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

HILO BENIOFF MEDICAL CENTER

Hilo, HI · CCN 120005 · Rates published

5,148 distinct procedures filed
54 distinct payers
142,165 rate rows
2026-06-15 last MRF observed
Data quality

84,330 of 142,165 rate rows are consumer-grade (59.3%)

57,835 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 46,996
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 10,276
per-diem day rate — not a per-procedure price 517
placeholder amount (≤ $0.02) — excluded from medians 26
exceeds 10× this hospital's gross charge — excluded from medians 16
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://pricetransparency.healthcare/hilo-medical-center/charges/export
Found on page https://pricetransparency.healthcare/hilo-medical-center/charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint 608c8b84a40825ad… · 41,345,526 bytes · first seen 2026-06-22

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 7 $491,172.19 $744,903.30 $491,172.19 nat. median
$168,055
outlier · 2.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $10,400.00 $483,412.28 $318,751.00 nat. median
$186,516
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $242,846.05 $391,604.71 $242,846.05 nat. median
$131,925
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $10,400.00 $477,894.60 $241,420.87 nat. median
$145,435
1.7× median
5834
APR_DRG 		Neonate W Ecmo 5 $235,228.11 $235,228.11 $235,228.11 nat. median
$390,362
0.6× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 5 $198,269.93 $198,269.93 $198,269.93 nat. median
$171,497
1.2× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 5 $197,466.16 $197,466.16 $197,466.16 nat. median
$286,698
0.7× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 5 $170,906.42 $170,906.42 $170,906.42 nat. median
$168,439
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $10,400.00 $414,220.62 $157,549.37 nat. median
$97,418
1.6× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 5 $156,389.05 $156,389.05 $156,389.05 nat. median
$198,578
0.8× median
5913
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 5 $156,291.99 $156,291.99 $156,291.99 nat. median
$120,079
1.3× median
7
MS_DRG 		Lung Transplant 7 $10,400.00 $223,390.95 $147,298.89 nat. median
$70,649
outlier · 2.1×
5833
APR_DRG 		Neonate W Ecmo 5 $143,311.39 $143,311.39 $143,311.39 nat. median
$268,208
0.5× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 5 $138,335.10 $138,335.10 $138,335.10 nat. median
$124,731
1.1× median
5912
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 5 $137,237.12 $137,237.12 $137,237.12 nat. median
$85,835
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $10,400.00 $234,409.56 $136,694.66 nat. median
$72,715
1.9× median
5832
APR_DRG 		Neonate W Ecmo 5 $136,122.97 $136,122.97 $136,122.97 nat. median
$201,678
0.7× median
5891
APR_DRG 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 5 $129,527.01 $129,527.01 $129,527.01 nat. median
$99,483
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $10,400.00 $276,462.54 $128,890.78 nat. median
$65,418
2.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $128,742.92 $197,962.03 $128,742.92 nat. median
$2,110
outlier · 61.0×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 5 $128,119.66 $128,119.66 $128,119.66 nat. median
$187,567
0.7× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 5 $126,663.78 $126,663.78 $126,663.78 nat. median
$173,134
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $118,345.28 $190,115.70 $125,357.95 nat. median
$2,736
outlier · 45.8×
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 5 $125,311.02 $125,311.02 $125,311.02 nat. median
$114,205
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $123,684.78 $187,578.23 $123,684.78 nat. median
$74,509
1.7× median
5892
APR_DRG 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 5 $123,358.72 $123,358.72 $123,358.72 nat. median
$96,548
1.3× median
5893
APR_DRG 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 5 $117,484.64 $117,484.64 $117,484.64 nat. median
$77,096
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $117,314.63 $117,314.63 $117,314.63 nat. median
$202,242
0.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $10,400.00 $367,144.58 $117,274.26 nat. median
$69,922
1.7× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 5 $114,788.23 $114,788.23 $114,788.23 nat. median
$115,963
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 7 $113,253.46 $174,690.93 $113,253.46 nat. median
$73,023
1.6× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 5 $111,316.35 $111,316.35 $111,316.35 nat. median
$181,762
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $111,272.07 $197,962.03 $111,272.07 nat. median
$69,822
1.6× median
5932
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 5 $108,049.72 $108,049.72 $108,049.72 nat. median
$91,110
1.2× median
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 5 $107,692.82 $107,692.82 $107,692.82 nat. median
$100,752
1.1× median
24
APR_DRG 		Heart &/or Lung Transplant 5 $106,587.93 $106,587.93 $106,587.93 nat. median
$225,531
outlier · 0.5×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $104,253.43 $104,253.43 $104,253.43 nat. median
$149,836
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $102,477.48 $155,415.60 $102,477.48 nat. median
$2,596
outlier · 39.5×
6084
APR_DRG 		Neonate Bwt 1250-1499g W Or Without Other Significant Condition 5 $100,544.85 $100,544.85 $100,544.85 nat. median
$62,234
1.6× median
6023
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 5 $99,297.24 $99,297.24 $99,297.24 nat. median
$95,757
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $98,495.37 $149,376.38 $98,495.37 nat. median
$2,633
outlier · 37.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $95,883.84 $145,415.77 $95,883.84 nat. median
$60,505
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $95,582.42 $144,958.65 $95,582.42 nat. median
$59,651
1.6× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $93,715.25 $93,715.25 $93,715.25 nat. median
$155,539
0.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $10,400.00 $251,128.83 $89,501.75 nat. median
$56,428
1.6× median
6033
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 5 $89,262.77 $89,262.77 $89,262.77 nat. median
$53,823
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $87,334.94 $132,450.67 $87,334.94 nat. median
$55,923
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $86,958.45 $131,879.70 $86,958.45 nat. median
$55,935
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $86,670.69 $156,394.37 $86,670.69 nat. median
$52,327
1.7× median
5831
APR_DRG 		Neonate W Ecmo 5 $86,204.41 $86,204.41 $86,204.41 nat. median
$173,909
outlier · 0.5×

Other procedures at this hospital

Browse this hospital's 5,148 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 7 — — $491,172.19 $744,903.30 $491,172.19 2026-06-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 7 — — $10,400.00 $483,412.28 $318,751.00 2026-06-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 7 — — $242,846.05 $391,604.71 $242,846.05 2026-06-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 8 — — $10,400.00 $477,894.60 $241,420.87 2026-06-15
5834 APR_DRG Neonate W Ecmo 6 5 — — $235,228.11 $235,228.11 $235,228.11 2026-06-15
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 6 5 — — $198,269.93 $198,269.93 $198,269.93 2026-06-15
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 6 5 — — $197,466.16 $197,466.16 $197,466.16 2026-06-15
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 6 5 — — $170,906.42 $170,906.42 $170,906.42 2026-06-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 8 — — $10,400.00 $414,220.62 $157,549.37 2026-06-15
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 6 5 — — $156,389.05 $156,389.05 $156,389.05 2026-06-15
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 6 5 — — $156,291.99 $156,291.99 $156,291.99 2026-06-15
7 MS_DRG Lung Transplant 8 7 — — $10,400.00 $223,390.95 $147,298.89 2026-06-15
5833 APR_DRG Neonate W Ecmo 6 5 — — $143,311.39 $143,311.39 $143,311.39 2026-06-15
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 5 — — $138,335.10 $138,335.10 $138,335.10 2026-06-15
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 6 5 — — $137,237.12 $137,237.12 $137,237.12 2026-06-15
14 MS_DRG Allogeneic Bone Marrow Transplant 10 8 — — $10,400.00 $234,409.56 $136,694.66 2026-06-15
5832 APR_DRG Neonate W Ecmo 6 5 — — $136,122.97 $136,122.97 $136,122.97 2026-06-15
5891 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 6 5 — — $129,527.01 $129,527.01 $129,527.01 2026-06-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 7 — — $10,400.00 $276,462.54 $128,890.78 2026-06-15
209 MS_DRG Complex Aortic Arch Procedures 9 7 — — $128,742.92 $197,962.03 $128,742.92 2026-06-15
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 6 5 — — $128,119.66 $128,119.66 $128,119.66 2026-06-15
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 6 5 — — $126,663.78 $126,663.78 $126,663.78 2026-06-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 7 — — $118,345.28 $190,115.70 $125,357.95 2026-06-15
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 6 5 — — $125,311.02 $125,311.02 $125,311.02 2026-06-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 9 7 — — $123,684.78 $187,578.23 $123,684.78 2026-06-15
5892 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 6 5 — — $123,358.72 $123,358.72 $123,358.72 2026-06-15
5893 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 6 5 — — $117,484.64 $117,484.64 $117,484.64 2026-06-15
1614 APR_DRG Implantable Heart Assist Systems 6 5 — — $117,314.63 $117,314.63 $117,314.63 2026-06-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 7 — — $10,400.00 $367,144.58 $117,274.26 2026-06-15
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 5 — — $114,788.23 $114,788.23 $114,788.23 2026-06-15
215 MS_DRG Other Heart Assist System Implant 9 7 — — $113,253.46 $174,690.93 $113,253.46 2026-06-15
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 6 5 — — $111,316.35 $111,316.35 $111,316.35 2026-06-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 7 — — $111,272.07 $197,962.03 $111,272.07 2026-06-15
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 6 5 — — $108,049.72 $108,049.72 $108,049.72 2026-06-15
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 5 — — $107,692.82 $107,692.82 $107,692.82 2026-06-15
24 APR_DRG Heart &/or Lung Transplant 6 5 — — $106,587.93 $106,587.93 $106,587.93 2026-06-15
74 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $104,253.43 $104,253.43 $104,253.43 2026-06-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 7 — — $102,477.48 $155,415.60 $102,477.48 2026-06-15
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 6 5 — — $100,544.85 $100,544.85 $100,544.85 2026-06-15
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 5 — — $99,297.24 $99,297.24 $99,297.24 2026-06-15
850 MS_DRG Acute Leukemia With Other Procedures 9 7 — — $98,495.37 $149,376.38 $98,495.37 2026-06-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 7 — — $95,883.84 $145,415.77 $95,883.84 2026-06-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 7 — — $95,582.42 $144,958.65 $95,582.42 2026-06-15
1613 APR_DRG Implantable Heart Assist Systems 6 5 — — $93,715.25 $93,715.25 $93,715.25 2026-06-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 8 — — $10,400.00 $251,128.83 $89,501.75 2026-06-15
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 5 — — $89,262.77 $89,262.77 $89,262.77 2026-06-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 7 — — $87,334.94 $132,450.67 $87,334.94 2026-06-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 7 — — $86,958.45 $131,879.70 $86,958.45 2026-06-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 7 — — $86,670.69 $156,394.37 $86,670.69 2026-06-15
5831 APR_DRG Neonate W Ecmo 6 5 — — $86,204.41 $86,204.41 $86,204.41 2026-06-15
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 6 5 — — $85,321.78 $85,321.78 $85,321.78 2026-06-15
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 6 5 — — $83,137.95 $83,137.95 $83,137.95 2026-06-15
14 APR_DRG Liver Transplant &/or Intestinal Transplant 6 5 — — $82,638.28 $82,638.28 $82,638.28 2026-06-15
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 6 5 — — $82,430.20 $82,430.20 $82,430.20 2026-06-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 7 — — $82,106.20 $124,520.85 $82,106.20 2026-06-15
10 MS_DRG Pancreas Transplant 8 7 — — $10,400.00 $89,780.07 $81,618.25 2026-06-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 7 — — $81,584.13 $123,729.07 $81,584.13 2026-06-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 7 — — $81,150.76 $114,319.20 $81,150.76 2026-06-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 7 — — $81,103.00 $163,844.03 $81,103.00 2026-06-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 9 7 — — $78,616.58 $187,042.33 $78,616.58 2026-06-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 7 — — $78,230.99 $118,643.77 $78,230.99 2026-06-15
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 5 — — $77,568.19 $77,568.19 $77,568.19 2026-06-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 7 — — $76,561.25 $230,211.54 $76,561.25 2026-06-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 7 — — $76,053.96 $115,342.12 $76,053.96 2026-06-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 7 — — $75,998.23 $115,257.60 $75,998.23 2026-06-15
23 APR_DRG Heart &/or Lung Transplant 6 5 — — $74,881.40 $74,881.40 $74,881.40 2026-06-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 7 — — $74,789.14 $197,962.03 $74,789.14 2026-06-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 7 — — $74,789.14 $197,962.03 $74,789.14 2026-06-15
64 APR_DRG Pancreas Transplant 6 5 — — $74,580.70 $74,580.70 $74,580.70 2026-06-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 7 — — $62,339.35 $113,011.65 $74,517.30 2026-06-15
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 6 5 — — $73,719.21 $73,719.21 $73,719.21 2026-06-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $73,419.65 $73,419.65 $73,419.65 2026-06-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 9 7 — — $73,189.92 $189,638.79 $73,189.92 2026-06-15
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 6 5 — — $72,556.52 $72,556.52 $72,556.52 2026-06-15
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 6 5 — — $72,443.29 $72,443.29 $72,443.29 2026-06-15
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 5 — — $72,426.10 $72,426.10 $72,426.10 2026-06-15
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 5 — — $72,168.58 $72,168.58 $72,168.58 2026-06-15
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 6 5 — — $70,729.59 $70,729.59 $70,729.59 2026-06-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 7 — — $69,705.99 $105,714.90 $69,705.99 2026-06-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 9 7 — — $69,625.22 $105,592.43 $69,625.22 2026-06-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 9 7 — — $68,957.55 $143,848.85 $68,957.55 2026-06-15
28 MS_DRG Spinal Procedures With Mcc 10 8 — — $10,400.00 $103,643.18 $68,339.95 2026-06-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 7 — — $68,320.59 $105,460.04 $68,320.59 2026-06-15
73 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $68,078.15 $68,078.15 $68,078.15 2026-06-15
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 6 5 — — $68,077.66 $68,077.66 $68,077.66 2026-06-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 7 — — $67,825.82 $140,548.67 $67,825.82 2026-06-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 7 — — $67,602.88 $278,452.35 $67,602.88 2026-06-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 8 — — $10,400.00 $234,409.56 $67,445.92 2026-06-15
1612 APR_DRG Implantable Heart Assist Systems 6 5 — — $66,864.26 $66,864.26 $66,864.26 2026-06-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 9 7 — — $66,750.95 $101,233.35 $66,750.95 2026-06-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 7 — — $66,707.73 $101,167.80 $66,707.73 2026-06-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 7 — — $65,596.47 $118,345.28 $65,596.47 2026-06-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 8 — — $10,400.00 $107,352.78 $65,177.90 2026-06-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 9 7 — — $64,911.73 $98,444.02 $64,911.73 2026-06-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 7 — — $64,827.56 $103,543.02 $64,827.56 2026-06-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 7 — — $63,946.06 $118,345.28 $63,946.06 2026-06-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 9 7 — — $10,400.00 $713,444.67 $63,748.15 2026-06-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 7 — — $63,311.37 $96,016.95 $63,311.37 2026-06-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 9 7 — — $62,820.02 $92,470.35 $62,820.02 2026-06-15
834 MS_DRG Acute Leukemia With Mcc 9 7 — — $62,443.53 $143,023.80 $62,443.53 2026-06-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 7 — — $62,222.86 $95,656.57 $62,222.86 2026-06-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 7 — — $62,134.15 $114,414.19 $62,134.15 2026-06-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 8 — — $10,400.00 $94,083.23 $62,036.32 2026-06-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 8 — — $10,400.00 $234,409.56 $61,788.37 2026-06-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 7 — — $60,656.63 $128,755.40 $60,656.63 2026-06-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 7 — — $60,620.24 $91,935.60 $60,620.24 2026-06-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 8 — — $10,400.00 $251,128.83 $60,213.03 2026-06-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 7 — — $60,013.96 $113,928.87 $60,013.96 2026-06-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 9 7 — — $57,922.94 $89,793.15 $59,207.54 2026-06-15
653 MS_DRG Major Bladder Procedures With Mcc 9 7 — — $46,881.91 $89,637.90 $59,105.19 2026-06-15
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 6 5 — — $58,875.27 $58,875.27 $58,875.27 2026-06-15
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 6 5 — — $57,466.91 $57,466.91 $57,466.91 2026-06-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 7 — — $57,328.52 $128,755.40 $57,328.52 2026-06-15
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 5 — — $57,264.70 $57,264.70 $57,264.70 2026-06-15
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 6 5 — — $56,728.86 $56,728.86 $56,728.86 2026-06-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 7 — — $56,727.97 $129,653.24 $56,727.97 2026-06-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 9 7 — — $56,272.98 $115,360.56 $56,272.98 2026-06-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 7 — — $56,172.91 $157,704.73 $56,172.91 2026-06-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 9 7 — — $55,980.68 $84,899.32 $55,980.68 2026-06-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 9 7 — — $55,747.50 $84,545.70 $55,747.50 2026-06-15
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 5 — — $55,698.62 $55,698.62 $55,698.62 2026-06-15
471 MS_DRG Cervical Spinal Fusion With Mcc 9 7 — — $54,922.88 $83,295.07 $54,922.88 2026-06-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 9 7 — — $54,645.34 $82,874.18 $54,645.34 2026-06-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 7 — — $54,150.56 $82,358.80 $54,150.56 2026-06-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 5 — — $53,563.03 $53,563.03 $53,563.03 2026-06-15
22 APR_DRG Heart &/or Lung Transplant 6 5 — — $53,560.42 $53,560.42 $53,560.42 2026-06-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 9 7 — — $53,474.93 $158,408.45 $53,474.93 2026-06-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 7 — — $53,365.73 $80,933.55 $53,365.73 2026-06-15
1611 APR_DRG Implantable Heart Assist Systems 6 5 — — $53,302.12 $53,302.12 $53,302.12 2026-06-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 7 — — $53,206.50 $80,692.05 $53,206.50 2026-06-15
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 6 5 — — $53,184.19 $53,184.19 $53,184.19 2026-06-15
6 MS_DRG Liver Transplant Without Mcc 9 7 — — $10,400.00 $367,144.58 $52,742.42 2026-06-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 7 — — $52,532.00 $105,460.04 $52,532.00 2026-06-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 8 — — $10,400.00 $82,480.13 $52,281.77 2026-06-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 7 — — $52,148.68 $94,734.46 $52,148.68 2026-06-15
63 APR_DRG Pancreas Transplant 6 5 — — $52,132.59 $52,132.59 $52,132.59 2026-06-15
64568 CPT Open Implantation Of Cranial Nerve (eg, Vagus Nerve) Neurostimulator Electrode A… 15 8 — — $411.94 $57,237.49 $52,034.08 2026-06-15
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 6 5 — — $52,019.48 $52,019.48 $52,019.48 2026-06-15
245 MS_DRG Aicd Generator Procedures 9 7 — — $51,893.90 $79,155.69 $51,893.90 2026-06-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 9 7 — — $38,801.33 $78,465.07 $51,738.07 2026-06-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 8 — — $10,400.00 $91,215.89 $51,715.32 2026-06-15
799 MS_DRG Splenic Procedures With Mcc 9 7 — — $44,770.77 $78,123.52 $51,512.86 2026-06-15
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 6 5 — — $51,313.78 $51,313.78 $51,313.78 2026-06-15
163 MS_DRG Major Chest Procedures With Mcc 9 7 — — $50,977.16 $77,311.05 $50,977.16 2026-06-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 8 — — $10,400.00 $77,288.62 $50,962.35 2026-06-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 9 7 — — $50,762.16 $135,307.22 $50,762.16 2026-06-15
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 5 — — $50,484.94 $50,484.94 $50,484.94 2026-06-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 5 — — $50,340.78 $50,340.78 $50,340.78 2026-06-15
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 5 — — $50,251.42 $50,251.42 $50,251.42 2026-06-15
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 6 5 — — $50,195.59 $50,195.59 $50,195.59 2026-06-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 9 7 — — $49,964.82 $75,775.80 $49,964.82 2026-06-15
13 APR_DRG Liver Transplant &/or Intestinal Transplant 6 5 — — $49,918.76 $49,918.76 $49,918.76 2026-06-15
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 6 5 — — $49,490.87 $49,490.87 $49,490.87 2026-06-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 9 7 — — $41,446.33 $74,647.65 $49,220.96 2026-06-15
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 6 5 — — $48,966.17 $48,966.17 $48,966.17 2026-06-15
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 6 5 — — $48,882.26 $48,882.26 $48,882.26 2026-06-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 9 7 — — $41,664.72 $74,052.52 $48,828.55 2026-06-15
140 MS_DRG Major Head And Neck Procedures With Mcc 9 7 — — $48,514.62 $73,576.43 $48,514.62 2026-06-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 9 7 — — $48,235.95 $81,169.77 $48,235.95 2026-06-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 9 7 — — $48,035.75 $98,325.83 $48,035.75 2026-06-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 8 — — $10,400.00 $85,100.86 $47,953.87 2026-06-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 9 7 — — $47,929.97 $156,394.37 $47,929.97 2026-06-15
4404 APR_DRG Kidney Transplant 6 5 — — $47,914.31 $47,914.31 $47,914.31 2026-06-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 7 — — $47,790.08 $72,477.60 $47,790.08 2026-06-15
901 MS_DRG Wound Debridements For Injuries With Mcc 9 7 — — $28,755.21 $72,391.35 $47,733.21 2026-06-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 9 7 — — $47,644.49 $92,526.26 $47,644.49 2026-06-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 7 — — $47,460.21 $140,548.67 $47,460.21 2026-06-15
793 MS_DRG Full Term Neonate With Major Problems 9 7 — — $19,437.07 $71,925.60 $47,426.09 2026-06-15
C9608 HCPCS Hc Pci Of Cto + Stent De Addl Br 6 5 $59,939.00 $35,963.40 40% off $30,568.89 $58,140.83 $47,318.85 2026-06-15
C9603 HCPCS Hc Atherectomy+stent De Addl Br 6 5 $59,939.00 $35,963.40 40% off $30,568.89 $58,140.83 $47,318.85 2026-06-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 9 7 — — $47,237.28 $99,126.61 $47,237.28 2026-06-15
72 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $46,999.82 $46,999.82 $46,999.82 2026-06-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 9 7 — — $46,924.49 $71,164.88 $46,924.49 2026-06-15
791 MS_DRG Prematurity With Major Problems 9 7 — — $46,168.10 $70,017.75 $46,168.10 2026-06-15
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 5 — — $46,150.55 $46,150.55 $46,150.55 2026-06-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 7 — — $45,730.20 $118,345.28 $45,730.20 2026-06-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 9 7 — — $43,266.28 $68,725.73 $45,316.18 2026-06-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 8 — — $10,400.00 $102,305.46 $44,494.95 2026-06-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 9 7 — — $44,293.62 $65,838.07 $44,293.62 2026-06-15
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 6 5 — — $44,060.66 $44,060.66 $44,060.66 2026-06-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 9 8 — — $10,400.00 $66,769.57 $44,026.34 2026-06-15
62 APR_DRG Pancreas Transplant 6 5 — — $44,001.95 $44,001.95 $44,001.95 2026-06-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 9 7 — — $43,960.35 $88,037.05 $43,960.35 2026-06-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 8 — — $10,400.00 $67,629.34 $43,918.28 2026-06-15
8634 APR_DRG Neonatal Aftercare 6 5 — — $43,909.98 $43,909.98 $43,909.98 2026-06-15
21 APR_DRG Heart &/or Lung Transplant 6 5 — — $43,861.06 $43,861.06 $43,861.06 2026-06-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 9 7 — — $43,669.18 $66,227.93 $43,669.18 2026-06-15
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 6 5 — — $43,665.35 $43,665.35 $43,665.35 2026-06-15
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 6 5 — — $43,059.74 $43,059.74 $43,059.74 2026-06-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 9 7 — — $42,801.33 $219,340.37 $42,801.33 2026-06-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 9 7 — — $42,614.78 $103,179.03 $42,614.78 2026-06-15
8424 APR_DRG Burns W Skin Graft Except Extensive 3rd Degree Burns 6 5 — — $42,538.90 $42,538.90 $42,538.90 2026-06-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 9 7 — — $42,513.57 $65,008.61 $42,513.57 2026-06-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 9 7 — — $42,509.00 $64,468.43 $42,509.00 2026-06-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 9 7 — — $40,135.96 $64,287.30 $42,389.56 2026-06-15
71 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $42,270.81 $42,270.81 $42,270.81 2026-06-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 9 7 — — $42,150.71 $158,408.45 $42,150.71 2026-06-15
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 6 5 — — $41,968.84 $41,968.84 $41,968.84 2026-06-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 6 5 — — $41,955.11 $41,955.11 $41,955.11 2026-06-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 9 7 — — $41,778.79 $66,610.17 $41,778.79 2026-06-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 9 7 — — $41,761.72 $63,335.10 $41,761.72 2026-06-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 9 7 — — $39,505.05 $62,591.62 $41,271.50 2026-06-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 9 7 — — $39,189.59 $62,543.32 $41,239.64 2026-06-15
12 APR_DRG Liver Transplant &/or Intestinal Transplant 6 5 — — $41,192.60 $41,192.60 $41,192.60 2026-06-15
1784 APR_DRG External Heart Assist Systems 6 5 — — $41,183.47 $41,183.47 $41,183.47 2026-06-15
332 MS_DRG Rectal Resection With Mcc 9 7 — — $41,182.78 $72,919.33 $41,182.78 2026-06-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 5 — — $41,163.51 $41,163.51 $41,163.51 2026-06-15
265 MS_DRG Aicd Lead Procedures 9 7 — — $41,154.33 $79,155.69 $41,154.33 2026-06-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 9 7 — — $38,437.34 $62,303.55 $41,081.52 2026-06-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 7 — — $41,020.11 $73,623.04 $41,020.11 2026-06-15
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 5 — — $40,934.56 $40,934.56 $40,934.56 2026-06-15
11 APR_DRG Liver Transplant &/or Intestinal Transplant 6 5 — — $40,912.12 $40,912.12 $40,912.12 2026-06-15
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 6 5 — — $40,893.10 $40,893.10 $40,893.10 2026-06-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 9 7 — — $38,388.81 $60,828.68 $40,751.68 2026-06-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 9 7 — — $40,657.27 $61,660.12 $40,657.27 2026-06-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 9 7 — — $40,616.34 $61,854.03 $40,616.34 2026-06-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 9 7 — — $40,556.04 $61,506.60 $40,556.04 2026-06-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 9 7 — — $40,521.92 $61,454.85 $40,521.92 2026-06-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 7 — — $40,483.25 $61,396.20 $40,483.25 2026-06-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 9 7 — — $40,450.27 $98,325.83 $40,450.27 2026-06-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 9 7 — — $40,112.44 $60,833.85 $40,112.44 2026-06-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 9 7 — — $40,030.56 $60,709.65 $40,030.56 2026-06-15
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 6 5 — — $39,923.92 $39,923.92 $39,923.92 2026-06-15
252 MS_DRG Other Vascular Procedures With Mcc 9 7 — — $39,676.83 $73,623.04 $39,676.83 2026-06-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 7 — — $39,666.59 $73,307.59 $39,666.59 2026-06-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 9 7 — — $39,484.60 $59,881.65 $39,484.60 2026-06-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 9 7 — — $39,293.51 $59,591.85 $39,293.51 2026-06-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 9 7 — — $39,111.51 $59,315.85 $39,111.51 2026-06-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 7 — — $38,922.66 $59,139.90 $38,995.50 2026-06-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 5 — — $38,928.54 $38,928.54 $38,928.54 2026-06-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 8 — — $10,400.00 $72,870.80 $38,804.42 2026-06-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 9 7 — — $38,753.23 $67,022.69 $38,753.23 2026-06-15
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 5 — — $38,480.43 $38,480.43 $38,480.43 2026-06-15
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 5 — — $38,408.03 $38,408.03 $38,408.03 2026-06-15
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 6 5 — — $38,373.46 $38,373.46 $38,373.46 2026-06-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $38,348.02 $38,348.02 $38,348.02 2026-06-15
264 MS_DRG Other Circulatory System O.r. Procedures 9 7 — — $37,996.84 $165,591.18 $37,996.84 2026-06-15
6213 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 6 5 — — $37,694.21 $37,694.21 $37,694.21 2026-06-15
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 6 5 — — $37,671.61 $37,671.61 $37,671.61 2026-06-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 9 7 — — $37,572.57 $56,981.93 $37,572.57 2026-06-15
37 MS_DRG Extracranial Procedures With Mcc 10 8 — — $10,400.00 $66,585.90 $37,445.18 2026-06-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 9 7 — — $37,440.63 $56,781.82 $37,440.63 2026-06-15
33249 HCPCS Hc Ep Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 19 11 $127,593.00 $76,555.80 40% off $820.76 $123,765.21 $37,081.07 2026-06-15
33264 HCPCS Hc Ep Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 19 11 $127,593.00 $76,555.80 40% off $243.01 $123,765.21 $37,081.07 2026-06-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 9 7 — — $31,909.79 $56,110.80 $36,998.18 2026-06-15
6122 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 6 5 — — $36,888.42 $36,888.42 $36,888.42 2026-06-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 9 7 — — $36,835.52 $55,864.12 $36,835.52 2026-06-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 9 7 — — $36,794.59 $84,251.55 $36,794.59 2026-06-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 7 — — $36,743.40 $55,724.40 $36,743.40 2026-06-15
652 MS_DRG Kidney Transplant 8 6 — — $36,733.15 $158,408.45 $36,733.15 2026-06-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 9 7 — — $36,705.86 $55,667.47 $36,705.86 2026-06-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 8 7 — — $36,634.21 $55,558.80 $36,634.21 2026-06-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 9 7 — — $36,515.89 $55,379.40 $36,515.89 2026-06-15
64582 CPT Open Implantation Of Hypoglossal Nerve Neurostimulator Array, Pulse Generator, A… 15 8 — — $848.00 $40,098.94 $36,453.58 2026-06-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 9 7 — — $36,315.74 $73,283.32 $36,315.74 2026-06-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 9 7 — — $36,248.62 $62,897.47 $36,248.62 2026-06-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 9 7 — — $36,213.36 $54,920.55 $36,213.36 2026-06-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 8 — — $10,400.00 $251,128.83 $36,140.56 2026-06-15
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 6 5 — — $36,025.91 $36,025.91 $36,025.91 2026-06-15
500 MS_DRG Soft Tissue Procedures With Mcc 9 7 — — $35,997.24 $54,592.80 $35,997.24 2026-06-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 9 7 — — $35,942.63 $54,510.00 $35,942.63 2026-06-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 9 7 — — $35,840.27 $54,354.75 $35,840.27 2026-06-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 9 7 — — $35,823.22 $115,360.56 $35,823.22 2026-06-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 9 7 — — $23,635.08 $54,201.22 $35,739.05 2026-06-15
1794 APR_DRG Defibrillator Implants 6 5 — — $35,736.95 $35,736.95 $35,736.95 2026-06-15
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 6 5 — — $35,662.89 $35,662.89 $35,662.89 2026-06-15
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 5 — — $35,526.92 $35,526.92 $35,526.92 2026-06-15
665 MS_DRG Prostatectomy With Mcc 9 7 — — $23,101.23 $53,840.70 $35,501.34 2026-06-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 7 — — $35,427.39 $103,543.02 $35,427.39 2026-06-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 8 — — $10,400.00 $91,215.89 $35,364.83 2026-06-15
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 5 — — $34,948.25 $34,948.25 $34,948.25 2026-06-15
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 6 5 — — $34,889.64 $34,889.64 $34,889.64 2026-06-15
662 MS_DRG Minor Bladder Procedures With Mcc 9 7 — — $33,608.41 $52,810.88 $34,822.27 2026-06-15
263 MS_DRG Vein Ligation And Stripping 9 7 — — $33,681.21 $52,740.15 $34,775.65 2026-06-15
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 6 5 — — $34,533.21 $34,533.21 $34,533.21 2026-06-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 8 — — $10,400.00 $52,322.70 $34,500.39 2026-06-15
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 5 — — $34,495.67 $34,495.67 $34,495.67 2026-06-15
6234 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 6 5 — — $34,394.21 $34,394.21 $34,394.21 2026-06-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 9 7 — — $23,732.15 $52,103.62 $34,355.95 2026-06-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 9 7 — — $21,548.21 $52,096.72 $34,351.39 2026-06-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 6 5 — — $34,344.34 $34,344.34 $34,344.34 2026-06-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 9 7 — — $34,313.86 $52,039.80 $34,313.86 2026-06-15
914 APR_DRG Other Major Head & Neck Procedures 6 5 — — $33,999.29 $33,999.29 $33,999.29 2026-06-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 8 7 — — $33,854.32 $51,342.90 $33,854.32 2026-06-15
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 6 5 — — $33,512.30 $33,512.30 $33,512.30 2026-06-15
472 MS_DRG Cervical Spinal Fusion With Cc 9 7 — — $33,509.69 $51,322.59 $33,509.69 2026-06-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 9 7 — — $33,486.94 $156,394.37 $33,486.94 2026-06-15
570 MS_DRG Skin Debridement With Mcc 9 7 — — $33,452.83 $62,242.29 $33,452.83 2026-06-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 5 — — $33,307.87 $33,307.87 $33,307.87 2026-06-15
668 MS_DRG Transurethral Procedures With Mcc 9 7 — — $21,669.54 $50,370.00 $33,212.82 2026-06-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 9 7 — — $33,125.25 $50,934.33 $33,125.25 2026-06-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 9 7 — — $33,008.08 $50,059.50 $33,008.08 2026-06-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 9 7 — — $32,987.61 $52,875.61 $32,987.61 2026-06-15
37186 HCPCS Pr Sec Prq Trluml Thrmbc N-coronary N-intracranial 7 6 $45,131.00 $27,078.60 40% off $178.40 $43,777.07 $32,895.99 2026-06-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 9 7 — — $32,842.03 $52,948.41 $32,842.03 2026-06-15
974 MS_DRG HIV With Major Related Condition With Mcc 9 7 — — $32,826.10 $59,014.91 $32,826.10 2026-06-15
1694 APR_DRG Major Abdominal Vascular Procedures 6 5 — — $32,791.27 $32,791.27 $32,791.27 2026-06-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 10 8 — — $10,400.00 $85,100.86 $32,778.33 2026-06-15
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 6 5 — — $32,693.43 $32,693.43 $32,693.43 2026-06-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 9 7 — — $32,646.39 $51,783.64 $32,646.39 2026-06-15
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