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

BANNER FORT COLLINS MEDICAL CENTER

Fort Collins, CO · CCN 060126 · Rates published

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You selected 27447 (CPT)

ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)

This hospital’s price: $39,627 across 3 payers · range $12,931-$54,744

Source: https://images.pricetransparency.healthcare/public-mrfs/banner/450233470_banner-fort-collins-medical-center_standardcharges.csv · observed 2026-03-02

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.

7,129 distinct procedures filed
25 distinct payers
122,689 rate rows
2026-03-02 last MRF observed
Data quality

119,137 of 122,689 rate rows are consumer-grade (97.1%)

3,552 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
per-diem day rate — not a per-procedure price 2,221
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 986
exceeds 10× this hospital's gross charge — excluded from medians 261
template filing: same amount across many unrelated codes — excluded 66
placeholder amount (≤ $0.02) — excluded from medians 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/public-mrfs/banner/450233470_banner-fort-collins-medical-center_standardcharges.csv
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-05
Content fingerprint f6c01a2ef876de3e… · 42,800,004 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J9999
HCPCS 		Lifileucel Til/dose 7.5b-72b Snij 13 $1,541,396.64 $3,571,528.80 $3,174,525.18 nat. median
$2,547
outlier · 1246.4×
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $270,579.16 $1,373,273.90 $294,320.26 nat. median
$370,165
0.8× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $202,099.95 $1,025,720.48 $251,880.41 nat. median
$261,939
1.0× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 18 $170,204.68 $863,842.04 $184,192.60 nat. median
$205,166
0.9× median
5834
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 1 $167,095.39 $167,095.39 $167,095.39 nat. median
$311,018
0.5× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 18 $153,765.94 $780,410.28 $166,615.61 nat. median
$199,832
0.8× median
5884
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $137,086.42 $137,086.42 $137,086.42 nat. median
$254,667
0.5× median
5833
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 1 $132,374.27 $132,374.27 $132,374.27 nat. median
$250,089
0.5× median
1614
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 1 $131,072.23 $131,072.23 $131,072.23 nat. median
$209,486
0.6× median
24
APR_DRG 		Apr-DRG 40.00: Heart And/or Lung Transplant 1 $126,484.08 $126,484.08 $126,484.08 nat. median
$243,231
0.5× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 16 $94,001.88 $477,088.95 $118,515.40 nat. median
$114,305
1.0× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 16 $93,765.11 $475,887.28 $118,223.30 nat. median
$122,690
1.0× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 18 $101,378.93 $514,529.82 $110,601.21 nat. median
$132,706
0.8× median
1613
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 1 $100,381.24 $100,381.24 $100,381.24 nat. median
$127,938
0.8× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $79,063.37 $401,271.36 $100,085.16 nat. median
$108,240
0.9× median
6304
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 1 $99,513.21 $99,513.21 $99,513.21 nat. median
$160,171
0.6× median
5832
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 1 $97,591.15 $97,591.15 $97,591.15 nat. median
$169,230
0.6× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 16 $76,406.57 $387,787.25 $96,807.36 nat. median
$99,646
1.0× median
2793800
CDM 		Fix Extrnl Lw/up/pelvic Lvl 26 14 $47,769.92 $110,686.40 $96,238.91 nat. median
$58,256
1.7× median
8414
APR_DRG 		Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 1 $92,444.98 $92,444.98 $92,444.98 nat. median
$165,646
0.6× median
5934
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $89,406.88 $89,406.88 $89,406.88 nat. median
$156,285
0.6× median
5883
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $88,290.85 $88,290.85 $88,290.85 nat. median
$180,995
outlier · 0.5×
L8614
HCPCS 		Imp Dev Cochlear Int&ext Cmp Lvl 01 14 $20,651.70 $208,053.80 $87,602.00 nat. median
$22,570
outlier · 3.9×
2793792
CDM 		Fix Extrnl Lw/up/pelvic Lvl 25 14 $43,100.84 $99,867.80 $86,832.42 nat. median
$48,567
1.8× median
5882
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $86,492.79 $86,492.79 $86,492.79 nat. median
$147,847
0.6× median
5914
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $86,306.78 $86,306.78 $86,306.78 nat. median
$168,361
0.5× median
114
APR_DRG 		Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $86,182.78 $86,182.78 $86,182.78 nat. median
$119,243
0.7× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 18 $78,160.79 $396,690.47 $85,775.40 nat. median
$100,978
0.8× median
6094
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $85,748.77 $85,748.77 $85,748.77 nat. median
$168,174
0.5× median
5831
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 1 $84,322.72 $84,322.72 $84,322.72 nat. median
$154,685
0.5× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 18 $76,014.83 $385,799.05 $83,480.85 nat. median
$98,002
0.9× median
74
APR_DRG 		Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 1 $82,896.67 $82,896.67 $82,896.67 nat. median
$175,480
outlier · 0.5×
6314
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $82,338.66 $82,338.66 $82,338.66 nat. median
$147,677
0.6× median
44
APR_DRG 		Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $82,152.65 $82,152.65 $82,152.65 nat. median
$127,600
0.6× median
14
APR_DRG 		Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 1 $80,850.61 $80,850.61 $80,850.61 nat. median
$137,901
0.6× median
1612
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 1 $80,602.60 $80,602.60 $80,602.60 nat. median
$93,192
0.9× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 18 $75,158.17 $381,451.22 $80,580.13 nat. median
$96,835
0.8× median
94
APR_DRG 		Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 1 $80,416.59 $80,416.59 $80,416.59 nat. median
$165,599
outlier · 0.5×
2793784
CDM 		Fix Extrnl Lw/up/pelvic Lvl 24 14 $39,509.24 $91,545.80 $79,596.66 nat. median
$47,315
1.7× median
23
APR_DRG 		Apr-DRG 40.00: Heart And/or Lung Transplant 1 $78,184.52 $78,184.52 $78,184.52 nat. median
$116,111
0.7× median
1611
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 1 $76,572.47 $76,572.47 $76,572.47 nat. median
$82,164
0.9× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 18 $69,244.04 $351,435.16 $76,241.23 nat. median
$92,900
0.8× median
10
MS_DRG 		Ms-DRG 42.00: Pancreas Transplant 16 $57,204.12 $290,328.82 $73,116.50 nat. median
$67,750
1.1× median
2793776
CDM 		Fix Extrnl Lw/up/pelvic Lvl 23 14 $35,917.64 $83,223.80 $72,360.90 nat. median
$43,014
1.7× median
6034
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 1 $71,860.32 $71,860.32 $71,860.32 nat. median
$109,499
0.7× median
64
APR_DRG 		Apr-DRG 40.00: Pancreas Transplant 1 $71,426.30 $71,426.30 $71,426.30 nat. median
$92,994
0.8× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 18 $66,092.90 $335,442.13 $71,120.17 nat. median
$81,364
0.9× median
C1721
HCPCS 		Imp Icd Chamber Dual Lvl 02 14 $26,938.64 $124,833.80 $70,405.38 nat. median
$22,566
outlier · 3.1×
19
MS_DRG 		Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $56,876.24 $288,664.70 $68,167.50 nat. median
$69,153
1.0× median
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 18 $60,797.94 $308,568.59 $67,210.32 nat. median
$79,040
0.9× median

Other procedures at this hospital

Browse this hospital's 7,129 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
             
J9999 HCPCS Lifileucel Til/dose 7.5b-72b Snij 13 13 $3,759,504.00 $1,675,272.58 55% off $1,541,396.64 $3,571,528.80 $3,174,525.18 2026-03-02
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 17 — $418,652.67 $270,579.16 $1,373,273.90 $294,320.26 2026-03-02
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 21 16 — $307,930.10 $202,099.95 $1,025,720.48 $251,880.41 2026-03-02
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 24 18 — $299,521.37 $170,204.68 $863,842.04 $184,192.60 2026-03-02
5834 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 1 1 — — $167,095.39 $167,095.39 $167,095.39 2026-03-02
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 24 18 — $242,262.44 $153,765.94 $780,410.28 $166,615.61 2026-03-02
5884 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $137,086.42 $137,086.42 $137,086.42 2026-03-02
5833 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 1 1 — — $132,374.27 $132,374.27 $132,374.27 2026-03-02
1614 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 1 1 — — $131,072.23 $131,072.23 $131,072.23 2026-03-02
24 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 1 1 — — $126,484.08 $126,484.08 $126,484.08 2026-03-02
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 21 16 — $130,233.10 $94,001.88 $477,088.95 $118,515.40 2026-03-02
7 MS_DRG Ms-DRG 42.00: Lung Transplant 21 16 — $139,380.44 $93,765.11 $475,887.28 $118,223.30 2026-03-02
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 24 18 — $167,038.36 $101,378.93 $514,529.82 $110,601.21 2026-03-02
1613 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 1 1 — — $100,381.24 $100,381.24 $100,381.24 2026-03-02
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 16 — $139,130.45 $79,063.37 $401,271.36 $100,085.16 2026-03-02
6304 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 1 1 — — $99,513.21 $99,513.21 $99,513.21 2026-03-02
5832 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 1 1 — — $97,591.15 $97,591.15 $97,591.15 2026-03-02
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 21 16 — $117,608.64 $76,406.57 $387,787.25 $96,807.36 2026-03-02
2793800 CDM Fix Extrnl Lw/up/pelvic Lvl 26 17 14 $116,512.00 $27,147.30 77% off $47,769.92 $110,686.40 $96,238.91 2026-03-02
8414 APR_DRG Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 1 1 — — $92,444.98 $92,444.98 $92,444.98 2026-03-02
5934 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $89,406.88 $89,406.88 $89,406.88 2026-03-02
5883 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $88,290.85 $88,290.85 $88,290.85 2026-03-02
L8614 HCPCS Imp Dev Cochlear Int&ext Cmp Lvl 01 161 14 $109,504.00 $44,130.11 60% off $20,651.70 $208,053.80 $87,602.00 2026-03-02
2793792 CDM Fix Extrnl Lw/up/pelvic Lvl 25 17 14 $105,124.00 $24,493.89 77% off $43,100.84 $99,867.80 $86,832.42 2026-03-02
5882 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $86,492.79 $86,492.79 $86,492.79 2026-03-02
5914 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $86,306.78 $86,306.78 $86,306.78 2026-03-02
114 APR_DRG Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $86,182.78 $86,182.78 $86,182.78 2026-03-02
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 24 18 — $122,392.53 $78,160.79 $396,690.47 $85,775.40 2026-03-02
6094 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $85,748.77 $85,748.77 $85,748.77 2026-03-02
5831 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 1 1 — — $84,322.72 $84,322.72 $84,322.72 2026-03-02
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 24 18 — $116,074.61 $76,014.83 $385,799.05 $83,480.85 2026-03-02
74 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 1 1 — — $82,896.67 $82,896.67 $82,896.67 2026-03-02
6314 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $82,338.66 $82,338.66 $82,338.66 2026-03-02
44 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $82,152.65 $82,152.65 $82,152.65 2026-03-02
14 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 1 1 — — $80,850.61 $80,850.61 $80,850.61 2026-03-02
1612 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 1 1 — — $80,602.60 $80,602.60 $80,602.60 2026-03-02
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 20 18 — — $75,158.17 $381,451.22 $80,580.13 2026-03-02
94 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $80,416.59 $80,416.59 $80,416.59 2026-03-02
2793784 CDM Fix Extrnl Lw/up/pelvic Lvl 24 17 14 $96,364.00 $22,452.81 77% off $39,509.24 $91,545.80 $79,596.66 2026-03-02
23 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 1 1 — — $78,184.52 $78,184.52 $78,184.52 2026-03-02
1611 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 1 1 — — $76,572.47 $76,572.47 $76,572.47 2026-03-02
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 24 18 — $110,279.41 $69,244.04 $351,435.16 $76,241.23 2026-03-02
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 21 16 — — $57,204.12 $290,328.82 $73,116.50 2026-03-02
2793776 CDM Fix Extrnl Lw/up/pelvic Lvl 23 17 14 $87,604.00 $20,411.73 77% off $35,917.64 $83,223.80 $72,360.90 2026-03-02
6034 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 1 1 — — $71,860.32 $71,860.32 $71,860.32 2026-03-02
64 APR_DRG Apr-DRG 40.00: Pancreas Transplant 1 1 — — $71,426.30 $71,426.30 $71,426.30 2026-03-02
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 20 18 — — $66,092.90 $335,442.13 $71,120.17 2026-03-02
C1721 HCPCS Imp Icd Chamber Dual Lvl 02 68 14 $98,554.00 $26,215.36 73% off $26,938.64 $124,833.80 $70,405.38 2026-03-02
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 16 — $90,837.05 $56,876.24 $288,664.70 $68,167.50 2026-03-02
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 24 18 — $92,211.99 $60,797.94 $308,568.59 $67,210.32 2026-03-02
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 24 18 — $95,780.02 $60,764.22 $308,397.45 $67,174.26 2026-03-02
2793768 CDM Fix Extrnl Lw/up/pelvic Lvl 22 17 14 $78,844.00 $18,370.65 77% off $32,326.04 $74,901.80 $65,125.14 2026-03-02
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 18 — — $59,841.55 $303,714.61 $64,596.64 2026-03-02
6024 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 1 — — $64,048.07 $64,048.07 $64,048.07 2026-03-02
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 24 18 — $96,041.37 $57,836.22 $293,536.90 $64,043.50 2026-03-02
C1882 HCPCS Imp Icd Chamber Non Sgl/dual Lvl 01 102 14 $87,602.00 $35,303.61 60% off $25,141.20 $116,511.80 $62,386.93 2026-03-02
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 24 18 — $88,632.60 $56,080.56 $284,626.39 $62,166.27 2026-03-02
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 24 18 — $87,621.28 $55,514.47 $281,753.33 $61,561.00 2026-03-02
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 18 — $82,189.69 $53,553.62 $271,801.38 $59,464.37 2026-03-02
C1767 HCPCS Imp Generator Neurostim Lvl 01 119 14 $87,604.00 $35,304.41 60% off $11,672.70 $145,638.80 $59,133.60 2026-03-02
22 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 1 1 — — $58,033.87 $58,033.87 $58,033.87 2026-03-02
2793750 CDM Fix Extrnl Lw/up/pelvic Lvl 21 17 14 $70,084.00 $16,329.57 77% off $28,734.44 $66,579.80 $57,889.38 2026-03-02
5933 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $57,475.85 $57,475.85 $57,475.85 2026-03-02
5881 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $56,917.84 $56,917.84 $56,917.84 2026-03-02
A9543 HCPCS Rrx Yttr90 Zev Thr/0-40mci Dose 32 24 $49,119.00 $21,887.92 55% off $20,138.79 $154,704.84 $56,824.55 2026-03-02
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 18 — $79,951.15 $50,703.82 $257,337.74 $56,417.24 2026-03-02
43 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $56,173.81 $56,173.81 $56,173.81 2026-03-02
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 21 16 — $70,190.20 $43,305.95 $219,791.26 $55,969.78 2026-03-02
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 21 16 — $70,190.20 $43,305.95 $219,791.26 $55,969.78 2026-03-02
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 24 18 — $79,144.37 $49,911.01 $253,313.99 $55,569.53 2026-03-02
1604 APR_DRG Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $55,429.79 $55,429.79 $55,429.79 2026-03-02
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 20 18 — — $50,959.95 $258,637.72 $55,328.35 2026-03-02
C1722 HCPCS Imp Icd Chamber Sgl Lvl 01 68 14 $76,654.00 $20,389.96 73% off $17,958.00 $104,028.80 $54,752.00 2026-03-02
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 24 18 — $69,201.61 $48,991.21 $248,645.72 $54,586.04 2026-03-02
54 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $54,127.75 $54,127.75 $54,127.75 2026-03-02
22612 CPT Arthrodesis, Posterior Or Posterolateral Technique, Single Interspace; Lumbar (w… 3 3 — — $39,627.00 $68,430.00 $54,028.50 2026-03-02
22551 CPT Arthrodesis, Anterior Interbody, Including Disc Space Preparation, Discectomy, O… 3 3 — — $39,627.00 $68,430.00 $54,028.50 2026-03-02
22630 CPT Arthrodesis, Posterior Interbody Technique, Including Laminectomy And/or Discect… 3 3 — — $39,627.00 $68,430.00 $54,028.50 2026-03-02
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 24 18 — $78,633.02 $47,919.30 $243,205.46 $53,439.93 2026-03-02
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 24 18 — $77,894.42 $47,838.23 $242,793.99 $53,353.24 2026-03-02
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 20 18 — — $48,104.41 $244,144.95 $52,348.47 2026-03-02
1624 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $52,267.69 $52,267.69 $52,267.69 2026-03-02
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 24 18 — $78,496.67 $46,400.41 $235,496.62 $51,815.87 2026-03-02
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 24 18 — $72,326.47 $46,333.69 $235,157.97 $51,744.53 2026-03-02
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 24 18 — $78,098.96 $45,375.14 $230,293.06 $50,719.60 2026-03-02
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 21 16 — $59,792.91 $39,038.42 $198,132.22 $50,704.74 2026-03-02
2793743 CDM Fix Extrnl Lw/up/pelvic Lvl 20 17 14 $61,324.00 $14,288.49 77% off $25,142.84 $58,257.80 $50,653.62 2026-03-02
5913 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $50,593.63 $50,593.63 $50,593.63 2026-03-02
6023 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 1 — — $50,531.63 $50,531.63 $50,531.63 2026-03-02
63 APR_DRG Apr-DRG 40.00: Pancreas Transplant 1 1 — — $50,221.62 $50,221.62 $50,221.62 2026-03-02
3034 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $49,973.61 $49,973.61 $49,973.61 2026-03-02
21 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 1 1 — — $49,725.60 $49,725.60 $49,725.60 2026-03-02
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 24 18 — $70,565.18 $44,443.15 $225,562.88 $49,723.07 2026-03-02
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 18 — $70,656.09 $44,183.42 $224,244.69 $49,445.37 2026-03-02
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 24 18 — $77,485.34 $44,029.17 $223,461.79 $49,280.42 2026-03-02
6074 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 1 1 — — $49,229.59 $49,229.59 $49,229.59 2026-03-02
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 24 18 — $67,599.40 $43,828.27 $222,442.20 $49,065.62 2026-03-02
73 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 1 1 — — $48,857.58 $48,857.58 $48,857.58 2026-03-02
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 24 18 — $68,474.36 $43,618.77 $221,378.91 $48,841.61 2026-03-02
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 18 — — $44,385.75 $225,271.57 $48,467.90 2026-03-02
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 24 18 — $70,974.26 $42,982.37 $218,148.99 $48,161.14 2026-03-02
6303 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 1 1 — — $48,051.55 $48,051.55 $48,051.55 2026-03-02
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 24 18 — $64,735.89 $42,684.62 $216,637.81 $47,842.79 2026-03-02
4404 APR_DRG Apr-DRG 40.00: Kidney Transplant 1 1 — — $47,493.53 $47,493.53 $47,493.53 2026-03-02
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 16 — $68,178.92 $42,652.33 $199,733.39 $47,348.56 2026-03-02
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 24 18 — $66,826.71 $42,217.55 $214,267.26 $47,343.36 2026-03-02
27132 CPT Conversion Of Previous Hip Surgery To Total Hip Arthroplasty, With Or Without Au… 2 2 — — $39,627.00 $54,744.00 $47,185.50 2026-03-02
27134 CPT Revision Of Total Hip Arthroplasty; Both Components, With Or Without Autograft O… 2 2 — — $39,627.00 $54,744.00 $47,185.50 2026-03-02
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 18 — $68,712.99 $41,773.43 $212,013.23 $46,868.49 2026-03-02
13 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 1 1 — — $46,749.51 $46,749.51 $46,749.51 2026-03-02
8424 APR_DRG Apr-DRG 40.00: Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $46,687.51 $46,687.51 $46,687.51 2026-03-02
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 24 18 — $69,031.16 $41,178.65 $208,994.51 $46,232.54 2026-03-02
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 24 18 — $64,417.72 $40,932.55 $207,745.51 $45,969.40 2026-03-02
5932 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $45,571.47 $45,571.47 $45,571.47 2026-03-02
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 21 16 — $54,963.57 $34,791.70 $176,578.77 $45,465.40 2026-03-02
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 24 18 — $61,520.11 $39,996.25 $202,993.48 $44,968.26 2026-03-02
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 24 18 — $63,622.30 $39,656.89 $201,271.10 $44,605.39 2026-03-02
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 24 18 — $69,781.13 $39,656.89 $201,271.10 $44,605.39 2026-03-02
1634 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 1 1 — — $44,455.43 $44,455.43 $44,455.43 2026-03-02
1784 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 1 1 — — $44,207.43 $44,207.43 $44,207.43 2026-03-02
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 24 18 — $62,554.16 $38,949.46 $197,680.68 $43,848.99 2026-03-02
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 24 18 — $64,360.90 $38,750.72 $196,672.01 $43,636.49 2026-03-02
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 24 18 — $58,588.42 $38,714.13 $196,486.30 $43,597.35 2026-03-02
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 18 — $64,576.80 $38,709.82 $196,464.45 $43,592.74 2026-03-02
62 APR_DRG Apr-DRG 40.00: Pancreas Transplant 1 1 — — $43,587.41 $43,587.41 $43,587.41 2026-03-02
2793735 CDM Fix Extrnl Lw/up/pelvic Lvl 19 17 14 $52,564.00 $12,247.41 77% off $21,551.24 $49,935.80 $43,417.86 2026-03-02
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 20 18 — — $39,490.43 $200,426.30 $43,359.45 2026-03-02
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 18 — — $39,249.36 $199,202.79 $43,107.88 2026-03-02
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 24 18 — $59,065.67 $38,171.00 $193,729.76 $43,016.61 2026-03-02
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 24 18 — $59,599.74 $38,002.39 $192,874.03 $42,836.35 2026-03-02
6093 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $42,719.38 $42,719.38 $42,719.38 2026-03-02
38571 CPT Laparoscopy, Surgical; With Bilateral Total Pelvic Lymphadenectomy 3 3 — — $41,913.00 $43,338.00 $42,625.50 2026-03-02
58552 CPT Laparoscopy, Surgical, With Vaginal Hysterectomy, For Uterus 250 G Or Less; With… 3 3 — — $41,769.00 $43,338.00 $42,553.50 2026-03-02
113 APR_DRG Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $42,409.37 $42,409.37 $42,409.37 2026-03-02
84 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 1 1 — — $41,913.35 $41,913.35 $41,913.35 2026-03-02
33289 CPT Rhc W Imp Sensor Press Wireless 32 24 $75,430.00 $48,275.20 36% off $27,712.80 $72,853.24 $41,829.00 2026-03-02
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 24 18 — $57,463.47 $36,827.89 $186,913.06 $41,580.51 2026-03-02
58573 CPT Laparoscopy, Surgical, With Total Hysterectomy, For Uterus Greater Than 250 G; W… 3 3 — — $39,627.00 $43,338.00 $41,482.50 2026-03-02
58570 CPT Laparoscopy, Surgical, With Total Hysterectomy, For Uterus 250 G Or Less; 3 3 — — $39,627.00 $43,338.00 $41,482.50 2026-03-02
58572 CPT Laparoscopy, Surgical, With Total Hysterectomy, For Uterus Greater Than 250 G; 3 3 — — $39,627.00 $43,338.00 $41,482.50 2026-03-02
58571 CPT Laparoscopy, Surgical, With Total Hysterectomy, For Uterus 250 G Or Less; With R… 3 3 — — $39,627.00 $43,338.00 $41,482.50 2026-03-02
22633 CPT Arthrodesis, Combined Posterior Or Posterolateral Technique With Posterior Inter… 3 3 — — $39,627.00 $43,338.00 $41,482.50 2026-03-02
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 24 18 — $58,940.68 $36,552.38 $185,514.76 $41,285.92 2026-03-02
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 24 18 — $57,713.46 $36,440.45 $184,946.71 $41,166.25 2026-03-02
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 24 18 — $54,622.68 $36,138.40 $183,413.68 $40,843.29 2026-03-02
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 20 18 — — $36,950.58 $187,535.74 $40,709.01 2026-03-02
1654 APR_DRG Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $40,673.31 $40,673.31 $40,673.31 2026-03-02
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 22 16 — $51,111.47 $33,056.13 $167,770.22 $40,616.39 2026-03-02
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 24 18 — $55,043.12 $35,925.31 $182,332.18 $40,615.43 2026-03-02
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 24 18 — $50,679.67 $35,897.33 $182,190.17 $40,585.51 2026-03-02
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 18 — $56,804.41 $35,882.98 $182,117.34 $40,570.17 2026-03-02
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 24 18 — $57,258.93 $35,753.83 $181,461.89 $40,432.09 2026-03-02
23420 CPT Reconstruction Of Complete Shoulder (rotator) Cuff Avulsion, Chronic (includes A… 3 3 — — $38,776.00 $41,769.00 $40,272.50 2026-03-02
27422 CPT Reconstruction Of Dislocating Patella; With Extensor Realignment And/or Muscle A… 3 3 — — $38,776.00 $41,769.00 $40,272.50 2026-03-02
1674 APR_DRG Apr-DRG 40.00: Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $39,991.29 $39,991.29 $39,991.29 2026-03-02
53 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $39,867.29 $39,867.29 $39,867.29 2026-03-02
33270 CPT Ins/rpl Defib Subq Perm W Elctrd 28 24 $58,268.00 $22,957.59 61% off $22,491.00 $82,164.19 $39,726.55 2026-03-02
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 24 18 — $51,486.45 $35,061.47 $177,947.94 $39,691.79 2026-03-02
27130 CPT Arthroplasty, Acetabular And Proximal Femoral Prosthetic Replacement (total Hip … 3 3 — — $12,930.90 $54,744.00 $39,627.00 2026-03-02
27447 CPT Arthroplasty, Knee, Condyle And Plateau; Medial And Lateral Compartments With Or… 3 3 — — $12,930.90 $54,744.00 $39,627.00 2026-03-02
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 24 18 — $55,895.35 $34,849.82 $176,873.72 $39,465.49 2026-03-02
27486 CPT Revision Of Total Knee Arthroplasty, With Or Without Allograft; 1 Component 2 2 — — $38,776.00 $39,627.00 $39,201.50 2026-03-02
12 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 1 1 — — $39,185.26 $39,185.26 $39,185.26 2026-03-02
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 24 18 — $52,588.68 $34,262.92 $173,895.06 $38,837.95 2026-03-02
23412 CPT Repair Of Ruptured Musculotendinous Cuff (eg, Rotator Cuff) Open; Chronic 3 3 — — $7,179.31 $41,769.00 $38,776.00 2026-03-02
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 24 18 — $56,304.43 $34,114.41 $173,141.29 $38,679.15 2026-03-02
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 24 18 — $53,724.99 $34,107.95 $173,108.51 $38,672.24 2026-03-02
42 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $38,627.25 $38,627.25 $38,627.25 2026-03-02
6022 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 1 — — $38,565.24 $38,565.24 $38,565.24 2026-03-02
23472 CPT Arthroplasty, Glenohumeral Joint; Total Shoulder (glenoid And Proximal Humeral R… 3 3 — — $31,393.00 $45,621.00 $38,507.00 2026-03-02
3044 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $38,379.24 $38,379.24 $38,379.24 2026-03-02
6073 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 1 1 — — $38,317.24 $38,317.24 $38,317.24 2026-03-02
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 24 18 — $55,452.19 $33,754.95 $171,316.95 $38,294.80 2026-03-02
72 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 1 1 — — $38,193.23 $38,193.23 $38,193.23 2026-03-02
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 18 — $51,156.92 $33,574.15 $170,399.31 $38,101.47 2026-03-02
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 24 18 — $54,338.60 $33,376.13 $169,394.29 $37,889.74 2026-03-02
3033 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $37,821.22 $37,821.22 $37,821.22 2026-03-02
1834 APR_DRG Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures 1 1 — — $37,697.22 $37,697.22 $37,697.22 2026-03-02
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 24 18 — $53,565.91 $33,069.77 $167,839.41 $37,562.15 2026-03-02
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 24 18 — $52,827.30 $32,950.66 $167,234.94 $37,434.82 2026-03-02
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 24 18 — $51,327.37 $32,945.64 $167,209.45 $37,429.46 2026-03-02
6114 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $37,387.21 $37,387.21 $37,387.21 2026-03-02
19357 CPT Tissue Expander Placement In Breast Reconstruction, Including Subsequent Expansi… 3 3 — — $31,393.00 $43,338.00 $37,365.50 2026-03-02
25810 CPT Arthrodesis, Wrist; With Iliac Or Other Autograft (includes Obtaining Graft) 3 3 — — $31,393.00 $43,338.00 $37,365.50 2026-03-02
24587 CPT Open Treatment Of Periarticular Fracture And/or Dislocation Of The Elbow (fractu… 3 3 — — $31,393.00 $43,338.00 $37,365.50 2026-03-02
23473 CPT Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Hum… 3 3 — — $31,393.00 $43,338.00 $37,365.50 2026-03-02
43281 CPT Laparoscopy, Surgical, Repair Of Paraesophageal Hernia, Includes Fundoplasty, Wh… 3 3 — — $31,393.00 $43,338.00 $37,365.50 2026-03-02
43282 CPT Laparoscopy, Surgical, Repair Of Paraesophageal Hernia, Includes Fundoplasty, Wh… 3 3 — — $31,393.00 $43,338.00 $37,365.50 2026-03-02
27442 CPT Arthroplasty, Femoral Condyles Or Tibial Plateau(s), Knee; 3 3 — — $31,393.00 $43,338.00 $37,365.50 2026-03-02
27438 CPT Arthroplasty, Patella; With Prosthesis 3 3 — — $31,393.00 $43,338.00 $37,365.50 2026-03-02
93 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $37,077.20 $37,077.20 $37,077.20 2026-03-02
61886 CPT Insertion Or Replacement Of Cranial Neurostimulator Pulse Generator Or Receiver,… 3 3 — — $22,491.00 $51,323.00 $36,907.00 2026-03-02
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 24 18 — $50,316.04 $32,369.51 $164,285.40 $36,813.43 2026-03-02
8634 APR_DRG Apr-DRG 40.00: Neonatal Aftercare 1 1 — — $36,643.18 $36,643.18 $36,643.18 2026-03-02
1664 APR_DRG Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $36,643.18 $36,643.18 $36,643.18 2026-03-02
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 24 18 — $48,895.65 $32,176.51 $163,305.87 $36,607.07 2026-03-02
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 24 18 — $50,179.69 $32,087.54 $162,854.33 $36,511.93 2026-03-02
28735 CPT Arthrodesis, Midtarsal Or Tarsometatarsal, Multiple Or Transverse; With Osteotom… 3 3 — — $29,531.00 $43,338.00 $36,434.50 2026-03-02
24515 CPT Open Treatment Of Humeral Shaft Fracture With Plate/screws, With Or Without Cerc… 3 3 — — $29,531.00 $43,338.00 $36,434.50 2026-03-02
28715 CPT Arthrodesis; Triple 3 3 — — $29,531.00 $43,338.00 $36,434.50 2026-03-02
28725 CPT Arthrodesis; Subtalar 3 3 — — $29,531.00 $43,338.00 $36,434.50 2026-03-02
23615 CPT Open Treatment Of Proximal Humeral (surgical Or Anatomical Neck) Fracture, Inclu… 3 3 — — $29,531.00 $43,338.00 $36,434.50 2026-03-02
27871 CPT Arthrodesis, Tibiofibular Joint, Proximal Or Distal 3 3 — — $29,531.00 $43,338.00 $36,434.50 2026-03-02
27870 CPT Arthrodesis, Ankle, Open 3 3 — — $29,531.00 $43,338.00 $36,434.50 2026-03-02
28730 CPT Arthrodesis, Midtarsal Or Tarsometatarsal, Multiple Or Transverse; 3 3 — — $29,531.00 $43,338.00 $36,434.50 2026-03-02
27428 CPT Ligamentous Reconstruction (augmentation), Knee; Intra-articular (open) 3 3 — — $29,531.00 $43,338.00 $36,434.50 2026-03-02
9104 APR_DRG Apr-DRG 40.00: Craniotomy For Multiple Significant Trauma 1 1 — — $36,209.17 $36,209.17 $36,209.17 2026-03-02
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 24 18 — $49,179.73 $31,787.64 $161,332.23 $36,191.26 2026-03-02
2793727 CDM Fix Extrnl Lw/up/pelvic Lvl 18 17 14 $43,804.00 $10,206.33 77% off $17,959.64 $41,613.80 $36,182.10 2026-03-02
1794 APR_DRG Apr-DRG 40.00: Defibrillator Implants 1 1 — — $35,961.16 $35,961.16 $35,961.16 2026-03-02
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 24 18 — $49,566.08 $31,517.15 $159,959.42 $35,902.06 2026-03-02
6804 APR_DRG Apr-DRG 40.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 1 1 — — $35,837.16 $35,837.16 $35,837.16 2026-03-02
1623 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $35,775.15 $35,775.15 $35,775.15 2026-03-02
6124 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 1 1 — — $35,775.15 $35,775.15 $35,775.15 2026-03-02
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 24 18 — — $31,044.34 $157,559.74 $35,396.51 2026-03-02
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 24 18 — $51,486.45 $30,980.48 $157,235.65 $35,328.22 2026-03-02
6134 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 1 1 — — $35,093.13 $35,093.13 $35,093.13 2026-03-02
29824 CPT Arthroscopy, Shoulder, Surgical; Distal Claviculectomy Including Distal Articula… 3 3 — — $31,393.00 $38,776.00 $35,084.50 2026-03-02
26536 CPT Arthroplasty, Interphalangeal Joint; With Prosthetic Implant, Each Joint 3 3 — — $31,393.00 $38,776.00 $35,084.50 2026-03-02
25609 CPT Open Treatment Of Distal Radial Intra-articular Fracture Or Epiphyseal Separatio… 3 3 — — $31,393.00 $38,776.00 $35,084.50 2026-03-02
25608 CPT Open Treatment Of Distal Radial Intra-articular Fracture Or Epiphyseal Separatio… 3 3 — — $31,393.00 $38,776.00 $35,084.50 2026-03-02
23415 CPT Coracoacromial Ligament Release, With Or Without Acromioplasty 3 3 — — $31,393.00 $38,776.00 $35,084.50 2026-03-02
63030 CPT Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 3 3 — — $31,393.00 $38,776.00 $35,084.50 2026-03-02
63047 CPT Laminectomy, Facetectomy And Foraminotomy (unilateral Or Bilateral With Decompre… 3 3 — — $31,393.00 $38,776.00 $35,084.50 2026-03-02
6033 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 1 1 — — $34,969.13 $34,969.13 $34,969.13 2026-03-02
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 24 18 — $48,622.93 $30,605.25 $155,331.20 $34,927.00 2026-03-02
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 24 18 — $47,043.46 $30,560.04 $155,101.79 $34,878.68 2026-03-02
11 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 1 1 — — $34,783.12 $34,783.12 $34,783.12 2026-03-02
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 24 18 — $42,929.99 $30,343.37 $154,002.09 $34,646.99 2026-03-02
00250 EAPG Eapg 3.18: Cochlear Device Implantation 1 1 — — $34,444.30 $34,444.30 $34,444.30 2026-03-02
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 24 18 — $46,782.10 $30,066.42 $152,596.51 $34,350.88 2026-03-02
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 24 18 — $42,020.94 $30,059.25 $152,560.09 $34,343.21 2026-03-02
1694 APR_DRG Apr-DRG 40.00: Major Abdominal Vascular Procedures 1 1 — — $34,287.11 $34,287.11 $34,287.11 2026-03-02
61 APR_DRG Apr-DRG 40.00: Pancreas Transplant 1 1 — — $34,287.11 $34,287.11 $34,287.11 2026-03-02
9114 APR_DRG Apr-DRG 40.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 1 1 — — $34,225.10 $34,225.10 $34,225.10 2026-03-02
27407 CPT Repair, Primary, Torn Ligament And/or Capsule, Knee; Cruciate 3 3 — — $29,531.00 $38,776.00 $34,153.50 2026-03-02
27405 CPT Repair, Primary, Torn Ligament And/or Capsule, Knee; Collateral 3 3 — — $29,531.00 $38,776.00 $34,153.50 2026-03-02
28750 CPT Arthrodesis, Great Toe; Metatarsophalangeal Joint 3 3 — — $29,531.00 $38,776.00 $34,153.50 2026-03-02
28740 CPT Arthrodesis, Midtarsal Or Tarsometatarsal, Single Joint 3 3 — — $29,531.00 $38,776.00 $34,153.50 2026-03-02
27235 CPT Percutaneous Skeletal Fixation Of Femoral Fracture, Proximal End, Neck 3 3 — — $29,531.00 $38,776.00 $34,153.50 2026-03-02
28322 CPT Repair, Nonunion Or Malunion; Metatarsal, With Or Without Bone Graft (includes O… 3 3 — — $29,531.00 $38,776.00 $34,153.50 2026-03-02
25800 CPT Arthrodesis, Wrist; Complete, Without Bone Graft (includes Radiocarpal And/or In… 3 3 — — $29,531.00 $38,776.00 $34,153.50 2026-03-02
25405 CPT Repair Of Nonunion Or Malunion, Radius Or Ulna; With Autograft (includes Obtaini… 3 3 — — $29,531.00 $38,776.00 $34,153.50 2026-03-02
23552 CPT Open Treatment Of Acromioclavicular Dislocation, Acute Or Chronic; With Fascial … 3 3 — — $29,531.00 $38,776.00 $34,153.50 2026-03-02
28485 CPT Open Treatment Of Metatarsal Fracture, Includes Internal Fixation, When Performe… 3 3 — — $29,531.00 $38,776.00 $34,153.50 2026-03-02
23430 CPT Tenodesis Of Long Tendon Of Biceps 3 3 — — $29,531.00 $38,776.00 $34,153.50 2026-03-02
29915 CPT Arthroscopy, Hip, Surgical; With Acetabuloplasty (ie, Treatment Of Pincer Lesion… 3 3 — — $29,531.00 $38,776.00 $34,153.50 2026-03-02
27691 CPT Transfer Or Transplant Of Single Tendon (with Muscle Redirection Or Rerouting); … 3 3 — — $29,531.00 $38,776.00 $34,153.50 2026-03-02
27430 CPT Quadricepsplasty (eg, Bennett Or Thompson Type) 3 3 — — $29,531.00 $38,776.00 $34,153.50 2026-03-02
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 24 18 — $47,259.36 $29,851.90 $151,507.73 $34,121.49 2026-03-02
3124 APR_DRG Apr-DRG 40.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 1 1 — — $34,039.10 $34,039.10 $34,039.10 2026-03-02
71 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 1 1 — — $34,039.10 $34,039.10 $34,039.10 2026-03-02
8413 APR_DRG Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 1 1 — — $33,915.09 $33,915.09 $33,915.09 2026-03-02
914 APR_DRG Apr-DRG 40.00: Other Major Head And Neck Procedures 1 1 — — $33,915.09 $33,915.09 $33,915.09 2026-03-02
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 21 16 — $47,827.51 $29,922.21 $140,120.46 $33,867.86 2026-03-02
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 24 18 — $45,918.50 $29,503.21 $149,738.01 $33,748.65 2026-03-02
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 24 18 — $45,963.96 $29,486.71 $149,654.26 $33,731.00 2026-03-02
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 24 18 — $45,509.43 $29,442.94 $149,432.13 $33,684.21 2026-03-02
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 18 — $44,441.29 $29,182.50 $148,110.30 $33,405.75 2026-03-02
9124 APR_DRG Apr-DRG 40.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 1 1 — — $33,233.07 $33,233.07 $33,233.07 2026-03-02
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 21 16 — $46,566.20 $29,128.69 $136,404.52 $33,027.55 2026-03-02
27415 CPT Osteochondral Allograft, Knee, Open 3 3 — — $22,491.00 $43,338.00 $32,914.50 2026-03-02
19342 CPT Insertion Or Replacement Of Breast Implant On Separate Day From Mastectomy 3 3 — — $22,491.00 $43,338.00 $32,914.50 2026-03-02
24579 CPT Open Treatment Of Humeral Condylar Fracture, Medial Or Lateral, Includes Interna… 3 3 — — $22,491.00 $43,338.00 $32,914.50 2026-03-02
27827 CPT Open Treatment Of Fracture Of Weight Bearing Articular Surface/portion Of Distal… 3 3 — — $22,491.00 $43,338.00 $32,914.50 2026-03-02
20692 CPT Application Of A Multiplane (pins Or Wires In More Than 1 Plane), Unilateral, Ex… 3 3 — — $22,491.00 $43,338.00 $32,914.50 2026-03-02
47564 CPT Laparoscopy, Surgical; Cholecystectomy With Exploration Of Common Duct 3 3 — — $23,951.00 $41,769.00 $32,860.00 2026-03-02
49651 CPT Laparoscopy, Surgical; Repair Recurrent Inguinal Hernia 3 3 — — $23,951.00 $41,769.00 $32,860.00 2026-03-02
60240 CPT Thyroidectomy, Total Or Complete 3 3 — — $23,951.00 $41,769.00 $32,860.00 2026-03-02
C1785 HCPCS Imp Pcmkr Dual Rr Lvl 01 119 14 $43,804.00 $11,651.86 73% off $7,183.20 $104,028.80 $32,852.00 2026-03-02
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 24 18 — $42,270.93 $28,581.97 $145,062.45 $32,763.62 2026-03-02
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 24 18 — $41,089.16 $28,561.88 $144,960.49 $32,742.16 2026-03-02
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 20 18 — — $29,298.01 $148,696.57 $32,723.25 2026-03-02
1783 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 1 1 — — $32,675.05 $32,675.05 $32,675.05 2026-03-02
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 23 17 — $42,407.29 $28,193.82 $143,092.45 $32,659.65 2026-03-02
64582 CPT Open Implantation Of Hypoglossal Nerve Neurostimulator Array, Pulse Generator, A… 3 3 — — $13,923.00 $51,323.00 $32,623.00 2026-03-02
6276851 CDM Handpiece Lvl 12 17 14 $39,424.00 $9,185.79 77% off $16,163.84 $37,452.80 $32,564.22 2026-03-02
8504 APR_DRG Apr-DRG 40.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 1 1 — — $32,551.05 $32,551.05 $32,551.05 2026-03-02
234 APR_DRG Apr-DRG 40.00: Spinal Procedures 1 1 — — $32,489.05 $32,489.05 $32,489.05 2026-03-02
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 24 18 — $45,623.06 $28,309.33 $143,678.72 $32,472.12 2026-03-02
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 24 18 — $44,168.58 $28,251.22 $143,383.77 $32,409.97 2026-03-02
33264 CPT Rem&rpl Gen Icd Multi 28 24 $34,620.00 $13,640.28 61% off $14,194.20 $82,164.19 $32,221.25 2026-03-02
33249 CPT Ins/rpl Icd W Lead Sgl/dual 28 24 $29,493.00 $11,620.24 61% off $12,092.13 $82,164.19 $32,221.25 2026-03-02
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 24 18 — $44,282.21 $28,055.35 $142,389.66 $32,200.54 2026-03-02
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 24 18 — $44,327.66 $27,900.37 $141,603.12 $32,034.83 2026-03-02
4414 APR_DRG Apr-DRG 40.00: Major Bladder Procedures 1 1 — — $31,993.03 $31,993.03 $31,993.03 2026-03-02
214 APR_DRG Apr-DRG 40.00: Open Craniotomy Except Trauma 1 1 — — $31,993.03 $31,993.03 $31,993.03 2026-03-02
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 24 18 — $44,975.36 $27,730.33 $140,740.11 $31,853.03 2026-03-02
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 24 18 — $36,998.43 $27,702.35 $140,598.10 $31,823.10 2026-03-02
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 24 18 — $46,111.68 $27,624.86 $140,204.82 $31,740.26 2026-03-02
19380 CPT Revision Of Reconstructed Breast (eg, Significant Removal Of Tissue, Re-advancem… 3 3 — — $31,393.00 $31,934.00 $31,663.50 2026-03-02
19307 CPT Mastectomy, Modified Radical, Including Axillary Lymph Nodes, With Or Without Pe… 3 3 — — $31,393.00 $31,934.00 $31,663.50 2026-03-02
31253 CPT Nasal/sinus Endoscopy, Surgical With Ethmoidectomy; Total (anterior And Posterio… 3 3 — — $31,393.00 $31,934.00 $31,663.50 2026-03-02
31255 CPT Nasal/sinus Endoscopy, Surgical With Ethmoidectomy; Total (anterior And Posterio… 3 3 — — $31,393.00 $31,934.00 $31,663.50 2026-03-02
2604 APR_DRG Apr-DRG 40.00: Major Pancreas, Liver And Shunt Procedures 1 1 — — $31,621.02 $31,621.02 $31,621.02 2026-03-02
6313 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $31,621.02 $31,621.02 $31,621.02 2026-03-02
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 24 18 — $44,066.31 $27,424.69 $139,188.87 $31,526.22 2026-03-02
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 20 18 — — $28,068.98 $142,458.85 $31,440.72 2026-03-02
28299 CPT Correction, Hallux Valgus With Bunionectomy, With Sesamoidectomy When Performed;… 2 2 — — $31,393.00 $31,393.00 $31,393.00 2026-03-02
23410 CPT Repair Of Ruptured Musculotendinous Cuff (eg, Rotator Cuff) Open; Acute 3 3 — — $6,921.03 $38,776.00 $31,393.00 2026-03-02
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