Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

WELLINGTON REGIONAL MEDICAL CENTER

Wellington, FL · CCN 100275 · Rates published

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You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $6,038 across 14 payers · range $4,700-$13,084

Source: https://uhsfilecdn.eskycity.net/ac/232306491_wellington-regional-medical-center_standardcharges.csv · observed 2026-07-15

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

12,142 distinct procedures filed
18 distinct payers
309,363 rate rows
2026-07-15 last MRF observed
Data quality

306,487 of 309,363 rate rows are consumer-grade (99.1%)

2,876 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
template filing: same amount across many unrelated codes — excluded 1,942
exceeds 10× this hospital's gross charge — excluded from medians 881
per-diem day rate — not a per-procedure price 44
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 5
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uhsfilecdn.eskycity.net/ac/232306491_wellington-regional-medical-center_standardcharges.csv
Found on page https://wellingtonregional.com/patients-visitors/pricing-guide/
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-03
Content fingerprint bca739be1c2aba6a… · 78,252,257 bytes · first seen 2026-05-07

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
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 9 $3,710,000.00 $4,081,000.00 $3,747,100.00 nat. median
$3,758,972
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 9 $3,710,000.00 $4,081,000.00 $3,747,100.00 nat. median
$3,646,097
1.0× median
714
OTHER 		Inj Delandistrogene Mox Rokl 10 $3,321,781.50 $4,982,672.26 $3,388,217.13 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Autotem 10 $3,193,000.00 $4,789,500.00 $3,256,860.00 nat. median
$3,252,508
1.0× median
746
OTHER 		Inj, Betibeglogene Autotemce 10 $2,968,000.00 $4,452,000.00 $3,027,360.00 nat. median
$2,939,969
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 11 $2,403,458.75 $4,206,052.81 $2,463,545.21 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autotem 11 $2,332,000.00 $4,081,000.00 $2,390,300.00 nat. median
$58,186
outlier · 41.1×
9194
OTHER 		Tisagenlecleucel Car-pos T 11 $565,623.84 $989,841.71 $579,764.43 nat. median
$576,820
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 11 $551,318.34 $964,807.09 $565,101.29 nat. median
$587,650
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Car 11 $528,312.43 $924,546.75 $541,520.24 nat. median
$560,872
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 11 $516,485.97 $903,850.44 $529,398.12 nat. median
$562,201
0.9× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 11 $489,517.15 $856,655.01 $501,755.08 nat. median
$533,230
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 11 $488,051.51 $854,090.14 $500,252.80 nat. median
$492,768
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $263,989.60 $774,243.78 $355,858.09 nat. median
$370,165
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $197,178.10 $578,295.20 $265,796.16 nat. median
$261,939
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $166,059.60 $487,029.08 $223,848.41 nat. median
$205,166
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $150,021.20 $439,990.75 $202,228.64 nat. median
$199,832
1.0× median
5834
APR_DRG 		Neonate With Ecmo 8 $159,402.05 $191,282.46 $168,966.17 nat. median
$311,018
0.5× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 11 $152,500.50 $266,875.88 $156,313.02 nat. median
$155,877
1.0× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 11 $152,500.50 $266,875.88 $156,313.02 nat. median
$155,877
1.0× median
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 11 $137,500.50 $240,625.88 $140,938.02 nat. median
$140,545
1.0× median
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 11 $137,500.50 $240,625.88 $140,938.02 nat. median
$140,545
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $98,910.00 $290,088.90 $133,330.72 nat. median
$132,706
1.0× median
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 11 $122,500.50 $214,375.88 $125,563.01 nat. median
$122,500
1.0× median
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 11 $122,500.50 $214,375.88 $125,563.01 nat. median
$122,500
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $91,712.60 $268,979.95 $123,628.62 nat. median
$114,305
1.1× median
7
MS_DRG 		Lung Transplant 13 $91,481.60 $268,302.46 $123,317.24 nat. median
$122,690
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $103,991.65 $124,789.98 $110,231.14 nat. median
$254,667
outlier · 0.4×
1902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 11 $107,500.50 $188,125.88 $110,188.01 nat. median
$107,500
1.0× median
1901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 11 $107,500.50 $188,125.88 $110,188.01 nat. median
$107,500
1.0× median
5833
APR_DRG 		Neonate With Ecmo 8 $103,265.52 $123,918.63 $109,461.45 nat. median
$250,089
outlier · 0.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $77,137.90 $226,234.44 $103,981.92 nat. median
$108,240
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $76,257.30 $223,651.77 $102,794.88 nat. median
$100,978
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $74,545.80 $218,632.18 $100,487.77 nat. median
$99,646
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 13 $74,163.60 $217,511.24 $99,972.56 nat. median
$98,002
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $73,327.80 $215,059.96 $98,845.90 nat. median
$96,835
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 8 $92,094.01 $110,512.81 $97,619.65 nat. median
$243,231
outlier · 0.4×
1585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 11 $95,000.50 $166,250.88 $97,375.51 nat. median
$97,104
1.0× median
1599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 11 $95,000.50 $166,250.88 $97,375.51 nat. median
$97,104
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $67,557.70 $198,137.08 $91,067.80 nat. median
$92,900
1.0× median
1584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 11 $85,000.50 $148,750.88 $87,125.51 nat. median
$86,882
1.0× median
1598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 11 $85,000.50 $148,750.88 $87,125.51 nat. median
$86,882
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $64,483.30 $189,120.31 $86,923.51 nat. median
$81,364
1.1× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $80,978.57 $97,174.28 $85,837.28 nat. median
$119,243
0.7× median
5832
APR_DRG 		Neonate With Ecmo 8 $79,289.07 $95,146.89 $84,046.42 nat. median
$169,230
outlier · 0.5×
1614
APR_DRG 		Implantable Heart Assist Systems 8 $78,924.22 $94,709.06 $83,659.66 nat. median
$209,486
outlier · 0.4×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $75,858.32 $91,029.99 $80,409.82 nat. median
$160,171
0.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $59,317.30 $173,969.17 $79,959.74 nat. median
$79,040
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $866.00 $173,872.68 $79,508.90 nat. median
$80,459
1.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $74,819.10 $89,782.92 $79,308.25 nat. median
$165,646
outlier · 0.5×

Other procedures at this hospital

Browse this hospital's 12,142 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
             
773 OTHER Inj, Beqvez, Per Tx Dose 9 9 — — $3,710,000.00 $4,081,000.00 $3,747,100.00 2026-07-15
9138 OTHER Inj, Hemgenix, Per Tx Dose 9 9 — — $3,710,000.00 $4,081,000.00 $3,747,100.00 2026-07-15
714 OTHER Inj Delandistrogene Mox Rokl 11 10 — — $3,321,781.50 $4,982,672.26 $3,388,217.13 2026-07-15
748 OTHER Inj, Lovotibeglogene Autotem 11 10 — — $3,193,000.00 $4,789,500.00 $3,256,860.00 2026-07-15
746 OTHER Inj, Betibeglogene Autotemce 11 10 — — $2,968,000.00 $4,452,000.00 $3,027,360.00 2026-07-15
9141 OTHER Inj Onase Abepar-xioi Treat 12 11 — — $2,403,458.75 $4,206,052.81 $2,463,545.21 2026-07-15
824 OTHER Inj, Exagamglogene Autotem 12 11 — — $2,332,000.00 $4,081,000.00 $2,390,300.00 2026-07-15
9194 OTHER Tisagenlecleucel Car-pos T 12 11 — — $565,623.84 $989,841.71 $579,764.43 2026-07-15
9498 OTHER Ciltacabtagene Car-pos T 12 11 — — $551,318.34 $964,807.09 $565,101.29 2026-07-15
9422 OTHER Idecabtagene Vicleucel Car 12 11 — — $528,312.43 $924,546.75 $541,520.24 2026-07-15
9413 OTHER Lisocabtagene Car Pos T 12 11 — — $516,485.97 $903,850.44 $529,398.12 2026-07-15
9035 OTHER Axicabtagene Ciloleucel Car+ 12 11 — — $489,517.15 $856,655.01 $501,755.08 2026-07-15
9391 OTHER Brexucabtagene Car Pos T 12 11 — — $488,051.51 $854,090.14 $500,252.80 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 13 — — $263,989.60 $774,243.78 $355,858.09 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 13 — — $197,178.10 $578,295.20 $265,796.16 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 13 — — $166,059.60 $487,029.08 $223,848.41 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 13 — — $150,021.20 $439,990.75 $202,228.64 2026-07-15
5834 APR_DRG Neonate With Ecmo 8 8 — — $159,402.05 $191,282.46 $168,966.17 2026-07-15
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 12 11 — — $152,500.50 $266,875.88 $156,313.02 2026-07-15
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 12 11 — — $152,500.50 $266,875.88 $156,313.02 2026-07-15
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 12 11 — — $137,500.50 $240,625.88 $140,938.02 2026-07-15
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 12 11 — — $137,500.50 $240,625.88 $140,938.02 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 13 — — $98,910.00 $290,088.90 $133,330.72 2026-07-15
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 12 11 — — $122,500.50 $214,375.88 $125,563.01 2026-07-15
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 12 11 — — $122,500.50 $214,375.88 $125,563.01 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 24 13 — — $91,712.60 $268,979.95 $123,628.62 2026-07-15
7 MS_DRG Lung Transplant 24 13 — — $91,481.60 $268,302.46 $123,317.24 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $103,991.65 $124,789.98 $110,231.14 2026-07-15
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 12 11 — — $107,500.50 $188,125.88 $110,188.01 2026-07-15
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 12 11 — — $107,500.50 $188,125.88 $110,188.01 2026-07-15
5833 APR_DRG Neonate With Ecmo 8 8 — — $103,265.52 $123,918.63 $109,461.45 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 13 — — $77,137.90 $226,234.44 $103,981.92 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 13 — — $76,257.30 $223,651.77 $102,794.88 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 13 — — $74,545.80 $218,632.18 $100,487.77 2026-07-15
215 MS_DRG Other Heart Assist System Implant 24 13 — — $74,163.60 $217,511.24 $99,972.56 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 13 — — $73,327.80 $215,059.96 $98,845.90 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 8 8 — — $92,094.01 $110,512.81 $97,619.65 2026-07-15
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 12 11 — — $95,000.50 $166,250.88 $97,375.51 2026-07-15
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 12 11 — — $95,000.50 $166,250.88 $97,375.51 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 13 — — $67,557.70 $198,137.08 $91,067.80 2026-07-15
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 12 11 — — $85,000.50 $148,750.88 $87,125.51 2026-07-15
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 12 11 — — $85,000.50 $148,750.88 $87,125.51 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 24 13 — — $64,483.30 $189,120.31 $86,923.51 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $80,978.57 $97,174.28 $85,837.28 2026-07-15
5832 APR_DRG Neonate With Ecmo 8 8 — — $79,289.07 $95,146.89 $84,046.42 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 8 8 — — $78,924.22 $94,709.06 $83,659.66 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 — — $75,858.32 $91,029.99 $80,409.82 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 13 — — $59,317.30 $173,969.17 $79,959.74 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 14 — — $866.00 $173,872.68 $79,508.90 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 8 8 — — $74,819.10 $89,782.92 $79,308.25 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 13 — — $58,384.20 $171,232.52 $78,701.93 2026-07-15
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 12 11 — — $75,000.50 $131,250.88 $76,875.51 2026-07-15
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 12 11 — — $75,000.50 $131,250.88 $76,875.51 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 13 — — $56,427.70 $165,494.38 $76,064.56 2026-07-15
10 MS_DRG Pancreas Transplant 24 13 — — $55,811.00 $163,685.69 $75,233.25 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 13 — — $55,491.10 $162,747.47 $74,802.02 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 13 — — $54,714.80 $160,470.69 $73,755.58 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 13 — — $54,162.50 $158,850.88 $73,011.07 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $68,374.94 $82,049.92 $72,477.43 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $67,633.36 $81,160.03 $71,691.36 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 8 — — $67,127.23 $80,552.67 $71,154.87 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 13 — — $52,249.40 $153,240.03 $70,432.21 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $66,062.13 $79,274.55 $70,025.86 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 13 — — $49,718.90 $145,818.43 $67,021.10 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 13 — — $49,469.00 $145,085.51 $66,684.23 2026-07-15
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 12 11 — — $65,000.50 $113,750.88 $66,625.51 2026-07-15
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 12 11 — — $65,000.50 $113,750.88 $66,625.51 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $62,706.14 $75,247.37 $66,468.51 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $62,391.97 $74,870.36 $66,135.49 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 13 — — $48,695.50 $142,816.95 $65,641.55 2026-07-15
717 OTHER Instill Adstiladrin, Tx Dose 12 11 — — $63,402.04 $110,953.58 $64,987.09 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $61,256.41 $73,507.69 $64,931.79 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 13 — — $47,798.10 $140,185.00 $64,431.86 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 13 — — $46,932.90 $137,647.49 $63,265.57 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 24 13 — — $46,752.30 $137,117.82 $63,022.12 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 13 — — $46,673.20 $136,885.83 $62,915.49 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $59,346.92 $71,216.31 $62,907.74 2026-07-15
5831 APR_DRG Neonate With Ecmo 8 8 — — $57,632.63 $69,159.15 $61,090.58 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 13 — — $45,270.40 $132,771.62 $61,024.51 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 13 — — $45,205.30 $132,580.69 $60,936.76 2026-07-15
5244 OTHER Level 4 Blood Product Exchange And Related Services 12 11 — — $59,142.33 $103,499.08 $60,620.89 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 8 — — $56,660.27 $67,992.32 $60,059.88 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 13 — — $44,270.10 $129,837.88 $59,676.11 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 8 8 — — $55,765.91 $66,919.10 $59,111.87 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $55,383.80 $66,460.56 $58,706.82 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 13 — — $43,360.80 $127,171.03 $58,450.38 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 13 — — $43,304.80 $127,006.79 $58,374.89 2026-07-15
1643 OTHER Y90 Ibritumomab, Rx 12 11 — — $56,824.55 $99,442.96 $58,245.17 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 13 — — $43,107.40 $126,427.85 $58,108.79 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 13 — — $42,956.90 $125,986.45 $57,905.92 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 13 — — $42,760.90 $125,411.61 $57,641.71 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 24 13 — — $42,556.50 $124,812.13 $57,366.18 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 24 13 — — $42,251.30 $123,917.03 $56,954.77 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 24 13 — — $42,251.30 $123,917.03 $56,954.77 2026-07-15
9273 OTHER Sipuleucel-t Auto Cd54+ 12 11 — — $55,536.50 $97,188.87 $56,924.91 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 8 8 — — $53,402.06 $64,082.47 $56,606.18 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 13 — — $41,935.60 $122,991.12 $56,529.21 2026-07-15
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 12 11 — — $55,000.50 $96,250.88 $56,375.51 2026-07-15
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 12 11 — — $55,000.50 $96,250.88 $56,375.51 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 13 — — $41,645.10 $122,139.13 $56,137.61 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 13 — — $41,189.40 $120,802.63 $55,523.32 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 13 — — $40,756.10 $119,531.82 $54,939.24 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 8 8 — — $51,710.41 $62,052.49 $54,813.03 2026-07-15
C1882 HCPCS Defib Promote Rf 3207 Jude 59 6 $133,074.00 $99,805.50 25% off $238.00 $145,468.89 $54,258.27 2026-07-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $50,868.89 $61,042.67 $53,921.03 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 14 — — $866.00 $117,829.88 $53,881.52 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 13 — — $39,935.70 $117,125.70 $53,833.34 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 13 — — $4,093.00 $122,046.74 $52,934.49 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 24 13 — — $39,022.20 $114,446.54 $52,601.94 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 24 13 — — $38,691.10 $113,475.47 $52,155.62 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 13 — — $38,691.10 $113,475.47 $52,155.62 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $49,033.82 $58,840.58 $51,975.85 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 13 — — $38,528.70 $112,999.17 $51,936.70 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 13 — — $38,293.50 $112,309.37 $51,619.65 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 13 — — $38,087.70 $111,705.78 $51,342.24 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 13 — — $38,000.90 $111,451.21 $51,225.23 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 13 — — $37,807.00 $110,882.53 $50,963.85 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 13 — — $37,771.30 $110,777.83 $50,915.73 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 13 — — $37,767.10 $110,765.51 $50,910.07 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 13 — — $37,241.40 $109,223.71 $50,201.43 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $47,226.77 $56,672.13 $50,060.38 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 13 — — $37,076.90 $108,741.25 $49,979.68 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 8 — — $46,047.00 $55,256.40 $48,809.82 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 13 — — $35,931.00 $105,380.49 $48,435.00 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 25 14 — — $866.00 $105,731.55 $48,349.17 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $45,487.67 $54,585.21 $48,216.93 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 13 — — $35,662.20 $104,592.14 $48,072.66 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 13 — — $35,553.00 $104,271.87 $47,925.46 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 13 — — $35,258.30 $103,407.56 $47,528.21 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 13 — — $35,050.40 $102,797.82 $47,247.95 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 13 — — $35,023.10 $102,717.75 $47,211.15 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 13 — — $35,009.10 $102,676.69 $47,192.28 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 13 — — $34,883.10 $102,307.15 $47,022.43 2026-07-15
1142 OTHER Supprelin La Implant 12 11 — — $45,261.80 $79,208.14 $46,393.34 2026-07-15
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 12 11 — — $45,000.50 $78,750.88 $46,125.51 2026-07-15
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 12 11 — — $45,000.50 $78,750.88 $46,125.51 2026-07-15
245 MS_DRG Aicd Generator Procedures 24 13 — — $34,207.60 $100,326.00 $46,111.86 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 24 13 — — $34,001.10 $99,720.37 $45,833.49 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 24 13 — — $33,944.40 $99,554.08 $45,757.07 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 8 8 — — $42,866.80 $51,440.16 $45,438.81 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 13 — — $33,428.50 $98,041.01 $45,061.63 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $42,483.61 $50,980.33 $45,032.62 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 24 13 — — $33,283.60 $97,616.04 $44,866.30 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 13 — — $33,277.30 $97,597.57 $44,857.82 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 13 — — $32,932.90 $96,587.49 $44,393.56 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 13 — — $32,756.50 $96,070.13 $44,155.77 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 13 — — $32,563.30 $95,503.51 $43,895.34 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 24 13 — — $32,264.40 $94,626.88 $43,492.43 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 13 — — $32,251.10 $94,587.87 $43,474.49 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 13 — — $32,148.20 $94,286.08 $43,335.79 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 13 — — $32,143.30 $94,271.71 $43,329.18 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 8 8 — — $40,841.92 $49,010.31 $43,292.44 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 8 — — $40,623.37 $48,748.04 $43,060.76 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $40,550.39 $48,660.47 $42,983.42 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 13 — — $31,581.20 $92,623.15 $42,571.47 2026-07-15
64 APR_DRG Pancreas Transplant 8 8 — — $40,116.52 $48,139.82 $42,523.51 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 13 — — $31,392.90 $92,070.89 $42,317.64 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 13 — — $31,306.10 $91,816.32 $42,200.64 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 24 13 — — $31,013.50 $90,958.16 $41,806.21 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 8 — — $39,424.90 $47,309.88 $41,790.40 2026-07-15
C1721 HCPCS Defib Intrinsic 7288 Medtrnc 61 6 $123,919.00 $92,939.25 25% off $238.00 $127,114.47 $41,555.25 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 13 — — $30,749.60 $90,184.18 $41,450.47 2026-07-15
8514 APR_DRG Gender Related Procedures 8 8 — — $38,897.56 $46,677.08 $41,231.42 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 8 — — $38,584.83 $46,301.79 $40,899.92 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 13 — — $30,288.30 $88,831.26 $40,828.64 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 8 — — $38,317.38 $45,980.86 $40,616.43 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 14 — — $866.00 $88,648.54 $40,537.41 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 13 — — $29,859.90 $87,574.82 $40,251.16 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 24 13 — — $29,815.80 $87,445.48 $40,191.71 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 24 13 — — $29,604.40 $86,825.48 $39,906.74 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 8 8 — — $37,632.24 $45,158.69 $39,890.18 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 13 — — $29,334.20 $86,033.02 $39,542.51 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 13 — — $29,327.20 $86,012.49 $39,533.08 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $37,183.27 $44,619.92 $39,414.26 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 13 — — $29,124.90 $85,419.17 $39,260.38 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 13 — — $28,784.70 $84,421.41 $38,801.79 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 13 — — $28,768.60 $84,374.19 $38,780.08 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 13 — — $28,725.90 $84,248.96 $38,722.52 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 13 — — $28,584.50 $83,834.26 $38,531.92 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 — — $36,222.41 $43,466.89 $38,395.75 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 13 — — $28,471.80 $83,503.72 $38,379.99 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $36,125.36 $43,350.43 $38,292.88 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 13 — — $27,885.90 $81,785.36 $37,590.21 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 13 — — $27,866.30 $81,727.88 $37,563.79 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 13 — — $27,619.90 $81,005.22 $37,231.63 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 13 — — $27,563.20 $80,838.93 $37,155.21 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 24 13 — — $3,882.00 $85,620.37 $37,135.53 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 13 — — $27,507.20 $80,674.69 $37,079.72 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $34,860.75 $41,832.90 $36,952.40 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 13 — — $27,385.40 $80,317.47 $36,915.53 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 13 — — $27,372.10 $80,278.46 $36,897.60 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $34,796.05 $41,755.26 $36,883.81 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $34,729.19 $41,675.02 $36,812.93 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 13 — — $27,220.90 $79,835.01 $36,693.79 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 8 8 — — $34,608.40 $41,530.09 $36,684.91 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 13 — — $27,055.00 $79,348.45 $36,470.15 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 24 13 — — $27,027.70 $79,268.38 $36,433.35 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 13 — — $26,952.10 $79,046.66 $36,331.44 2026-07-15
791 MS_DRG Prematurity With Major Problems 24 13 — — $3,882.00 $83,349.75 $36,150.71 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 13 — — $26,756.80 $78,473.87 $36,068.18 2026-07-15
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 12 11 — — $35,000.50 $61,250.88 $35,875.51 2026-07-15
1593 OTHER New Technology - Level 42 ($30,001-$40,000) 12 11 — — $35,000.50 $61,250.88 $35,875.51 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 13 — — $26,611.90 $78,048.90 $35,872.85 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 13 — — $26,404.70 $77,441.21 $35,593.55 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 13 — — $26,194.00 $76,823.26 $35,309.52 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 8 — — $33,072.04 $39,686.45 $35,056.36 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 13 — — $25,540.90 $74,907.81 $34,429.14 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $32,266.12 $38,719.34 $34,202.09 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 24 13 — — $25,363.80 $74,388.40 $34,190.42 2026-07-15
C1722 HCPCS Defib Atlas Ii Vr V168 47 6 $97,829.00 $73,371.75 25% off $238.00 $99,246.42 $33,837.93 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 13 — — $25,093.60 $73,595.94 $33,826.18 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 13 — — $25,092.20 $73,591.84 $33,824.30 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 13 — — $25,088.00 $73,579.52 $33,818.64 2026-07-15
265 MS_DRG Aicd Lead Procedures 24 13 — — $24,970.40 $73,234.62 $33,660.10 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 13 — — $24,858.40 $72,906.14 $33,509.14 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 8 — — $31,435.39 $37,722.47 $33,321.51 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 24 13 — — $24,712.80 $72,479.11 $33,312.86 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 13 — — $24,706.50 $72,460.63 $33,304.38 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 13 — — $24,644.20 $72,277.92 $33,220.39 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 13 — — $24,526.60 $71,933.01 $33,061.87 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 13 — — $24,518.90 $71,910.43 $33,051.49 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 13 — — $24,509.10 $71,881.69 $33,038.28 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 24 13 — — $24,465.70 $71,754.40 $32,979.77 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant 8 8 — — $31,079.88 $37,295.85 $32,944.67 2026-07-15
5232 OTHER Level 2 Icd And Similar Procedures 12 11 — — $32,061.58 $56,107.76 $32,863.12 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 13 — — $24,307.50 $71,290.43 $32,766.52 2026-07-15
332 MS_DRG Rectal Resection With Mcc 24 13 — — $24,280.90 $71,212.41 $32,730.67 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 13 — — $24,254.30 $71,134.40 $32,694.81 2026-07-15
5166 OTHER Cochlear Implant Procedure 12 11 — — $31,807.82 $55,663.68 $32,603.01 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 24 13 — — $24,110.80 $70,713.53 $32,501.37 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $30,646.72 $36,776.06 $32,485.53 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 13 — — $24,073.00 $70,602.67 $32,450.42 2026-07-15
665 MS_DRG Prostatectomy With Mcc 24 13 — — $24,035.20 $70,491.81 $32,399.46 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 24 13 — — $24,012.80 $70,426.11 $32,369.26 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 24 13 — — $23,976.40 $70,319.36 $32,320.20 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 13 — — $23,843.40 $69,929.29 $32,140.91 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 13 — — $23,744.00 $69,637.76 $32,006.92 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 13 — — $23,496.90 $68,913.05 $31,673.83 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 24 13 — — $23,246.30 $68,178.08 $31,336.03 2026-07-15
5465 OTHER Level 5 Neurostimulator And Related Procedures 12 11 — — $30,473.59 $53,328.78 $31,235.43 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 13 — — $23,113.30 $67,788.01 $31,156.74 2026-07-15
4404 APR_DRG Kidney Transplant 8 8 — — $29,377.08 $35,252.50 $31,139.71 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 24 13 — — $22,880.90 $67,106.41 $30,843.46 2026-07-15
8634 APR_DRG Neonatal Aftercare 8 8 — — $29,033.79 $34,840.55 $30,775.82 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 24 13 — — $22,815.80 $66,915.48 $30,755.71 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 24 13 — — $22,806.00 $66,886.74 $30,742.49 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 13 — — $22,535.10 $66,092.23 $30,377.33 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 13 — — $22,430.80 $65,786.33 $30,236.73 2026-07-15
63 APR_DRG Pancreas Transplant 8 8 — — $28,499.26 $34,199.12 $30,209.22 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 24 13 — — $22,365.70 $65,595.40 $30,148.97 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 24 13 — — $22,323.00 $65,470.17 $30,091.42 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 8 — — $28,386.75 $34,064.10 $30,089.96 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 24 13 — — $22,262.80 $65,293.61 $30,010.26 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 13 — — $22,218.00 $65,162.22 $29,949.88 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 8 — — $28,254.11 $33,904.93 $29,949.35 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 24 13 — — $22,180.90 $65,053.41 $29,899.86 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 13 — — $21,847.00 $64,074.13 $29,449.76 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 24 13 — — $21,837.20 $64,045.39 $29,436.56 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 24 13 — — $21,744.10 $63,772.34 $29,311.06 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 13 — — $21,646.80 $63,486.97 $29,179.90 2026-07-15
5200 OTHER Implantation Wireless Pa Pressure Monitor 12 11 — — $28,428.33 $49,749.58 $29,139.04 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 13 — — $21,586.60 $63,310.41 $29,098.74 2026-07-15
652 MS_DRG Kidney Transplant 24 13 — — $21,499.80 $63,055.84 $28,981.74 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 25 14 — — $866.00 $63,355.58 $28,971.39 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 13 — — $21,410.20 $62,793.06 $28,860.96 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 25 14 — — $2,955.00 $62,998.36 $28,808.03 2026-07-15
C1767 HCPCS Neurostimulator Non-rechargble 31 6 $75,878.00 $56,908.50 25% off $238.00 $74,345.04 $28,675.35 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $26,888.85 $32,266.62 $28,502.18 2026-07-15
570 MS_DRG Skin Debridement With Mcc 24 13 — — $21,071.40 $61,799.41 $28,404.26 2026-07-15
1592 OTHER New Technology - Level 41 ($25,001-$30,000) 12 11 — — $27,500.50 $48,125.88 $28,188.01 2026-07-15
1578 OTHER New Technology - Level 41 ($25,001-$30,000) 12 11 — — $27,500.50 $48,125.88 $28,188.01 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 24 13 — — $20,903.40 $61,306.69 $28,177.79 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 8 8 — — $26,363.31 $31,635.97 $27,945.10 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 13 — — $20,640.20 $60,534.76 $27,823.00 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 8 — — $26,185.37 $31,422.45 $27,756.50 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 24 13 — — $20,587.00 $60,378.73 $27,751.28 2026-07-15
843 OTHER Pegaspargase Injection 12 11 — — $27,070.53 $47,373.43 $27,747.29 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 24 13 — — $20,531.00 $60,214.49 $27,675.79 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 8 8 — — $26,087.60 $31,305.12 $27,652.85 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 24 13 — — $20,414.10 $59,871.64 $27,518.22 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 24 13 — — $20,402.90 $59,838.79 $27,503.11 2026-07-15
800 MS_DRG Splenic Procedures With Cc 24 13 — — $20,396.60 $59,820.31 $27,494.62 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 13 — — $20,385.40 $59,787.47 $27,479.53 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $25,803.26 $30,963.91 $27,351.46 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 24 13 — — $20,280.40 $59,479.52 $27,337.99 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $25,529.71 $30,635.65 $27,061.49 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 24 13 — — $20,069.70 $58,861.56 $27,053.97 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 24 13 — — $20,046.60 $58,793.81 $27,022.82 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 24 13 — — $20,034.70 $58,758.91 $27,006.78 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 24 13 — — $20,006.70 $58,676.79 $26,969.04 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 24 13 — — $19,927.60 $58,444.80 $26,862.41 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 24 13 — — $19,754.70 $57,937.71 $26,629.35 2026-07-15
1784 APR_DRG External Heart Assist Systems 8 8 — — $25,093.67 $30,112.41 $26,599.29 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 8 — — $25,027.53 $30,033.04 $26,529.18 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 24 13 — — $19,658.80 $57,656.45 $26,500.07 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 24 13 — — $19,638.50 $57,596.92 $26,472.71 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $24,954.20 $29,945.04 $26,451.46 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $24,901.00 $29,881.20 $26,395.06 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 8 — — $24,673.46 $29,608.15 $26,153.86 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $24,575.32 $29,490.39 $26,049.84 2026-07-15
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