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

EAST MORGAN COUNTY HOSPITAL

Brush, CO · CCN 061303 · Rates published

4,764 distinct procedures filed
20 distinct payers
163,304 rate rows
2026-09-23 last MRF observed
Data quality

162,549 of 163,304 rate rows are consumer-grade (99.5%)

755 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 413
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 340
exceeds 10× this hospital's gross charge — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/public-mrfs/banner/840826336_east-morgan-county-hospital_standardcharges.csv
Found on page https://www.bannerhealth.com/patients/billing/pricing-resources/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-01
Content fingerprint 60b74b0a4f12039b… · 55,082,150 bytes · first seen 2026-10-01

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 19 $1,293,041.40 $3,037,830.50 $2,390,681.50 nat. median
$2,702
outlier · 884.7×
5834
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 1 $189,706.71 $189,706.71 $189,706.71 nat. median
$307,273
0.6× median
5884
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $155,636.93 $155,636.93 $155,636.93 nat. median
$247,214
0.6× median
5833
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 1 $150,287.13 $150,287.13 $150,287.13 nat. median
$244,017
0.6× median
1614
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 1 $148,808.90 $148,808.90 $148,808.90 nat. median
$202,993
0.7× median
24
APR_DRG 		Apr-DRG 40.00: Heart And/or Lung Transplant 1 $143,599.88 $143,599.88 $143,599.88 nat. median
$241,915
0.6× median
1613
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 1 $113,964.81 $113,964.81 $113,964.81 nat. median
$120,517
0.9× median
6304
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 1 $112,979.32 $112,979.32 $112,979.32 nat. median
$154,011
0.7× median
5832
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 1 $110,797.17 $110,797.17 $110,797.17 nat. median
$159,249
0.7× median
8414
APR_DRG 		Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 1 $104,954.62 $104,954.62 $104,954.62 nat. median
$156,153
0.7× median
5934
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $101,505.41 $101,505.41 $101,505.41 nat. median
$151,838
0.7× median
5883
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $100,238.35 $100,238.35 $100,238.35 nat. median
$175,429
0.6× median
5882
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $98,196.98 $98,196.98 $98,196.98 nat. median
$145,061
0.7× median
5914
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $97,985.80 $97,985.80 $97,985.80 nat. median
$162,514
0.6× median
114
APR_DRG 		Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $97,845.02 $97,845.02 $97,845.02 nat. median
$124,042
0.8× median
6094
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $97,352.27 $97,352.27 $97,352.27 nat. median
$165,000
0.6× median
5831
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 1 $95,733.26 $95,733.26 $95,733.26 nat. median
$146,591
0.7× median
74
APR_DRG 		Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 1 $94,114.24 $94,114.24 $94,114.24 nat. median
$170,172
0.6× median
6314
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $93,480.71 $93,480.71 $93,480.71 nat. median
$133,164
0.7× median
44
APR_DRG 		Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $93,269.53 $93,269.53 $93,269.53 nat. median
$122,016
0.8× median
14
APR_DRG 		Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 1 $91,791.30 $91,791.30 $91,791.30 nat. median
$136,728
0.7× median
1612
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 1 $91,509.73 $91,509.73 $91,509.73 nat. median
$84,808
1.1× median
94
APR_DRG 		Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 1 $91,298.55 $91,298.55 $91,298.55 nat. median
$163,587
0.6× median
23
APR_DRG 		Apr-DRG 40.00: Heart And/or Lung Transplant 1 $88,764.44 $88,764.44 $88,764.44 nat. median
$111,046
0.8× median
1611
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 1 $86,934.24 $86,934.24 $86,934.24 nat. median
$76,852
1.1× median
6034
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 1 $81,584.44 $81,584.44 $81,584.44 nat. median
$107,657
0.8× median
64
APR_DRG 		Apr-DRG 40.00: Pancreas Transplant 1 $81,091.70 $81,091.70 $81,091.70 nat. median
$91,239
0.9× median
L8614
HCPCS 		Imp Dev Cochlear Int&ext Cmp Lvl 01 19 $20,732.29 $211,776.87 $73,585.68 nat. median
$22,385
outlier · 3.3×
2793784
CDM 		Fix Extrnl Lw/up/pelvic Lvl 24 19 $39,663.42 $93,183.99 $73,333.00 nat. median
$47,315
1.5× median
6024
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 $72,715.04 $72,715.04 $72,715.04 nat. median
$118,589
0.6× median
2793776
CDM 		Fix Extrnl Lw/up/pelvic Lvl 23 19 $36,057.81 $84,713.07 $66,666.64 nat. median
$43,014
1.5× median
22
APR_DRG 		Apr-DRG 40.00: Heart And/or Lung Transplant 1 $65,887.01 $65,887.01 $65,887.01 nat. median
$92,229
0.7× median
5933
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $65,253.48 $65,253.48 $65,253.48 nat. median
$108,798
0.6× median
5881
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 $64,619.95 $64,619.95 $64,619.95 nat. median
$120,505
0.5× median
43
APR_DRG 		Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $63,775.24 $63,775.24 $63,775.24 nat. median
$74,757
0.9× median
1604
APR_DRG 		Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly 1 $62,930.54 $62,930.54 $62,930.54 nat. median
$98,624
0.6× median
54
APR_DRG 		Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $61,452.30 $61,452.30 $61,452.30 nat. median
$81,668
0.8× median
2793768
CDM 		Fix Extrnl Lw/up/pelvic Lvl 22 19 $32,452.19 $76,242.15 $60,000.28 nat. median
$38,712
1.5× median
1624
APR_DRG 		Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 $59,340.54 $59,340.54 $59,340.54 nat. median
$80,771
0.7× median
5913
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $57,439.95 $57,439.95 $57,439.95 nat. median
$101,541
0.6× median
6023
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 $57,369.56 $57,369.56 $57,369.56 nat. median
$88,157
0.7× median
63
APR_DRG 		Apr-DRG 40.00: Pancreas Transplant 1 $57,017.60 $57,017.60 $57,017.60 nat. median
$73,635
0.8× median
3034
APR_DRG 		Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 $56,736.03 $56,736.03 $56,736.03 nat. median
$82,615
0.7× median
21
APR_DRG 		Apr-DRG 40.00: Heart And/or Lung Transplant 1 $56,454.46 $56,454.46 $56,454.46 nat. median
$73,922
0.8× median
6074
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 1 $55,891.33 $55,891.33 $55,891.33 nat. median
$96,883
0.6× median
C1882
HCPCS 		Imp Icd Chamber Non Sgl/dual Lvl 01 19 $25,239.31 $118,596.75 $55,605.99 nat. median
$27,370
outlier · 2.0×
73
APR_DRG 		Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 1 $55,468.97 $55,468.97 $55,468.97 nat. median
$89,273
0.6× median
6303
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 1 $54,553.88 $54,553.88 $54,553.88 nat. median
$75,282
0.7× median
C1721
HCPCS 		Imp Icd Chamber Dual Lvl 01 19 $18,028.08 $127,067.67 $54,085.89 nat. median
$22,368
outlier · 2.4×
4404
APR_DRG 		Apr-DRG 40.00: Kidney Transplant 1 $53,920.35 $53,920.35 $53,920.35 nat. median
$78,303
0.7× median

Other procedures at this hospital

Browse this hospital's 4,764 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
             
0211U CPT Lab Onc Seq Next Gen Dna&rna Ffpe 31 19 $25,365.00 $16,030.68 37% off $10,440.23 $65,103.50 $19,302.76 2026-09-23
11 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 1 1 — — $39,489.97 $39,489.97 $39,489.97 2026-09-23
112 APR_DRG Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $25,552.33 $25,552.33 $25,552.33 2026-09-23
113 APR_DRG Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $48,148.20 $48,148.20 $48,148.20 2026-09-23
114 APR_DRG Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $97,845.02 $97,845.02 $97,845.02 2026-09-23
12 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 1 1 — — $44,487.81 $44,487.81 $44,487.81 2026-09-23
1203 APR_DRG Apr-DRG 40.00: Major Respiratory And Chest Procedures 1 1 — — $19,146.65 $19,146.65 $19,146.65 2026-09-23
1204 APR_DRG Apr-DRG 40.00: Major Respiratory And Chest Procedures 1 1 — — $33,365.86 $33,365.86 $33,365.86 2026-09-23
1214 APR_DRG Apr-DRG 40.00: Other Respiratory And Chest Procedures 1 1 — — $27,312.13 $27,312.13 $27,312.13 2026-09-23
13 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 1 1 — — $53,075.64 $53,075.64 $53,075.64 2026-09-23
1301 APR_DRG Apr-DRG 40.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $19,991.36 $19,991.36 $19,991.36 2026-09-23
1302 APR_DRG Apr-DRG 40.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $19,991.36 $19,991.36 $19,991.36 2026-09-23
1303 APR_DRG Apr-DRG 40.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $24,426.06 $24,426.06 $24,426.06 2026-09-23
1304 APR_DRG Apr-DRG 40.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $31,676.44 $31,676.44 $31,676.44 2026-09-23
14 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 1 1 — — $91,791.30 $91,791.30 $91,791.30 2026-09-23
1602 APR_DRG Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $21,891.94 $21,891.94 $21,891.94 2026-09-23
1603 APR_DRG Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $33,788.21 $33,788.21 $33,788.21 2026-09-23
1604 APR_DRG Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $62,930.54 $62,930.54 $62,930.54 2026-09-23
1611 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 1 1 — — $86,934.24 $86,934.24 $86,934.24 2026-09-23
1612 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 1 1 — — $91,509.73 $91,509.73 $91,509.73 2026-09-23
1613 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 1 1 — — $113,964.81 $113,964.81 $113,964.81 2026-09-23
1614 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 1 1 — — $148,808.90 $148,808.90 $148,808.90 2026-09-23
1621 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $27,452.92 $27,452.92 $27,452.92 2026-09-23
1622 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $32,239.58 $32,239.58 $32,239.58 2026-09-23
1623 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $40,616.24 $40,616.24 $40,616.24 2026-09-23
1624 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $59,340.54 $59,340.54 $59,340.54 2026-09-23
1631 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 1 1 — — $24,074.10 $24,074.10 $24,074.10 2026-09-23
1632 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 1 1 — — $26,608.21 $26,608.21 $26,608.21 2026-09-23
1633 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 1 1 — — $33,647.42 $33,647.42 $33,647.42 2026-09-23
1634 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 1 1 — — $50,471.14 $50,471.14 $50,471.14 2026-09-23
1651 APR_DRG Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $23,299.79 $23,299.79 $23,299.79 2026-09-23
1652 APR_DRG Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $28,368.02 $28,368.02 $28,368.02 2026-09-23
1653 APR_DRG Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $34,069.78 $34,069.78 $34,069.78 2026-09-23
1654 APR_DRG Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $46,177.22 $46,177.22 $46,177.22 2026-09-23
1661 APR_DRG Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $21,469.59 $21,469.59 $21,469.59 2026-09-23
1662 APR_DRG Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $23,862.92 $23,862.92 $23,862.92 2026-09-23
1663 APR_DRG Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $28,368.02 $28,368.02 $28,368.02 2026-09-23
1664 APR_DRG Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $41,601.73 $41,601.73 $41,601.73 2026-09-23
1672 APR_DRG Apr-DRG 40.00: Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $18,724.30 $18,724.30 $18,724.30 2026-09-23
1673 APR_DRG Apr-DRG 40.00: Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $28,297.62 $28,297.62 $28,297.62 2026-09-23
1674 APR_DRG Apr-DRG 40.00: Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $45,402.90 $45,402.90 $45,402.90 2026-09-23
1693 APR_DRG Apr-DRG 40.00: Major Abdominal Vascular Procedures 1 1 — — $23,933.31 $23,933.31 $23,933.31 2026-09-23
1694 APR_DRG Apr-DRG 40.00: Major Abdominal Vascular Procedures 1 1 — — $38,926.83 $38,926.83 $38,926.83 2026-09-23
1703 APR_DRG Apr-DRG 40.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh… 1 1 — — $19,569.00 $19,569.00 $19,569.00 2026-09-23
1704 APR_DRG Apr-DRG 40.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh… 1 1 — — $27,452.92 $27,452.92 $27,452.92 2026-09-23
1714 APR_DRG Apr-DRG 40.00: Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or… 1 1 — — $21,962.34 $21,962.34 $21,962.34 2026-09-23
1744 APR_DRG Apr-DRG 40.00: Percutaneous Cardiac Intervention With Ami 1 1 — — $23,229.39 $23,229.39 $23,229.39 2026-09-23
1754 APR_DRG Apr-DRG 40.00: Percutaneous Cardiac Intervention Without Ami 1 1 — — $25,693.12 $25,693.12 $25,693.12 2026-09-23
1763 APR_DRG Apr-DRG 40.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 1 1 — — $19,076.26 $19,076.26 $19,076.26 2026-09-23
1764 APR_DRG Apr-DRG 40.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 1 1 — — $31,676.44 $31,676.44 $31,676.44 2026-09-23
1774 APR_DRG Apr-DRG 40.00: Cardiac Pacemaker And Defibrillator Revision Except Device Replac… 1 1 — — $19,920.96 $19,920.96 $19,920.96 2026-09-23
1781 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 1 1 — — $30,831.74 $30,831.74 $30,831.74 2026-09-23
1782 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 1 1 — — $34,562.52 $34,562.52 $34,562.52 2026-09-23
1783 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 1 1 — — $37,096.64 $37,096.64 $37,096.64 2026-09-23
1784 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 1 1 — — $50,189.57 $50,189.57 $50,189.57 2026-09-23
1791 APR_DRG Apr-DRG 40.00: Defibrillator Implants 1 1 — — $21,399.20 $21,399.20 $21,399.20 2026-09-23
1792 APR_DRG Apr-DRG 40.00: Defibrillator Implants 1 1 — — $24,285.27 $24,285.27 $24,285.27 2026-09-23
1793 APR_DRG Apr-DRG 40.00: Defibrillator Implants 1 1 — — $29,775.86 $29,775.86 $29,775.86 2026-09-23
1794 APR_DRG Apr-DRG 40.00: Defibrillator Implants 1 1 — — $40,827.42 $40,827.42 $40,827.42 2026-09-23
1804 APR_DRG Apr-DRG 40.00: Other Circulatory System Procedures 1 1 — — $23,159.00 $23,159.00 $23,159.00 2026-09-23
1813 APR_DRG Apr-DRG 40.00: Lower Extremity Arterial Procedures 1 1 — — $20,624.89 $20,624.89 $20,624.89 2026-09-23
1814 APR_DRG Apr-DRG 40.00: Lower Extremity Arterial Procedures 1 1 — — $32,239.58 $32,239.58 $32,239.58 2026-09-23
1824 APR_DRG Apr-DRG 40.00: Other Peripheral Vascular And Related Procedures 1 1 — — $27,382.53 $27,382.53 $27,382.53 2026-09-23
1831 APR_DRG Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures 1 1 — — $25,129.98 $25,129.98 $25,129.98 2026-09-23
1832 APR_DRG Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures 1 1 — — $25,833.90 $25,833.90 $25,833.90 2026-09-23
1833 APR_DRG Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures 1 1 — — $30,057.43 $30,057.43 $30,057.43 2026-09-23
1834 APR_DRG Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures 1 1 — — $42,798.40 $42,798.40 $42,798.40 2026-09-23
203 APR_DRG Apr-DRG 40.00: Open Craniotomy For Trauma 1 1 — — $21,469.59 $21,469.59 $21,469.59 2026-09-23
204 APR_DRG Apr-DRG 40.00: Open Craniotomy For Trauma 1 1 — — $33,506.64 $33,506.64 $33,506.64 2026-09-23
21 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 1 1 — — $56,454.46 $56,454.46 $56,454.46 2026-09-23
213 APR_DRG Apr-DRG 40.00: Open Craniotomy Except Trauma 1 1 — — $23,299.79 $23,299.79 $23,299.79 2026-09-23
214 APR_DRG Apr-DRG 40.00: Open Craniotomy Except Trauma 1 1 — — $36,322.32 $36,322.32 $36,322.32 2026-09-23
22 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 1 1 — — $65,887.01 $65,887.01 $65,887.01 2026-09-23
2203 APR_DRG Apr-DRG 40.00: Major Stomach, Esophageal And Duodenal Procedures 1 1 — — $19,287.44 $19,287.44 $19,287.44 2026-09-23
2204 APR_DRG Apr-DRG 40.00: Major Stomach, Esophageal And Duodenal Procedures 1 1 — — $34,421.74 $34,421.74 $34,421.74 2026-09-23
2224 APR_DRG Apr-DRG 40.00: Other Stomach, Esophageal And Duodenal Procedures 1 1 — — $25,270.76 $25,270.76 $25,270.76 2026-09-23
2234 APR_DRG Apr-DRG 40.00: Other Small And Large Bowel Procedures 1 1 — — $24,285.27 $24,285.27 $24,285.27 2026-09-23
224 APR_DRG Apr-DRG 40.00: Ventricular Shunt Procedures 1 1 — — $27,804.88 $27,804.88 $27,804.88 2026-09-23
2244 APR_DRG Apr-DRG 40.00: Peritoneal Adhesiolysis 1 1 — — $23,581.35 $23,581.35 $23,581.35 2026-09-23
2274 APR_DRG Apr-DRG 40.00: Hernia Procedures Except Inguinal, Femoral And Umbilical 1 1 — — $23,792.53 $23,792.53 $23,792.53 2026-09-23
2294 APR_DRG Apr-DRG 40.00: Other Digestive System And Abdominal Procedures 1 1 — — $25,270.76 $25,270.76 $25,270.76 2026-09-23
23 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 1 1 — — $88,764.44 $88,764.44 $88,764.44 2026-09-23
2304 APR_DRG Apr-DRG 40.00: Major Small Bowel Procedures 1 1 — — $30,831.74 $30,831.74 $30,831.74 2026-09-23
2314 APR_DRG Apr-DRG 40.00: Major Large Bowel Procedures 1 1 — — $27,171.35 $27,171.35 $27,171.35 2026-09-23
2324 APR_DRG Apr-DRG 40.00: Gastric Fundoplication 1 1 — — $25,341.16 $25,341.16 $25,341.16 2026-09-23
233 APR_DRG Apr-DRG 40.00: Spinal Procedures 1 1 — — $22,666.26 $22,666.26 $22,666.26 2026-09-23
234 APR_DRG Apr-DRG 40.00: Spinal Procedures 1 1 — — $36,885.46 $36,885.46 $36,885.46 2026-09-23
24 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 1 1 — — $143,599.88 $143,599.88 $143,599.88 2026-09-23
244 APR_DRG Apr-DRG 40.00: Open Extracranial Vascular Procedures 1 1 — — $24,285.27 $24,285.27 $24,285.27 2026-09-23
2603 APR_DRG Apr-DRG 40.00: Major Pancreas, Liver And Shunt Procedures 1 1 — — $19,005.87 $19,005.87 $19,005.87 2026-09-23
2604 APR_DRG Apr-DRG 40.00: Major Pancreas, Liver And Shunt Procedures 1 1 — — $35,899.97 $35,899.97 $35,899.97 2026-09-23
2614 APR_DRG Apr-DRG 40.00: Major Biliary Tract Procedures 1 1 — — $31,535.66 $31,535.66 $31,535.66 2026-09-23
2634 APR_DRG Apr-DRG 40.00: Cholecystectomy 1 1 — — $19,920.96 $19,920.96 $19,920.96 2026-09-23
264 APR_DRG Apr-DRG 40.00: Other Nervous System And Related Procedures 1 1 — — $27,945.66 $27,945.66 $27,945.66 2026-09-23
2644 APR_DRG Apr-DRG 40.00: Other Hepatobiliary, Pancreas And Abdominal Procedures 1 1 — — $28,016.06 $28,016.06 $28,016.06 2026-09-23
273 APR_DRG Apr-DRG 40.00: Other Open Craniotomy 1 1 — — $19,428.22 $19,428.22 $19,428.22 2026-09-23
274 APR_DRG Apr-DRG 40.00: Other Open Craniotomy 1 1 — — $32,028.41 $32,028.41 $32,028.41 2026-09-23
2793693 CDM Fix Extrnl Lw/up/pelvic Lvl 15 31 19 $26,284.00 $13,063.15 50% off $10,818.49 $25,416.63 $20,002.12 2026-09-23
2793701 CDM Fix Extrnl Lw/up/pelvic Lvl 16 31 19 $30,664.00 $15,240.01 50% off $12,621.30 $29,652.09 $23,335.30 2026-09-23
2793719 CDM Fix Extrnl Lw/up/pelvic Lvl 17 31 19 $35,044.00 $17,416.87 50% off $14,424.11 $33,887.55 $26,668.48 2026-09-23
2793727 CDM Fix Extrnl Lw/up/pelvic Lvl 18 31 19 $43,804.00 $21,770.59 50% off $18,029.73 $42,358.47 $33,334.84 2026-09-23
2793735 CDM Fix Extrnl Lw/up/pelvic Lvl 19 31 19 $52,564.00 $26,124.31 50% off $21,635.34 $50,829.39 $40,001.20 2026-09-23
2793743 CDM Fix Extrnl Lw/up/pelvic Lvl 20 31 19 $61,324.00 $30,478.03 50% off $25,240.96 $59,300.31 $46,667.56 2026-09-23
2793750 CDM Fix Extrnl Lw/up/pelvic Lvl 21 31 19 $70,084.00 $34,831.75 50% off $28,846.57 $67,771.23 $53,333.92 2026-09-23
2793768 CDM Fix Extrnl Lw/up/pelvic Lvl 22 31 19 $78,844.00 $39,185.47 50% off $32,452.19 $76,242.15 $60,000.28 2026-09-23
2793776 CDM Fix Extrnl Lw/up/pelvic Lvl 23 31 19 $87,604.00 $43,539.19 50% off $36,057.81 $84,713.07 $66,666.64 2026-09-23
2793784 CDM Fix Extrnl Lw/up/pelvic Lvl 24 31 19 $96,364.00 $47,892.91 50% off $39,663.42 $93,183.99 $73,333.00 2026-09-23
294 APR_DRG Apr-DRG 40.00: Other Percutaneous Intracranial Procedures 1 1 — — $25,974.68 $25,974.68 $25,974.68 2026-09-23
303 APR_DRG Apr-DRG 40.00: Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $21,469.59 $21,469.59 $21,469.59 2026-09-23
3031 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $25,974.68 $25,974.68 $25,974.68 2026-09-23
3032 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $31,183.70 $31,183.70 $31,183.70 2026-09-23
3033 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $42,939.18 $42,939.18 $42,939.18 2026-09-23
3034 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $56,736.03 $56,736.03 $56,736.03 2026-09-23
304 APR_DRG Apr-DRG 40.00: Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $28,368.02 $28,368.02 $28,368.02 2026-09-23
3042 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $20,836.06 $20,836.06 $20,836.06 2026-09-23
3043 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $29,423.90 $29,423.90 $29,423.90 2026-09-23
3044 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $43,572.71 $43,572.71 $43,572.71 2026-09-23
3054 APR_DRG Apr-DRG 40.00: Amputation Of Lower Limb Except Toes 1 1 — — $24,566.84 $24,566.84 $24,566.84 2026-09-23
3084 APR_DRG Apr-DRG 40.00: Hip And Femur Fracture Repair 1 1 — — $19,217.04 $19,217.04 $19,217.04 2026-09-23
3094 APR_DRG Apr-DRG 40.00: Other Significant Hip And Femur Surgery 1 1 — — $25,763.51 $25,763.51 $25,763.51 2026-09-23
3104 APR_DRG Apr-DRG 40.00: Vertebral And Intervertebral Spinal Procedures Including Disc Pro… 1 1 — — $22,525.47 $22,525.47 $22,525.47 2026-09-23
3123 APR_DRG Apr-DRG 40.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 1 1 — — $19,076.26 $19,076.26 $19,076.26 2026-09-23
3124 APR_DRG Apr-DRG 40.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 1 1 — — $38,645.26 $38,645.26 $38,645.26 2026-09-23
3134 APR_DRG Apr-DRG 40.00: Knee And Lower Leg Procedures Except Foot 1 1 — — $24,496.45 $24,496.45 $24,496.45 2026-09-23
3154 APR_DRG Apr-DRG 40.00: Shoulder, Upper Arm And Forearm Procedures Except Joint Replaceme… 1 1 — — $23,299.79 $23,299.79 $23,299.79 2026-09-23
3164 APR_DRG Apr-DRG 40.00: Hand And Wrist Procedures 1 1 — — $19,217.04 $19,217.04 $19,217.04 2026-09-23
3174 APR_DRG Apr-DRG 40.00: Tendon, Muscle And Other Soft Tissue Procedures 1 1 — — $21,539.98 $21,539.98 $21,539.98 2026-09-23
3204 APR_DRG Apr-DRG 40.00: Other Musculoskeletal System And Connective Tissue Procedures 1 1 — — $22,736.65 $22,736.65 $22,736.65 2026-09-23
3214 APR_DRG Apr-DRG 40.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc … 1 1 — — $28,579.19 $28,579.19 $28,579.19 2026-09-23
3224 APR_DRG Apr-DRG 40.00: Shoulder And Elbow Joint Replacement 1 1 — — $21,680.77 $21,680.77 $21,680.77 2026-09-23
3234 APR_DRG Apr-DRG 40.00: Non-elective Or Complex Hip Joint Replacement 1 1 — — $21,821.55 $21,821.55 $21,821.55 2026-09-23
3244 APR_DRG Apr-DRG 40.00: Elective Hip Joint Replacement 1 1 — — $21,821.55 $21,821.55 $21,821.55 2026-09-23
3253 APR_DRG Apr-DRG 40.00: Non-elective Or Complex Knee Joint Replacement 1 1 — — $19,991.36 $19,991.36 $19,991.36 2026-09-23
3254 APR_DRG Apr-DRG 40.00: Non-elective Or Complex Knee Joint Replacement 1 1 — — $27,804.88 $27,804.88 $27,804.88 2026-09-23
3614 APR_DRG Apr-DRG 40.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 1 1 — — $32,732.33 $32,732.33 $32,732.33 2026-09-23
3624 APR_DRG Apr-DRG 40.00: Mastectomy Procedures 1 1 — — $24,074.10 $24,074.10 $24,074.10 2026-09-23
3634 APR_DRG Apr-DRG 40.00: Breast Procedures Except Mastectomy 1 1 — — $19,428.22 $19,428.22 $19,428.22 2026-09-23
4014 APR_DRG Apr-DRG 40.00: Adrenal Procedures 1 1 — — $30,198.21 $30,198.21 $30,198.21 2026-09-23
4034 APR_DRG Apr-DRG 40.00: Procedures For Obesity 1 1 — — $23,933.31 $23,933.31 $23,933.31 2026-09-23
4044 APR_DRG Apr-DRG 40.00: Thyroid, Parathyroid And Thyroglossal Procedures 1 1 — — $29,705.47 $29,705.47 $29,705.47 2026-09-23
4054 APR_DRG Apr-DRG 40.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 1 1 — — $27,734.49 $27,734.49 $27,734.49 2026-09-23
41 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $29,283.11 $29,283.11 $29,283.11 2026-09-23
42 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $43,854.28 $43,854.28 $43,854.28 2026-09-23
43 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $63,775.24 $63,775.24 $63,775.24 2026-09-23
434 APR_DRG Apr-DRG 40.00: Multiple Sclerosis, Other Demyelinating Disease And Inflammatory … 1 1 — — $19,146.65 $19,146.65 $19,146.65 2026-09-23
44 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $93,269.53 $93,269.53 $93,269.53 2026-09-23
4401 APR_DRG Apr-DRG 40.00: Kidney Transplant 1 1 — — $27,241.74 $27,241.74 $27,241.74 2026-09-23
4402 APR_DRG Apr-DRG 40.00: Kidney Transplant 1 1 — — $30,479.78 $30,479.78 $30,479.78 2026-09-23
4403 APR_DRG Apr-DRG 40.00: Kidney Transplant 1 1 — — $35,548.01 $35,548.01 $35,548.01 2026-09-23
4404 APR_DRG Apr-DRG 40.00: Kidney Transplant 1 1 — — $53,920.35 $53,920.35 $53,920.35 2026-09-23
4414 APR_DRG Apr-DRG 40.00: Major Bladder Procedures 1 1 — — $36,322.32 $36,322.32 $36,322.32 2026-09-23
4424 APR_DRG Apr-DRG 40.00: Kidney And Urinary Tract Procedures For Malignancy 1 1 — — $25,622.72 $25,622.72 $25,622.72 2026-09-23
4434 APR_DRG Apr-DRG 40.00: Kidney And Urinary Tract Procedures For Non-malignancy 1 1 — — $20,836.06 $20,836.06 $20,836.06 2026-09-23
4444 APR_DRG Apr-DRG 40.00: Renal Dialysis Access Device Procedures 1 1 — — $21,610.37 $21,610.37 $21,610.37 2026-09-23
4454 APR_DRG Apr-DRG 40.00: Other Bladder Procedures 1 1 — — $19,920.96 $19,920.96 $19,920.96 2026-09-23
4474 APR_DRG Apr-DRG 40.00: Other Kidney, Urinary Tract And Related Procedures 1 1 — — $26,819.39 $26,819.39 $26,819.39 2026-09-23
4804 APR_DRG Apr-DRG 40.00: Major Male Pelvic Procedures 1 1 — — $22,947.82 $22,947.82 $22,947.82 2026-09-23
4834 APR_DRG Apr-DRG 40.00: Penis, Testes And Scrotal Procedures 1 1 — — $20,976.85 $20,976.85 $20,976.85 2026-09-23
4844 APR_DRG Apr-DRG 40.00: Other Male Reproductive System And Related Procedures 1 1 — — $23,299.79 $23,299.79 $23,299.79 2026-09-23
494 APR_DRG Apr-DRG 40.00: Bacterial And Tuberculous Infections Of Nervous System 1 1 — — $21,469.59 $21,469.59 $21,469.59 2026-09-23
504 APR_DRG Apr-DRG 40.00: Non-bacterial Infections Of Nervous System Except Viral Meningiti… 1 1 — — $22,736.65 $22,736.65 $22,736.65 2026-09-23
51 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $27,523.31 $27,523.31 $27,523.31 2026-09-23
5104 APR_DRG Apr-DRG 40.00: Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynec… 1 1 — — $30,831.74 $30,831.74 $30,831.74 2026-09-23
5114 APR_DRG Apr-DRG 40.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 1 1 — — $27,875.27 $27,875.27 $27,875.27 2026-09-23
5124 APR_DRG Apr-DRG 40.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mal… 1 1 — — $24,707.63 $24,707.63 $24,707.63 2026-09-23
5134 APR_DRG Apr-DRG 40.00: Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 1 1 — — $18,583.51 $18,583.51 $18,583.51 2026-09-23
5144 APR_DRG Apr-DRG 40.00: Female Reproductive System Reconstructive Procedures 1 1 — — $23,722.14 $23,722.14 $23,722.14 2026-09-23
5184 APR_DRG Apr-DRG 40.00: Other Female Reproductive System And Related Procedures 1 1 — — $22,807.04 $22,807.04 $22,807.04 2026-09-23
5194 APR_DRG Apr-DRG 40.00: Uterine And Adnexa Procedures For Leiomyoma 1 1 — — $22,243.90 $22,243.90 $22,243.90 2026-09-23
52 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $33,154.68 $33,154.68 $33,154.68 2026-09-23
53 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $45,262.12 $45,262.12 $45,262.12 2026-09-23
54 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $61,452.30 $61,452.30 $61,452.30 2026-09-23
5484 APR_DRG Apr-DRG 40.00: Postpartum And Post Abortion Diagnosis With O.r. Procedure 1 1 — — $20,272.92 $20,272.92 $20,272.92 2026-09-23
5831 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 1 1 — — $95,733.26 $95,733.26 $95,733.26 2026-09-23
5832 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 1 1 — — $110,797.17 $110,797.17 $110,797.17 2026-09-23
5833 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 1 1 — — $150,287.13 $150,287.13 $150,287.13 2026-09-23
5834 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 1 1 — — $189,706.71 $189,706.71 $189,706.71 2026-09-23
5881 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $64,619.95 $64,619.95 $64,619.95 2026-09-23
5882 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $98,196.98 $98,196.98 $98,196.98 2026-09-23
5883 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $100,238.35 $100,238.35 $100,238.35 2026-09-23
5884 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $155,636.93 $155,636.93 $155,636.93 2026-09-23
5891 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 1 1 — — $30,409.39 $30,409.39 $30,409.39 2026-09-23
5892 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 1 1 — — $25,270.76 $25,270.76 $25,270.76 2026-09-23
5893 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 1 1 — — $20,061.75 $20,061.75 $20,061.75 2026-09-23
5912 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $30,550.17 $30,550.17 $30,550.17 2026-09-23
5913 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $57,439.95 $57,439.95 $57,439.95 2026-09-23
5914 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $97,985.80 $97,985.80 $97,985.80 2026-09-23
5932 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $51,738.19 $51,738.19 $51,738.19 2026-09-23
5933 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $65,253.48 $65,253.48 $65,253.48 2026-09-23
5934 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $101,505.41 $101,505.41 $101,505.41 2026-09-23
6022 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 1 — — $43,783.89 $43,783.89 $43,783.89 2026-09-23
6023 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 1 — — $57,369.56 $57,369.56 $57,369.56 2026-09-23
6024 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 1 1 — — $72,715.04 $72,715.04 $72,715.04 2026-09-23
6032 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 1 1 — — $19,569.00 $19,569.00 $19,569.00 2026-09-23
6033 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 1 1 — — $39,701.14 $39,701.14 $39,701.14 2026-09-23
6034 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 1 1 — — $81,584.44 $81,584.44 $81,584.44 2026-09-23
6072 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 1 1 — — $33,647.42 $33,647.42 $33,647.42 2026-09-23
6073 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 1 1 — — $43,502.32 $43,502.32 $43,502.32 2026-09-23
6074 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 1 1 — — $55,891.33 $55,891.33 $55,891.33 2026-09-23
6082 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 1 1 — — $24,848.41 $24,848.41 $24,848.41 2026-09-23
6083 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 1 1 — — $33,717.82 $33,717.82 $33,717.82 2026-09-23
6084 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 1 1 — — $35,407.23 $35,407.23 $35,407.23 2026-09-23
6091 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $21,891.94 $21,891.94 $21,891.94 2026-09-23
6092 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $23,018.22 $23,018.22 $23,018.22 2026-09-23
6093 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $48,500.16 $48,500.16 $48,500.16 2026-09-23
6094 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $97,352.27 $97,352.27 $97,352.27 2026-09-23
61 APR_DRG Apr-DRG 40.00: Pancreas Transplant 1 1 — — $38,926.83 $38,926.83 $38,926.83 2026-09-23
6113 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $27,664.10 $27,664.10 $27,664.10 2026-09-23
6114 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $42,446.44 $42,446.44 $42,446.44 2026-09-23
6122 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 1 1 — — $22,103.12 $22,103.12 $22,103.12 2026-09-23
6123 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 1 1 — — $28,579.19 $28,579.19 $28,579.19 2026-09-23
6124 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 1 1 — — $40,616.24 $40,616.24 $40,616.24 2026-09-23
6133 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 1 1 — — $25,974.68 $25,974.68 $25,974.68 2026-09-23
6134 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 1 1 — — $39,841.93 $39,841.93 $39,841.93 2026-09-23
6143 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 1 1 — — $24,566.84 $24,566.84 $24,566.84 2026-09-23
6144 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 1 1 — — $32,028.41 $32,028.41 $32,028.41 2026-09-23
62 APR_DRG Apr-DRG 40.00: Pancreas Transplant 1 1 — — $49,485.65 $49,485.65 $49,485.65 2026-09-23
6213 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $19,569.00 $19,569.00 $19,569.00 2026-09-23
6214 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $33,295.46 $33,295.46 $33,295.46 2026-09-23
6224 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 1 1 — — $26,326.65 $26,326.65 $26,326.65 2026-09-23
6233 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 1 1 — — $19,920.96 $19,920.96 $19,920.96 2026-09-23
6234 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 1 1 — — $24,144.49 $24,144.49 $24,144.49 2026-09-23
6254 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 1 1 — — $22,243.90 $22,243.90 $22,243.90 2026-09-23
6276828 CDM Handpiece Lvl 09 31 19 $26,284.00 $13,063.15 50% off $10,818.49 $25,416.63 $20,002.12 2026-09-23
6276836 CDM Handpiece Lvl 10 31 19 $30,664.00 $15,240.01 50% off $12,621.30 $29,652.09 $23,335.30 2026-09-23
6276844 CDM Handpiece Lvl 11 31 19 $35,044.00 $17,416.87 50% off $14,424.11 $33,887.55 $26,668.48 2026-09-23
6276851 CDM Handpiece Lvl 12 31 19 $39,424.00 $19,593.73 50% off $16,226.92 $38,123.01 $30,001.66 2026-09-23
63 APR_DRG Apr-DRG 40.00: Pancreas Transplant 1 1 — — $57,017.60 $57,017.60 $57,017.60 2026-09-23
6302 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 1 1 — — $34,632.91 $34,632.91 $34,632.91 2026-09-23
6303 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 1 1 — — $54,553.88 $54,553.88 $54,553.88 2026-09-23
6304 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 1 1 — — $112,979.32 $112,979.32 $112,979.32 2026-09-23
6312 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $22,032.73 $22,032.73 $22,032.73 2026-09-23
6313 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $35,899.97 $35,899.97 $35,899.97 2026-09-23
6314 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $93,480.71 $93,480.71 $93,480.71 2026-09-23
6334 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 — — $30,268.60 $30,268.60 $30,268.60 2026-09-23
6344 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr… 1 1 — — $23,229.39 $23,229.39 $23,229.39 2026-09-23
6364 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal In… 1 1 — — $19,217.04 $19,217.04 $19,217.04 2026-09-23
64 APR_DRG Apr-DRG 40.00: Pancreas Transplant 1 1 — — $81,091.70 $81,091.70 $81,091.70 2026-09-23
6504 APR_DRG Apr-DRG 40.00: Splenectomy 1 1 — — $27,241.74 $27,241.74 $27,241.74 2026-09-23
6514 APR_DRG Apr-DRG 40.00: Other Procedures Of Blood And Blood-forming Organs 1 1 — — $30,057.43 $30,057.43 $30,057.43 2026-09-23
6803 APR_DRG Apr-DRG 40.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 1 1 — — $21,258.41 $21,258.41 $21,258.41 2026-09-23
6804 APR_DRG Apr-DRG 40.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 1 1 — — $40,686.63 $40,686.63 $40,686.63 2026-09-23
6814 APR_DRG Apr-DRG 40.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 1 1 — — $34,703.31 $34,703.31 $34,703.31 2026-09-23
6903 APR_DRG Apr-DRG 40.00: Acute Leukemia 1 1 — — $19,076.26 $19,076.26 $19,076.26 2026-09-23
6904 APR_DRG Apr-DRG 40.00: Acute Leukemia 1 1 — — $33,225.07 $33,225.07 $33,225.07 2026-09-23
6914 APR_DRG Apr-DRG 40.00: Lymphoma, Myeloma And Non-acute Leukemia 1 1 — — $19,498.61 $19,498.61 $19,498.61 2026-09-23
6924 APR_DRG Apr-DRG 40.00: Radiotherapy 1 1 — — $20,695.28 $20,695.28 $20,695.28 2026-09-23
6954 APR_DRG Apr-DRG 40.00: Chemotherapy For Acute Leukemia 1 1 — — $31,254.09 $31,254.09 $31,254.09 2026-09-23
71 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 1 1 — — $38,645.26 $38,645.26 $38,645.26 2026-09-23
7104 APR_DRG Apr-DRG 40.00: Infectious And Parasitic Diseases Including HIV With O.r. Procedu… 1 1 — — $27,945.66 $27,945.66 $27,945.66 2026-09-23
7114 APR_DRG Apr-DRG 40.00: Post-operative, Post-trauma, Other Device Infections With O.r. Pr… 1 1 — — $26,326.65 $26,326.65 $26,326.65 2026-09-23
72 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 1 1 — — $43,361.53 $43,361.53 $43,361.53 2026-09-23
73 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 1 1 — — $55,468.97 $55,468.97 $55,468.97 2026-09-23
734 APR_DRG Apr-DRG 40.00: Orbit And Eye Procedures 1 1 — — $21,610.37 $21,610.37 $21,610.37 2026-09-23
74 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 1 1 — — $94,114.24 $94,114.24 $94,114.24 2026-09-23
7404 APR_DRG Apr-DRG 40.00: Mental Illness Diagnosis With O.r. Procedure 1 1 — — $35,407.23 $35,407.23 $35,407.23 2026-09-23
7524 APR_DRG Apr-DRG 40.00: Disorders Of Personality And Impulse Control 1 1 — — $23,229.39 $23,229.39 $23,229.39 2026-09-23
7594 APR_DRG Apr-DRG 40.00: Eating Disorders 1 1 — — $33,154.68 $33,154.68 $33,154.68 2026-09-23
7924 APR_DRG Apr-DRG 40.00: Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $30,268.60 $30,268.60 $30,268.60 2026-09-23
7934 APR_DRG Apr-DRG 40.00: Moderately Extensive O.r. Procedures For Other Complications Of T… 1 1 — — $23,862.92 $23,862.92 $23,862.92 2026-09-23
81 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 1 1 — — $18,865.08 $18,865.08 $18,865.08 2026-09-23
82 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 1 1 — — $25,059.59 $25,059.59 $25,059.59 2026-09-23
83 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 1 1 — — $29,987.03 $29,987.03 $29,987.03 2026-09-23
84 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 1 1 — — $47,585.06 $47,585.06 $47,585.06 2026-09-23
8413 APR_DRG Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 1 1 — — $38,504.48 $38,504.48 $38,504.48 2026-09-23
8414 APR_DRG Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 1 1 — — $104,954.62 $104,954.62 $104,954.62 2026-09-23
8423 APR_DRG Apr-DRG 40.00: Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $21,891.94 $21,891.94 $21,891.94 2026-09-23
8424 APR_DRG Apr-DRG 40.00: Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $53,005.25 $53,005.25 $53,005.25 2026-09-23
8504 APR_DRG Apr-DRG 40.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 1 1 — — $36,955.85 $36,955.85 $36,955.85 2026-09-23
8633 APR_DRG Apr-DRG 40.00: Neonatal Aftercare 1 1 — — $26,678.61 $26,678.61 $26,678.61 2026-09-23
8634 APR_DRG Apr-DRG 40.00: Neonatal Aftercare 1 1 — — $41,601.73 $41,601.73 $41,601.73 2026-09-23
893 APR_DRG Apr-DRG 40.00: Major Cranial Or Facial Bone Procedures 1 1 — — $23,722.14 $23,722.14 $23,722.14 2026-09-23
894 APR_DRG Apr-DRG 40.00: Major Cranial Or Facial Bone Procedures 1 1 — — $34,210.56 $34,210.56 $34,210.56 2026-09-23
91 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $25,200.37 $25,200.37 $25,200.37 2026-09-23
9101 APR_DRG Apr-DRG 40.00: Craniotomy For Multiple Significant Trauma 1 1 — — $19,005.87 $19,005.87 $19,005.87 2026-09-23
9102 APR_DRG Apr-DRG 40.00: Craniotomy For Multiple Significant Trauma 1 1 — — $21,751.16 $21,751.16 $21,751.16 2026-09-23
9103 APR_DRG Apr-DRG 40.00: Craniotomy For Multiple Significant Trauma 1 1 — — $24,496.45 $24,496.45 $24,496.45 2026-09-23
9104 APR_DRG Apr-DRG 40.00: Craniotomy For Multiple Significant Trauma 1 1 — — $41,108.99 $41,108.99 $41,108.99 2026-09-23
9114 APR_DRG Apr-DRG 40.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 1 1 — — $38,856.44 $38,856.44 $38,856.44 2026-09-23
9123 APR_DRG Apr-DRG 40.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 1 1 — — $21,258.41 $21,258.41 $21,258.41 2026-09-23
9124 APR_DRG Apr-DRG 40.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 1 1 — — $37,730.17 $37,730.17 $37,730.17 2026-09-23
913 APR_DRG Apr-DRG 40.00: Other Major Head And Neck Procedures 1 1 — — $24,566.84 $24,566.84 $24,566.84 2026-09-23
914 APR_DRG Apr-DRG 40.00: Other Major Head And Neck Procedures 1 1 — — $38,504.48 $38,504.48 $38,504.48 2026-09-23
92 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $30,690.96 $30,690.96 $30,690.96 2026-09-23
924 APR_DRG Apr-DRG 40.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 1 1 — — $30,409.39 $30,409.39 $30,409.39 2026-09-23
93 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $42,094.48 $42,094.48 $42,094.48 2026-09-23
94 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $91,298.55 $91,298.55 $91,298.55 2026-09-23
9503 APR_DRG Apr-DRG 40.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $18,583.51 $18,583.51 $18,583.51 2026-09-23
9504 APR_DRG Apr-DRG 40.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $33,858.60 $33,858.60 $33,858.60 2026-09-23
9514 APR_DRG Apr-DRG 40.00: Moderately Extensive O.r. Procedure Unrelated To Principal Diagno… 1 1 — — $25,200.37 $25,200.37 $25,200.37 2026-09-23
9524 APR_DRG Apr-DRG 40.00: Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $21,610.37 $21,610.37 $21,610.37 2026-09-23
984 APR_DRG Apr-DRG 40.00: Other Ear, Nose, Mouth And Throat Procedures 1 1 — — $20,624.89 $20,624.89 $20,624.89 2026-09-23
C1721 HCPCS Imp Icd Chamber Dual Lvl 01 155 19 $87,604.00 $61,251.84 30% off $18,028.08 $127,067.67 $54,085.89 2026-09-23
C1722 HCPCS Imp Icd Chamber Sgl Lvl 01 93 19 $65,704.00 $45,939.58 30% off $18,028.08 $84,713.07 $38,675.40 2026-09-23
C1767 HCPCS Imp Generator Neurostim Lvl 01 155 19 $65,704.00 $35,151.64 46% off $11,718.25 $105,890.37 $38,675.40 2026-09-23
C1785 HCPCS Imp Pcmkr Dual Rr Lvl 01 217 19 $43,804.00 $30,627.32 30% off $7,211.23 $105,890.37 $27,595.68 2026-09-23
C1882 HCPCS Imp Icd Chamber Non Sgl/dual Lvl 01 186 19 $87,602.00 $46,867.07 46% off $25,239.31 $118,596.75 $55,605.99 2026-09-23
C1891 HCPCS Imp Pump Inf Nonprg Perm Lvl 01 31 19 $26,284.00 $14,061.94 46% off $10,818.49 $25,416.63 $20,002.12 2026-09-23
J9999 HCPCS Lifileucel Til/dose 7.5b-72b Snij 31 19 $3,141,500.00 $2,196,505.38 30% off $1,293,041.40 $3,037,830.50 $2,390,681.50 2026-09-23
L8614 HCPCS Imp Dev Cochlear Int&ext Cmp Lvl 01 310 19 $120,454.00 $64,442.89 46% off $20,732.29 $211,776.87 $73,585.68 2026-09-23
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