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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

ST ANTHONYS HOSPITAL

Saint Petersburg, FL · CCN 100067 · Rates published

16,300 distinct procedures filed
26 distinct payers
670,535 rate rows
2026-08-01 last MRF observed
Data quality

668,776 of 670,535 rate rows are consumer-grade (99.7%)

1,759 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
percent-of-charges filed in the dollar field — excluded from medians 594
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 429
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 368
per-diem day rate — not a per-procedure price 205
placeholder amount (≤ $0.02) — excluded from medians 129
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 30
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://baycare.org/-/media/project/baycare/consumer-portal/billing-and-insurance/pricing-files-compressed/592043026stanthonyshospitalstandardcharges.zip
Found on page https://baycare.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-12
Content fingerprint 56cdce99ac4c7f4e… · 7,259,344 bytes · first seen 2026-05-17

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj Atidarsagene Autotemcel 1 $4,246,175.00 $4,246,175.00 $4,246,175.00 nat. median
$4,505,000
0.9× median
J1414
HCPCS 		Inj Beqvez Per Tx Dose 8 $3,598,700.00 $4,637,500.00 $3,969,700.00 nat. median
$3,508,750
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,224,834.74 $4,650,494.11 $3,604,132.94 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 9 $3,163,514.35 $4,470,200.00 $3,464,405.00 nat. median
$3,248,446
1.1× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 9 $2,862,166.07 $4,155,200.00 $3,220,280.00 nat. median
$2,968,000
1.1× median
J3392
HCPCS 		Inj Exagamglogene Autotem 9 $2,262,040.00 $3,264,800.00 $2,530,220.00 nat. median
$2,332,000
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 15 $10,687.19 $3,364,842.25 $2,391,610.02 nat. median
$2,455,111
1.0× median
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 14 $15,363.65 $4,637,500.00 $1,795,720.67 nat. median
$3,685,267
outlier · 0.5×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $560,974.84 $1,272,653.64 $636,326.82 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $536,777.47 $1,240,466.27 $620,233.13 nat. median
$599,737
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $525,022.64 $1,188,702.97 $594,351.48 nat. median
$574,037
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $516,485.97 $1,162,093.43 $581,046.72 nat. median
$579,571
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $489,517.15 $1,101,413.59 $550,706.79 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $475,028.40 $1,098,115.90 $549,057.95 nat. median
$513,770
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 18 $257,160.45 $1,277,596.53 $380,840.14 nat. median
$168,055
outlier · 2.3×
5834
APR_DRG 		Neonate With Ecmo 9 $210,343.71 $529,191.44 $357,490.58 nat. median
$390,362
0.9× median
633
MS_DRG 		Neonate- Birthwt 1000-1499g- W Signif O.r. Pro- Discharged Alive 1 $312,460.08 $312,460.08 $312,460.08 nat. median
$8,940
outlier · 34.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $192,077.30 $954,257.50 $292,919.34 nat. median
$186,516
1.6× median
612
MS_DRG 		Neonate- Birthwt <750g-- Discharged Alive 1 $286,326.48 $286,326.48 $286,326.48 nat. median
$21,586
outlier · 13.3×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $262,263.75 $262,263.75 $262,263.75 nat. median
$286,598
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $128,831.50 $324,119.63 $218,956.14 nat. median
$286,698
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $147,682.75 $803,657.30 $211,401.10 nat. median
$131,925
1.6× median
631
MS_DRG 		Neonate- Birthwt 750-999g- Discharged Alive 1 $207,618.07 $207,618.07 $207,618.07 nat. median
$29,552
outlier · 7.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 19 $146,140.30 $726,038.31 $205,542.46 nat. median
$145,435
1.4× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $120,435.79 $302,997.38 $204,687.19 nat. median
$135,803
1.5× median
24
APR_DRG 		Heart And/or Lung Transplant 9 $120,356.31 $302,797.40 $204,552.10 nat. median
$225,531
0.9× median
5833
APR_DRG 		Neonate With Ecmo 9 $119,797.74 $301,392.11 $203,602.77 nat. median
$268,208
0.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 3 $78,399.72 $241,784.27 $201,914.29 nat. median
$2,024
outlier · 99.8×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 $70,889.62 $232,381.28 $188,211.55 nat. median
$2,024
outlier · 93.0×
636
MS_DRG 		Neonate- Birthwt 1500-1999g- W Signif O.r. Proc W Mult Major Prob 1 $183,596.31 $183,596.31 $183,596.31 nat. median
$9,021
outlier · 20.4×
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 3 $99,714.20 $264,016.55 $183,479.71 nat. median
$2,106
outlier · 87.1×
1614
APR_DRG 		Implantable Heart Assist Systems 9 $89,815.36 $225,961.22 $152,646.10 nat. median
$202,242
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $89,760.19 $225,822.43 $152,552.34 nat. median
$198,578
0.8× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $89,629.89 $225,494.62 $152,330.89 nat. median
$68,335
outlier · 2.2×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $88,048.17 $221,515.25 $149,642.67 nat. median
$152,792
1.0× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $86,333.24 $217,200.76 $146,728.05 nat. median
$181,762
0.8× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 3 $59,877.28 $177,232.59 $146,524.03 nat. median
$2,024
outlier · 72.4×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $85,801.52 $215,863.04 $145,824.36 nat. median
$173,134
0.8× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 3 $88,452.76 $259,382.64 $145,602.62 nat. median
$2,024
outlier · 71.9×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $84,481.48 $212,542.03 $143,580.89 nat. median
$171,497
0.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $44,989.74 $197,602.75 $137,227.66 nat. median
$2,106
outlier · 65.2×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $79,893.10 $200,998.39 $135,782.68 nat. median
$173,018
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 19 $95,811.01 $478,682.01 $134,135.41 nat. median
$97,418
1.4× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $78,295.40 $196,978.84 $133,067.30 nat. median
$187,567
0.7× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 $55,429.52 $170,086.25 $129,328.95 nat. median
$2,024
outlier · 63.9×
454
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Cc 3 $64,925.00 $182,229.04 $126,641.05 nat. median
$2,106
outlier · 60.1×
J7330
HCPCS 		Impl Maci Double Membrane 16 $28,350.00 $313,500.00 $126,348.30 nat. median
$92,809
1.4× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $74,275.40 $186,865.14 $126,235.09 nat. median
$168,439
0.7× median
681
MS_DRG 		Neonate- Birthwt >2499g- W Signif O.r. Proc- W Mult Major Prob 1 $125,052.34 $125,052.34 $125,052.34 nat. median
$35,768
outlier · 3.5×
Q0480
HCPCS 		Driver Pneumatic Vad Rep 10 $106,036.81 $245,961.68 $122,980.84 nat. median
$108,243
1.1× median

Other procedures at this hospital

Browse this hospital's 16,300 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
             
J3391 HCPCS Inj Atidarsagene Autotemcel 1 1 — — $4,246,175.00 $4,246,175.00 $4,246,175.00 2026-08-01
J1414 HCPCS Inj Beqvez Per Tx Dose 9 8 — — $3,598,700.00 $4,637,500.00 $3,969,700.00 2026-08-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 9 — — $3,224,834.74 $4,650,494.11 $3,604,132.94 2026-08-01
J3394 HCPCS Inj Lovotibeglogene Autotem 10 9 — — $3,163,514.35 $4,470,200.00 $3,464,405.00 2026-08-01
J3393 HCPCS Inj Betibeglogene Autotemce 10 9 — — $2,862,166.07 $4,155,200.00 $3,220,280.00 2026-08-01
J3392 HCPCS Inj Exagamglogene Autotem 10 9 — — $2,262,040.00 $3,264,800.00 $2,530,220.00 2026-08-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 22 15 — — $10,687.19 $3,364,842.25 $2,391,610.02 2026-08-01
J1411 HCPCS Inj Hemgenix Per Tx Dose 18 14 — — $15,363.65 $4,637,500.00 $1,795,720.67 2026-08-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 10 — — $560,974.84 $1,272,653.64 $636,326.82 2026-08-01
Q2056 HCPCS Ciltacabtagene Car-pos T 12 10 — — $536,777.47 $1,240,466.27 $620,233.13 2026-08-01
Q2055 HCPCS Idecabtagene Vicleucel Car 12 10 — — $525,022.64 $1,188,702.97 $594,351.48 2026-08-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 10 — — $516,485.97 $1,162,093.43 $581,046.72 2026-08-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 10 — — $489,517.15 $1,101,413.59 $550,706.79 2026-08-01
Q2053 HCPCS Brexucabtagene Car Pos T 12 10 — — $475,028.40 $1,098,115.90 $549,057.95 2026-08-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 32 18 — — $257,160.45 $1,277,596.53 $380,840.14 2026-08-01
5834 APR_DRG Neonate With Ecmo 18 9 — — $210,343.71 $529,191.44 $357,490.58 2026-08-01
633 MS_DRG Neonate- Birthwt 1000-1499g- W Signif O.r. Pro- Discharged Alive 1 1 — — $312,460.08 $312,460.08 $312,460.08 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 33 19 — — $192,077.30 $954,257.50 $292,919.34 2026-08-01
612 MS_DRG Neonate- Birthwt <750g-- Discharged Alive 1 1 — — $286,326.48 $286,326.48 $286,326.48 2026-08-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 1 1 — — $262,263.75 $262,263.75 $262,263.75 2026-08-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 18 9 — — $128,831.50 $324,119.63 $218,956.14 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 33 19 — — $147,682.75 $803,657.30 $211,401.10 2026-08-01
631 MS_DRG Neonate- Birthwt 750-999g- Discharged Alive 1 1 — — $207,618.07 $207,618.07 $207,618.07 2026-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 33 19 — — $146,140.30 $726,038.31 $205,542.46 2026-08-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 9 — — $120,435.79 $302,997.38 $204,687.19 2026-08-01
24 APR_DRG Heart And/or Lung Transplant 18 9 — — $120,356.31 $302,797.40 $204,552.10 2026-08-01
5833 APR_DRG Neonate With Ecmo 18 9 — — $119,797.74 $301,392.11 $203,602.77 2026-08-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 6 3 — — $78,399.72 $241,784.27 $201,914.29 2026-08-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 3 — — $70,889.62 $232,381.28 $188,211.55 2026-08-01
636 MS_DRG Neonate- Birthwt 1500-1999g- W Signif O.r. Proc W Mult Major Prob 1 1 — — $183,596.31 $183,596.31 $183,596.31 2026-08-01
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 8 3 — — $99,714.20 $264,016.55 $183,479.71 2026-08-01
1614 APR_DRG Implantable Heart Assist Systems 18 9 — — $89,815.36 $225,961.22 $152,646.10 2026-08-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 18 9 — — $89,760.19 $225,822.43 $152,552.34 2026-08-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 9 — — $89,629.89 $225,494.62 $152,330.89 2026-08-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 18 9 — — $88,048.17 $221,515.25 $149,642.67 2026-08-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 18 9 — — $86,333.24 $217,200.76 $146,728.05 2026-08-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 6 3 — — $59,877.28 $177,232.59 $146,524.03 2026-08-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 18 9 — — $85,801.52 $215,863.04 $145,824.36 2026-08-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 6 3 — — $88,452.76 $259,382.64 $145,602.62 2026-08-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 18 9 — — $84,481.48 $212,542.03 $143,580.89 2026-08-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 3 — — $44,989.74 $197,602.75 $137,227.66 2026-08-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 18 9 — — $79,893.10 $200,998.39 $135,782.68 2026-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 33 19 — — $95,811.01 $478,682.01 $134,135.41 2026-08-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 18 9 — — $78,295.40 $196,978.84 $133,067.30 2026-08-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 3 — — $55,429.52 $170,086.25 $129,328.95 2026-08-01
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 8 3 — — $64,925.00 $182,229.04 $126,641.05 2026-08-01
J7330 HCPCS Impl Maci Double Membrane 66 16 $235,500.00 $141,300.00 40% off $28,350.00 $313,500.00 $126,348.30 2026-08-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 18 9 — — $74,275.40 $186,865.14 $126,235.09 2026-08-01
681 MS_DRG Neonate- Birthwt >2499g- W Signif O.r. Proc- W Mult Major Prob 1 1 — — $125,052.34 $125,052.34 $125,052.34 2026-08-01
Q0480 HCPCS Driver Pneumatic Vad Rep 12 10 — — $106,036.81 $245,961.68 $122,980.84 2026-08-01
74 APR_DRG Allogeneic Bone Marrow Transplant 18 9 — — $70,861.16 $178,275.43 $120,432.39 2026-08-01
5832 APR_DRG Neonate With Ecmo 18 9 — — $91,982.52 $152,272.05 $119,996.20 2026-08-01
1613 APR_DRG Implantable Heart Assist Systems 18 9 — — $70,327.62 $176,933.15 $119,525.62 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 33 19 — — $83,128.57 $443,849.68 $116,380.00 2026-08-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 18 9 — — $67,666.12 $170,237.25 $115,002.26 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 33 19 — — $54,428.99 $273,085.88 $114,702.60 2026-08-01
7 MS_DRG Lung Transplant 33 19 — — $89,115.06 $442,731.74 $114,334.78 2026-08-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 18 9 — — $66,992.86 $168,543.42 $113,858.01 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 19 — — $75,142.42 $373,314.38 $112,312.42 2026-08-01
634 MS_DRG Neonate- Birthwt 1000-1499g- Without Signif O.r. Proc- Discharged Alive 1 1 — — $111,995.64 $111,995.64 $111,995.64 2026-08-01
23 APR_DRG Heart And/or Lung Transplant 18 9 — — $65,560.30 $164,939.34 $111,423.30 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 33 19 — — $71,318.38 $360,769.72 $109,314.62 2026-08-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 18 9 — — $63,713.63 $160,293.39 $108,284.77 2026-08-01
212 MS_DRG Testes Procedures Age 0-17 32 18 — — $74,284.60 $369,052.65 $108,166.64 2026-08-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 18 9 — — $60,053.30 $151,084.59 $102,063.86 2026-08-01
632 MS_DRG Neonate- Birthwt 750-999g- Died 1 1 — — $101,894.61 $101,894.61 $101,894.61 2026-08-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 18 9 — — $59,173.88 $148,872.10 $100,569.23 2026-08-01
215 MS_DRG Other Heart Assist System Implant 31 18 — — $68,873.20 $358,920.04 $96,422.47 2026-08-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 18 9 — — $73,522.65 $121,712.74 $95,914.29 2026-08-01
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 8 3 — — $51,020.98 $137,219.25 $95,361.26 2026-08-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 9 — — $55,954.17 $140,771.83 $95,097.16 2026-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 18 — — $65,810.05 $326,950.31 $94,735.54 2026-08-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 6 3 — — $63,630.74 $176,793.90 $93,950.82 2026-08-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 9 — — $71,254.59 $117,958.09 $92,955.49 2026-08-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 18 9 — — $54,334.70 $136,697.49 $92,344.77 2026-08-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 18 9 — — $51,558.87 $129,713.96 $87,627.12 2026-08-01
5831 APR_DRG Neonate With Ecmo 9 9 — — $82,565.48 $89,922.80 $85,835.40 2026-08-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 18 — — $18,645.74 $354,875.13 $85,763.62 2026-08-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 6 3 — — $32,822.90 $101,962.99 $83,445.90 2026-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 33 19 — — $57,750.77 $286,911.09 $81,377.59 2026-08-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 18 9 — — $47,138.54 $118,593.09 $80,114.51 2026-08-01
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 17 16 — — $4,884.79 $176,158.92 $79,858.71 2026-08-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 18 9 — — $46,660.90 $117,391.43 $79,302.74 2026-08-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 18 9 — — $60,053.30 $99,414.97 $78,342.79 2026-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 18 — — $56,873.86 $282,554.51 $78,337.58 2026-08-01
73 APR_DRG Allogeneic Bone Marrow Transplant 18 9 — — $45,068.28 $113,384.67 $76,596.01 2026-08-01
850 MS_DRG Acute Leukemia With Other Procedures 30 18 — — $59,898.31 $312,071.54 $76,370.34 2026-08-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 18 9 — — $44,728.57 $112,529.99 $76,018.64 2026-08-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 12 10 — — $65,429.08 $151,768.49 $75,884.24 2026-08-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 8 3 — — $26,489.41 $108,983.47 $75,738.65 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 18 — — $49,350.48 $268,553.14 $74,942.60 2026-08-01
64 APR_DRG Pancreas Transplant 18 9 — — $43,759.49 $110,091.96 $74,371.65 2026-08-01
38240 CPT Transplt Allo Hct/donor 19 10 — — $14,280.00 $133,573.25 $73,926.62 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 19 — — $50,897.76 $252,864.70 $73,790.26 2026-08-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 9 — — $43,252.83 $108,817.25 $73,510.52 2026-08-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 18 9 — — $43,158.09 $108,578.92 $73,349.52 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 18 — — $52,882.33 $264,796.18 $72,055.18 2026-08-01
J9029 HCPCS Instill Adstiladrin Tx Dose 12 10 — — $61,528.12 $142,654.59 $71,327.30 2026-08-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 18 9 — — $54,647.92 $90,466.66 $71,291.19 2026-08-01
8514 APR_DRG Gender Related Procedures 18 9 — — $41,273.67 $103,838.01 $70,146.85 2026-08-01
8513 APR_DRG Gender Related Procedures 18 9 — — $41,273.67 $103,838.01 $70,146.85 2026-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 18 — — $52,761.37 $262,123.29 $69,846.00 2026-08-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 18 9 — — $40,925.24 $102,961.42 $69,554.67 2026-08-01
10 MS_DRG Pancreas Transplant 33 19 — — $42,146.66 $270,101.32 $69,488.68 2026-08-01
S2068 HCPCS Breast Diep Or Siea Flap 1 1 — — $68,089.13 $68,089.13 $68,089.13 2026-08-01
1612 APR_DRG Implantable Heart Assist Systems 18 9 — — $51,747.25 $85,664.75 $67,507.10 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 18 — — $54,396.49 $287,070.31 $67,056.67 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 33 19 — — $47,435.80 $235,665.35 $67,037.58 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 19 — — $13,854.61 $225,878.29 $66,604.81 2026-08-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 4 2 — — $30,847.06 $79,147.76 $66,096.38 2026-08-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 9 — — $38,849.90 $97,740.21 $66,027.53 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 33 19 — — $31,589.50 $226,261.10 $65,665.94 2026-08-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $63,019.67 $68,635.28 $65,515.50 2026-08-01
317 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures W Mcc 32 18 — — $42,184.55 $209,576.67 $65,231.81 2026-08-01
22 APR_DRG Heart And/or Lung Transplant 18 9 — — $49,644.69 $82,184.08 $64,764.20 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 18 — — $46,559.44 $231,322.32 $64,453.30 2026-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 18 — — $48,189.29 $239,408.76 $64,421.35 2026-08-01
0100T CPT Prosth Retina Receive&gen 1 1 — — $64,230.00 $64,230.00 $64,230.00 2026-08-01
0424T CPT Insj/rplc Nstim Apnea Compl 1 1 — — $64,230.00 $64,230.00 $64,230.00 2026-08-01
A9543 HCPCS Y90 Ibritumomab Rx 12 10 — — $55,119.81 $127,855.24 $63,927.62 2026-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 19 — — $41,992.25 $208,621.34 $62,763.98 2026-08-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 6 3 — — $33,631.68 $101,475.17 $62,523.44 2026-08-01
647 MS_DRG Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Mult Major Prob 1 1 — — $62,463.74 $62,463.74 $62,463.74 2026-08-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $60,053.30 $65,404.58 $62,431.65 2026-08-01
635 MS_DRG Neonate- Birthwt 1000-1499g- Died 1 1 — — $62,333.35 $62,333.35 $62,333.35 2026-08-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 33 19 — — $37,690.20 $187,248.34 $61,930.50 2026-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 19 — — $44,099.30 $219,089.33 $61,748.46 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 19 — — $42,341.42 $214,248.31 $61,508.62 2026-08-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 18 9 — — $35,973.91 $90,504.65 $61,139.61 2026-08-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 18 9 — — $35,643.26 $89,672.80 $60,577.67 2026-08-01
8634 APR_DRG Neonatal Aftercare 18 9 — — $35,183.77 $88,516.80 $59,796.74 2026-08-01
0620T CPT Cl Endovascular Venous Arterialization Tibl/prnl Vn 45 20 $122,965.00 $73,779.00 40% off $20,046.00 $122,965.00 $59,515.06 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 33 19 — — $38,568.69 $202,950.33 $59,346.74 2026-08-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 18 9 — — $34,780.90 $87,503.23 $59,112.03 2026-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 18 — — $45,718.79 $227,135.12 $58,926.74 2026-08-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 18 9 — — $34,649.51 $87,172.69 $58,888.74 2026-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 18 — — $41,654.72 $206,944.43 $58,709.54 2026-08-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 18 9 — — $34,482.20 $86,751.74 $58,604.36 2026-08-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 33 19 — — $39,136.49 $194,433.65 $58,299.73 2026-08-01
28 MS_DRG Spinal Procedures With Mcc 33 19 — — $40,817.34 $205,955.22 $58,183.71 2026-08-01
646 MS_DRG Neonate- Birthwt 1500-1999g- W Signif O.r. Proc- Without Mult Major Prob 1 1 — — $58,162.92 $58,162.92 $58,162.92 2026-08-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 18 9 — — $34,209.98 $86,066.90 $58,141.74 2026-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 19 — — $38,902.60 $193,271.67 $58,117.01 2026-08-01
4404 APR_DRG Kidney Transplant 18 9 — — $33,928.70 $85,359.23 $57,663.67 2026-08-01
16 MS_DRG Autolous Bone Marrow Transplant With Cc/mcc 33 19 — — $41,016.11 $204,478.18 $57,422.55 2026-08-01
63 APR_DRG Pancreas Transplant 18 9 — — $33,723.64 $84,843.32 $57,315.15 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 18 — — $40,567.78 $201,544.44 $57,254.84 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 33 19 — — $38,202.94 $207,892.99 $57,015.28 2026-08-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 18 9 — — $43,702.87 $72,347.73 $57,012.79 2026-08-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 6 3 — — $20,315.96 $76,007.47 $56,869.93 2026-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 19 — — $39,701.78 $197,242.06 $56,794.07 2026-08-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 4 2 — — $27,115.86 $67,304.65 $56,206.18 2026-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 18 — — $13,977.65 $240,618.17 $56,172.95 2026-08-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 21 16 — — $15,363.65 $124,957.13 $55,536.50 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 18 — — $40,123.87 $199,339.04 $55,526.79 2026-08-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 33 19 — — $37,102.41 $184,328.14 $55,455.17 2026-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 19 — — $36,828.97 $182,969.68 $55,193.32 2026-08-01
L7181 HCPCS Electronic Elbo Simultaneous 12 10 — — $47,173.81 $109,423.78 $54,711.89 2026-08-01
1611 APR_DRG Implantable Heart Assist Systems 9 9 — — $51,747.25 $56,358.39 $53,796.64 2026-08-01
84 APR_DRG Autologous Bone Marrow Transplant 18 9 — — $31,516.91 $79,291.56 $53,564.71 2026-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 32 18 — — $32,080.96 $159,381.12 $53,132.21 2026-08-01
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 33 19 — — $37,017.85 $183,908.07 $52,975.71 2026-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 18 — — $34,592.91 $209,847.69 $52,973.74 2026-08-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 18 9 — — $31,136.91 $78,335.52 $52,918.87 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 31 18 — — $36,278.00 $180,232.42 $52,900.18 2026-08-01
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 33 19 — — $36,794.19 $182,796.90 $52,816.89 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 18 — — $35,001.50 $173,890.64 $52,631.61 2026-08-01
17 MS_DRG Autolous Bone Marrow Transplant Without Cc/mcc 33 19 — — $37,575.56 $204,478.18 $52,605.79 2026-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 18 — — $44,035.88 $218,774.28 $52,304.03 2026-08-01
6 MS_DRG Liver Transplant Without Mcc 33 19 — — $32,074.42 $164,276.35 $51,642.14 2026-08-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 18 9 — — $30,319.55 $76,279.18 $51,529.73 2026-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 19 — — $33,901.91 $182,776.58 $51,401.52 2026-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 33 19 — — $36,617.55 $187,248.34 $51,264.57 2026-08-01
0266T CPT Implt/rpl Crtd Sns Dev Total 12 9 — — $43,478.00 $101,633.85 $50,816.93 2026-08-01
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 9 — — $29,707.98 $74,740.58 $50,490.34 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 33 19 — — $34,739.65 $172,589.76 $50,408.51 2026-08-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 9 — — $29,654.99 $74,607.26 $50,400.27 2026-08-01
653 MS_DRG Major Bladder Procedures With Mcc 33 19 — — $33,543.42 $188,850.72 $50,321.36 2026-08-01
245 MS_DRG Aicd Generator Procedures 33 19 — — $31,558.41 $165,550.12 $49,805.53 2026-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 18 — — $29,963.38 $169,496.79 $49,089.74 2026-08-01
1784 APR_DRG External Heart Assist Systems 18 9 — — $28,831.46 $72,535.40 $49,000.64 2026-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 18 — — $37,302.89 $185,324.13 $48,909.09 2026-08-01
C1825 HCPCS C1825 Gen Neuro Carot Sinus Baro 29001-30000 165 16 $94,501.00 $56,700.60 40% off $15,930.18 $100,501.00 $48,750.50 2026-08-01
799 MS_DRG Splenic Procedures With Mcc 33 19 — — $31,326.69 $161,078.36 $48,460.38 2026-08-01
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 33 19 — — $34,498.16 $172,061.28 $48,297.42 2026-08-01
C1822 HCPCS C1822 Gen Neu Rchg Hf 20001-21000 660 16 $90,001.00 $54,000.60 40% off $11,070.18 $118,501.00 $48,188.15 2026-08-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 18 9 — — $28,337.85 $71,293.55 $48,161.73 2026-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 18 — — $36,117.76 $179,436.31 $48,127.07 2026-08-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 18 9 — — $28,263.45 $71,106.36 $48,035.27 2026-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 19 — — $32,356.64 $161,779.61 $48,022.40 2026-08-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 18 — — $33,980.71 $168,819.25 $47,910.07 2026-08-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 33 19 — — $34,103.45 $169,429.04 $47,824.85 2026-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 19 — — $32,416.45 $161,047.87 $47,601.42 2026-08-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 18 9 — — $27,790.53 $69,916.57 $47,231.52 2026-08-01
33231 CPT Cl Insert Defib Pulse Gen Only W/mult Leads 61 26 $100,849.00 $60,509.40 40% off $14,085.04 $100,849.00 $47,227.59 2026-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 30 18 — — $35,118.10 $174,469.94 $47,003.10 2026-08-01
33270 CPT Cl Ins/replac Sq Impltbl Defib 61 26 $100,354.00 $60,212.40 40% off $14,085.04 $100,354.00 $46,995.78 2026-08-01
277 MS_DRG Other Major Cardiovascular Procedures W Mcc 32 18 — — $31,720.92 $157,592.42 $46,959.07 2026-08-01
471 MS_DRG Cervical Spinal Fusion With Mcc 33 19 — — $33,121.53 $164,550.75 $46,760.59 2026-08-01
33276 CPT Insj Phrnc Nrv Stim Sys 18 9 — — $1,756.00 $101,633.85 $46,751.57 2026-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 19 — — $33,231.65 $169,628.91 $46,716.73 2026-08-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 18 9 — — $27,239.22 $68,529.54 $46,294.53 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 30 19 — — $6,744.13 $177,119.37 $46,250.51 2026-08-01
21 APR_DRG Heart And/or Lung Transplant 9 9 — — $43,877.81 $47,787.72 $45,615.55 2026-08-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 18 9 — — $26,689.35 $67,146.17 $45,360.00 2026-08-01
J9226 HCPCS Supprelin La Implant 21 16 — — $2,338.17 $101,839.05 $45,261.80 2026-08-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 18 — — $29,044.50 $144,295.69 $45,234.64 2026-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 33 19 — — $27,735.26 $137,791.31 $44,924.92 2026-08-01
33289 CPT Cl Transcath Impl Wrls P-art Prs Snr 61 26 $95,890.00 $57,534.00 40% off $14,085.04 $95,890.00 $44,905.29 2026-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 33 19 — — $28,862.14 $146,280.89 $44,877.59 2026-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 33 19 — — $31,713.35 $158,527.42 $44,840.12 2026-08-01
69930 CPT Implant Cochlear Device 19 10 — — $31,928.06 $71,838.12 $44,699.28 2026-08-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 33 19 — — $31,311.79 $155,559.80 $44,511.99 2026-08-01
651 MS_DRG Neonate- Birthwt 2000-2499g- W Signif O.r. Proc- W Mult Major Prob 32 18 — — $23,678.69 $124,260.86 $44,434.98 2026-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 33 19 — — $28,024.39 $139,227.69 $44,423.54 2026-08-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 18 9 — — $25,982.32 $65,367.42 $44,158.38 2026-08-01
L7180 HCPCS Electronic Elbow Sequential 12 10 — — $38,032.17 $88,218.95 $44,109.47 2026-08-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 18 9 — — $25,948.93 $65,283.41 $44,101.63 2026-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 33 19 — — $30,764.23 $152,839.47 $44,049.10 2026-08-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 18 9 — — $25,872.35 $65,090.74 $43,971.47 2026-08-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 18 — — $10,620.74 $186,462.40 $43,748.69 2026-08-01
648 MS_DRG Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Major Prob 1 1 — — $43,542.54 $43,542.54 $43,542.54 2026-08-01
0316T CPT Replc Vagus Nerve Pls Gen 1 1 — — $43,478.00 $43,478.00 $43,478.00 2026-08-01
0427T CPT Insj/rplc Nstim Apnea Pls Gn 1 1 — — $43,478.00 $43,478.00 $43,478.00 2026-08-01
0431T CPT Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $43,478.00 $43,478.00 $43,478.00 2026-08-01
0312T CPT Laps Impltj Nstim Vagus 1 1 — — $43,478.00 $43,478.00 $43,478.00 2026-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 33 19 — — $29,954.14 $148,814.89 $43,467.42 2026-08-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 12 10 — — $37,448.13 $86,864.22 $43,432.11 2026-08-01
163 MS_DRG Major Chest Procedures With Mcc 33 19 — — $31,000.89 $156,145.87 $43,401.25 2026-08-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $43,200.30 $43,200.30 $43,200.30 2026-08-01
0571T CPT Cl Insert/repl Ss Icd & Lead (s) 54 25 $103,975.00 $62,385.00 40% off $14,085.04 $103,975.00 $43,146.18 2026-08-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 18 9 — — $25,374.76 $63,838.85 $43,125.77 2026-08-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 18 9 — — $25,346.08 $63,766.72 $43,077.04 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 18 — — $28,371.47 $140,952.03 $43,060.42 2026-08-01
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 19 10 — — $30,588.78 $68,824.75 $42,824.29 2026-08-01
64568 CPT Opn Impltj Crnl Nrv Nea&pg 19 10 — — $30,588.78 $68,824.75 $42,824.29 2026-08-01
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 19 10 — — $30,588.78 $68,824.75 $42,824.29 2026-08-01
61886 CPT Implant Neurostim Arrays 19 10 — — $30,588.78 $68,824.75 $42,824.29 2026-08-01
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 19 10 — — $30,588.78 $68,824.75 $42,824.29 2026-08-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 18 9 — — $25,148.27 $63,269.07 $42,740.86 2026-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 33 19 — — $29,087.45 $144,509.12 $42,539.38 2026-08-01
C1827 HCPCS C1827 Gen Neuro Imp Led Ex Cntr 20001-21000 482 25 $81,001.00 $48,600.60 40% off $24.86 $100,501.00 $42,124.79 2026-08-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 18 9 — — $24,669.91 $62,065.58 $41,927.85 2026-08-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 18 9 — — $24,633.97 $61,975.18 $41,866.78 2026-08-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 18 9 — — $24,608.57 $61,911.26 $41,823.60 2026-08-01
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 33 19 — — $26,028.91 $129,491.44 $41,586.98 2026-08-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 33 19 — — $29,694.26 $151,928.18 $41,571.96 2026-08-01
650 MS_DRG Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Other Prob 32 18 — — $24,296.30 $156,081.50 $41,462.85 2026-08-01
72 APR_DRG Allogeneic Bone Marrow Transplant 18 9 — — $31,737.58 $52,539.84 $41,403.40 2026-08-01
C2642 HCPCS C2642 Brachytx Stranded 26001-27000 153 26 $84,001.00 $50,400.60 40% off $107.86 $88,501.00 $41,382.48 2026-08-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 18 9 — — $24,318.21 $61,180.77 $41,330.12 2026-08-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 18 9 — — $24,283.37 $61,093.11 $41,270.90 2026-08-01
677 MS_DRG Neonate- Birthwt 2000-2499g- Without Signif O.r. Proc- W Mult Major Prob 1 1 — — $41,245.22 $41,245.22 $41,245.22 2026-08-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 6 3 — — $21,567.82 $64,688.13 $41,151.24 2026-08-01
1794 APR_DRG Defibrillator Implants 18 9 — — $23,966.88 $60,296.87 $40,733.01 2026-08-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 18 9 — — $23,930.59 $60,205.56 $40,671.32 2026-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 33 19 — — $29,028.15 $150,092.05 $40,639.41 2026-08-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 18 9 — — $23,897.56 $60,122.46 $40,615.19 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 18 — — $28,040.07 $139,305.61 $40,563.87 2026-08-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 4 2 — — $18,190.66 $48,516.55 $40,516.22 2026-08-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 9 — — $31,043.27 $51,390.44 $40,497.63 2026-08-01
914 APR_DRG Other Major Head And Neck Procedures 18 9 — — $23,827.14 $59,945.32 $40,495.52 2026-08-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 18 9 — — $23,782.50 $59,833.00 $40,419.65 2026-08-01
213 MS_DRG Splenic Procedures Age 0-17 17 16 — — $16,936.07 $88,818.72 $40,264.49 2026-08-01
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 33 19 — — $27,982.79 $139,021.04 $40,223.27 2026-08-01
613 MS_DRG Neonate- Birthwt <750g- Died 1 1 — — $40,143.39 $40,143.39 $40,143.39 2026-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 18 — — $31,316.56 $155,583.51 $40,092.89 2026-08-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 33 19 — — $26,664.01 $132,469.23 $39,950.88 2026-08-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 18 9 — — $23,460.93 $59,023.98 $39,873.12 2026-08-01
214 APR_DRG Open Craniotomy Except Trauma 18 9 — — $23,427.90 $58,940.89 $39,816.99 2026-08-01
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 33 19 — — $24,782.45 $134,860.95 $39,691.70 2026-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 33 19 — — $26,516.72 $131,737.49 $39,633.79 2026-08-01
1783 APR_DRG External Heart Assist Systems 18 9 — — $23,263.85 $58,528.16 $39,538.18 2026-08-01
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 9 — — $23,230.45 $58,444.15 $39,481.43 2026-08-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 18 9 — — $23,174.20 $58,302.62 $39,385.82 2026-08-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 18 — — $30,496.24 $151,508.11 $39,228.87 2026-08-01
4403 APR_DRG Kidney Transplant 18 9 — — $23,067.49 $58,034.16 $39,204.46 2026-08-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 18 — — $34,043.71 $170,635.06 $39,150.27 2026-08-01
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 33 19 — — $25,778.51 $133,668.48 $39,106.58 2026-08-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 18 9 — — $29,817.96 $49,362.00 $38,899.15 2026-08-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 18 9 — — $22,880.58 $57,563.90 $38,886.78 2026-08-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 18 9 — — $29,699.27 $49,165.53 $38,744.32 2026-08-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 12 10 — — $33,255.91 $77,139.99 $38,569.99 2026-08-01
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 9 — — $22,663.90 $57,018.77 $38,518.53 2026-08-01
C1604 HCPCS C1604 Grft Trnsmurl Trnsvens Byps 20001-21000 351 26 $75,001.00 $45,000.60 40% off $23.32 $88,501.00 $38,250.50 2026-08-01
6904 APR_DRG Acute Leukemia 18 9 — — $22,479.16 $56,554.00 $38,204.55 2026-08-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 33 19 — — $24,619.21 $126,767.73 $38,138.05 2026-08-01
62 APR_DRG Pancreas Transplant 18 9 — — $29,073.91 $48,130.28 $37,928.50 2026-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 33 19 — — $27,269.41 $141,931.08 $37,890.76 2026-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 19 — — $25,923.48 $128,790.19 $37,882.40 2026-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 33 19 — — $23,875.07 $118,613.54 $37,774.16 2026-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 33 19 — — $26,936.43 $146,582.39 $37,711.00 2026-08-01
83 APR_DRG Autologous Bone Marrow Transplant 18 9 — — $22,182.99 $55,808.89 $37,701.19 2026-08-01
140 MS_DRG Simple Pneumonia & Pleurisy Age 0-17 32 18 — — $4,786.54 $143,272.61 $37,616.77 2026-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 33 19 — — $25,407.06 $130,802.48 $37,496.44 2026-08-01
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 31 18 — — $25,721.64 $127,787.43 $37,391.43 2026-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 33 19 — — $26,556.68 $134,955.80 $37,179.35 2026-08-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 18 9 — — $21,858.87 $54,993.48 $37,150.36 2026-08-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 18 9 — — $21,796.81 $54,837.33 $37,044.87 2026-08-01
1694 APR_DRG Major Abdominal Vascular Procedures 18 9 — — $21,650.54 $54,469.35 $36,796.28 2026-08-01
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