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

DECATUR MEMORIAL HOSPITAL

Decatur, IL · CCN 140135 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

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

This hospital’s price: $5,740 across 20 payers · range $1,433-$9,304

Source: https://memorial.health/Resources/463a1f34-823e-44f8-9278-9e022e939496/370661199_Decatur_Memorial_Hospital_standardcharges.csv?v=2 · observed 2026-07-15

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

5,316 distinct procedures filed
32 distinct payers
445,885 rate rows
2026-07-15 last MRF observed
Data quality

437,233 of 445,885 rate rows are consumer-grade (98.1%)

8,652 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7,159
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 356
template filing: same amount across many unrelated codes — excluded 307
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 306
placeholder amount (≤ $0.02) — excluded from medians 203
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 180
per-diem day rate — not a per-procedure price 100
exceeds 10× this hospital's gross charge — excluded from medians 41
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://memorial.health/Resources/463a1f34-823e-44f8-9278-9e022e939496/370661199_Decatur_Memorial_Hospital_standardcharges.csv?v=2
Found on page https://memorial.health/financial/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint 28cb069d2e09ca23… · 669,080,772 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $1,433.00 $628,901.64 $522,645.95 nat. median
$370,165
1.4× median
24
APR_DRG 		Heart And/or Lung Transplant 2 $224,400.00 $325,818.06 $275,109.03 nat. median
$243,231
1.1× median
5834
APR_DRG 		Neonate With Ecmo 2 $225,420.00 $314,197.96 $269,808.98 nat. median
$311,018
0.9× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $193,800.00 $311,440.82 $252,620.41 nat. median
$165,646
1.5× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $225,420.00 $257,727.54 $241,573.77 nat. median
$254,667
0.9× median
5833
APR_DRG 		Neonate With Ecmo 2 $209,712.35 $227,843.89 $218,778.12 nat. median
$250,089
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $1,433.00 $386,729.82 $217,913.85 nat. median
$261,939
0.8× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $196,602.99 $213,601.10 $205,102.04 nat. median
$175,480
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $172,181.55 $187,068.20 $179,624.88 nat. median
$160,171
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $1,433.00 $299,605.78 $176,948.42 nat. median
$132,706
1.3× median
23
APR_DRG 		Heart And/or Lung Transplant 2 $142,800.00 $201,481.13 $172,140.57 nat. median
$116,111
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $1,433.00 $461,811.32 $166,021.49 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $1,433.00 $459,101.08 $165,993.02 nat. median
$199,832
0.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $122,400.00 $208,283.06 $165,341.53 nat. median
$137,901
1.2× median
5832
APR_DRG 		Neonate With Ecmo 2 $156,836.27 $170,396.19 $163,616.23 nat. median
$169,230
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $148,446.24 $161,280.77 $154,863.51 nat. median
$168,174
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $147,278.23 $160,011.77 $153,645.00 nat. median
$209,486
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $142,514.94 $154,836.65 $148,675.79 nat. median
$147,677
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $123,420.00 $168,087.41 $145,753.71 nat. median
$156,285
0.9× median
22
APR_DRG 		Heart And/or Lung Transplant 2 $137,622.17 $149,520.86 $143,571.52 nat. median
$94,014
1.5× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $134,640.00 $152,021.70 $143,330.85 nat. median
$180,995
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $122,400.00 $162,316.16 $142,358.08 nat. median
$168,361
0.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $132,600.00 $150,970.28 $141,785.14 nat. median
$147,847
1.0× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 2 $122,400.00 $157,393.71 $139,896.85 nat. median
$83,517
1.7× median
7
MS_DRG 		Lung Transplant 18 $1,433.00 $436,302.09 $136,831.82 nat. median
$122,690
1.1× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $51,021.42 $222,108.37 $136,564.90 nat. median
$119,243
1.1× median
64
APR_DRG 		Pancreas Transplant 2 $86,700.00 $183,938.13 $135,319.07 nat. median
$92,994
1.5× median
5831
APR_DRG 		Neonate With Ecmo 2 $127,952.51 $139,015.17 $133,483.84 nat. median
$154,685
0.9× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $115,863.38 $125,880.82 $120,872.10 nat. median
$89,814
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $1,433.00 $156,378.84 $119,731.80 nat. median
$108,240
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $112,830.26 $122,585.46 $117,707.86 nat. median
$127,938
0.9× median
9104
APR_DRG 		Craniotomy For Multiple Significant Trauma 2 $112,334.43 $122,046.77 $117,190.60 nat. median
$58,249
outlier · 2.0×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $102,000.00 $120,485.38 $111,242.69 nat. median
$123,690
0.9× median
9114
APR_DRG 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 $106,127.15 $115,302.80 $110,714.98 nat. median
$54,718
outlier · 2.0×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $105,199.88 $114,295.37 $109,747.62 nat. median
$64,013
1.7× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $81,600.00 $135,114.08 $108,357.04 nat. median
$109,499
1.0× median
63
APR_DRG 		Pancreas Transplant 2 $86,700.00 $129,335.60 $108,017.80 nat. median
$75,474
1.4× median
9124
APR_DRG 		Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 $103,111.66 $112,026.61 $107,569.14 nat. median
$55,212
1.9× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $93,840.00 $120,414.57 $107,127.29 nat. median
$74,748
1.4× median
4404
APR_DRG 		Kidney Transplant 2 $91,800.00 $122,376.63 $107,088.32 nat. median
$80,513
1.3× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $100,627.52 $109,327.68 $104,977.60 nat. median
$67,603
1.6× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 $99,453.34 $108,051.98 $103,752.66 nat. median
$79,228
1.3× median
62
APR_DRG 		Pancreas Transplant 2 $86,700.00 $112,276.07 $99,488.04 nat. median
$58,394
1.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $92,292.02 $100,271.50 $96,281.76 nat. median
$127,600
0.8× median
204
APR_DRG 		Open Craniotomy For Trauma 2 $91,629.67 $99,551.89 $95,590.78 nat. median
$43,984
outlier · 2.2×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $91,090.81 $98,966.44 $95,028.62 nat. median
$112,711
0.8× median
12
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $88,740.00 $100,921.86 $94,830.93 nat. median
$59,223
1.6× median
72
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $90,629.16 $98,464.87 $94,547.01 nat. median
$66,666
1.4× median
1612
APR_DRG 		Implantable Heart Assist Systems 2 $90,592.94 $98,425.53 $94,509.24 nat. median
$93,192
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $90,356.26 $98,168.38 $94,262.32 nat. median
$165,599
0.6× median

Other procedures at this hospital

Browse this hospital's 5,316 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 24 18 — — $1,433.00 $628,901.64 $522,645.95 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 2 2 — — $224,400.00 $325,818.06 $275,109.03 2026-07-15
5834 APR_DRG Neonate With Ecmo 2 2 — — $225,420.00 $314,197.96 $269,808.98 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $193,800.00 $311,440.82 $252,620.41 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $225,420.00 $257,727.54 $241,573.77 2026-07-15
5833 APR_DRG Neonate With Ecmo 2 2 — — $209,712.35 $227,843.89 $218,778.12 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 18 — — $1,433.00 $386,729.82 $217,913.85 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $196,602.99 $213,601.10 $205,102.04 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $172,181.55 $187,068.20 $179,624.88 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 22 — — $1,433.00 $299,605.78 $176,948.42 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 2 2 — — $142,800.00 $201,481.13 $172,140.57 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 20 — — $1,433.00 $461,811.32 $166,021.49 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 22 — — $1,433.00 $459,101.08 $165,993.02 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $122,400.00 $208,283.06 $165,341.53 2026-07-15
5832 APR_DRG Neonate With Ecmo 2 2 — — $156,836.27 $170,396.19 $163,616.23 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $148,446.24 $161,280.77 $154,863.51 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $147,278.23 $160,011.77 $153,645.00 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $142,514.94 $154,836.65 $148,675.79 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $123,420.00 $168,087.41 $145,753.71 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 2 2 — — $137,622.17 $149,520.86 $143,571.52 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $134,640.00 $152,021.70 $143,330.85 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $122,400.00 $162,316.16 $142,358.08 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $132,600.00 $150,970.28 $141,785.14 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $122,400.00 $157,393.71 $139,896.85 2026-07-15
7 MS_DRG Lung Transplant 23 18 — — $1,433.00 $436,302.09 $136,831.82 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $51,021.42 $222,108.37 $136,564.90 2026-07-15
64 APR_DRG Pancreas Transplant 2 2 — — $86,700.00 $183,938.13 $135,319.07 2026-07-15
5831 APR_DRG Neonate With Ecmo 2 2 — — $127,952.51 $139,015.17 $133,483.84 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $115,863.38 $125,880.82 $120,872.10 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 18 — — $1,433.00 $156,378.84 $119,731.80 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $112,830.26 $122,585.46 $117,707.86 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $112,334.43 $122,046.77 $117,190.60 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $102,000.00 $120,485.38 $111,242.69 2026-07-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $106,127.15 $115,302.80 $110,714.98 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $105,199.88 $114,295.37 $109,747.62 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $81,600.00 $135,114.08 $108,357.04 2026-07-15
63 APR_DRG Pancreas Transplant 2 2 — — $86,700.00 $129,335.60 $108,017.80 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $103,111.66 $112,026.61 $107,569.14 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $93,840.00 $120,414.57 $107,127.29 2026-07-15
4404 APR_DRG Kidney Transplant 2 2 — — $91,800.00 $122,376.63 $107,088.32 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $100,627.52 $109,327.68 $104,977.60 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $99,453.34 $108,051.98 $103,752.66 2026-07-15
62 APR_DRG Pancreas Transplant 2 2 — — $86,700.00 $112,276.07 $99,488.04 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $92,292.02 $100,271.50 $96,281.76 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $91,629.67 $99,551.89 $95,590.78 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $91,090.81 $98,966.44 $95,028.62 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $88,740.00 $100,921.86 $94,830.93 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $90,629.16 $98,464.87 $94,547.01 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $90,592.94 $98,425.53 $94,509.24 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $90,356.26 $98,168.38 $94,262.32 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 25 19 — — $1,433.00 $165,847.02 $92,894.38 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $86,062.97 $93,503.89 $89,783.43 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 2 2 — — $51,000.00 $128,179.01 $89,589.51 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $85,178.97 $92,543.47 $88,861.22 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 23 — — $1,433.00 $139,182.56 $84,736.50 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 20 — — $1,433.00 $132,403.72 $84,473.94 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $80,698.19 $87,675.29 $84,186.74 2026-07-15
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 29 21 — — $1,433.00 $235,206.78 $84,106.48 2026-07-15
215 MS_DRG Other Heart Assist System Implant 38 29 — — $59,742.00 $215,369.91 $83,813.02 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $80,136.80 $87,065.35 $83,601.08 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 20 — — $1,433.00 $148,768.98 $83,561.31 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $80,063.54 $86,985.77 $83,524.65 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 29 — — $58,696.80 $211,601.96 $80,958.20 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 18 — — $1,433.00 $142,284.90 $80,174.45 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $76,171.28 $82,756.98 $79,464.13 2026-07-15
4403 APR_DRG Kidney Transplant 2 2 — — $74,245.91 $80,665.15 $77,455.53 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $73,222.25 $79,552.98 $76,387.61 2026-07-15
5881 APR_DRG Female Reproductive System Reconstructive Procedures 2 2 — — $51,000.00 $93,814.72 $72,407.36 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $67,713.35 $73,567.78 $70,640.57 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $51,000.00 $89,605.59 $70,302.79 2026-07-15
9103 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $66,934.37 $72,721.45 $69,827.91 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 38 29 — — $50,579.40 $182,338.74 $69,799.24 2026-07-15
61 APR_DRG Pancreas Transplant 2 2 — — $51,000.00 $88,254.03 $69,627.01 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 19 16 — — $1,665.00 $273,655.62 $68,642.75 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $64,729.36 $70,325.80 $67,527.58 2026-07-15
J9266 HCPCS 00944-3810-01 - Pegaspargase 750 Iu/ml Inj 57 32 $187,706.05 $187,706.05 $998.60 $187,706.05 $66,516.17 2026-07-15
4402 APR_DRG Kidney Transplant 2 2 — — $63,678.33 $69,183.90 $66,431.11 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 20 — — $1,433.00 $103,917.01 $66,299.34 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $63,157.95 $68,618.53 $65,888.24 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 32 23 — — $1,433.00 $114,866.98 $65,755.57 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $62,624.33 $68,038.77 $65,331.55 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 20 — — $1,433.00 $181,765.54 $65,123.88 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $62,319.76 $67,707.87 $65,013.82 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $61,957.67 $67,314.47 $64,636.07 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $61,897.64 $67,249.26 $64,573.45 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 29 — — $46,069.80 $166,081.63 $63,599.91 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $60,822.34 $66,080.99 $63,451.67 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $60,728.92 $65,979.49 $63,354.21 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 29 — — $45,871.20 $165,365.68 $63,326.90 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $60,670.59 $65,916.12 $63,293.35 2026-07-15
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $59,743.52 $64,908.89 $62,326.21 2026-07-15
9102 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $59,453.56 $64,593.85 $62,023.71 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $58,735.34 $63,813.55 $61,274.44 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 20 — — $1,433.00 $170,202.14 $61,187.79 2026-07-15
203 APR_DRG Open Craniotomy For Trauma 2 2 — — $58,611.26 $63,678.73 $61,145.00 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 22 — — $1,433.00 $172,807.15 $60,274.97 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 27 20 — — $1,433.00 $112,398.13 $60,010.90 2026-07-15
4401 APR_DRG Kidney Transplant 2 2 — — $56,859.83 $61,775.88 $59,317.85 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 18 — — $1,433.00 $97,993.21 $59,218.20 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $56,152.67 $61,007.58 $58,580.12 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $55,409.82 $60,200.51 $57,805.17 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 21 — — $1,433.00 $154,230.55 $56,437.34 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $53,931.75 $58,594.64 $56,263.19 2026-07-15
10 MS_DRG Pancreas Transplant 23 18 — — $1,433.00 $99,024.66 $55,798.25 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 20 — — $1,433.00 $155,145.50 $55,668.31 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 18 — — $1,433.00 $98,457.48 $55,427.12 2026-07-15
3084 APR_DRG Hip And Femur Fracture Repair 2 2 — — $52,511.25 $57,051.32 $54,781.29 2026-07-15
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $52,396.17 $56,926.30 $54,661.24 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $51,000.00 $57,910.86 $54,455.43 2026-07-15
9101 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $51,000.00 $56,466.25 $53,733.12 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 20 — — $1,433.00 $149,502.23 $53,663.79 2026-07-15
C2616 HCPCS Nm Y-90 Microspheres- Nonstranded 72 30 $87,672.00 $87,672.00 $3,121.00 $89,975.00 $53,294.10 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $50,781.18 $55,171.68 $52,976.43 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 22 — — $1,433.00 $145,593.69 $52,823.96 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 22 18 — — $1,665.00 $176,973.88 $52,724.61 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $50,109.44 $54,441.86 $52,275.65 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $49,980.19 $54,301.43 $52,140.81 2026-07-15
9113 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $49,944.00 $54,262.11 $52,103.06 2026-07-15
570 MS_DRG Skin Debridement With Mcc 28 20 — — $1,433.00 $87,525.79 $52,101.58 2026-07-15
1784 APR_DRG External Heart Assist Systems 2 2 — — $49,646.53 $53,938.93 $51,792.73 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 22 — — $1,433.00 $142,223.74 $51,607.47 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 31 22 — — $1,433.00 $107,877.46 $51,393.47 2026-07-15
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $49,013.50 $53,251.16 $51,132.33 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 27 20 — — $1,433.00 $104,444.78 $51,130.86 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 22 — — $1,433.00 $142,223.74 $51,078.42 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 20 — — $1,433.00 $119,462.49 $50,978.63 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 22 — — $1,433.00 $141,706.78 $50,894.83 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 38 29 — — $34,861.00 $129,959.53 $49,825.46 2026-07-15
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 2 2 — — $47,664.60 $51,785.63 $49,725.11 2026-07-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $47,645.40 $51,764.77 $49,705.08 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 20 — — $1,433.00 $114,504.89 $49,683.26 2026-07-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $47,027.32 $51,093.26 $49,060.29 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 23 18 — — $1,433.01 $100,852.14 $48,994.54 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 38 29 — — $35,211.60 $126,937.82 $48,673.19 2026-07-15
C2624 HCPCS Ccls-system Cardiomems Sensor 63 24 $97,500.00 $97,500.00 $3,121.00 $97,500.00 $48,600.00 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 23 19 — — $1,433.00 $89,596.60 $48,486.93 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $46,154.91 $50,145.42 $48,150.17 2026-07-15
J9347 HCPCS 00310-4535-30 - Tremelimumab Actl 20 mg/mL Sol 56 32 $122,671.40 $122,671.40 $652.61 $122,671.40 $47,827.05 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $45,705.75 $49,657.43 $47,681.59 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 20 — — $1,433.00 $132,557.29 $47,644.87 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 20 — — $1,433.00 $131,134.04 $47,139.33 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $44,957.62 $48,844.61 $46,901.12 2026-07-15
C1824 HCPCS Generator Optimizer Smart Mini 33 25 $78,000.00 $78,000.00 $3,121.00 $78,000.00 $46,800.00 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $44,788.67 $48,661.06 $46,724.86 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 29 21 — — $1,433.00 $129,922.76 $46,709.06 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 20 — — $1,433.00 $128,981.85 $46,374.87 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 23 — — $1,433.00 $128,557.91 $46,224.26 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 19 — — $1,433.00 $81,829.86 $46,118.24 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 30 22 — — $1,433.00 $139,766.93 $46,067.40 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 38 29 — — $32,776.20 $118,158.20 $45,325.25 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $43,421.33 $47,175.50 $45,298.42 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $43,247.76 $46,986.92 $45,117.34 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 22 — — $1,433.00 $123,946.39 $45,023.48 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $43,099.99 $46,826.37 $44,963.18 2026-07-15
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $26,603.37 $63,093.65 $44,848.51 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 22 — — $1,433.00 $123,280.18 $44,784.43 2026-07-15
202 APR_DRG Open Craniotomy For Trauma 2 2 — — $42,836.00 $46,539.56 $44,687.78 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $42,516.95 $46,192.93 $44,354.94 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $42,365.71 $46,028.61 $44,197.16 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $41,644.51 $45,245.06 $43,444.79 2026-07-15
278 MS_DRG Cellulitis Age >17 Without Cc 29 21 — — $1,433.00 $120,396.91 $43,325.44 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 30 22 — — $1,433.00 $173,874.09 $43,157.62 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 30 22 — — $1,433.00 $118,326.92 $43,007.04 2026-07-15
8634 APR_DRG Neonatal Aftercare 2 2 — — $41,206.56 $44,769.25 $42,987.90 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $41,199.64 $44,761.72 $42,980.68 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 27 20 — — $1,433.00 $68,727.16 $42,569.85 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 20 — — $1,433.00 $117,972.18 $42,464.16 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $40,628.80 $44,141.53 $42,385.17 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 25 19 — — $1,433.00 $74,965.74 $42,296.69 2026-07-15
1794 APR_DRG Defibrillator Implants 2 2 — — $40,448.43 $43,945.56 $42,196.99 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $40,280.63 $43,763.26 $42,021.94 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $40,228.68 $43,706.82 $41,967.75 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 22 — — $1,433.00 $115,348.46 $41,938.29 2026-07-15
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $40,081.36 $43,546.76 $41,814.06 2026-07-15
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $39,856.50 $43,302.46 $41,579.48 2026-07-15
554 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 2 2 — — $39,771.66 $43,210.28 $41,490.97 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 20 — — $1,433.00 $317,992.25 $41,098.12 2026-07-15
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $39,373.86 $42,778.09 $41,075.97 2026-07-15
8444 APR_DRG Partial Thickness Burns Without Skin Graft 2 2 — — $38,576.32 $43,225.28 $40,900.80 2026-07-15
J2507 HCPCS 75987-0080-10 - Pegloticase 8 mg/mL Inj 56 32 $111,842.24 $111,842.24 $595.00 $111,842.24 $40,760.87 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 20 — — $1,433.00 $125,700.80 $40,553.40 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 22 — — $1,433.00 $95,016.26 $40,455.22 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $38,561.55 $41,895.54 $40,228.54 2026-07-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $38,284.07 $41,594.08 $39,939.07 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $38,083.57 $41,376.24 $39,729.90 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 22 — — $1,433.00 $109,019.53 $39,667.29 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 22 — — $1,433.00 $106,821.92 $39,253.90 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 22 — — $1,433.00 $106,456.37 $38,747.54 2026-07-15
A9545 HCPCS Nm I131 Bexxar Tx/Dose 35 26 $64,562.00 $64,562.00 $343.47 $64,562.00 $38,737.20 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 20 — — $1,433.00 $107,012.26 $38,571.15 2026-07-15
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 2 — — $36,785.01 $39,965.41 $38,375.21 2026-07-15
J3357 HCPCS 57894-0061-03 - Ustekinumab 90 mg/mL Subcutaneous 46 29 $79,352.13 $79,352.13 $422.15 $79,352.13 $38,330.25 2026-07-15
1783 APR_DRG External Heart Assist Systems 2 2 — — $36,728.55 $39,904.06 $38,316.31 2026-07-15
9112 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $36,663.77 $39,833.68 $38,248.72 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 20 — — $1,433.00 $106,012.96 $38,216.18 2026-07-15
9122 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $36,622.34 $39,788.68 $38,205.51 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 2 — — $36,579.22 $39,741.83 $38,160.53 2026-07-15
234 APR_DRG Spinal Procedures 2 2 — — $36,485.32 $39,639.81 $38,062.57 2026-07-15
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $36,257.80 $39,392.62 $37,825.21 2026-07-15
9121 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $36,110.38 $39,232.45 $37,671.41 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $35,985.41 $39,096.68 $37,541.04 2026-07-15
4414 APR_DRG Major Bladder Procedures 2 2 — — $35,978.87 $39,089.57 $37,534.22 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $35,922.80 $39,028.65 $37,475.73 2026-07-15
201 APR_DRG Open Craniotomy For Trauma 2 2 — — $35,657.90 $38,740.85 $37,199.38 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 20 — — $1,433.00 $102,976.10 $37,137.50 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 2 — — $35,527.83 $38,599.54 $37,063.68 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 23 — — $1,433.00 $101,483.63 $36,963.18 2026-07-15
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 2 2 — — $35,374.49 $38,432.93 $36,903.71 2026-07-15
277 MS_DRG Cellulitis Age >17 W Cc 29 21 — — $1,433.00 $123,909.18 $36,744.35 2026-07-15
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $35,209.18 $38,253.33 $36,731.26 2026-07-15
C1882 HCPCS Ccls-crm-icd Not S Or D Lvl I 497 24 $58,874.00 $58,874.00 $3,121.00 $104,400.00 $36,720.00 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 18 — — $1,433.00 $64,879.32 $36,681.11 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 23 19 — — $1,433.00 $146,158.36 $36,643.22 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 33 24 — — $1,433.00 $190,381.48 $36,571.87 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 20 — — $1,433.00 $101,180.81 $36,499.81 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $34,021.08 $38,815.96 $36,418.52 2026-07-15
C1767 HCPCS Generator Sentiva 1000 621 24 $58,500.00 $58,500.00 $2,059.84 $115,000.00 $36,000.00 2026-07-15
3083 APR_DRG Hip And Femur Fracture Repair 2 2 — — $32,313.05 $39,471.33 $35,892.19 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 30 22 — — $1,433.00 $105,298.79 $35,852.52 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 22 — — $1,433.00 $99,077.27 $35,836.99 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $34,347.91 $37,317.60 $35,832.76 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 20 — — $1,433.00 $99,169.22 $35,785.27 2026-07-15
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $34,278.30 $37,241.97 $35,760.14 2026-07-15
C1826 HCPCS Generator Scs Inceptiv Recharg 44 30 $66,000.00 $66,000.00 $3,121.00 $66,000.00 $35,706.00 2026-07-15
1782 APR_DRG External Heart Assist Systems 2 2 — — $34,219.37 $37,177.95 $35,698.66 2026-07-15
245 MS_DRG Aicd Generator Procedures 27 20 — — $1,433.00 $98,684.71 $35,613.18 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $34,085.06 $37,032.03 $35,558.54 2026-07-15
799 MS_DRG Splenectomy With Mcc 27 20 — — $1,433.00 $97,960.11 $35,355.77 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 2 — — $33,887.51 $36,817.39 $35,352.45 2026-07-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $33,854.93 $36,781.99 $35,318.46 2026-07-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $33,756.80 $36,675.38 $35,216.09 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 20 — — $1,433.00 $96,913.21 $34,983.92 2026-07-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $33,521.27 $36,419.49 $34,970.38 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $33,453.54 $36,345.90 $34,899.72 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 19 — — $1,433.00 $96,532.53 $34,848.69 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 38 29 — — $25,132.80 $90,603.74 $34,817.90 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $33,273.05 $36,149.80 $34,711.43 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $33,045.99 $35,903.12 $34,474.56 2026-07-15
574 APR_DRG Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Co… 2 2 — — $32,986.55 $35,838.54 $34,412.54 2026-07-15
6904 APR_DRG Acute Leukemia 2 2 — — $32,878.20 $35,720.82 $34,299.51 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $32,784.30 $35,618.80 $34,201.55 2026-07-15
C1820 HCPCS Generator Kit 621 24 $51,525.00 $51,525.00 $3,121.00 $78,000.00 $34,125.00 2026-07-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $32,619.35 $35,439.59 $34,029.47 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $32,421.78 $35,224.93 $33,823.35 2026-07-15
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 31 22 — — $1,433.00 $120,833.20 $33,807.63 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 32 23 — — $1,433.00 $288,640.75 $33,698.89 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 22 — — $1,433.00 $91,192.08 $33,588.80 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 20 — — $1,433.00 $92,855.43 $33,542.58 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 26 19 — — $1,433.00 $92,258.44 $33,330.51 2026-07-15
564 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 2 2 — — $31,911.65 $34,670.70 $33,291.18 2026-07-15
1814 APR_DRG Lower Extremity Arterial Procedures 2 2 — — $31,883.00 $34,639.57 $33,261.29 2026-07-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $31,883.00 $34,639.57 $33,261.29 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 22 — — $1,433.00 $90,880.61 $33,158.50 2026-07-15
274 APR_DRG Other Open Craniotomy 2 2 — — $31,719.05 $34,461.46 $33,090.25 2026-07-15
8422 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $31,670.54 $34,408.74 $33,039.64 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 29 21 — — $1,433.00 $165,960.11 $33,007.05 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 27 20 — — $1,433.00 $90,772.46 $32,802.69 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $31,360.38 $34,071.77 $32,716.07 2026-07-15
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 2 — — $31,321.51 $34,029.54 $32,675.53 2026-07-15
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $31,302.43 $34,008.81 $32,655.62 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 22 — — $1,433.00 $145,188.60 $32,618.31 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 32 23 — — $1,433.00 $90,188.45 $32,595.26 2026-07-15
2614 APR_DRG Major Biliary Tract Procedures 2 2 — — $31,228.00 $33,927.94 $32,577.97 2026-07-15
J1747 HCPCS 00597-0035-10 - Spesolimab Sbzo 450 Mg/7.5 Ml Sol 56 32 $82,705.33 $82,705.33 $439.99 $82,705.33 $32,570.44 2026-07-15
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $31,167.60 $33,862.32 $32,514.96 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 27 20 — — $1,433.00 $89,829.39 $32,467.71 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 2 2 — — $30,943.21 $33,618.54 $32,280.88 2026-07-15
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 2 2 — — $30,942.01 $33,617.22 $32,279.61 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 27 20 — — $1,433.00 $89,234.56 $32,256.42 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $30,890.49 $33,561.25 $32,225.87 2026-07-15
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $30,797.44 $33,460.15 $32,128.79 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 2 2 — — $30,549.91 $33,191.22 $31,870.57 2026-07-15
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 2 — — $30,538.75 $33,179.10 $31,858.92 2026-07-15
1781 APR_DRG External Heart Assist Systems 2 2 — — $30,521.04 $33,159.86 $31,840.45 2026-07-15
791 MS_DRG Prematurity With Major Problems 30 22 — — $1,433.01 $87,796.17 $31,745.49 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $30,374.03 $33,000.14 $31,687.08 2026-07-15
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 2 — — $30,127.73 $32,732.55 $31,430.14 2026-07-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $29,981.49 $32,573.67 $31,277.58 2026-07-15
4014 APR_DRG Adrenal Procedures 2 2 — — $29,919.54 $32,506.35 $31,212.94 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 27 20 — — $1,433.00 $86,176.08 $31,170.04 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $29,760.21 $32,333.25 $31,046.73 2026-07-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 2 2 — — $29,730.19 $32,300.64 $31,015.42 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 22 — — $1,433.00 $84,614.40 $30,910.00 2026-07-15
1793 APR_DRG Defibrillator Implants 2 2 — — $29,493.13 $32,043.08 $30,768.11 2026-07-15
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 2 2 — — $29,402.31 $31,944.40 $30,673.36 2026-07-15
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 2 2 — — $29,284.94 $31,816.89 $30,550.92 2026-07-15
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $29,254.59 $31,783.91 $30,519.25 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 30 22 — — $1,433.00 $85,202.69 $30,516.50 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 20 — — $1,433.00 $84,231.55 $30,479.33 2026-07-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $29,127.15 $31,645.45 $30,386.30 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 27 20 — — $1,433.00 $83,723.24 $30,298.79 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $28,996.30 $31,503.29 $30,249.79 2026-07-15
C1736 HCPCS Bundle Recor Paradise 46 32 $60,000.00 $60,000.00 $319.20 $60,000.00 $30,164.40 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 23 — — $1,433.00 $97,967.60 $30,151.62 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 23 — — $1,433.00 $83,044.06 $30,057.54 2026-07-15
3844 APR_DRG Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue 2 2 — — $28,811.19 $31,302.18 $30,056.68 2026-07-15
C1722 HCPCS Ccls-crm-icd Single Level I 373 24 $53,700.00 $53,700.00 $3,121.00 $95,750.00 $30,000.00 2026-07-15
J9043 HCPCS 00024-5824-11 - Cabazitaxel 60 Mg/1.5 Ml Vial 56 32 $100,794.61 $100,794.61 $536.23 $100,794.61 $29,974.54 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 22 — — $1,433.00 $164,845.10 $29,838.99 2026-07-15
3082 APR_DRG Hip And Femur Fracture Repair 2 2 — — $28,297.10 $30,743.64 $29,520.37 2026-07-15
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