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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

Baycare Alliant Hospital

Dunedin, FL · CCN 102021 · Rates published

6,423 distinct procedures filed
25 distinct payers
247,928 rate rows
2026-07-15 last MRF observed
Data quality

244,936 of 247,928 rate rows are consumer-grade (98.8%)

2,992 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 2,643
percent-of-charges filed in the dollar field — excluded from medians 306
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 36
placeholder amount (≤ $0.02) — excluded from medians 7
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/050615150_baycareallianthospital_standardcharges.zip
Found on page https://baycare.org/billing-and-insurance
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-31
Content fingerprint ba77953b2d4d440e… · 2,480,052 bytes · first seen 2026-05-09

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
5834
APR_DRG 		Neonate With Ecmo 9 $477,900.90 $520,486.13 $496,827.67 nat. median
$307,273
1.6× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $292,705.16 $318,787.80 $304,297.44 nat. median
$247,815
1.2× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $273,630.12 $298,013.00 $284,466.96 nat. median
$123,836
outlier · 2.3×
24
APR_DRG 		Heart And/or Lung Transplant 9 $273,449.53 $297,816.32 $284,279.22 nat. median
$241,734
1.2× median
5833
APR_DRG 		Neonate With Ecmo 9 $272,180.45 $296,434.15 $282,959.87 nat. median
$244,017
1.2× median
5832
APR_DRG 		Neonate With Ecmo 9 $208,984.29 $227,606.65 $217,260.89 nat. median
$159,249
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 9 $204,060.50 $222,244.11 $212,142.10 nat. median
$202,649
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $203,935.16 $222,107.60 $212,011.80 nat. median
$165,000
1.3× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $203,639.12 $221,785.18 $211,704.04 nat. median
$67,440
outlier · 3.1×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $200,045.44 $217,871.27 $207,968.03 nat. median
$163,718
1.3× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $196,149.13 $213,627.76 $203,917.41 nat. median
$134,402
1.5× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $194,941.06 $212,312.05 $202,661.50 nat. median
$175,429
1.2× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $191,941.94 $209,045.67 $199,543.59 nat. median
$163,528
1.2× median
5831
APR_DRG 		Neonate With Ecmo 9 $187,588.78 $204,304.61 $195,018.04 nat. median
$147,206
1.3× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $181,517.13 $197,691.92 $188,705.92 nat. median
$158,104
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $177,887.16 $193,738.49 $184,932.20 nat. median
$154,116
1.2× median
3
MS_DRG 		Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face - Mouth & Neck W Maj O.r. 16 $172,206.58 $177,196.99 $177,196.99 nat. median
$190,359
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $168,753.71 $183,791.17 $175,437.02 nat. median
$151,838
1.2× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $167,043.46 $181,928.51 $173,659.03 nat. median
$145,061
1.2× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $161,890.43 $176,316.30 $168,301.92 nat. median
$68,020
outlier · 2.5×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $160,996.54 $175,342.76 $167,372.64 nat. median
$170,172
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 9 $159,784.35 $174,022.56 $166,112.44 nat. median
$120,841
1.4× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $153,737.43 $167,436.81 $159,826.05 nat. median
$122,016
1.3× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 9 $152,207.77 $165,770.84 $158,235.80 nat. median
$137,051
1.2× median
J7330
HCPCS 		Impl Maci Double Membrane 7 $78,750.00 $313,500.00 $157,500.00 nat. median
$75,037
outlier · 2.1×
23
APR_DRG 		Heart And/or Lung Transplant 9 $148,953.01 $162,226.05 $154,852.14 nat. median
$110,771
1.4× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $144,757.36 $157,656.53 $150,490.32 nat. median
$101,865
1.5× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $143,180.69 $155,939.37 $148,851.21 nat. median
$120,763
1.2× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 9 $136,441.10 $148,599.22 $141,844.71 nat. median
$94,264
1.5× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 9 $136,441.10 $148,599.22 $141,844.71 nat. median
$89,331
1.6× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 9 $136,441.10 $148,599.22 $141,844.71 nat. median
$71,350
2.0× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $134,443.05 $146,423.12 $139,767.53 nat. median
$78,990
1.8× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $127,127.87 $138,456.10 $132,162.64 nat. median
$118,883
1.1× median
4
MS_DRG 		Trach W Mv 96+ Hrs Or Pdx Exc Face - Mouth & Neck Without Maj O.r. 16 $127,523.16 $131,218.68 $131,218.68 nat. median
$126,461
1.0× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $124,160.08 $135,223.85 $129,077.31 nat. median
$82,966
1.6× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $123,448.43 $134,448.79 $128,337.48 nat. median
$108,900
1.2× median
1612
APR_DRG 		Implantable Heart Assist Systems 9 $117,569.74 $128,046.25 $122,225.97 nat. median
$85,271
1.4× median
1611
APR_DRG 		Implantable Heart Assist Systems 9 $117,569.74 $128,046.25 $122,225.97 nat. median
$77,028
1.6× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 9 $117,141.77 $127,580.14 $121,781.04 nat. median
$98,831
1.2× median
164
MS_DRG 		Major Chest Procedures W Cc 16 $116,891.82 $120,279.25 $120,279.25 nat. median
$24,221
outlier · 5.0×
163
MS_DRG 		Major Chest Procedures W Mcc 16 $116,891.82 $120,279.25 $120,279.25 nat. median
$42,636
outlier · 2.8×
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 16 $116,891.82 $120,279.25 $120,279.25 nat. median
$18,640
outlier · 6.5×
22
APR_DRG 		Heart And/or Lung Transplant 9 $112,792.74 $122,843.57 $117,259.78 nat. median
$92,158
1.3× median
981
MS_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 16 $109,380.59 $112,550.35 $112,550.35 nat. median
$43,609
outlier · 2.6×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 $107,098.75 $116,642.21 $111,340.29 nat. median
$81,052
1.4× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $106,013.56 $115,460.31 $110,212.12 nat. median
$74,628
1.5× median
987
MS_DRG 		Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 16 $105,161.60 $108,209.09 $108,209.09 nat. median
$31,832
outlier · 3.4×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $102,395.14 $111,519.46 $106,450.40 nat. median
$89,273
1.2× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 9 $101,623.30 $110,678.84 $105,647.99 nat. median
$82,410
1.3× median
140
MS_DRG 		Angina Pectoris 16 $102,381.29 $105,348.22 $105,348.22 nat. median
$38,337
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 6,423 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
             
5834 APR_DRG Neonate With Ecmo 9 9 — — $477,900.90 $520,486.13 $496,827.67 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $292,705.16 $318,787.80 $304,297.44 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $273,630.12 $298,013.00 $284,466.96 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 9 9 — — $273,449.53 $297,816.32 $284,279.22 2026-07-15
5833 APR_DRG Neonate With Ecmo 9 9 — — $272,180.45 $296,434.15 $282,959.87 2026-07-15
5832 APR_DRG Neonate With Ecmo 9 9 — — $208,984.29 $227,606.65 $217,260.89 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 9 9 — — $204,060.50 $222,244.11 $212,142.10 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $203,935.16 $222,107.60 $212,011.80 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $203,639.12 $221,785.18 $211,704.04 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $200,045.44 $217,871.27 $207,968.03 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $196,149.13 $213,627.76 $203,917.41 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $194,941.06 $212,312.05 $202,661.50 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $191,941.94 $209,045.67 $199,543.59 2026-07-15
5831 APR_DRG Neonate With Ecmo 9 9 — — $187,588.78 $204,304.61 $195,018.04 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $181,517.13 $197,691.92 $188,705.92 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $177,887.16 $193,738.49 $184,932.20 2026-07-15
3 MS_DRG Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face - Mouth & Neck W Maj O.r. 18 16 — — $172,206.58 $177,196.99 $177,196.99 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $168,753.71 $183,791.17 $175,437.02 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $167,043.46 $181,928.51 $173,659.03 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $161,890.43 $176,316.30 $168,301.92 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $160,996.54 $175,342.76 $167,372.64 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 9 9 — — $159,784.35 $174,022.56 $166,112.44 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $153,737.43 $167,436.81 $159,826.05 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $152,207.77 $165,770.84 $158,235.80 2026-07-15
J7330 HCPCS Impl Maci Double Membrane 34 7 $235,500.00 $141,300.00 40% off $78,750.00 $313,500.00 $157,500.00 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 9 9 — — $148,953.01 $162,226.05 $154,852.14 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $144,757.36 $157,656.53 $150,490.32 2026-07-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $143,180.69 $155,939.37 $148,851.21 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $136,441.10 $148,599.22 $141,844.71 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $136,441.10 $148,599.22 $141,844.71 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $136,441.10 $148,599.22 $141,844.71 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $134,443.05 $146,423.12 $139,767.53 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $127,127.87 $138,456.10 $132,162.64 2026-07-15
4 MS_DRG Trach W Mv 96+ Hrs Or Pdx Exc Face - Mouth & Neck Without Maj O.r. 18 16 — — $127,523.16 $131,218.68 $131,218.68 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $124,160.08 $135,223.85 $129,077.31 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $123,448.43 $134,448.79 $128,337.48 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 9 9 — — $117,569.74 $128,046.25 $122,225.97 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 9 9 — — $117,569.74 $128,046.25 $122,225.97 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $117,141.77 $127,580.14 $121,781.04 2026-07-15
164 MS_DRG Major Chest Procedures W Cc 18 16 — — $116,891.82 $120,279.25 $120,279.25 2026-07-15
163 MS_DRG Major Chest Procedures W Mcc 18 16 — — $116,891.82 $120,279.25 $120,279.25 2026-07-15
165 MS_DRG Major Chest Procedures Without Cc/mcc 18 16 — — $116,891.82 $120,279.25 $120,279.25 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 9 9 — — $112,792.74 $122,843.57 $117,259.78 2026-07-15
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 18 16 — — $109,380.59 $112,550.35 $112,550.35 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $107,098.75 $116,642.21 $111,340.29 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $106,013.56 $115,460.31 $110,212.12 2026-07-15
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 18 16 — — $105,161.60 $108,209.09 $108,209.09 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $102,395.14 $111,519.46 $106,450.40 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 9 — — $101,623.30 $110,678.84 $105,647.99 2026-07-15
140 MS_DRG Angina Pectoris 18 16 — — $102,381.29 $105,348.22 $105,348.22 2026-07-15
166 MS_DRG Other Resp System O.r. Procedures W Mcc 18 16 — — $102,381.29 $105,348.22 $105,348.22 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 9 9 — — $99,690.40 $108,573.70 $103,638.53 2026-07-15
64 APR_DRG Pancreas Transplant 9 9 — — $99,421.57 $108,280.92 $103,359.06 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $99,292.94 $108,140.82 $103,225.33 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $98,270.41 $107,027.18 $102,162.31 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $98,055.18 $106,792.78 $101,938.56 2026-07-15
8514 APR_DRG Gender Related Procedures 9 9 — — $93,773.77 $102,129.85 $97,487.59 2026-07-15
8513 APR_DRG Gender Related Procedures 9 9 — — $93,773.77 $102,129.85 $97,487.59 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $92,982.15 $101,267.68 $96,664.60 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis W Mv 96+ Hours 18 16 — — $90,072.94 $92,683.18 $92,683.18 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $88,266.98 $96,132.36 $91,762.71 2026-07-15
207 MS_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 18 16 — — $85,200.80 $87,669.85 $87,669.85 2026-07-15
C1825 HCPCS C1825 Gen Neuro Carot Sinus Baro 29001-30000 85 7 $94,501.00 $56,700.60 40% off $44,250.50 $100,501.00 $85,095.93 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 9 — — $81,732.71 $89,015.83 $84,969.66 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 9 — — $80,981.50 $88,197.67 $84,188.68 2026-07-15
8634 APR_DRG Neonatal Aftercare 9 9 — — $79,937.53 $87,060.68 $83,103.37 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $79,731.38 $86,836.15 $82,889.05 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $79,022.21 $86,063.79 $82,151.80 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $78,723.69 $85,738.68 $81,841.46 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $78,343.55 $85,324.65 $81,446.26 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $77,725.09 $84,651.08 $80,803.30 2026-07-15
4404 APR_DRG Kidney Transplant 9 9 — — $77,086.01 $83,955.05 $80,138.92 2026-07-15
63 APR_DRG Pancreas Transplant 9 9 — — $76,620.09 $83,447.63 $79,654.55 2026-07-15
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $75,565.41 $82,298.96 $78,558.10 2026-07-15
853 MS_DRG Infectious & Parasitic Diseases W O.r. Procedure W Mcc 18 16 — — $74,754.81 $76,921.14 $76,921.14 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $72,107.79 $78,533.24 $74,963.55 2026-07-15
C1822 HCPCS C1822 Gen Neu Rchg Hf 20001-21000 340 7 $90,001.00 $54,000.60 40% off $30,750.50 $118,501.00 $74,535.71 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant 9 9 — — $71,606.42 $77,987.20 $74,442.32 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $70,743.06 $77,046.89 $73,544.76 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $70,530.30 $76,815.18 $73,323.58 2026-07-15
C2642 HCPCS C2642 Brachytx Stranded 26001-27000 77 15 $84,001.00 $50,400.60 40% off $1,725.49 $88,501.00 $72,675.85 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 9 — — $68,886.01 $75,024.37 $71,614.17 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis W Mcc 18 16 — — $68,554.29 $70,540.94 $70,540.94 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis W Cc 18 16 — — $68,554.29 $70,540.94 $70,540.94 2026-07-15
711 MS_DRG Testes Procedures W Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
495 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
497 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
734 MS_DRG Pelvic Evisceration - Rad Hysterectomy & Rad Vulvectomy W Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
742 MS_DRG Uterine & Adnexa Proc For Non-malignancy W Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
739 MS_DRG Uterine -adnexa Proc For Non-ovarian/adnexal Malig W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
241 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
735 MS_DRG Pelvic Evisceration - Rad Hysterectomy & Rad Vulvectomy Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
492 MS_DRG Lower Extrem & Humer Proc Except Hip -foot -femur W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
493 MS_DRG Lower Extrem & Humer Proc Except Hip -foot -femur W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
496 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
494 MS_DRG Lower Extrem & Humer Proc Except Hip -foot -femur Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
81 MS_DRG Nontraumatic Stupor & Coma Without Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
31 MS_DRG Ventricular Shunt Procedures W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
553 MS_DRG Bone Diseases & Arthropathies W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
503 MS_DRG Foot Procedures W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
489 MS_DRG Knee Procedures Without Pdx Of Infection Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
619 MS_DRG O.r. Procedures For Obesity W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
405 MS_DRG Pancreas - Liver & Shunt Procedures W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
737 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
738 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
488 MS_DRG Knee Procedures Without Pdx Of Infection W Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
482 MS_DRG Hip & Femur Procedures Except Major Joint Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
277 MS_DRG Cellulitis Age >17 W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
483 MS_DRG Major Joint & Limb Reattachment Proc Of Upper Extremity W Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
24 MS_DRG Cranio W Major Dev Impl/acute Complex Cns Pdx Without Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
748 MS_DRG Female Reproductive System Reconstructive Procedures 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
28 MS_DRG Spinal Procedures W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
270 MS_DRG Other Skin, Subcut Tiss & Breast Proc Without Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures W Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
504 MS_DRG Foot Procedures W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
659 MS_DRG Kidney & Ureter Procedures For Non-neoplasm W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
665 MS_DRG Prostatectomy W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
255 MS_DRG Upper Limb & Toe Amputation For Circ System Disorders W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
27 MS_DRG Craniotomy & Endovascular Intracranial Procedures Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
272 MS_DRG Major Skin Disorders W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
307 MS_DRG Cardiac Congenital & Valvular Disorders Without Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
843 MS_DRG Other Myeloprolif Dis Or Poorly Diff Neopl Diag W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
80 MS_DRG Nontraumatic Stupor & Coma W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
746 MS_DRG Vagina - Cervix & Vulva Procedures W Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
481 MS_DRG Hip & Femur Procedures Except Major Joint W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
268 MS_DRG Skin, Subcutaneous Tissue & Breast Plastic Procedures 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
21 MS_DRG Intracranial Vascular Procedures W Pdx Hemorrhage W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
743 MS_DRG Uterine & Adnexa Proc For Non-malignancy Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
628 MS_DRG Other Endocrine - Nutrit & Metab O.r. Proc W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
231 MS_DRG Coronary Bypass W Ptca W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
747 MS_DRG Vagina - Cervix & Vulva Procedures Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
625 MS_DRG Thyroid - Parathyroid & Thyroglossal Procedures W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
475 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
854 MS_DRG Infectious & Parasitic Diseases W O.r. Procedure W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
662 MS_DRG Minor Bladder Procedures W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
20 MS_DRG Intracranial Vascular Procedures W Pdx Hemorrhage W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
474 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
11 MS_DRG Tracheostomy For Face -mouth & Neck Diagnoses W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
470 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
254 MS_DRG Other Vascular Procedures Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
22 MS_DRG Intracranial Vascular Procedures W Pdx Hemorrhage Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
253 MS_DRG Other Vascular Procedures W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
265 MS_DRG Aicd Lead Procedures 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
855 MS_DRG Infectious & Parasitic Diseases W O.r. Procedure Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
26 MS_DRG Craniotomy & Endovascular Intracranial Procedures W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
518 MS_DRG Perc Cardio Proc Without Coronary Artery Stent Or Ami 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
25 MS_DRG Craniotomy & Endovascular Intracranial Procedures W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
616 MS_DRG Amputat Of Lower Limb For Endocrine -nutrit -& Metabol Dis W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
13 MS_DRG Tracheostomy For Face -mouth & Neck Diagnoses Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
555 MS_DRG Signs & Sympto Of Musculoskeletal System & Conn Tissue W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
736 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
617 MS_DRG Amputat Of Lower Limb For Endocrine -nutrit -& Metabol Dis W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
240 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
329 MS_DRG Major Small & Large Bowel Procedures W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
618 MS_DRG Amputat Of Lower Limb For Endocrine -nutrit -& Metabol Dis Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
578 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
456 MS_DRG Spinal Fus Exc Cerv W Spinal Curv/malig/infec Or 9+ Fus W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami - W Card Cath W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
252 MS_DRG Other Vascular Procedures W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
271 MS_DRG Skin Ulcers 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
233 MS_DRG Coronary Bypass W Cardiac Cath W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
344 MS_DRG Minor Small & Large Bowel Procedures W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
287 MS_DRG Circulatory Disorders Except Ami - W Card Cath Without Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
306 MS_DRG Cardiac Congenital & Valvular Disorders W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
12 MS_DRG Tracheostomy For Face -mouth & Neck Diagnoses W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
29 MS_DRG Spinal Procedures W Cc Or Spinal Neurostimulators 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
480 MS_DRG Hip & Femur Procedures Except Major Joint W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
505 MS_DRG Foot Procedures Without Cc/mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
275 MS_DRG Malignant Breast Disorders Without Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
576 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
577 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
32 MS_DRG Ventricular Shunt Procedures W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
330 MS_DRG Major Small & Large Bowel Procedures W Cc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Cath W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
23 MS_DRG Cranio W Major Dev Impl/acute Complex Cns Pdx W Mcc Or Chemo Implant 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
653 MS_DRG Major Bladder Procedures W Mcc 18 16 — — $68,536.64 $70,522.78 $70,522.78 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $67,746.40 $73,783.20 $70,429.42 2026-07-15
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 18 16 — — $68,307.15 $70,286.64 $70,286.64 2026-07-15
133 MS_DRG Other Ear - Nose - Mouth & Throat O.r. Procedures W Cc/mcc 18 16 — — $68,307.15 $70,286.64 $70,286.64 2026-07-15
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $67,496.53 $73,511.08 $70,169.67 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $67,476.75 $73,489.52 $70,149.09 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $67,376.14 $73,379.96 $70,044.50 2026-07-15
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 9 9 — — $67,151.61 $73,135.41 $69,811.07 2026-07-15
579 MS_DRG Other Skin - Subcut Tiss & Breast Proc W Mcc 18 16 — — $66,877.29 $68,815.33 $68,815.33 2026-07-15
116 MS_DRG Intraocular Procedures W Cc/mcc 18 16 — — $66,771.37 $68,706.35 $68,706.35 2026-07-15
143 MS_DRG Chest Pain 18 16 — — $66,771.37 $68,706.35 $68,706.35 2026-07-15
113 MS_DRG Orbital Procedures W Cc/mcc 18 16 — — $66,771.37 $68,706.35 $68,706.35 2026-07-15
141 MS_DRG Syncope & Collapse W Cc 18 16 — — $66,771.37 $68,706.35 $68,706.35 2026-07-15
135 MS_DRG Sinus & Mastoid Procedures W Cc/mcc 18 16 — — $66,771.37 $68,706.35 $68,706.35 2026-07-15
167 MS_DRG Other Resp System O.r. Procedures W Cc 18 16 — — $66,771.37 $68,706.35 $68,706.35 2026-07-15
137 MS_DRG Mouth Procedures W Cc/mcc 18 16 — — $66,771.37 $68,706.35 $68,706.35 2026-07-15
62 APR_DRG Pancreas Transplant 9 9 — — $66,055.93 $71,942.10 $68,672.01 2026-07-15
1784 APR_DRG External Heart Assist Systems 9 9 — — $65,505.09 $71,342.17 $68,099.35 2026-07-15
5474 APR_DRG Antepartum With O.r. Procedure 9 9 — — $65,376.45 $71,202.08 $67,965.62 2026-07-15
799 MS_DRG Splenectomy W Mcc 18 16 — — $65,743.10 $67,648.28 $67,648.28 2026-07-15
620 MS_DRG O.r. Procedures For Obesity W Cc 18 16 — — $65,743.10 $67,648.28 $67,648.28 2026-07-15
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 18 16 — — $65,743.10 $67,648.28 $67,648.28 2026-07-15
801 MS_DRG Splenectomy Without Cc/mcc 18 16 — — $65,743.10 $67,648.28 $67,648.28 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures W Cc 18 16 — — $65,743.10 $67,648.28 $67,648.28 2026-07-15
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 18 16 — — $65,743.10 $67,648.28 $67,648.28 2026-07-15
800 MS_DRG Splenectomy W Cc 18 16 — — $65,743.10 $67,648.28 $67,648.28 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures W Mcc 18 16 — — $65,743.10 $67,648.28 $67,648.28 2026-07-15
C1827 HCPCS C1827 Gen Neuro Imp Led Ex Cntr 20001-21000 247 15 $81,001.00 $48,600.60 40% off $4,752.05 $100,501.00 $67,501.00 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $64,383.61 $70,120.76 $66,933.45 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 9 9 — — $64,214.56 $69,936.65 $66,757.71 2026-07-15
205 MS_DRG Other Respiratory System Diagnoses W Mcc 18 16 — — $64,657.46 $66,531.18 $66,531.18 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $63,652.17 $69,324.15 $66,173.05 2026-07-15
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction W Mcc 18 16 — — $64,132.29 $65,990.79 $65,990.79 2026-07-15
61 MS_DRG Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc 18 16 — — $64,132.29 $65,990.79 $65,990.79 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 9 — — $63,140.09 $68,766.43 $65,640.68 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 9 — — $61,887.49 $67,402.22 $64,338.48 2026-07-15
622 MS_DRG Skin Grafts & Wound Debrid For Endoc - Nutrit & Metab Dis W Mcc 18 16 — — $62,525.89 $64,337.84 $64,337.84 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $61,069.47 $66,511.31 $63,488.06 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 9 9 — — $60,638.20 $66,041.60 $63,039.71 2026-07-15
500 MS_DRG Soft Tissue Procedures W Mcc 18 16 — — $60,725.32 $62,485.09 $62,485.09 2026-07-15
C1604 HCPCS C1604 Grft Trnsmurl Trnsvens Byps 20001-21000 179 15 $75,001.00 $45,000.60 40% off $2,724.24 $88,501.00 $62,475.85 2026-07-15
463 MS_DRG Wnd Debrid & Skn Grft Exc Hand - For Musculo-conn Tiss Dis W Mcc 18 16 — — $60,659.12 $62,416.97 $62,416.97 2026-07-15
826 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl W Maj O.r. Proc W Mcc 18 16 — — $59,807.38 $61,540.54 $61,540.54 2026-07-15
820 MS_DRG Lymphoma & Leukemia W Major O.r. Procedure W Mcc 18 16 — — $59,807.38 $61,540.54 $61,540.54 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries W Mcc 18 16 — — $59,807.38 $61,540.54 $61,540.54 2026-07-15
C1767 HCPCS C1767 Neurostm Gen 10001-10500 850 7 $75,001.00 $45,000.60 40% off $10,125.50 $148,501.00 $61,463.32 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $59,031.84 $64,292.11 $61,369.74 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 9 9 — — $58,955.98 $64,209.48 $61,290.87 2026-07-15
248 MS_DRG Perc Cardiovasc Proc W Non-drug-eluting Stent W Mcc Or 4+ Ves/stents 18 16 — — $59,498.45 $61,222.67 $61,222.67 2026-07-15
225 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 18 16 — — $59,498.45 $61,222.67 $61,222.67 2026-07-15
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 18 16 — — $59,498.45 $61,222.67 $61,222.67 2026-07-15
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 18 16 — — $59,498.45 $61,222.67 $61,222.67 2026-07-15
224 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 18 16 — — $59,498.45 $61,222.67 $61,222.67 2026-07-15
247 MS_DRG Perc Cardiovasc Proc W Drug-eluting Stent Without Mcc 18 16 — — $59,498.45 $61,222.67 $61,222.67 2026-07-15
246 MS_DRG Perc Cardiovasc Proc W Drug-eluting Stent W Mcc Or 4+ Vessels/stents 18 16 — — $59,498.45 $61,222.67 $61,222.67 2026-07-15
249 MS_DRG Perc Cardiovasc Proc W Non-drug-eluting Stent Without Mcc 18 16 — — $59,498.45 $61,222.67 $61,222.67 2026-07-15
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 18 16 — — $59,498.45 $61,222.67 $61,222.67 2026-07-15
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 18 16 — — $59,498.45 $61,222.67 $61,222.67 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 9 9 — — $58,781.98 $64,019.98 $61,109.98 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc 18 16 — — $58,801.17 $60,505.18 $60,505.18 2026-07-15
5394 APR_DRG Cesarean Section With Sterilization 9 9 — — $58,147.27 $63,328.70 $60,450.13 2026-07-15
939 MS_DRG O.r. Proc W Diagnoses Of Other Contact W Health Services W Mcc 18 16 — — $58,443.70 $60,137.35 $60,137.35 2026-07-15
941 MS_DRG O.r. Proc W Diagnoses Of Other Contact W Health Services Without Cc/mcc 18 16 — — $58,443.70 $60,137.35 $60,137.35 2026-07-15
940 MS_DRG O.r. Proc W Diagnoses Of Other Contact W Health Services W Cc 18 16 — — $58,443.70 $60,137.35 $60,137.35 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $57,651.44 $62,788.69 $59,934.66 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $57,586.29 $62,717.74 $59,866.94 2026-07-15
570 MS_DRG Skin Debridement W Mcc 18 16 — — $58,046.52 $59,728.66 $59,728.66 2026-07-15
673 MS_DRG Other Kidney & Urinary Tract Procedures W Mcc 18 16 — — $57,830.27 $59,506.15 $59,506.15 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 9 — — $57,136.87 $62,228.28 $59,399.72 2026-07-15
901 MS_DRG Wound Debridements For Injuries W Mcc 18 16 — — $57,053.55 $58,706.92 $58,706.92 2026-07-15
902 MS_DRG Wound Debridements For Injuries W Cc 18 16 — — $57,053.55 $58,706.92 $58,706.92 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $56,050.03 $61,044.59 $58,269.83 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 9 9 — — $55,968.39 $60,955.67 $58,184.96 2026-07-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 9 9 — — $55,910.67 $60,892.81 $58,124.95 2026-07-15
974 MS_DRG HIV W Major Related Condition W Mcc 18 16 — — $56,184.16 $57,812.33 $57,812.33 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 9 — — $55,250.98 $60,174.33 $57,439.13 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 9 9 — — $55,171.82 $60,088.11 $57,356.83 2026-07-15
40 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc W Mcc 18 16 — — $55,239.74 $56,840.54 $56,840.54 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections W O.r. Proc W Cc 18 16 — — $55,089.69 $56,686.14 $56,686.14 2026-07-15
1794 APR_DRG Defibrillator Implants 9 9 — — $54,452.75 $59,304.97 $56,609.29 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $54,370.29 $59,215.16 $56,523.56 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $54,295.25 $59,133.43 $56,445.55 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 9 9 — — $54,135.27 $58,959.20 $56,279.24 2026-07-15
982 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc 18 16 — — $54,604.24 $56,186.63 $56,186.63 2026-07-15
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 9 9 — — $54,033.84 $58,848.74 $56,173.80 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $53,651.22 $58,432.02 $55,776.02 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 9 — — $53,303.23 $58,053.02 $55,414.25 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 9 9 — — $53,228.19 $57,971.30 $55,336.24 2026-07-15
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement W Cc 18 16 — — $53,553.90 $55,105.85 $55,105.85 2026-07-15
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 18 16 — — $53,553.90 $55,105.85 $55,105.85 2026-07-15
245 MS_DRG Aicd Generator Procedures 18 16 — — $53,553.90 $55,105.85 $55,105.85 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 18 16 — — $53,553.90 $55,105.85 $55,105.85 2026-07-15
279 MS_DRG Cellulitis Age 0-17 18 16 — — $53,553.90 $55,105.85 $55,105.85 2026-07-15
278 MS_DRG Cellulitis Age >17 Without Cc 18 16 — — $53,553.90 $55,105.85 $55,105.85 2026-07-15
263 MS_DRG Vein Ligation & Stripping 18 16 — — $53,553.90 $55,105.85 $55,105.85 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement W Mcc 18 16 — — $53,553.90 $55,105.85 $55,105.85 2026-07-15
580 MS_DRG Other Skin - Subcut Tiss & Breast Proc W Cc 18 16 — — $53,452.40 $55,001.41 $55,001.41 2026-07-15
1783 APR_DRG External Heart Assist Systems 9 9 — — $52,855.46 $57,565.36 $54,948.75 2026-07-15
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $52,779.60 $57,482.73 $54,869.88 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $52,651.78 $57,343.53 $54,737.00 2026-07-15
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $52,540.46 $57,222.28 $54,621.27 2026-07-15
4403 APR_DRG Kidney Transplant 9 9 — — $52,409.34 $57,079.49 $54,484.96 2026-07-15
L8680 HCPCS L8680 Neurostim Electrode Implt19001-20000 77 15 $63,001.00 $37,800.60 40% off $98.52 $67,501.00 $54,405.93 2026-07-15
94 MS_DRG Bacterial & Tuberculous Infections Of Nervous System W Mcc 18 16 — — $52,812.49 $54,342.95 $54,342.95 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 9 9 — — $51,984.67 $56,616.97 $54,043.47 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $51,826.34 $56,444.53 $53,878.87 2026-07-15
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $51,492.38 $56,080.80 $53,531.67 2026-07-15
516 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc W Cc 18 16 — — $51,678.30 $53,175.90 $53,175.90 2026-07-15
515 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc W Mcc 18 16 — — $51,678.30 $53,175.90 $53,175.90 2026-07-15
6904 APR_DRG Acute Leukemia 9 9 — — $51,072.64 $55,623.67 $53,095.32 2026-07-15
5424 APR_DRG Vaginal Delivery With O.r. Procedure Except Sterilization And/or D&c 9 9 — — $50,516.66 $55,018.15 $52,517.32 2026-07-15
5404 APR_DRG Cesarean Section Without Sterilization 9 9 — — $50,506.92 $55,007.54 $52,507.20 2026-07-15
L8614 HCPCS L8614 Cochlear Imp 10001-10500 901 7 $64,501.00 $38,700.60 40% off $6,376.00 $142,501.00 $52,501.00 2026-07-15
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