50 2026-03-26
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 5 5 — — $69,925.57 $145,332.35 $69,925.57 2026-03-26
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $69,128.99 $69,128.99 $69,128.99 2026-03-26
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 1 — — $69,078.39 $69,078.39 $69,078.39 2026-03-26
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 1 — — $68,530.17 $68,530.17 $68,530.17 2026-03-26
12 APR_DRG Liver Transplant &/or Intestinal Transplant 1 1 — — $68,337.76 $68,337.76 $68,337.76 2026-03-26
6904 APR_DRG Acute Leukemia 1 1 — — $68,246.52 $68,246.52 $68,246.52 2026-03-26
904 APR_DRG Major Larynx & Trachea Procedures 1 1 — — $67,643.56 $67,643.56 $67,643.56 2026-03-26
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 1 1 — — $67,519.98 $67,519.98 $67,519.98 2026-03-26
224 APR_DRG Ventricular Shunt Procedures 1 1 — — $67,432.91 $67,432.91 $67,432.91 2026-03-26
1694 APR_DRG Major Thoracic & Abdominal Vascular Procedures 1 1 — — $67,135.15 $67,135.15 $67,135.15 2026-03-26
38240 HCPCS Transplt Allo Hct/donor 6 5 — — $220.45 $149,295.08 $66,353.37 2026-03-26
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 5 — — $66,301.36 $137,799.83 $66,301.36 2026-03-26
234 APR_DRG Spinal Procedures 1 1 — — $66,017.15 $66,017.15 $66,017.15 2026-03-26
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 1 1 — — $65,761.70 $65,761.70 $65,761.70 2026-03-26
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 1 1 — — $65,612.40 $65,612.40 $65,612.40 2026-03-26
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $65,516.20 $65,516.20 $65,516.20 2026-03-26
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 1 1 — — $65,488.82 $65,488.82 $65,488.82 2026-03-26
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $65,176.97 $65,176.97 $65,176.97 2026-03-26
204 APR_DRG Craniotomy For Trauma 1 1 — — $64,564.90 $64,564.90 $64,564.90 2026-03-26
J9029 HCPCS Instill Adstiladrin, Tx Dose 5 4 — — $63,354.77 $144,618.28 $64,274.79 2026-03-26
215 MS_DRG Other Heart Assist System Implant 5 5 — — $64,028.19 $133,075.31 $64,028.19 2026-03-26
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 1 1 — — $63,893.10 $63,893.10 $63,893.10 2026-03-26
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 1 1 — — $63,640.13 $63,640.13 $63,640.13 2026-03-26
894 APR_DRG Major Cranial/facial Bone Procedures 1 1 — — $63,070.35 $63,070.35 $63,070.35 2026-03-26
1664 APR_DRG Coronary Bypass Without Cardiac Cath Or Percutaneous Cardiac Procedure 1 1 — — $63,036.35 $63,036.35 $63,036.35 2026-03-26
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $62,908.00 $130,747.12 $62,908.00 2026-03-26
11 APR_DRG Liver Transplant &/or Intestinal Transplant 1 1 — — $62,430.90 $62,430.90 $62,430.90 2026-03-26
4034 APR_DRG Procedures For Obesity 1 1 — — $62,178.76 $62,178.76 $62,178.76 2026-03-26
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 1 1 — — $62,155.54 $62,155.54 $62,155.54 2026-03-26
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $61,831.26 $61,831.26 $61,831.26 2026-03-26
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 1 1 — — $61,676.99 $61,676.99 $61,676.99 2026-03-26
9103 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $60,322.60 $60,322.60 $60,322.60 2026-03-26
32 APR_DRG Bone Marrow Transplant 1 1 — — $60,043.11 $60,043.11 $60,043.11 2026-03-26
61 APR_DRG Pancreas Transplant 1 1 — — $59,346.43 $59,346.43 $59,346.43 2026-03-26
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 1 1 — — $59,081.86 $59,081.86 $59,081.86 2026-03-26
914 APR_DRG Other Major Head & Neck Procedures 1 1 — — $58,679.60 $58,679.60 $58,679.60 2026-03-26
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 1 1 — — $58,635.64 $58,635.64 $58,635.64 2026-03-26
4414 APR_DRG Major Bladder Procedures 1 1 — — $58,312.18 $58,312.18 $58,312.18 2026-03-26
4403 APR_DRG Kidney Transplant 1 1 — — $58,222.61 $58,222.61 $58,222.61 2026-03-26
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 1 1 — — $58,126.41 $58,126.41 $58,126.41 2026-03-26
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 1 1 — — $58,049.27 $58,049.27 $58,049.27 2026-03-26
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 4 — — $57,935.96 $120,413.30 $57,935.96 2026-03-26
244 APR_DRG Extracranial Vascular Procedures 1 1 — — $57,156.85 $57,156.85 $57,156.85 2026-03-26
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 1 1 — — $56,840.86 $56,840.86 $56,840.86 2026-03-26
A9543 HCPCS Y90 Ibritumomab, Rx 5 4 — — $14,774.74 $127,855.22 $56,824.54 2026-03-26
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 1 1 — — $56,757.93 $56,757.93 $56,757.93 2026-03-26
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 1 1 — — $56,565.51 $56,565.51 $56,565.51 2026-03-26
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 1 1 — — $56,399.63 $56,399.63 $56,399.63 2026-03-26
1204 APR_DRG Major Respiratory & Chest Procedures 1 1 — — $55,864.67 $55,864.67 $55,864.67 2026-03-26
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 1 1 — — $55,789.21 $55,789.21 $55,789.21 2026-03-26
8444 APR_DRG Partial Thickness Burns W Or Without Skin Graft 1 1 — — $55,684.71 $55,684.71 $55,684.71 2026-03-26
850 MS_DRG Acute Leukemia With Other Procedures 4 4 — — $55,684.65 $115,734.22 $55,684.65 2026-03-26
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 1 1 — — $55,488.15 $55,488.15 $55,488.15 2026-03-26
6934 APR_DRG Chemotherapy 1 1 — — $55,383.64 $55,383.64 $55,383.64 2026-03-26
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 1 1 — — $55,232.69 $55,232.69 $55,232.69 2026-03-26
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 1 1 — — $55,030.32 $55,030.32 $55,030.32 2026-03-26
264 APR_DRG Other Nervous System & Related Procedures 1 1 — — $54,868.59 $54,868.59 $54,868.59 2026-03-26
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 1 1 — — $54,676.17 $54,676.17 $54,676.17 2026-03-26
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 4 — — $54,404.10 $122,409.23 $54,404.10 2026-03-26
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 5 — — $54,208.22 $112,665.61 $54,208.22 2026-03-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $54,037.81 $112,311.44 $54,037.81 2026-03-26
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 1 1 — — $53,505.91 $53,505.91 $53,505.91 2026-03-26
1654 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 1 1 — — $53,263.74 $53,263.74 $53,263.74 2026-03-26
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 1 1 — — $53,124.40 $53,124.40 $53,124.40 2026-03-26
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 1 1 — — $53,035.65 $53,035.65 $53,035.65 2026-03-26
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 1 1 — — $52,966.82 $52,966.82 $52,966.82 2026-03-26
1623 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 1 1 — — $52,951.06 $52,951.06 $52,951.06 2026-03-26
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 1 1 — — $52,158.17 $52,158.17 $52,158.17 2026-03-26
1214 APR_DRG Other Respiratory & Chest Procedures 1 1 — — $51,840.51 $51,840.51 $51,840.51 2026-03-26
6504 APR_DRG Splenectomy 1 1 — — $51,538.63 $51,538.63 $51,538.63 2026-03-26
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 1 1 — — $51,425.83 $51,425.83 $51,425.83 2026-03-26
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 1 1 — — $51,207.70 $51,207.70 $51,207.70 2026-03-26
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 1 1 — — $50,986.26 $50,986.26 $50,986.26 2026-03-26
2614 APR_DRG Major Biliary Tract Procedures 1 1 — — $50,836.96 $50,836.96 $50,836.96 2026-03-26
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 5 — — $50,600.08 $105,166.51 $50,600.08 2026-03-26
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $50,529.27 $50,529.27 $50,529.27 2026-03-26
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 1 1 — — $50,292.06 $50,292.06 $50,292.06 2026-03-26
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 1 — — $50,012.56 $50,012.56 $50,012.56 2026-03-26
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 1 1 — — $50,010.08 $50,010.08 $50,010.08 2026-03-26
7724 APR_DRG Alcohol & Drug Dependence W Rehab Or Rehab/detox Therapy 1 1 — — $49,816.82 $49,816.82 $49,816.82 2026-03-26
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $49,811.85 $49,811.85 $49,811.85 2026-03-26
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 1 1 — — $49,714.82 $49,714.82 $49,714.82 2026-03-26
2214 APR_DRG Major Small & Large Bowel Procedures 1 1 — — $49,570.50 $49,570.50 $49,570.50 2026-03-26
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 1 1 — — $49,431.17 $49,431.17 $49,431.17 2026-03-26
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $49,375.08 $102,620.48 $49,375.08 2026-03-26
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 1 1 — — $49,294.32 $49,294.32 $49,294.32 2026-03-26
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 5 5 — — $49,162.23 $102,178.10 $49,162.23 2026-03-26
2234 APR_DRG Other Small & Large Bowel Procedures 1 1 — — $49,121.80 $49,121.80 $49,121.80 2026-03-26
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 1 1 — — $49,061.25 $49,061.25 $49,061.25 2026-03-26
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 5 — — $48,999.54 $101,839.96 $48,999.54 2026-03-26
4402 APR_DRG Kidney Transplant 1 1 — — $48,856.41 $48,856.41 $48,856.41 2026-03-26
J2350 HCPCS Ocrevus 300 Mg/10 Ml Vial 25 21 $55,067.20 $30,286.96 45% off $59.32 $52,313.84 $48,459.14 2026-03-26
2294 APR_DRG Other Digestive System & Abdominal Procedures 1 1 — — $48,371.22 $48,371.22 $48,371.22 2026-03-26
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $48,138.99 $48,138.99 $48,138.99 2026-03-26
4834 APR_DRG Testes & Scrotal Procedures 1 1 — — $48,004.62 $48,004.62 $48,004.62 2026-03-26
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 1 1 — — $47,793.13 $47,793.13 $47,793.13 2026-03-26
9123 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 1 1 — — $47,581.64 $47,581.64 $47,581.64 2026-03-26
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 1 1 — — $47,448.94 $47,448.94 $47,448.94 2026-03-26
1734 APR_DRG Other Vascular Procedures 1 1 — — $47,138.75 $47,138.75 $47,138.75 2026-03-26
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 1 1 — — $46,987.80 $46,987.80 $46,987.80 2026-03-26
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 1 1 — — $46,923.11 $46,923.11 $46,923.11 2026-03-26
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 6 5 — — $565.89 $104,543.81 $46,463.92 2026-03-26
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 4 — — $45,224.60 $104,543.81 $46,463.92 2026-03-26
64654 HCPCS 1st Opn Implt Bat Modulj Sys 4 4 — — $46,463.92 $104,543.81 $46,463.92 2026-03-26
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 5 4 — — $35,174.80 $104,543.81 $46,463.92 2026-03-26
5144 APR_DRG Female Reproductive System Reconstructive Procedures 1 1 — — $46,455.34 $46,455.34 $46,455.34 2026-03-26
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $46,418.99 $96,476.59 $46,418.99 2026-03-26
10 MS_DRG Pancreas Transplant 5 5 — — $46,143.12 $95,903.23 $46,143.12 2026-03-26
5184 APR_DRG Other Female Reproductive System & Related Procedures 1 1 — — $46,142.66 $46,142.66 $46,142.66 2026-03-26
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 5 — — $46,123.83 $95,863.14 $46,123.83 2026-03-26
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 5 — — $45,878.83 $95,353.93 $45,878.83 2026-03-26
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 5 — — $45,851.82 $95,297.80 $45,851.82 2026-03-26
3624 APR_DRG Mastectomy Procedures 1 1 — — $45,845.74 $45,845.74 $45,845.74 2026-03-26
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 1 1 — — $45,796.81 $45,796.81 $45,796.81 2026-03-26
2624 APR_DRG Cholecystectomy Except Laparoscopic 1 1 — — $45,528.09 $45,528.09 $45,528.09 2026-03-26
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 1 — — $45,475.84 $45,475.84 $45,475.84 2026-03-26
0266T OTHER Implt/rpl Crtd Sns Dev Total 1 1 — — $45,224.60 $45,224.60 $45,224.60 2026-03-26
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 1 1 — — $45,189.71 $45,189.71 $45,189.71 2026-03-26
3054 APR_DRG Amputation Of Lower Limb Except Toes 1 1 — — $45,010.55 $45,010.55 $45,010.55 2026-03-26
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 1 — — $44,788.29 $44,788.29 $44,788.29 2026-03-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 5 — — $44,446.12 $92,376.21 $44,446.12 2026-03-26
1622 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 1 1 — — $44,393.49 $44,393.49 $44,393.49 2026-03-26
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 1 1 — — $44,340.41 $44,340.41 $44,340.41 2026-03-26
4814 APR_DRG Penis Procedures 1 1 — — $44,336.27 $44,336.27 $44,336.27 2026-03-26
3154 APR_DRG Shoulder, Upper Arm & Forearm Procedures 1 1 — — $44,303.92 $44,303.92 $44,303.92 2026-03-26
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 5 — — $44,228.13 $91,923.13 $44,228.13 2026-03-26
4804 APR_DRG Major Male Pelvic Procedures 1 1 — — $44,191.13 $44,191.13 $44,191.13 2026-03-26
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 1 1 — — $44,156.30 $44,156.30 $44,156.30 2026-03-26
3094 APR_DRG Hip & Femur Procedures For Non-trauma Except Joint Replacement 1 1 — — $44,149.66 $44,149.66 $44,149.66 2026-03-26
4401 APR_DRG Kidney Transplant 1 1 — — $44,095.75 $44,095.75 $44,095.75 2026-03-26
4434 APR_DRG Kidney & Urinary Tract Procedures For Nonmalignancy 1 1 — — $43,835.32 $43,835.32 $43,835.32 2026-03-26
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 1 1 — — $43,625.49 $43,625.49 $43,625.49 2026-03-26
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $43,284.14 $89,961.15 $43,284.14 2026-03-26
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $43,235.68 $43,235.68 $43,235.68 2026-03-26
31 APR_DRG Bone Marrow Transplant 1 1 — — $43,185.92 $43,185.92 $43,185.92 2026-03-26
J9226 HCPCS Supprelin La Implant 5 4 — — $43,185.33 $97,166.99 $43,185.33 2026-03-26
504 APR_DRG Non-bacterial Infections Of Nervous System Exc Viral Meningitis 1 1 — — $43,120.39 $43,120.39 $43,120.39 2026-03-26
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 4 — — $42,997.34 $89,365.07 $42,997.34 2026-03-26
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 4 — — $42,965.83 $89,299.58 $42,965.83 2026-03-26
1804 APR_DRG Other Circulatory System Procedures 1 1 — — $42,840.90 $42,840.90 $42,840.90 2026-03-26
3104 APR_DRG Intervertebral Disc Excision & Decompression 1 1 — — $42,736.40 $42,736.40 $42,736.40 2026-03-26
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 1 1 — — $42,714.82 $42,714.82 $42,714.82 2026-03-26
9102 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $42,665.06 $42,665.06 $42,665.06 2026-03-26
2244 APR_DRG Peritoneal Adhesiolysis 1 1 — — $42,595.40 $42,595.40 $42,595.40 2026-03-26
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 1 1 — — $42,576.33 $42,576.33 $42,576.33 2026-03-26
3204 APR_DRG Other Musculoskeletal System & Connective Tissue Procedures 1 1 — — $42,494.22 $42,494.22 $42,494.22 2026-03-26
1653 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 1 1 — — $42,402.99 $42,402.99 $42,402.99 2026-03-26
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 1 1 — — $42,316.72 $42,316.72 $42,316.72 2026-03-26
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $42,282.27 $87,878.88 $42,282.27 2026-03-26
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $42,282.27 $87,878.88 $42,282.27 2026-03-26
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral & Umbilical 1 1 — — $42,194.80 $42,194.80 $42,194.80 2026-03-26
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 5 — — $42,128.58 $87,559.46 $42,128.58 2026-03-26
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 1 1 — — $41,993.26 $41,993.26 $41,993.26 2026-03-26
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 1 1 — — $41,841.50 $41,841.50 $41,841.50 2026-03-26
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 1 1 — — $41,772.65 $41,772.65 $41,772.65 2026-03-26
5464 APR_DRG Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses 1 1 — — $41,644.92 $41,644.92 $41,644.92 2026-03-26
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 1 1 — — $41,566.14 $41,566.14 $41,566.14 2026-03-26
1754 APR_DRG Percutaneous Cardiovascular Procedures Without Ami 1 1 — — $41,437.58 $41,437.58 $41,437.58 2026-03-26
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 5 5 — — $41,378.15 $85,999.77 $41,378.15 2026-03-26
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 1 1 — — $41,075.14 $41,075.14 $41,075.14 2026-03-26
5134 APR_DRG Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma 1 1 — — $41,018.74 $41,018.74 $41,018.74 2026-03-26
6234 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 1 1 — — $41,002.98 $41,002.98 $41,002.98 2026-03-26
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 1 1 — — $40,684.50 $40,684.50 $40,684.50 2026-03-26
1714 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 1 1 — — $40,621.47 $40,621.47 $40,621.47 2026-03-26
3634 APR_DRG Breast Procedures Except Mastectomy 1 1 — — $40,332.02 $40,332.02 $40,332.02 2026-03-26
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 1 1 — — $40,127.98 $40,127.98 $40,127.98 2026-03-26
704 APR_DRG Orbital Procedures 1 1 — — $39,917.33 $39,917.33 $39,917.33 2026-03-26
1633 APR_DRG Cardiac Valve Procedures Without Cardiac Catheterization 1 1 — — $39,877.52 $39,877.52 $39,877.52 2026-03-26
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 1 1 — — $39,777.99 $39,777.99 $39,777.99 2026-03-26
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 1 1 — — $39,602.99 $39,602.99 $39,602.99 2026-03-26
4444 APR_DRG Renal Dialysis Access Device Procedure Only 1 1 — — $39,498.49 $39,498.49 $39,498.49 2026-03-26
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 1 1 — — $39,475.27 $39,475.27 $39,475.27 2026-03-26
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 5 5 — — $39,408.49 $81,906.07 $39,408.49 2026-03-26
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 5 — — $39,362.84 $81,811.17 $39,362.84 2026-03-26
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 5 — — $38,985.37 $81,026.65 $38,985.37 2026-03-26
9113 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 1 1 — — $38,913.78 $38,913.78 $38,913.78 2026-03-26
28 MS_DRG Spinal Procedures With Mcc 5 5 — — $38,636.19 $80,300.93 $38,636.19 2026-03-26
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 5 — — $38,625.26 $80,278.21 $38,625.26 2026-03-26
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 1 1 — — $38,588.66 $38,588.66 $38,588.66 2026-03-26
9101 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $38,486.64 $38,486.64 $38,486.64 2026-03-26
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $38,345.54 $79,696.83 $38,345.54 2026-03-26
1621 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 1 1 — — $38,342.32 $38,342.32 $38,342.32 2026-03-26
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 1 1 — — $38,339.84 $38,339.84 $38,339.84 2026-03-26
3814 APR_DRG Major Skin Disorders 1 1 — — $38,334.03 $38,334.03 $38,334.03 2026-03-26
233 APR_DRG Spinal Procedures 1 1 — — $38,254.41 $38,254.41 $38,254.41 2026-03-26
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 5 — — $38,219.50 $79,434.88 $38,219.50 2026-03-26
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 1 1 — — $38,213.78 $38,213.78 $38,213.78 2026-03-26
1302 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 1 1 — — $38,187.23 $38,187.23 $38,187.23 2026-03-26
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 5 5 — — $38,130.76 $79,250.44 $38,130.76 2026-03-26
5424 APR_DRG Vaginal Delivery W Complicating Procedures Exc Sterilization &/or D&c 1 1 — — $38,087.71 $38,087.71 $38,087.71 2026-03-26
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 1 1 — — $37,965.79 $37,965.79 $37,965.79 2026-03-26
6924 APR_DRG Radiotherapy 1 1 — — $37,913.54 $37,913.54 $37,913.54 2026-03-26
974 APR_DRG Tonsil & Adenoid Procedures 1 1 — — $37,893.64 $37,893.64 $37,893.64 2026-03-26
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 5 — — $37,737.86 $78,433.84 $37,737.86 2026-03-26
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 5 — — $37,713.42 $78,383.05 $37,713.42 2026-03-26
3464 APR_DRG Connective Tissue Disorders 1 1 — — $37,636.53 $37,636.53 $37,636.53 2026-03-26
213 APR_DRG Craniotomy Except For Trauma 1 1 — — $37,544.46 $37,544.46 $37,544.46 2026-03-26
8904 APR_DRG HIV W Multiple Major HIV Related Conditions 1 1 — — $37,537.83 $37,537.83 $37,537.83 2026-03-26
8423 APR_DRG Full Thickness Burns W Skin Graft 1 1 — — $37,303.11 $37,303.11 $37,303.11 2026-03-26
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 1 1 — — $37,191.97 $37,191.97 $37,191.97 2026-03-26
3014 APR_DRG Hip Joint Replacement 1 1 — — $37,100.74 $37,100.74 $37,100.74 2026-03-26
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 4 — — $37,085.16 $77,077.29 $37,085.16 2026-03-26
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 5 — — $36,848.52 $76,585.46 $36,848.52 2026-03-26
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $36,783.09 $36,783.09 $36,783.09 2026-03-26
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 5 — — $36,650.46 $76,173.82 $36,650.46 2026-03-26
1652 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 1 1 — — $36,457.98 $36,457.98 $36,457.98 2026-03-26
8633 APR_DRG Neonatal Aftercare 1 1 — — $36,421.47 $36,421.47 $36,421.47 2026-03-26
3644 APR_DRG Other Skin, Subcutaneous Tissue & Related Procedures 1 1 — — $36,382.50 $36,382.50 $36,382.50 2026-03-26
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $36,152.10 $75,138.03 $36,152.10 2026-03-26
3024 APR_DRG Knee Joint Replacement 1 1 — — $36,139.49 $36,139.49 $36,139.49 2026-03-26
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 4 4 — — $36,138.72 $81,312.11 $36,138.72 2026-03-26
1663 APR_DRG Coronary Bypass Without Cardiac Cath Or Percutaneous Cardiac Procedure 1 1 — — $36,083.10 $36,083.10 $36,083.10 2026-03-26
913 APR_DRG Other Major Head & Neck Procedures 1 1 — — $36,051.57 $36,051.57 $36,051.57 2026-03-26
8 MS_DRG Simultaneous Pancreas/kidney Transplant 5 5 — — $36,040.21 $74,905.48 $36,040.21 2026-03-26
984 APR_DRG Other Ear, Nose, Mouth & Throat Procedures 1 1 — — $35,951.22 $35,951.22 $35,951.22 2026-03-26
6614 APR_DRG Coagulation & Platelet Disorders 1 1 — — $35,924.67 $35,924.67 $35,924.67 2026-03-26
6604 APR_DRG Major Hematologic/immunologic Diag Exc Sickle Cell Crisis & Coagul 1 1 — — $35,893.17 $35,893.17 $35,893.17 2026-03-26
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