Price Transparency 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

CHILDREN'S HOSPITAL COLORADO

Aurora, CO · CCN 063301 · Rates published

7,410 distinct procedures filed
46 distinct payers
1,047,088 rate rows
2026-04-17 last MRF observed
Data quality

1,004,504 of 1,047,088 rate rows are consumer-grade (95.9%)

42,584 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 38,593
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,327
percent-of-charges filed in the dollar field — excluded from medians 771
placeholder amount (≤ $0.02) — excluded from medians 443
per-diem day rate — not a per-procedure price 423
exceeds 10× this hospital's gross charge — excluded from medians 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8432/840166760-1336245828_childrens-hospital-colorado_standardcharges.csv
Found on page https://www.childrenscolorado.org/your-visit/pay-for-care/price-transparency/
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-18
Content fingerprint 58cbea7f91927105… · 1,014,885,840 bytes · first seen 2026-05-14

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
J1413
HCPCS 		Delandistrogene Moxeparvo-rokl 10 X 10 Ml IV Kit 46 $533,333.33 $4,906,666.66 $2,933,333.33 nat. median
$3,325,455
0.9× median
J3394
HCPCS 		Hb=lovotibeglogene Autotemcel Per Tx 46 $516,666.67 $4,753,333.34 $2,919,166.67 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Hb=betibeglogene Autotemcel Per Tx 46 $466,666.67 $4,293,333.34 $2,636,666.67 nat. median
$3,006,423
0.9× median
C9399
HCPCS 		Unclassified Drugs Or Biolog 1 $2,200,000.00 $2,200,000.00 $2,200,000.00 nat. median
$2,476
outlier · 888.6×
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2x8.3 Ml IV Kit 46 $407,291.71 $3,747,083.69 $2,179,010.62 nat. median
$2,469,189
0.9× median
J3392
HCPCS 		Hb=exagamglogene Autotemcel Per Tx 46 $366,666.67 $3,373,333.34 $2,035,000.00 nat. median
$2,448,600
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $641,955.50 $1,559,935.47 $1,295,397.64 nat. median
$370,174
outlier · 3.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $251,871.85 $617,947.52 $510,479.78 nat. median
$206,368
outlier · 2.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 4 $250,393.68 $614,320.96 $507,483.92 nat. median
$202,986
outlier · 2.5×
Q2042
HCPCS 		Hb=car-t Agent (pall) 46 $41,820.30 $807,968.84 $447,895.77 nat. median
$754,974
0.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $150,000.00 $811,095.74 $392,884.00 nat. median
$265,286
1.5× median
5834
APR_DRG 		Inpatient Apr-DRG 4 $331,812.81 $375,839.77 $357,942.64 nat. median
$309,665
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 4 $163,404.97 $400,901.07 $331,180.05 nat. median
$133,176
outlier · 2.5×
14
MS_DRG 		Unrelated Bone Marrow Transplant 13 $163,000.00 $533,141.00 $313,450.87 nat. median
$117,303
outlier · 2.7×
7
MS_DRG 		Lung Transplant 4 $152,773.51 $374,817.64 $309,632.81 nat. median
$122,708
outlier · 2.5×
5884
APR_DRG 		Inpatient Apr-DRG 4 $272,177.07 $308,291.19 $293,610.66 nat. median
$246,434
1.2× median
5833
APR_DRG 		Inpatient Apr-DRG 4 $262,802.41 $297,672.64 $283,497.75 nat. median
$244,017
1.2× median
1614
APR_DRG 		Inpatient Apr-DRG 4 $260,233.60 $294,762.99 $280,726.66 nat. median
$207,730
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 4 $133,527.88 $327,600.03 $270,626.85 nat. median
$98,017
outlier · 2.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $130,017.10 $318,986.59 $263,511.38 nat. median
$98,905
outlier · 2.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $128,281.76 $314,729.08 $259,994.30 nat. median
$102,358
outlier · 2.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $133,681.24 $412,261.00 $258,093.08 nat. median
$108,660
outlier · 2.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $121,632.97 $351,983.00 $244,587.99 nat. median
$100,136
outlier · 2.4×
215
MS_DRG 		Other Heart Assist System Implant 4 $117,462.73 $288,185.45 $238,066.89 nat. median
$99,019
outlier · 2.4×
24
APR_DRG 		Heart Transplant: Apr-DRG 11 $150,000.00 $392,884.00 $237,066.53 nat. median
$234,738
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $115,407.69 $283,143.58 $233,901.85 nat. median
$93,672
outlier · 2.5×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $106,286.25 $260,764.85 $215,415.03 nat. median
$82,712
outlier · 2.6×
1613
APR_DRG 		Inpatient Apr-DRG 4 $199,366.01 $225,819.11 $215,065.82 nat. median
$119,796
1.8× median
6304
APR_DRG 		Inpatient Apr-DRG 4 $197,556.50 $223,769.50 $213,113.81 nat. median
$150,721
1.4× median
34
APR_DRG 		Autologous Bone Marrow Transplant 7 $130,000.00 $533,141.00 $209,411.50 nat. median
$209,067
1.0× median
31
APR_DRG 		Autologous Bone Marrow Transplant 7 $130,000.00 $533,141.00 $209,411.50 nat. median
$63,580
outlier · 3.3×
33
APR_DRG 		Autologous Bone Marrow Transplant 7 $130,000.00 $533,141.00 $209,411.50 nat. median
$113,142
1.9× median
32
APR_DRG 		Autologous Bone Marrow Transplant 7 $130,000.00 $533,141.00 $209,411.50 nat. median
$74,778
outlier · 2.8×
5832
APR_DRG 		Inpatient Apr-DRG 4 $193,791.16 $219,504.56 $209,051.96 nat. median
$156,126
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $102,750.82 $249,681.86 $207,340.18 nat. median
$66,526
outlier · 3.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $102,156.12 $250,631.91 $207,044.32 nat. median
$83,442
outlier · 2.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $99,447.53 $243,986.60 $201,554.70 nat. median
$79,312
outlier · 2.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $99,134.91 $243,219.61 $200,921.10 nat. median
$81,118
outlier · 2.5×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 13 $88,150.92 $420,465.00 $199,750.00 nat. median
$56,920
outlier · 3.5×
8414
APR_DRG 		Inpatient Apr-DRG 4 $183,517.63 $207,867.88 $197,969.41 nat. median
$160,267
1.2× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $95,658.25 $232,447.10 $193,028.13 nat. median
$62,134
outlier · 3.1×
5934
APR_DRG 		Inpatient Apr-DRG 4 $177,510.58 $201,063.78 $191,489.31 nat. median
$151,838
1.3× median
13
APR_DRG 		Liver Transplant: Deceased: Apr-DRG 11 $92,813.24 $337,459.00 $191,389.00 nat. median
$68,633
outlier · 2.8×
11
APR_DRG 		Liver Transplant: Deceased: Apr-DRG 11 $69,065.90 $337,459.00 $191,389.00 nat. median
$50,490
outlier · 3.8×
14
APR_DRG 		Liver Transplant: Deceased: Apr-DRG 11 $160,000.00 $337,459.00 $191,389.00 nat. median
$129,535
1.5× median
12
APR_DRG 		Liver Transplant: Deceased: Apr-DRG 11 $77,788.06 $337,459.00 $191,389.00 nat. median
$52,716
outlier · 3.6×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 13 $80,756.57 $420,465.00 $190,396.68 nat. median
$53,805
outlier · 3.5×
5883
APR_DRG 		Inpatient Apr-DRG 4 $175,346.23 $198,612.25 $189,154.52 nat. median
$182,736
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $92,828.23 $227,746.68 $188,139.08 nat. median
$77,576
outlier · 2.4×
5882
APR_DRG 		Inpatient Apr-DRG 4 $171,698.61 $194,480.64 $185,219.66 nat. median
$145,336
1.3× median

Other procedures at this hospital

Browse this hospital's 7,410 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
             
J1413 HCPCS Delandistrogene Moxeparvo-rokl 10 X 10 Ml IV Kit 77 46 — $3,466,666.67 $533,333.33 $4,906,666.66 $2,933,333.33 2026-04-17
J3394 HCPCS Hb=lovotibeglogene Autotemcel Per Tx 78 46 — $3,358,333.34 $516,666.67 $4,753,333.34 $2,919,166.67 2026-04-17
J3393 HCPCS Hb=betibeglogene Autotemcel Per Tx 78 46 $4,666,666.67 $3,033,333.34 35% off $466,666.67 $4,293,333.34 $2,636,666.67 2026-04-17
C9399 HCPCS Unclassified Drugs Or Biolog 1 1 — — $2,200,000.00 $2,200,000.00 $2,200,000.00 2026-04-17
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2x8.3 Ml IV Kit 74 46 $4,072,917.05 $2,647,396.09 35% off $407,291.71 $3,747,083.69 $2,179,010.62 2026-04-17
J3392 HCPCS Hb=exagamglogene Autotemcel Per Tx 78 46 $3,666,666.67 $2,383,333.34 35% off $366,666.67 $3,373,333.34 $2,035,000.00 2026-04-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 4 — — $641,955.50 $1,559,935.47 $1,295,397.64 2026-04-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 4 — — $251,871.85 $617,947.52 $510,479.78 2026-04-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 8 4 — — $250,393.68 $614,320.96 $507,483.92 2026-04-17
Q2042 HCPCS Hb=car-t Agent (pall) 126 46 $878,227.00 $570,847.55 35% off $41,820.30 $807,968.84 $447,895.77 2026-04-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 13 — — $150,000.00 $811,095.74 $392,884.00 2026-04-17
5834 APR_DRG Inpatient Apr-DRG 4 4 — — $331,812.81 $375,839.77 $357,942.64 2026-04-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 8 4 — — $163,404.97 $400,901.07 $331,180.05 2026-04-17
14 MS_DRG Unrelated Bone Marrow Transplant 29 13 — — $163,000.00 $533,141.00 $313,450.87 2026-04-17
7 MS_DRG Lung Transplant 8 4 — — $152,773.51 $374,817.64 $309,632.81 2026-04-17
5884 APR_DRG Inpatient Apr-DRG 4 4 — — $272,177.07 $308,291.19 $293,610.66 2026-04-17
5833 APR_DRG Inpatient Apr-DRG 4 4 — — $262,802.41 $297,672.64 $283,497.75 2026-04-17
1614 APR_DRG Inpatient Apr-DRG 4 4 — — $260,233.60 $294,762.99 $280,726.66 2026-04-17
209 MS_DRG Complex Aortic Arch Procedures 8 4 — — $133,527.88 $327,600.03 $270,626.85 2026-04-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 4 — — $130,017.10 $318,986.59 $263,511.38 2026-04-17
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 4 — — $128,281.76 $314,729.08 $259,994.30 2026-04-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 13 — — $133,681.24 $412,261.00 $258,093.08 2026-04-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 13 — — $121,632.97 $351,983.00 $244,587.99 2026-04-17
215 MS_DRG Other Heart Assist System Implant 8 4 — — $117,462.73 $288,185.45 $238,066.89 2026-04-17
24 APR_DRG Heart Transplant: Apr-DRG 12 11 — — $150,000.00 $392,884.00 $237,066.53 2026-04-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 4 — — $115,407.69 $283,143.58 $233,901.85 2026-04-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 4 — — $106,286.25 $260,764.85 $215,415.03 2026-04-17
1613 APR_DRG Inpatient Apr-DRG 4 4 — — $199,366.01 $225,819.11 $215,065.82 2026-04-17
6304 APR_DRG Inpatient Apr-DRG 4 4 — — $197,556.50 $223,769.50 $213,113.81 2026-04-17
33 APR_DRG Autologous Bone Marrow Transplant 24 7 — — $130,000.00 $533,141.00 $209,411.50 2026-04-17
34 APR_DRG Autologous Bone Marrow Transplant 24 7 — — $130,000.00 $533,141.00 $209,411.50 2026-04-17
32 APR_DRG Autologous Bone Marrow Transplant 24 7 — — $130,000.00 $533,141.00 $209,411.50 2026-04-17
31 APR_DRG Autologous Bone Marrow Transplant 24 7 — — $130,000.00 $533,141.00 $209,411.50 2026-04-17
5832 APR_DRG Inpatient Apr-DRG 4 4 — — $193,791.16 $219,504.56 $209,051.96 2026-04-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 8 4 — — $102,750.82 $249,681.86 $207,340.18 2026-04-17
850 MS_DRG Acute Leukemia With Other Procedures 8 4 — — $102,156.12 $250,631.91 $207,044.32 2026-04-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 8 4 — — $99,447.53 $243,986.60 $201,554.70 2026-04-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 4 — — $99,134.91 $243,219.61 $200,921.10 2026-04-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 23 13 — — $88,150.92 $420,465.00 $199,750.00 2026-04-17
8414 APR_DRG Inpatient Apr-DRG 4 4 — — $183,517.63 $207,867.88 $197,969.41 2026-04-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 4 — — $95,658.25 $232,447.10 $193,028.13 2026-04-17
5934 APR_DRG Inpatient Apr-DRG 4 4 — — $177,510.58 $201,063.78 $191,489.31 2026-04-17
14 APR_DRG Liver Transplant: Deceased: Apr-DRG 13 11 — — $160,000.00 $337,459.00 $191,389.00 2026-04-17
12 APR_DRG Liver Transplant: Deceased: Apr-DRG 13 11 — — $77,788.06 $337,459.00 $191,389.00 2026-04-17
11 APR_DRG Liver Transplant: Deceased: Apr-DRG 13 11 — — $69,065.90 $337,459.00 $191,389.00 2026-04-17
13 APR_DRG Liver Transplant: Deceased: Apr-DRG 13 11 — — $92,813.24 $337,459.00 $191,389.00 2026-04-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 23 13 — — $80,756.57 $420,465.00 $190,396.68 2026-04-17
5883 APR_DRG Inpatient Apr-DRG 4 4 — — $175,346.23 $198,612.25 $189,154.52 2026-04-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 4 — — $92,828.23 $227,746.68 $188,139.08 2026-04-17
5882 APR_DRG Inpatient Apr-DRG 4 4 — — $171,698.61 $194,480.64 $185,219.66 2026-04-17
5914 APR_DRG Inpatient Apr-DRG 4 4 — — $171,416.09 $194,160.62 $184,914.88 2026-04-17
114 APR_DRG Inpatient Apr-DRG 4 4 — — $171,195.79 $193,911.09 $184,677.23 2026-04-17
6094 APR_DRG Inpatient Apr-DRG 4 4 — — $170,322.98 $192,922.47 $183,735.69 2026-04-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 4 — — $90,580.91 $222,233.04 $183,584.32 2026-04-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 4 — — $90,190.42 $221,275.02 $182,792.91 2026-04-17
6 MS_DRG Liver Transplant Without Mcc 20 13 — — $54,702.69 $351,983.00 $182,694.50 2026-04-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 4 — — $89,891.96 $220,542.77 $182,188.00 2026-04-17
5831 APR_DRG Inpatient Apr-DRG 4 4 — — $167,470.81 $189,691.87 $180,658.92 2026-04-17
23 APR_DRG Heart Transplant: Apr-DRG 12 11 — — $150,000.00 $392,884.00 $180,639.85 2026-04-17
22 APR_DRG Heart Transplant: Apr-DRG 12 11 — — $115,247.18 $392,884.00 $180,188.50 2026-04-17
21 APR_DRG Heart Transplant: Apr-DRG 12 11 — — $98,797.59 $392,884.00 $180,188.50 2026-04-17
J3402 HCPCS Hb=remestemcel-l-rknd Per Tx Dose 77 46 $323,333.33 $210,166.67 35% off $32,333.33 $297,466.66 $177,833.33 2026-04-17
74 APR_DRG Inpatient Apr-DRG 4 4 — — $164,638.82 $186,484.11 $177,603.91 2026-04-17
6314 APR_DRG Inpatient Apr-DRG 4 4 — — $163,517.13 $185,213.58 $176,393.89 2026-04-17
44 APR_DRG Inpatient Apr-DRG 4 4 — — $163,075.68 $184,713.55 $175,917.67 2026-04-17
1612 APR_DRG Inpatient Apr-DRG 4 4 — — $160,073.84 $181,313.41 $172,679.44 2026-04-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 4 — — $85,157.82 $208,927.94 $172,593.11 2026-04-17
94 APR_DRG Inpatient Apr-DRG 4 4 — — $159,655.09 $180,839.11 $172,227.72 2026-04-17
10 MS_DRG Pancreas Transplant 8 4 — — $84,651.73 $207,686.29 $171,567.40 2026-04-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 4 — — $84,616.34 $207,599.46 $171,495.67 2026-04-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 4 — — $84,117.33 $206,375.17 $170,484.30 2026-04-17
834 MS_DRG Acute Leukemia With Mcc 8 4 — — $81,612.85 $198,317.15 $164,686.02 2026-04-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 4 — — $81,138.59 $199,067.06 $164,447.15 2026-04-17
1611 APR_DRG Inpatient Apr-DRG 4 4 — — $152,068.93 $172,246.36 $164,044.15 2026-04-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 8 4 — — $79,406.79 $194,818.23 $160,937.23 2026-04-17
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 4 — — $78,880.64 $193,527.37 $159,870.87 2026-04-17
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 4 — — $78,822.84 $193,385.55 $159,753.71 2026-04-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 4 — — $77,568.81 $190,308.91 $157,212.14 2026-04-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 4 — — $77,568.81 $190,308.91 $157,212.14 2026-04-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 4 — — $77,286.87 $189,617.17 $156,640.70 2026-04-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 3 — — $88,356.07 $208,313.73 $155,445.16 2026-04-17
6034 APR_DRG Inpatient Apr-DRG 4 4 — — $142,688.38 $161,621.15 $153,924.90 2026-04-17
64 APR_DRG Inpatient Apr-DRG 4 4 — — $141,775.21 $160,586.82 $152,939.83 2026-04-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 7 — — $84,166.88 $206,496.73 $147,657.68 2026-04-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 4 — — $72,296.73 $177,374.28 $146,526.98 2026-04-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 8 4 — — $72,212.98 $177,168.79 $146,357.23 2026-04-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 8 4 — — $71,520.49 $175,469.83 $144,953.73 2026-04-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 4 — — $71,420.72 $173,550.53 $144,119.39 2026-04-17
28 MS_DRG Spinal Procedures With Mcc 8 4 — — $70,879.92 $173,898.23 $143,655.45 2026-04-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 4 — — $70,859.86 $173,849.02 $143,614.80 2026-04-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 4 — — $70,346.69 $172,590.00 $142,574.74 2026-04-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 4 — — $69,231.87 $169,854.89 $140,315.29 2026-04-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 4 — — $69,187.05 $169,744.91 $140,224.43 2026-04-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 4 — — $68,034.48 $166,917.18 $137,888.48 2026-04-17
6024 APR_DRG Inpatient Apr-DRG 4 4 — — $127,240.25 $144,123.26 $137,260.25 2026-04-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 4 — — $67,600.35 $165,852.07 $137,008.60 2026-04-17
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 8 4 — — $67,324.30 $165,174.81 $136,449.12 2026-04-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 4 — — $67,237.00 $164,960.63 $136,272.20 2026-04-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 4 — — $66,322.73 $162,717.55 $134,419.21 2026-04-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 4 — — $65,664.46 $161,102.53 $133,085.06 2026-04-17
5891 APR_DRG Inpatient Apr-DRG 4 4 — — $123,295.81 $139,655.45 $133,005.19 2026-04-17
J9226 HCPCS Histrelin Acetate (cpp) 50 Mg Sc Kit 77 46 $240,876.76 $156,569.90 35% off $24,087.68 $221,606.62 $132,482.22 2026-04-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 8 4 — — $65,154.83 $159,852.19 $132,052.17 2026-04-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 4 — — $64,535.49 $158,332.68 $130,796.92 2026-04-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 4 — — $64,443.47 $158,106.93 $130,610.43 2026-04-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 4 — — $64,342.02 $157,858.02 $130,404.80 2026-04-17
9104 APR_DRG Inpatient Apr-DRG 4 4 — — $119,380.80 $135,220.98 $128,781.89 2026-04-17
J2326 HCPCS Nusinersen 12 Mg/5ml It Solution 79 46 $228,174.95 $148,313.72 35% off $22,817.50 $209,920.95 $127,777.97 2026-04-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 4 — — $62,911.04 $154,347.23 $127,504.58 2026-04-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 4 — — $62,873.29 $154,254.61 $127,428.07 2026-04-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 4 — — $62,450.96 $153,218.45 $126,572.11 2026-04-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 8 4 — — $62,244.51 $152,711.95 $126,153.70 2026-04-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 8 4 — — $61,408.10 $150,659.89 $124,458.51 2026-04-17
653 MS_DRG Major Bladder Procedures With Mcc 8 4 — — $61,301.93 $150,399.41 $124,243.33 2026-04-17
5933 APR_DRG Inpatient Apr-DRG 4 4 — — $114,151.54 $129,297.87 $123,140.83 2026-04-17
5881 APR_DRG Inpatient Apr-DRG 4 4 — — $113,018.08 $128,014.01 $121,918.10 2026-04-17
9114 APR_DRG Inpatient Apr-DRG 4 4 — — $112,784.32 $127,749.24 $121,665.94 2026-04-17
5892 APR_DRG Inpatient Apr-DRG 4 4 — — $112,088.09 $126,960.63 $120,914.89 2026-04-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 4 — — $59,459.24 $145,878.51 $120,508.67 2026-04-17
43 APR_DRG Inpatient Apr-DRG 4 4 — — $111,597.04 $126,404.42 $120,385.16 2026-04-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 4 — — $58,836.36 $144,350.32 $119,246.24 2026-04-17
1604 APR_DRG Inpatient Apr-DRG 4 4 — — $110,116.30 $124,727.20 $118,787.81 2026-04-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 8 4 — — $58,364.48 $143,192.60 $118,289.86 2026-04-17
9124 APR_DRG Inpatient Apr-DRG 4 4 — — $109,580.67 $124,120.51 $118,210.01 2026-04-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 4 — — $58,260.66 $142,937.90 $118,079.46 2026-04-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 4 — — $54,224.91 $133,036.50 $117,749.96 2026-04-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 4 — — $58,061.29 $142,448.76 $117,675.39 2026-04-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 4 — — $57,819.46 $141,855.43 $117,185.24 2026-04-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 8 4 — — $57,891.18 $140,674.08 $116,818.21 2026-04-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 7 — — $66,117.47 $162,213.94 $115,992.80 2026-04-17
54 APR_DRG Inpatient Apr-DRG 4 4 — — $107,470.13 $121,729.93 $115,933.27 2026-04-17
471 MS_DRG Cervical Spinal Fusion With Mcc 8 4 — — $56,964.17 $139,757.06 $115,451.80 2026-04-17
J0801 HCPCS Corticotropin 80 Unit/ml Inj Gel 129 46 $163,373.20 $106,192.58 35% off $16,337.32 $200,071.66 $114,361.24 2026-04-17
C9293 HCPCS Glucarpidase 1000 Units IV Recon Soln 77 46 $207,528.40 $134,893.46 35% off $20,752.84 $190,926.13 $114,140.62 2026-04-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 4 — — $56,163.16 $137,791.83 $113,828.35 2026-04-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 12 — — $55,000.00 $171,833.00 $113,416.50 2026-04-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 4 — — $55,349.16 $135,794.77 $112,178.60 2026-04-17
1624 APR_DRG Inpatient Apr-DRG 4 4 — — $103,782.16 $117,552.61 $111,954.87 2026-04-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 8 4 — — $55,184.01 $135,389.57 $111,843.86 2026-04-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 4 — — $54,484.44 $133,673.25 $110,426.03 2026-04-17
5893 APR_DRG Inpatient Apr-DRG 4 4 — — $101,898.65 $115,419.19 $109,923.04 2026-04-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 8 4 — — $54,086.89 $132,697.87 $109,620.27 2026-04-17
245 MS_DRG Aicd Generator Procedures 8 4 — — $53,822.63 $132,049.54 $109,084.70 2026-04-17
793 MS_DRG Full Term Neonate With Major Problems 6 3 — — $61,985.27 $146,140.31 $109,050.24 2026-04-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 8 4 — — $53,661.01 $131,653.02 $108,757.14 2026-04-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 4 — — $53,637.42 $131,595.14 $108,709.32 2026-04-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 8 4 — — $53,693.02 $130,472.66 $108,346.78 2026-04-17
5913 APR_DRG Inpatient Apr-DRG 4 4 — — $100,423.80 $113,748.64 $108,332.04 2026-04-17
799 MS_DRG Splenic Procedures With Mcc 8 4 — — $53,427.43 $131,079.95 $108,283.74 2026-04-17
6023 APR_DRG Inpatient Apr-DRG 4 4 — — $100,332.14 $113,644.83 $108,233.17 2026-04-17
63 APR_DRG Inpatient Apr-DRG 4 4 — — $99,688.89 $112,916.22 $107,539.26 2026-04-17
163 MS_DRG Major Chest Procedures With Mcc 8 4 — — $52,871.79 $129,716.74 $107,157.60 2026-04-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 4 — — $52,856.46 $129,679.11 $107,126.51 2026-04-17
3034 APR_DRG Inpatient Apr-DRG 4 4 — — $99,218.85 $112,383.82 $107,032.21 2026-04-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 8 4 — — $52,648.83 $129,169.71 $106,705.70 2026-04-17
791 MS_DRG Prematurity With Major Problems 6 3 — — $60,341.09 $142,263.89 $106,159.30 2026-04-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 4 — — $52,319.40 $127,134.81 $105,574.96 2026-04-17
6074 APR_DRG Inpatient Apr-DRG 4 4 — — $97,731.39 $110,698.99 $105,427.61 2026-04-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 8 4 — — $51,821.86 $127,140.81 $105,029.65 2026-04-17
73 APR_DRG Inpatient Apr-DRG 4 4 — — $97,025.91 $109,899.91 $104,666.58 2026-04-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 8 4 — — $51,050.34 $125,247.94 $103,465.97 2026-04-17
6303 APR_DRG Inpatient Apr-DRG 4 4 — — $95,454.36 $108,119.83 $102,971.27 2026-04-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 8 4 — — $50,643.34 $124,249.40 $102,641.09 2026-04-17
140 MS_DRG Major Head And Neck Procedures With Mcc 8 4 — — $50,317.74 $123,450.58 $101,981.19 2026-04-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 4 — — $50,028.72 $122,741.47 $101,395.40 2026-04-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 8 4 — — $49,821.09 $122,232.08 $100,974.60 2026-04-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 8 4 — — $49,736.15 $122,023.69 $100,802.45 2026-04-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 8 4 — — $49,711.38 $121,962.91 $100,752.24 2026-04-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 8 4 — — $49,566.28 $121,606.91 $100,458.15 2026-04-17
901 MS_DRG Wound Debridements For Injuries With Mcc 8 4 — — $49,507.29 $121,462.19 $100,338.60 2026-04-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 4 — — $49,415.27 $121,236.44 $100,152.11 2026-04-17
8424 APR_DRG Inpatient Apr-DRG 4 4 — — $92,745.13 $105,051.12 $100,048.69 2026-04-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 4 — — $49,224.16 $120,767.56 $99,764.78 2026-04-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 8 4 — — $48,992.94 $120,200.28 $99,296.15 2026-04-17
4404 APR_DRG Inpatient Apr-DRG 12 10 — — $55,000.00 $171,833.00 $98,652.04 2026-04-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 8 4 — — $48,668.52 $119,404.35 $98,638.64 2026-04-17
5932 APR_DRG Inpatient Apr-DRG 4 4 — — $90,475.68 $102,480.55 $97,600.52 2026-04-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 8 4 — — $48,090.02 $116,857.53 $97,040.53 2026-04-17
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 4 — — $47,429.84 $116,365.33 $96,128.15 2026-04-17
652 MS_DRG Kidney Transplant 19 12 — — $55,000.00 $171,833.00 $95,551.00 2026-04-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 12 — — $43,717.32 $171,833.00 $95,551.00 2026-04-17
1634 APR_DRG Inpatient Apr-DRG 4 4 — — $88,312.16 $100,029.96 $95,266.63 2026-04-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 8 4 — — $47,000.43 $115,311.81 $95,257.84 2026-04-17
1784 APR_DRG Inpatient Apr-DRG 4 4 — — $87,722.73 $99,362.32 $94,630.78 2026-04-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 4 — — $46,148.68 $113,222.12 $93,531.57 2026-04-17
62 APR_DRG Inpatient Apr-DRG 4 4 — — $86,539.65 $98,022.26 $93,354.53 2026-04-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 8 4 — — $45,662.65 $112,029.67 $92,546.50 2026-04-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 8 4 — — $45,594.23 $111,861.80 $92,407.83 2026-04-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 8 4 — — $45,550.58 $111,754.71 $92,319.36 2026-04-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 4 — — $45,292.22 $111,120.86 $91,795.74 2026-04-17
6093 APR_DRG Inpatient Apr-DRG 4 4 — — $84,855.42 $96,114.55 $91,537.67 2026-04-17
113 APR_DRG Inpatient Apr-DRG 4 4 — — $84,266.82 $95,447.87 $90,902.73 2026-04-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 8 4 — — $44,392.11 $108,912.51 $89,971.45 2026-04-17
84 APR_DRG Inpatient Apr-DRG 4 4 — — $83,283.87 $94,334.48 $89,842.36 2026-04-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 4 — — $44,198.64 $108,437.84 $89,579.33 2026-04-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 4 — — $44,093.65 $108,180.25 $89,366.54 2026-04-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 8 4 — — $44,088.93 $108,168.67 $89,356.97 2026-04-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 8 4 — — $43,965.06 $107,864.77 $89,105.93 2026-04-17
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 8 4 — — $43,331.56 $106,310.53 $87,821.99 2026-04-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 8 4 — — $43,313.87 $106,267.12 $87,786.12 2026-04-17
1654 APR_DRG Inpatient Apr-DRG 4 4 — — $80,759.63 $91,475.32 $87,119.35 2026-04-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 8 4 — — $42,805.41 $105,019.68 $86,755.62 2026-04-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 4 — — $42,772.38 $104,938.64 $86,688.68 2026-04-17
974 MS_DRG HIV With Major Related Condition With Mcc 8 4 — — $42,903.28 $104,253.86 $86,574.23 2026-04-17
332 MS_DRG Rectal Resection With Mcc 8 4 — — $42,713.40 $104,793.92 $86,569.12 2026-04-17
265 MS_DRG Aicd Lead Procedures 8 4 — — $42,683.91 $104,721.56 $86,509.35 2026-04-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 4 — — $42,544.70 $104,380.04 $86,227.23 2026-04-17
1674 APR_DRG Inpatient Apr-DRG 4 4 — — $79,437.81 $89,978.11 $85,693.44 2026-04-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 8 4 — — $42,266.29 $103,696.98 $85,662.96 2026-04-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 8 4 — — $42,168.38 $103,456.75 $85,464.51 2026-04-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 4 — — $42,125.91 $103,352.56 $85,378.43 2026-04-17
53 APR_DRG Inpatient Apr-DRG 4 4 — — $79,139.31 $89,640.00 $85,371.43 2026-04-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 4 — — $42,063.38 $103,199.16 $85,251.71 2026-04-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 4 — — $42,027.99 $103,112.33 $85,179.99 2026-04-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 4 — — $41,987.88 $103,013.93 $85,098.70 2026-04-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 8 4 — — $41,953.67 $102,929.99 $85,029.35 2026-04-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 4 — — $41,603.30 $102,070.38 $84,319.24 2026-04-17
252 MS_DRG Other Vascular Procedures With Mcc 8 4 — — $41,151.48 $100,961.87 $83,403.51 2026-04-17
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 8 4 — — $41,140.86 $100,935.82 $83,381.99 2026-04-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 8 4 — — $40,952.11 $100,472.73 $82,999.44 2026-04-17
42 APR_DRG Inpatient Apr-DRG 4 4 — — $76,723.54 $86,903.69 $82,765.42 2026-04-17
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 8 4 — — $40,987.05 $99,597.48 $82,707.49 2026-04-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 8 4 — — $40,753.92 $99,986.49 $82,597.76 2026-04-17
6022 APR_DRG Inpatient Apr-DRG 4 4 — — $76,557.05 $86,715.11 $82,585.82 2026-04-17
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 8 4 — — $40,862.17 $99,294.04 $82,455.50 2026-04-17
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 8 4 — — $40,565.16 $99,523.40 $82,215.21 2026-04-17
3044 APR_DRG Inpatient Apr-DRG 4 4 — — $76,155.12 $86,259.85 $82,152.24 2026-04-17
6073 APR_DRG Inpatient Apr-DRG 4 4 — — $76,029.84 $86,117.94 $82,017.09 2026-04-17
963 MS_DRG Other Multiple Significant Trauma With Mcc 8 4 — — $40,640.67 $98,755.79 $82,008.53 2026-04-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 4 — — $40,444.83 $99,228.18 $81,971.33 2026-04-17
72 APR_DRG Inpatient Apr-DRG 4 4 — — $75,894.46 $85,964.60 $81,871.05 2026-04-17
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 4 — — $40,246.65 $98,741.94 $81,569.65 2026-04-17
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 8 4 — — $40,193.56 $98,611.70 $81,462.06 2026-04-17
849 MS_DRG Radiotherapy 8 4 — — $40,279.43 $97,877.98 $81,279.58 2026-04-17
288 MS_DRG Acute And Subacute Endocarditis With Mcc 8 4 — — $40,230.37 $97,758.77 $81,180.59 2026-04-17
3033 APR_DRG Inpatient Apr-DRG 4 4 — — $75,125.08 $85,093.13 $81,041.08 2026-04-17
1834 APR_DRG Inpatient Apr-DRG 4 4 — — $74,857.69 $84,790.27 $80,752.64 2026-04-17
6114 APR_DRG Inpatient Apr-DRG 4 4 — — $74,268.25 $84,122.62 $80,116.78 2026-04-17
264 MS_DRG Other Circulatory System O.r. Procedures 8 4 — — $39,409.06 $96,686.99 $79,872.08 2026-04-17
93 APR_DRG Inpatient Apr-DRG 4 4 — — $73,583.80 $83,347.35 $79,378.43 2026-04-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 8 4 — — $38,969.03 $95,607.41 $78,980.25 2026-04-17
37 MS_DRG Extracranial Procedures With Mcc 8 4 — — $38,836.90 $95,283.25 $78,712.46 2026-04-17
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 8 4 — — $38,832.18 $95,271.67 $78,702.90 2026-04-17
8634 APR_DRG Inpatient Apr-DRG 4 4 — — $72,810.22 $82,471.13 $78,543.93 2026-04-17
1664 APR_DRG Inpatient Apr-DRG 4 4 — — $72,797.60 $82,456.84 $78,530.32 2026-04-17
4403 APR_DRG Inpatient Apr-DRG 12 10 — — $55,000.00 $171,833.00 $77,905.45 2026-04-17
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 8 4 — — $38,373.28 $94,145.79 $77,772.82 2026-04-17
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 8 4 — — $38,540.11 $93,651.47 $77,769.82 2026-04-17
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 8 4 — — $38,204.58 $93,731.91 $77,430.92 2026-04-17
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 8 4 — — $38,342.39 $93,171.02 $77,370.84 2026-04-17
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 8 4 — — $38,342.39 $93,171.02 $77,370.84 2026-04-17
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 4 — — $38,109.03 $93,497.47 $77,237.25 2026-04-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 8 4 — — $38,070.10 $93,401.96 $77,158.35 2026-04-17
1794 APR_DRG Inpatient Apr-DRG 4 4 — — $71,469.90 $80,952.96 $77,098.06 2026-04-17
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 8 4 — — $37,995.78 $93,219.61 $77,007.71 2026-04-17
6804 APR_DRG Inpatient Apr-DRG 4 4 — — $71,173.92 $80,617.71 $76,778.77 2026-04-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 8 4 — — $37,873.09 $92,918.61 $76,759.06 2026-04-17
1623 APR_DRG Inpatient Apr-DRG 4 4 — — $71,082.26 $80,513.90 $76,679.90 2026-04-17
J9118 HCPCS Calaspargase Pegol-mknl 3750 Unit/5ml IV Solution 77 46 $139,403.44 $90,612.24 35% off $13,940.34 $128,251.16 $76,671.89 2026-04-17
6124 APR_DRG Inpatient Apr-DRG 4 4 — — $71,019.20 $80,442.46 $76,611.87 2026-04-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 8 4 — — $37,665.46 $92,409.21 $76,338.25 2026-04-17
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 8 4 — — $37,595.86 $92,238.45 $76,197.18 2026-04-17
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 8 4 — — $37,559.29 $92,148.72 $76,123.07 2026-04-17
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 4 — — $37,483.79 $91,963.49 $75,970.05 2026-04-17
500 MS_DRG Soft Tissue Procedures With Mcc 8 4 — — $37,335.15 $91,598.81 $75,668.79 2026-04-17
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 8 4 — — $37,278.52 $91,459.88 $75,554.02 2026-04-17
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 8 4 — — $37,172.35 $91,199.39 $75,338.83 2026-04-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 8 4 — — $37,154.65 $91,155.98 $75,302.97 2026-04-17
6134 APR_DRG Inpatient Apr-DRG 4 4 — — $69,678.88 $78,924.30 $75,166.00 2026-04-17
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 8 4 — — $37,067.35 $90,941.80 $75,126.04 2026-04-17
6033 APR_DRG Inpatient Apr-DRG 4 4 — — $69,436.72 $78,650.01 $74,904.77 2026-04-17
665 MS_DRG Prostatectomy With Mcc 8 4 — — $36,820.80 $90,336.89 $74,626.33 2026-04-17
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 4 — — $36,744.12 $90,148.76 $74,470.92 2026-04-17
545 MS_DRG Connective Tissue Disorders With Mcc 8 4 — — $36,892.95 $89,648.93 $74,446.04 2026-04-17
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 8 4 — — $36,679.23 $89,989.58 $74,339.42 2026-04-17
4401 APR_DRG Inpatient Apr-DRG 12 10 — — $47,615.77 $171,833.00 $73,693.00 2026-04-17
4402 APR_DRG Inpatient Apr-DRG 12 10 — — $53,325.15 $171,833.00 $73,693.00 2026-04-17
1694 APR_DRG Inpatient Apr-DRG 4 4 — — $68,135.92 $77,176.61 $73,501.53 2026-04-17
61 APR_DRG Inpatient Apr-DRG 4 4 — — $68,024.09 $77,049.93 $73,380.89 2026-04-17
662 MS_DRG Minor Bladder Procedures With Mcc 8 4 — — $36,116.52 $88,608.99 $73,198.93 2026-04-17
263 MS_DRG Vein Ligation And Stripping 8 4 — — $36,068.15 $88,490.33 $73,100.90 2026-04-17
3124 APR_DRG Inpatient Apr-DRG 4 4 — — $67,646.54 $76,622.30 $72,973.62 2026-04-17
71 APR_DRG Inpatient Apr-DRG 4 4 — — $67,578.43 $76,545.16 $72,900.15 2026-04-17
8413 APR_DRG Inpatient Apr-DRG 4 4 — — $67,348.88 $76,285.15 $72,652.52 2026-04-17
914 APR_DRG Inpatient Apr-DRG 4 4 — — $67,291.70 $76,220.38 $72,590.84 2026-04-17
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 8 4 — — $35,782.66 $87,789.91 $72,522.29 2026-04-17
J1951 HCPCS Leuprolide Acetate (ped)(6mon) 45 Mg Sc Kit 78 46 $131,736.72 $85,628.87 35% off $13,173.67 $121,197.78 $72,455.20 2026-04-17
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 8 4 — — $35,632.84 $87,422.33 $72,218.65 2026-04-17
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 8 4 — — $35,628.12 $87,410.75 $72,209.08 2026-04-17
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 8 4 — — $35,589.19 $87,315.24 $72,130.18 2026-04-17
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 8 4 — — $35,112.59 $86,145.95 $71,164.24 2026-04-17
J9266 HCPCS Pegaspargase 750 Unit/ml Inj Solution 77 46 $128,742.72 $83,682.77 35% off $12,874.27 $118,443.30 $70,808.50 2026-04-17
472 MS_DRG Cervical Spinal Fusion With Cc 8 4 — — $34,755.14 $85,268.97 $70,439.77 2026-04-17
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 8 4 — — $34,731.55 $85,211.09 $70,391.96 2026-04-17
570 MS_DRG Skin Debridement With Mcc 8 4 — — $34,696.16 $85,124.26 $70,320.23 2026-04-17
1783 APR_DRG Inpatient Apr-DRG 4 4 — — $64,896.96 $73,507.89 $70,007.51 2026-04-17
668 MS_DRG Transurethral Procedures With Mcc 8 4 — — $34,447.24 $84,513.56 $69,815.74 2026-04-17
8504 APR_DRG Inpatient Apr-DRG 4 4 — — $64,632.93 $73,208.82 $69,722.69 2026-04-17
56 MS_DRG Degenerative Nervous System Disorders With Mcc 8 4 — — $34,535.20 $83,919.66 $69,688.35 2026-04-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 8 4 — — $34,356.40 $84,290.70 $69,631.63 2026-04-17
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