Price Transparency Hospital negotiated rates

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

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Hospital

CHI MEMORIAL HOSPITAL- GEORGIA

Fort Oglethorpe, GA · CCN 110236 · Rates published

10,627 distinct procedures filed
16 distinct payers
249,665 rate rows
2026-02-28 last MRF observed
Data quality

196,509 of 249,665 rate rows are consumer-grade (78.7%)

53,156 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 36,989
template filing: same amount across many unrelated codes — excluded 15,842
per-diem day rate — not a per-procedure price 169
exceeds 10× this hospital's gross charge — excluded from medians 148
placeholder amount (≤ $0.02) — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/chime/sotg/finance/price-transparency/822748395_chi-memorial-hospital-georgia_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/memorial-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint d565836c4952304f… · 48,519,096 bytes · first seen 2026-05-05

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $209,316.00 $624,850.00 $368,367.50 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $122,540.00 $418,329.00 $270,434.50 nat. median
$265,286
1.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 4 $237,665.00 $237,665.00 $237,665.00 nat. median
$207,730
1.1× median
5834
APR_DRG 		Neonate With Ecmo 4 $226,943.00 $226,943.00 $226,943.00 nat. median
$309,665
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 11 $121,668.00 $318,282.00 $219,975.00 nat. median
$202,986
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $80,572.00 $352,309.00 $216,440.50 nat. median
$206,368
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $204,590.00 $204,590.00 $204,590.00 nat. median
$164,834
1.2× median
5833
APR_DRG 		Neonate With Ecmo 4 $179,743.00 $179,743.00 $179,743.00 nat. median
$244,017
0.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 4 $173,992.00 $173,992.00 $173,992.00 nat. median
$119,796
1.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $171,273.00 $171,273.00 $171,273.00 nat. median
$105,658
1.6× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $171,096.00 $171,096.00 $171,096.00 nat. median
$150,721
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $167,708.00 $167,708.00 $167,708.00 nat. median
$246,434
0.7× median
C9293
HCPCS 		Glucarpidase 1000 Unit Intravenous Solution 10 $422.41 $240,497.29 $155,877.88 nat. median
$21,340
outlier · 7.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 11 $87,643.00 $209,845.00 $148,744.00 nat. median
$133,176
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $87,275.06 $194,576.00 $140,925.53 nat. median
$117,303
1.2× median
24
APR_DRG 		Heart And/or Lung Transplant 4 $134,931.00 $134,931.00 $134,931.00 nat. median
$234,738
0.6× median
5832
APR_DRG 		Neonate With Ecmo 4 $132,543.00 $132,543.00 $132,543.00 nat. median
$156,126
0.8× median
7
MS_DRG 		Lung Transplant 10 $59,340.00 $194,086.00 $126,713.00 nat. median
$122,708
1.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $125,517.00 $125,517.00 $125,517.00 nat. median
$160,267
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $73,899.57 $173,628.00 $123,763.79 nat. median
$108,660
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $71,520.75 $182,443.00 $123,298.00 nat. median
$100,136
1.2× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $122,890.00 $122,890.00 $122,890.00 nat. median
$164,279
0.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $119,928.00 $119,928.00 $119,928.00 nat. median
$182,736
0.7× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 $118,707.00 $118,707.00 $118,707.00 nat. median
$68,217
1.7× median
612
MS_DRG 		No Active Code Description 2 $118,601.00 $118,601.00 $118,601.00 nat. median
$50,031
outlier · 2.4×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $117,432.00 $117,432.00 $117,432.00 nat. median
$145,336
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $116,491.00 $116,491.00 $116,491.00 nat. median
$162,982
0.7× median
5831
APR_DRG 		Neonate With Ecmo 4 $114,541.00 $114,541.00 $114,541.00 nat. median
$145,122
0.8× median
1612
APR_DRG 		Implantable Heart Assist Systems 4 $109,481.00 $109,481.00 $109,481.00 nat. median
$85,406
1.3× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $108,055.00 $108,055.00 $108,055.00 nat. median
$187,294
0.6× median
1611
APR_DRG 		Implantable Heart Assist Systems 4 $104,007.00 $104,007.00 $104,007.00 nat. median
$76,806
1.4× median
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 10 $28,226.90 $152,425.25 $103,498.62 nat. median
$94
outlier · 1103.6×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $101,772.00 $101,772.00 $101,772.00 nat. median
$151,838
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 11 $58,034.00 $200,895.00 $97,695.00 nat. median
$99,019
1.0× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 $97,592.00 $97,592.00 $97,592.00 nat. median
$109,499
0.9× median
64
APR_DRG 		Pancreas Transplant 4 $96,967.00 $96,967.00 $96,967.00 nat. median
$91,748
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $70,402.96 $175,452.00 $96,594.00 nat. median
$98,905
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $3,249.00 $180,291.00 $95,250.50 nat. median
$102,358
0.9× median
53
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 $92,681.00 $92,681.00 $92,681.00 nat. median
$47,204
2.0× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $90,356.00 $90,356.00 $90,356.00 nat. median
$72,936
1.2× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $89,142.00 $89,142.00 $89,142.00 nat. median
$129,535
0.7× median
12
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $89,142.00 $89,142.00 $89,142.00 nat. median
$52,716
1.7× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $89,142.00 $89,142.00 $89,142.00 nat. median
$68,633
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $55,139.00 $164,600.00 $88,993.00 nat. median
$93,672
1.0× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $87,883.00 $87,883.00 $87,883.00 nat. median
$108,996
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $62,286.19 $154,188.00 $84,943.00 nat. median
$83,442
1.0× median
23
APR_DRG 		Heart And/or Lung Transplant 4 $84,345.00 $84,345.00 $84,345.00 nat. median
$93,528
0.9× median
453
MS_DRG 		No Active Code Description 5 $50,345.00 $117,978.00 $84,161.50 nat. median
$87,411
1.0× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 $84,091.00 $84,091.00 $84,091.00 nat. median
$81,790
1.0× median
633
MS_DRG 		No Active Code Description 2 $82,662.00 $82,662.00 $82,662.00 nat. median
$8,452
outlier · 9.8×

Other procedures at this hospital

Browse this hospital's 10,627 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 11 — — $209,316.00 $624,850.00 $368,367.50 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 10 — — $122,540.00 $418,329.00 $270,434.50 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 6 4 — — $237,665.00 $237,665.00 $237,665.00 2026-02-28
5834 APR_DRG Neonate With Ecmo 6 4 — — $226,943.00 $226,943.00 $226,943.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 23 11 — — $121,668.00 $318,282.00 $219,975.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 11 — — $80,572.00 $352,309.00 $216,440.50 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 4 — — $204,590.00 $204,590.00 $204,590.00 2026-02-28
5833 APR_DRG Neonate With Ecmo 6 4 — — $179,743.00 $179,743.00 $179,743.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 6 4 — — $173,992.00 $173,992.00 $173,992.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 4 — — $171,273.00 $171,273.00 $171,273.00 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 4 — — $171,096.00 $171,096.00 $171,096.00 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $167,708.00 $167,708.00 $167,708.00 2026-02-28
C9293 HCPCS Glucarpidase 1000 Unit Intravenous Solution 14 10 $296,910.23 $87,885.43 70% off $422.41 $240,497.29 $155,877.88 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 23 11 — — $87,643.00 $209,845.00 $148,744.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 21 10 — — $87,275.06 $194,576.00 $140,925.53 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 6 4 — — $134,931.00 $134,931.00 $134,931.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 6 4 — — $132,543.00 $132,543.00 $132,543.00 2026-02-28
7 MS_DRG Lung Transplant 21 10 — — $59,340.00 $194,086.00 $126,713.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 4 — — $125,517.00 $125,517.00 $125,517.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 10 — — $73,899.57 $173,628.00 $123,763.79 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 10 — — $71,520.75 $182,443.00 $123,298.00 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $122,890.00 $122,890.00 $122,890.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $119,928.00 $119,928.00 $119,928.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 4 — — $118,707.00 $118,707.00 $118,707.00 2026-02-28
612 MS_DRG No Active Code Description 4 2 — — $118,601.00 $118,601.00 $118,601.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $117,432.00 $117,432.00 $117,432.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 4 — — $116,491.00 $116,491.00 $116,491.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 6 4 — — $114,541.00 $114,541.00 $114,541.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 6 4 — — $109,481.00 $109,481.00 $109,481.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 6 4 — — $108,055.00 $108,055.00 $108,055.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 6 4 — — $104,007.00 $104,007.00 $104,007.00 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 14 10 $188,179.31 $55,701.08 70% off $28,226.90 $152,425.25 $103,498.62 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $101,772.00 $101,772.00 $101,772.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 23 11 — — $58,034.00 $200,895.00 $97,695.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 4 — — $97,592.00 $97,592.00 $97,592.00 2026-02-28
64 APR_DRG Pancreas Transplant 6 4 — — $96,967.00 $96,967.00 $96,967.00 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — — $70,402.96 $175,452.00 $96,594.00 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 11 — — $3,249.00 $180,291.00 $95,250.50 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 4 — — $92,681.00 $92,681.00 $92,681.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 4 — — $90,356.00 $90,356.00 $90,356.00 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 4 — — $89,142.00 $89,142.00 $89,142.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 4 — — $89,142.00 $89,142.00 $89,142.00 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 6 4 — — $89,142.00 $89,142.00 $89,142.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 11 — — $55,139.00 $164,600.00 $88,993.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $87,883.00 $87,883.00 $87,883.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 18 10 — — $62,286.19 $154,188.00 $84,943.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 6 4 — — $84,345.00 $84,345.00 $84,345.00 2026-02-28
453 MS_DRG No Active Code Description 8 5 — — $50,345.00 $117,978.00 $84,161.50 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 4 — — $84,091.00 $84,091.00 $84,091.00 2026-02-28
633 MS_DRG No Active Code Description 4 2 — — $82,662.00 $82,662.00 $82,662.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 4 — — $81,554.00 $81,554.00 $81,554.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 4 — — $80,910.00 $80,910.00 $80,910.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 11 — — $39,106.00 $125,846.00 $78,138.00 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 23 11 — — $47,890.00 $206,961.00 $78,094.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $77,299.00 $77,299.00 $77,299.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 10 — — $56,688.92 $139,603.00 $76,909.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 4 — — $76,850.00 $76,850.00 $76,850.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 4 — — $76,431.00 $76,431.00 $76,431.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 4 — — $75,128.00 $75,128.00 $75,128.00 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 6 4 — — $74,545.00 $74,545.00 $74,545.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 11 — — $48,021.00 $129,012.00 $74,331.00 2026-02-28
10 MS_DRG Pancreas Transplant 21 10 — — $29,171.00 $118,408.00 $73,519.00 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 10 — — $45,414.00 $117,729.00 $73,098.00 2026-02-28
631 MS_DRG No Active Code Description 4 2 — — $72,994.00 $72,994.00 $72,994.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 11 — — $38,685.00 $116,082.00 $72,075.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $72,024.00 $72,024.00 $72,024.00 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 11 — — $41,294.00 $182,112.00 $71,347.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 4 — — $69,996.00 $69,996.00 $69,996.00 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 4 — — $69,311.00 $69,311.00 $69,311.00 2026-02-28
222 MS_DRG No Active Code Description 9 4 — — $39,039.00 $98,671.00 $68,855.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 11 — — $41,090.00 $110,851.00 $68,827.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $68,685.00 $68,685.00 $68,685.00 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 21 10 — — $41,883.44 $89,640.00 $65,761.72 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — — $48,736.60 $118,825.00 $65,494.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 11 — — $29,745.00 $117,772.00 $65,165.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 4 — — $65,114.00 $65,114.00 $65,114.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $64,820.00 $64,820.00 $64,820.00 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 6 4 — — $64,487.00 $64,487.00 $64,487.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 6 4 — — $64,487.00 $64,487.00 $64,487.00 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 11 — — $35,522.00 $125,541.00 $64,146.00 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $63,795.00 $63,795.00 $63,795.00 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 11 — — $34,600.00 $104,938.00 $62,964.00 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 4 — — $62,939.00 $62,939.00 $62,939.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 4 — — $62,778.00 $62,778.00 $62,778.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 10 — — $46,179.84 $112,222.00 $61,824.00 2026-02-28
459 MS_DRG No Active Code Description 8 5 — — $37,680.00 $85,479.00 $61,579.50 2026-02-28
224 MS_DRG No Active Code Description 9 4 — — $31,790.00 $91,359.00 $61,574.50 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 6 4 — — $61,419.00 $61,419.00 $61,419.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 6 4 — — $61,212.00 $61,212.00 $61,212.00 2026-02-28
226 MS_DRG No Active Code Description 9 4 — — $39,048.00 $82,488.00 $60,768.00 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 11 — — $15,794.00 $105,133.00 $60,463.50 2026-02-28
636 MS_DRG No Active Code Description 4 2 — — $60,384.00 $60,384.00 $60,384.00 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $59,687.00 $59,687.00 $59,687.00 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 11 — — $39,247.00 $100,242.00 $59,634.00 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 11 — — $36,163.00 $105,529.00 $59,548.00 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 10 — — $38,062.42 $80,806.00 $59,434.21 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 6 4 — — $59,351.00 $59,351.00 $59,351.00 2026-02-28
681 MS_DRG No Active Code Description 4 2 — — $58,642.00 $58,642.00 $58,642.00 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 21 10 — — $34,260.03 $83,128.00 $58,584.66 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 11 — — $25,569.00 $93,923.00 $58,316.00 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 4 — — $57,833.00 $57,833.00 $57,833.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 4 — — $57,833.00 $57,833.00 $57,833.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 11 — — $21,257.00 $103,953.00 $57,119.00 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 10 — — $34,889.00 $103,547.00 $57,045.00 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 11 — — $23,737.00 $91,136.00 $56,587.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 4 — — $56,458.00 $56,458.00 $56,458.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 23 11 — — $33,069.00 $90,721.00 $56,328.00 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 23 11 — — $13,290.00 $99,189.00 $56,239.50 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 4 — — $55,367.00 $55,367.00 $55,367.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 11 — — $28,643.00 $150,517.00 $55,241.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 6 4 — — $55,154.00 $55,154.00 $55,154.00 2026-02-28
454 MS_DRG No Active Code Description 8 5 — — $31,689.00 $78,493.00 $55,091.00 2026-02-28
38240 CPT Transplt Allo Hct/donor 16 8 — — $2,204.00 $129,481.83 $54,990.63 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 11 — — $29,807.00 $95,936.00 $54,858.00 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 23 11 — — $29,812.00 $90,287.00 $54,649.00 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 21 10 — — $19,200.00 $89,640.00 $54,420.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 11 — — $31,908.00 $87,387.00 $54,258.00 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 11 — — $16,472.00 $91,456.00 $53,964.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 11 — — $28,015.00 $86,467.00 $53,687.00 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 4 — — $53,418.00 $53,418.00 $53,418.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 23 11 — — $34,516.00 $129,726.00 $52,923.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 4 — — $52,922.00 $52,922.00 $52,922.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 4 — — $52,629.00 $52,629.00 $52,629.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 11 — — $32,206.00 $120,705.00 $52,607.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 6 4 — — $52,229.00 $52,229.00 $52,229.00 2026-02-28
4404 APR_DRG Kidney Transplant 6 4 — — $51,651.00 $51,651.00 $51,651.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 23 11 — — $28,398.00 $82,789.00 $51,403.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 11 — — $34,891.00 $112,186.00 $50,967.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 23 11 — — $31,810.00 $94,898.00 $50,967.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $50,960.00 $50,960.00 $50,960.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 4 — — $50,814.00 $50,814.00 $50,814.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 4 — — $50,796.00 $50,796.00 $50,796.00 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 4 — — $50,784.00 $50,784.00 $50,784.00 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — — $38,467.13 $92,152.00 $50,753.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 4 — — $50,700.00 $50,700.00 $50,700.00 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 4 — — $50,700.00 $50,700.00 $50,700.00 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 4 — — $50,700.00 $50,700.00 $50,700.00 2026-02-28
63 APR_DRG Pancreas Transplant 6 4 — — $50,463.00 $50,463.00 $50,463.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 10 — — $38,251.29 $91,564.00 $50,443.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 4 — — $50,328.00 $50,328.00 $50,328.00 2026-02-28
J8499 HCPCS Nintedanib 150 Mg Capsule 14 10 $91,485.29 $27,079.65 70% off $13,722.80 $74,103.09 $50,316.92 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 4 — — $50,106.00 $50,106.00 $50,106.00 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 23 11 — — $23,166.00 $80,622.00 $50,058.00 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 15 10 — — $4,240.00 $88,287.00 $50,028.00 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 11 — — $32,177.00 $80,211.00 $49,803.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 6 4 — — $49,799.00 $49,799.00 $49,799.00 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 11 — — $25,820.00 $80,135.00 $49,756.00 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 4 — — $49,494.00 $49,494.00 $49,494.00 2026-02-28
1794 APR_DRG Defibrillator Implants 6 4 — — $49,423.00 $49,423.00 $49,423.00 2026-02-28
4403 APR_DRG Kidney Transplant 6 4 — — $49,334.00 $49,334.00 $49,334.00 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 6 4 — — $49,196.00 $49,196.00 $49,196.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 11 — — $26,883.00 $79,011.00 $49,058.00 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 4 — — $49,030.00 $49,030.00 $49,030.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 11 — — $29,796.00 $94,947.00 $48,841.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 6 4 — — $48,636.00 $48,636.00 $48,636.00 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 23 11 — — $30,315.00 $80,126.00 $48,498.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 6 4 — — $48,426.00 $48,426.00 $48,426.00 2026-02-28
227 MS_DRG No Active Code Description 9 4 — — $30,938.00 $64,702.00 $47,820.00 2026-02-28
913 APR_DRG Other Major Head And Neck Procedures 6 4 — — $47,792.00 $47,792.00 $47,792.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 4 — — $47,657.00 $47,657.00 $47,657.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 4 — — $47,492.00 $47,492.00 $47,492.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 10 — — $36,193.02 $86,201.00 $47,489.00 2026-02-28
223 MS_DRG No Active Code Description 9 4 — — $27,506.00 $67,253.00 $47,379.50 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 6 4 — — $47,237.00 $47,237.00 $47,237.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 4 — — $47,175.00 $47,175.00 $47,175.00 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 6 4 — — $47,050.00 $47,050.00 $47,050.00 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 11 — — $19,296.00 $75,660.00 $46,977.00 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 23 11 — — $27,784.00 $81,457.00 $46,833.00 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 11 — — $1,699.00 $79,257.00 $46,735.50 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $46,587.00 $46,587.00 $46,587.00 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 11 — — $27,309.00 $117,066.00 $46,445.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 6 4 — — $46,267.00 $46,267.00 $46,267.00 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 6 4 — — $46,220.00 $46,220.00 $46,220.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 4 — — $46,192.00 $46,192.00 $46,192.00 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 11 — — $27,520.00 $112,454.00 $46,171.00 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 11 — — $21,191.00 $74,663.00 $46,135.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 11 — — $28,403.00 $87,699.00 $46,117.00 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 4 — — $46,063.00 $46,063.00 $46,063.00 2026-02-28
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 14 10 $83,629.51 $24,754.34 70% off $12,544.43 $67,739.91 $45,996.24 2026-02-28
893 APR_DRG Major Cranial Or Facial Bone Procedures 6 4 — — $45,972.00 $45,972.00 $45,972.00 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 4 — — $45,972.00 $45,972.00 $45,972.00 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 11 — — $28,627.00 $122,576.00 $45,951.00 2026-02-28
646 MS_DRG No Active Code Description 4 2 — — $45,661.00 $45,661.00 $45,661.00 2026-02-28
225 MS_DRG No Active Code Description 9 4 — — $25,971.00 $65,179.00 $45,575.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 4 — — $45,481.00 $45,481.00 $45,481.00 2026-02-28
6904 APR_DRG Acute Leukemia 6 4 — — $45,195.00 $45,195.00 $45,195.00 2026-02-28
6903 APR_DRG Acute Leukemia 6 4 — — $45,195.00 $45,195.00 $45,195.00 2026-02-28
245 MS_DRG Aicd Generator Procedures 23 11 — — $25,744.00 $76,003.00 $45,061.00 2026-02-28
1783 APR_DRG External Heart Assist Systems 6 4 — — $45,027.00 $45,027.00 $45,027.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 4 — — $44,968.00 $44,968.00 $44,968.00 2026-02-28
635 MS_DRG No Active Code Description 4 2 — — $44,962.00 $44,962.00 $44,962.00 2026-02-28
62 APR_DRG Pancreas Transplant 6 4 — — $44,835.00 $44,835.00 $44,835.00 2026-02-28
61 APR_DRG Pancreas Transplant 6 4 — — $44,835.00 $44,835.00 $44,835.00 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 23 11 — — $25,742.00 $108,770.00 $44,830.00 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 23 11 — — $20,090.00 $101,726.00 $44,789.00 2026-02-28
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 4 — — $44,711.00 $44,711.00 $44,711.00 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 4 — — $44,264.00 $44,264.00 $44,264.00 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 11 — — $23,423.00 $117,126.00 $44,035.00 2026-02-28
455 MS_DRG No Active Code Description 8 5 — — $26,166.00 $61,703.00 $43,934.50 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 11 — — $26,932.00 $70,600.00 $43,836.00 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 23 11 — — $17,030.00 $70,614.00 $43,822.00 2026-02-28
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 4 — — $43,791.00 $43,791.00 $43,791.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 4 — — $43,550.00 $43,550.00 $43,550.00 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 11 — — $24,781.00 $68,642.00 $43,279.50 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 11 — — $22,116.00 $93,372.00 $43,150.00 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 11 — — $27,170.00 $80,053.00 $42,895.00 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 11 — — $3,270.00 $113,017.00 $42,836.00 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 23 11 — — $26,780.00 $68,452.00 $42,501.00 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 4 — — $42,385.00 $42,385.00 $42,385.00 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 11 — — $26,410.00 $72,133.00 $42,348.00 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 11 — — $25,661.00 $68,195.00 $42,342.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 4 — — $42,323.00 $42,323.00 $42,323.00 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 11 — — $8,654.00 $75,545.00 $42,099.50 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 6 4 — — $41,743.00 $41,743.00 $41,743.00 2026-02-28
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 14 10 $75,781.15 $22,431.23 70% off $11,367.18 $61,382.74 $41,679.64 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 11 — — $23,838.00 $67,002.00 $41,601.00 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 11 — — $20,766.00 $88,638.00 $41,353.00 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 23 11 — — $25,089.00 $79,679.00 $41,239.00 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $41,070.00 $41,070.00 $41,070.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 4 — — $41,060.00 $41,060.00 $41,060.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 4 — — $41,033.00 $41,033.00 $41,033.00 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 23 11 — — $18,255.00 $65,798.00 $40,854.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 6 4 — — $40,580.00 $40,580.00 $40,580.00 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 6 4 — — $40,373.00 $40,373.00 $40,373.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 4 — — $40,307.00 $40,307.00 $40,307.00 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 11 — — $21,776.00 $64,259.00 $39,898.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 4 — — $39,850.00 $39,850.00 $39,850.00 2026-02-28
652 MS_DRG Kidney Transplant 23 11 — — $22,839.37 $82,081.00 $39,758.00 2026-02-28
7594 APR_DRG Eating Disorders 6 4 — — $39,662.00 $39,662.00 $39,662.00 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 11 — — $21,070.00 $63,350.00 $39,334.00 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 11 — — $23,521.00 $69,299.00 $39,276.00 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 4 — — $38,841.00 $38,841.00 $38,841.00 2026-02-28
J9321 HCPCS Epcoritamab-bysp 0.16 Mg/ml Subcutaneous Solution 56 10 $84,564.51 $25,031.10 70% off $1,444.22 $231,606.17 $38,791.35 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 6 4 — — $38,733.00 $38,733.00 $38,733.00 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 23 11 — — $14,984.00 $122,056.00 $38,642.00 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 23 11 — — $15,784.00 $62,220.00 $38,632.00 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 4 — — $38,460.00 $38,460.00 $38,460.00 2026-02-28
J1323 HCPCS Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution 28 10 $77,455.90 $22,926.95 70% off $8,534.25 $79,393.63 $38,404.11 2026-02-28
274 APR_DRG Other Open Craniotomy 6 4 — — $38,332.00 $38,332.00 $38,332.00 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $38,305.00 $38,305.00 $38,305.00 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 4 — — $38,297.00 $38,297.00 $38,297.00 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 4 — — $38,273.00 $38,273.00 $38,273.00 2026-02-28
J2267 HCPCS Mirikizumab-mrkz 300 Mg/15 Ml (20 Mg/ml) Intravenous Solution 14 10 $69,448.08 $20,556.64 70% off $10,417.22 $56,252.95 $38,196.44 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 11 — — $22,959.00 $61,069.00 $37,918.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 4 — — $37,916.00 $37,916.00 $37,916.00 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 23 11 — — $20,738.00 $71,966.00 $37,896.00 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 11 — — $2,663.00 $65,351.00 $37,883.00 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 11 — — $22,753.00 $60,944.00 $37,840.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 6 4 — — $37,739.00 $37,739.00 $37,739.00 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 4 — — $37,735.00 $37,735.00 $37,735.00 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 6 4 — — $37,677.00 $37,677.00 $37,677.00 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 10 — — $29,341.14 $68,349.00 $37,654.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 6 4 — — $37,598.00 $37,598.00 $37,598.00 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 11 — — $19,146.00 $60,405.00 $37,505.00 2026-02-28
213 APR_DRG Open Craniotomy Except Trauma 6 4 — — $37,087.00 $37,087.00 $37,087.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 6 4 — — $37,049.00 $37,049.00 $37,049.00 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 6 4 — — $36,906.00 $36,906.00 $36,906.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 6 4 — — $36,884.00 $36,884.00 $36,884.00 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 23 11 — — $21,132.00 $59,162.00 $36,734.00 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 4 — — $36,707.00 $36,707.00 $36,707.00 2026-02-28
634 MS_DRG No Active Code Description 4 2 — — $36,649.00 $36,649.00 $36,649.00 2026-02-28
234 APR_DRG Spinal Procedures 6 4 — — $36,646.00 $36,646.00 $36,646.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $36,548.00 $36,548.00 $36,548.00 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 23 11 — — $19,648.00 $61,827.00 $36,514.00 2026-02-28
632 MS_DRG No Active Code Description 4 2 — — $36,443.00 $36,443.00 $36,443.00 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 4 — — $36,409.00 $36,409.00 $36,409.00 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 23 11 — — $14,365.00 $96,731.00 $36,383.00 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 4 — — $36,370.00 $36,370.00 $36,370.00 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 6 4 — — $36,316.00 $36,316.00 $36,316.00 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 11 — — $16,930.00 $58,478.00 $36,309.00 2026-02-28
4014 APR_DRG Adrenal Procedures 6 4 — — $36,157.00 $36,157.00 $36,157.00 2026-02-28
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 4 — — $36,129.00 $36,129.00 $36,129.00 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 10 — — $28,240.70 $65,771.00 $36,074.00 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 23 11 — — $22,140.00 $59,422.00 $36,057.00 2026-02-28
J9333 HCPCS Rozanolixizumab-noli 140 Mg/ml Subcutaneous Solution 56 10 $77,562.71 $22,958.57 70% off $6,670.89 $107,497.45 $36,022.80 2026-02-28
1793 APR_DRG Defibrillator Implants 6 4 — — $36,020.00 $36,020.00 $36,020.00 2026-02-28
1792 APR_DRG Defibrillator Implants 6 4 — — $36,020.00 $36,020.00 $36,020.00 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 23 11 — — $3,931.00 $66,631.00 $35,940.00 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 4 — — $35,929.00 $35,929.00 $35,929.00 2026-02-28
1693 APR_DRG Major Abdominal Vascular Procedures 6 4 — — $35,922.00 $35,922.00 $35,922.00 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 11 — — $22,165.00 $57,751.00 $35,858.00 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 23 11 — — $15,230.00 $59,121.00 $35,784.00 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 6 4 — — $35,743.00 $35,743.00 $35,743.00 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 23 11 — — $19,283.00 $57,399.00 $35,639.00 2026-02-28
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 4 — — $35,627.00 $35,627.00 $35,627.00 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 6 4 — — $35,533.00 $35,533.00 $35,533.00 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 11 — — $23,054.00 $58,374.00 $35,504.00 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 21 10 — — $9,774.00 $61,205.00 $35,489.50 2026-02-28
791 MS_DRG Prematurity With Major Problems 15 10 — — $2,231.00 $59,584.00 $35,305.00 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 23 11 — — $22,033.00 $142,554.00 $35,246.00 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 11 — — $19,102.00 $74,825.00 $35,055.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 4 — — $35,041.00 $35,041.00 $35,041.00 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 11 — — $11,640.00 $58,359.00 $34,999.50 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $34,797.00 $34,797.00 $34,797.00 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 23 11 — — $17,615.00 $77,699.00 $34,783.00 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 23 11 — — $15,649.00 $57,341.00 $34,707.00 2026-02-28
460 MS_DRG No Active Code Description 8 5 — — $20,782.00 $48,532.00 $34,657.00 2026-02-28
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 4 — — $34,621.00 $34,621.00 $34,621.00 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 23 11 — — $19,668.00 $90,859.00 $34,505.00 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 4 — — $34,029.00 $34,029.00 $34,029.00 2026-02-28
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