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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

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You selected 59510 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

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

1,004,476 of 1,047,088 rate rows are consumer-grade (95.9%)

42,612 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 23
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5
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 · 2026-09-21
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 		Inj Delandistrogene Mox Rokl 46 $533,333.33 $4,906,666.66 $2,933,333.33 nat. median
$3,325,455
0.9× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 46 $516,666.67 $4,753,333.34 $2,919,166.67 nat. median
$3,248,446
0.9× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 46 $466,666.67 $4,293,333.34 $2,636,666.67 nat. median
$2,968,000
0.9× median
C9399
HCPCS 		1 $2,200,000.00 $2,200,000.00 $2,200,000.00 nat. median
$2,102
outlier · 1046.7×
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 46 $407,291.71 $3,747,083.69 $2,179,010.62 nat. median
$2,455,111
0.9× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 46 $366,666.67 $3,373,333.34 $2,035,000.00 nat. median
$2,332,000
0.9× 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
$168,055
outlier · 7.7×
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
$131,925
outlier · 3.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $250,393.68 $614,320.96 $507,483.92 nat. median
$145,435
outlier · 3.5×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 46 $41,820.30 $807,968.84 $447,895.77 nat. median
$621,313
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $150,000.00 $811,095.74 $387,942.00 nat. median
$186,516
outlier · 2.1×
5834
APR_DRG 		4 $331,812.81 $375,839.77 $357,942.64 nat. median
$390,362
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $163,404.97 $400,901.07 $331,180.05 nat. median
$97,418
outlier · 3.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $163,000.00 $533,141.00 $313,024.43 nat. median
$72,715
outlier · 4.3×
7
MS_DRG 		Lung Transplant 4 $152,773.51 $374,817.64 $309,632.81 nat. median
$70,649
outlier · 4.4×
5884
APR_DRG 		4 $272,177.07 $308,291.19 $293,610.66 nat. median
$286,698
1.0× median
5833
APR_DRG 		4 $262,802.41 $297,672.64 $283,497.75 nat. median
$268,208
1.1× median
1614
APR_DRG 		4 $260,233.60 $294,762.99 $280,726.66 nat. median
$202,242
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 4 $133,527.88 $327,600.03 $270,626.85 nat. median
$2,110
outlier · 128.2×
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
$2,736
outlier · 96.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $128,281.76 $314,729.08 $259,994.30 nat. median
$74,509
outlier · 3.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $133,681.24 $412,261.00 $255,192.14 nat. median
$65,418
outlier · 3.9×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $121,632.97 $351,983.00 $252,368.00 nat. median
$69,922
outlier · 3.6×
215
MS_DRG 		Other Heart Assist System Implant 4 $117,462.73 $288,185.45 $238,066.89 nat. median
$73,023
outlier · 3.3×
24
APR_DRG 		11 $150,000.00 $392,884.00 $237,066.53 nat. median
$225,531
1.1× 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
$69,822
outlier · 3.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $106,286.25 $260,764.85 $215,415.03 nat. median
$2,596
outlier · 83.0×
1613
APR_DRG 		4 $199,366.01 $225,819.11 $215,065.82 nat. median
$155,539
1.4× median
6304
APR_DRG 		4 $197,556.50 $223,769.50 $213,113.81 nat. median
$187,567
1.1× median
34
APR_DRG 		7 $130,000.00 $533,141.00 $209,411.50 nat. median
$187,752
1.1× median
32
APR_DRG 		7 $130,000.00 $533,141.00 $209,411.50 nat. median
$64,587
outlier · 3.2×
33
APR_DRG 		7 $130,000.00 $533,141.00 $209,411.50 nat. median
$104,474
outlier · 2.0×
31
APR_DRG 		7 $130,000.00 $533,141.00 $209,411.50 nat. median
$51,598
outlier · 4.1×
5832
APR_DRG 		4 $193,791.16 $219,504.56 $209,051.96 nat. median
$201,678
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $102,750.82 $249,681.86 $207,340.18 nat. median
$48,611
outlier · 4.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $102,156.12 $250,631.91 $207,044.32 nat. median
$2,633
outlier · 78.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $99,447.53 $243,986.60 $201,554.70 nat. median
$60,505
outlier · 3.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 4 $99,134.91 $243,219.61 $200,921.10 nat. median
$59,651
outlier · 3.4×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 13 $88,150.92 $420,465.00 $199,482.10 nat. median
$38,932
outlier · 5.1×
8414
APR_DRG 		4 $183,517.63 $207,867.88 $197,969.41 nat. median
$173,018
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $95,658.25 $232,447.10 $193,028.13 nat. median
$47,121
outlier · 4.1×
5934
APR_DRG 		4 $177,510.58 $201,063.78 $191,489.31 nat. median
$168,439
1.1× median
12
APR_DRG 		11 $77,788.06 $337,459.00 $191,389.00 nat. median
$51,907
outlier · 3.7×
13
APR_DRG 		11 $92,813.24 $337,459.00 $191,389.00 nat. median
$69,772
outlier · 2.7×
14
APR_DRG 		11 $160,000.00 $337,459.00 $191,389.00 nat. median
$136,566
1.4× median
11
APR_DRG 		11 $69,065.90 $337,459.00 $191,389.00 nat. median
$48,332
outlier · 4.0×
5883
APR_DRG 		4 $175,346.23 $198,612.25 $189,154.52 nat. median
$173,134
1.1× 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
$56,428
outlier · 3.3×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 13 $80,756.57 $420,465.00 $186,450.11 nat. median
$29,295
outlier · 6.4×
5882
APR_DRG 		4 $171,698.61 $194,480.64 $185,219.66 nat. median
$152,383
1.2× 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.

Slice
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 18 13 — — $150,000.00 $811,095.74 $387,942.00 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 28 13 — — $163,000.00 $533,141.00 $313,024.43 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 18 13 — — $133,681.24 $412,261.00 $255,192.14 2026-04-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 13 — — $121,632.97 $351,983.00 $252,368.00 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
31 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
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
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 22 13 — — $88,150.92 $420,465.00 $199,482.10 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
11 APR_DRG Liver Transplant: Deceased: Apr-DRG 13 11 — — $69,065.90 $337,459.00 $191,389.00 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
13 APR_DRG Liver Transplant: Deceased: Apr-DRG 13 11 — — $92,813.24 $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
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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 22 13 — — $80,756.57 $420,465.00 $186,450.11 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
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
6 MS_DRG Liver Transplant Without Mcc 19 13 — — $54,702.69 $351,983.00 $174,000.00 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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 4 — — $84,166.88 $206,496.73 $170,584.72 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
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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 8 4 — — $66,117.47 $162,213.94 $134,003.18 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
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 18 12 — — $55,000.00 $171,833.00 $112,408.12 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
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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 12 — — $43,717.32 $171,833.00 $94,177.68 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
652 MS_DRG Kidney Transplant 15 11 — — $55,000.00 $171,833.00 $89,450.00 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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