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

MEMORIAL MEDICAL CENTER

Springfield, IL · CCN 140148 · Rates published

5,316 distinct procedures filed
35 distinct payers
1,086,582 rate rows
2026-10-09 last MRF observed
Data quality

1,037,620 of 1,086,582 rate rows are consumer-grade (95.5%)

48,962 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 38,682
per-diem day rate — not a per-procedure price 8,820
template filing: same amount across many unrelated codes — excluded 710
placeholder amount (≤ $0.02) — excluded from medians 412
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 242
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 50
exceeds 10× this hospital's gross charge — excluded from medians 46
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://memorial.health/Resources/452b1df1-ad01-4063-a729-31a091660635/370661220_Springfield_Memorial_Hospital_standardcharges.csv?v=2
Found on page https://memorial.health/financial/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-28
Content fingerprint f663678fbf3ea7e2… · 617,290,900 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 14 $360,671.27 $843,360.08 $454,518.26 nat. median
$359,454
1.3× median
7
MS_DRG 		Lung Transplant 13 $108,781.68 $340,133.69 $323,936.85 nat. median
$117,974
outlier · 2.7×
24
APR_DRG 		Heart And/or Lung Transplant 2 $220,000.00 $301,652.81 $260,826.40 nat. median
$241,437
1.1× median
5834
APR_DRG 		Neonate With Ecmo 2 $221,423.47 $291,326.49 $256,374.98 nat. median
$307,206
0.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $190,000.00 $304,012.66 $247,006.33 nat. median
$155,939
1.6× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $221,423.47 $239,044.36 $230,233.91 nat. median
$247,214
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $174,805.89 $547,306.77 $229,349.56 nat. median
$249,036
0.9× median
5833
APR_DRG 		Neonate With Ecmo 2 $211,377.12 $221,423.47 $216,400.29 nat. median
$244,017
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $197,758.75 $200,000.00 $198,879.38 nat. median
$170,082
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $173,625.68 $187,521.20 $180,573.44 nat. median
$154,011
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $132,449.75 $459,101.08 $178,291.68 nat. median
$190,559
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $133,230.37 $461,811.32 $175,079.04 nat. median
$198,418
0.9× median
5832
APR_DRG 		Neonate With Ecmo 2 $158,190.20 $170,846.56 $164,518.38 nat. median
$159,249
1.0× median
23
APR_DRG 		Heart And/or Lung Transplant 2 $140,000.00 $186,537.69 $163,268.85 nat. median
$110,944
1.5× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $120,000.00 $192,835.14 $156,417.57 nat. median
$136,566
1.1× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $149,750.85 $161,729.70 $155,740.28 nat. median
$165,000
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $148,144.03 $160,037.03 $154,090.53 nat. median
$202,993
0.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $143,784.68 $155,284.56 $149,534.62 nat. median
$133,164
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $121,423.47 $156,052.65 $138,738.06 nat. median
$151,838
0.9× median
22
APR_DRG 		Heart And/or Lung Transplant 2 $138,000.00 $138,431.21 $138,215.60 nat. median
$92,229
1.5× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 2 $120,000.00 $153,639.71 $136,819.85 nat. median
$82,180
1.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $132,423.47 $141,178.50 $136,800.98 nat. median
$175,204
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $120,423.47 $150,709.44 $135,566.46 nat. median
$162,342
0.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $130,423.47 $140,205.06 $135,314.27 nat. median
$145,061
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $103,270.31 $299,605.78 $134,970.27 nat. median
$126,695
1.1× median
5831
APR_DRG 		Neonate With Ecmo 2 $129,136.64 $139,460.58 $134,298.61 nat. median
$146,500
0.9× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $50,444.47 $206,067.00 $128,255.74 nat. median
$123,836
1.0× median
64
APR_DRG 		Pancreas Transplant 2 $85,000.00 $170,295.82 $127,647.91 nat. median
$91,106
1.4× median
9104
APR_DRG 		Craniotomy For Multiple Significant Trauma 2 $119,135.83 $128,700.05 $123,917.94 nat. median
$57,768
outlier · 2.1×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $116,544.50 $125,900.69 $121,222.60 nat. median
$89,273
1.4× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $113,493.56 $122,604.81 $118,049.18 nat. median
$120,517
1.0× median
9114
APR_DRG 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 $112,552.72 $121,588.45 $117,070.58 nat. median
$52,094
outlier · 2.2×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $111,569.31 $120,526.09 $116,047.70 nat. median
$61,012
1.9× median
9124
APR_DRG 		Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 $109,354.66 $118,133.65 $113,744.15 nat. median
$53,253
outlier · 2.1×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $100,423.47 $111,981.17 $106,202.32 nat. median
$118,620
0.9× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $101,651.01 $109,768.40 $105,709.70 nat. median
$67,735
1.6× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 $100,037.99 $108,069.04 $104,053.51 nat. median
$78,130
1.3× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $80,423.47 $125,524.89 $102,974.18 nat. median
$107,681
1.0× median
63
APR_DRG 		Pancreas Transplant 2 $85,000.00 $119,743.05 $102,371.52 nat. median
$73,580
1.4× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $92,000.00 $111,483.67 $101,741.83 nat. median
$73,704
1.4× median
4404
APR_DRG 		Kidney Transplant 2 $90,000.00 $113,300.21 $101,650.11 nat. median
$78,303
1.3× median
J9266
HCPCS 		00944-3810-01 - Pegaspargase 750 Iu/ml Inj 35 $27,969.28 $187,706.05 $101,361.27 nat. median
$33,233
outlier · 3.0×
204
APR_DRG 		Open Craniotomy For Trauma 2 $97,177.49 $104,978.89 $101,078.19 nat. median
$43,892
outlier · 2.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $75,087.95 $234,709.59 $98,445.29 nat. median
$110,307
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $77,547.61 $221,310.05 $97,913.40 nat. median
$104,013
0.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $92,834.57 $100,287.33 $96,560.95 nat. median
$122,016
0.8× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $92,058.25 $99,405.53 $95,731.89 nat. median
$108,695
0.9× median
72
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $91,161.94 $98,480.41 $94,821.18 nat. median
$66,446
1.4× median
1612
APR_DRG 		Implantable Heart Assist Systems 2 $91,125.51 $98,441.06 $94,783.29 nat. median
$84,880
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $90,887.44 $98,183.88 $94,535.66 nat. median
$163,587
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.

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 30 14 — — $360,671.27 $843,360.08 $454,518.26 2026-10-09
7 MS_DRG Lung Transplant 28 13 — — $108,781.68 $340,133.69 $323,936.85 2026-10-09
24 APR_DRG Heart And/or Lung Transplant 4 2 — — $220,000.00 $301,652.81 $260,826.40 2026-10-09
5834 APR_DRG Neonate With Ecmo 4 2 — — $221,423.47 $291,326.49 $256,374.98 2026-10-09
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 2 — — $190,000.00 $304,012.66 $247,006.33 2026-10-09
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $221,423.47 $239,044.36 $230,233.91 2026-10-09
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 13 — — $174,805.89 $547,306.77 $229,349.56 2026-10-09
5833 APR_DRG Neonate With Ecmo 4 2 — — $211,377.12 $221,423.47 $216,400.29 2026-10-09
74 APR_DRG Allogeneic Bone Marrow Transplant 4 2 — — $197,758.75 $200,000.00 $198,879.38 2026-10-09
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 2 — — $173,625.68 $187,521.20 $180,573.44 2026-10-09
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 16 — — $132,449.75 $459,101.08 $178,291.68 2026-10-09
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 38 16 — — $133,230.37 $461,811.32 $175,079.04 2026-10-09
5832 APR_DRG Neonate With Ecmo 4 2 — — $158,190.20 $170,846.56 $164,518.38 2026-10-09
23 APR_DRG Heart And/or Lung Transplant 4 2 — — $140,000.00 $186,537.69 $163,268.85 2026-10-09
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 2 — — $120,000.00 $192,835.14 $156,417.57 2026-10-09
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 2 — — $149,750.85 $161,729.70 $155,740.28 2026-10-09
1614 APR_DRG Implantable Heart Assist Systems 4 2 — — $148,144.03 $160,037.03 $154,090.53 2026-10-09
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 2 — — $143,784.68 $155,284.56 $149,534.62 2026-10-09
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $121,423.47 $156,052.65 $138,738.06 2026-10-09
22 APR_DRG Heart And/or Lung Transplant 4 2 — — $138,000.00 $138,431.21 $138,215.60 2026-10-09
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 2 — — $120,000.00 $153,639.71 $136,819.85 2026-10-09
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $132,423.47 $141,178.50 $136,800.98 2026-10-09
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $120,423.47 $150,709.44 $135,566.46 2026-10-09
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $130,423.47 $140,205.06 $135,314.27 2026-10-09
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 16 — — $103,270.31 $299,605.78 $134,970.27 2026-10-09
5831 APR_DRG Neonate With Ecmo 4 2 — — $129,136.64 $139,460.58 $134,298.61 2026-10-09
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $50,444.47 $206,067.00 $128,255.74 2026-10-09
64 APR_DRG Pancreas Transplant 4 2 — — $85,000.00 $170,295.82 $127,647.91 2026-10-09
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $119,135.83 $128,700.05 $123,917.94 2026-10-09
73 APR_DRG Allogeneic Bone Marrow Transplant 4 2 — — $116,544.50 $125,900.69 $121,222.60 2026-10-09
1613 APR_DRG Implantable Heart Assist Systems 4 2 — — $113,493.56 $122,604.81 $118,049.18 2026-10-09
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 2 — — $112,552.72 $121,588.45 $117,070.58 2026-10-09
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 2 — — $111,569.31 $120,526.09 $116,047.70 2026-10-09
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 2 — — $109,354.66 $118,133.65 $113,744.15 2026-10-09
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $100,423.47 $111,981.17 $106,202.32 2026-10-09
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $101,651.01 $109,768.40 $105,709.70 2026-10-09
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 2 — — $100,037.99 $108,069.04 $104,053.51 2026-10-09
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 2 — — $80,423.47 $125,524.89 $102,974.18 2026-10-09
63 APR_DRG Pancreas Transplant 4 2 — — $85,000.00 $119,743.05 $102,371.52 2026-10-09
13 APR_DRG Liver Transplant And/or Intestinal Transplant 4 2 — — $92,000.00 $111,483.67 $101,741.83 2026-10-09
4404 APR_DRG Kidney Transplant 4 2 — — $90,000.00 $113,300.21 $101,650.11 2026-10-09
J9266 HCPCS 00944-3810-01 - Pegaspargase 750 Iu/ml Inj 114 35 $187,706.05 $187,706.05 $27,969.28 $187,706.05 $101,361.27 2026-10-09
204 APR_DRG Open Craniotomy For Trauma 4 2 — — $97,177.49 $104,978.89 $101,078.19 2026-10-09
14 MS_DRG Allogeneic Bone Marrow Transplant 28 13 — — $75,087.95 $234,709.59 $98,445.29 2026-10-09
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 13 — — $77,547.61 $221,310.05 $97,913.40 2026-10-09
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $92,834.57 $100,287.33 $96,560.95 2026-10-09
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $92,058.25 $99,405.53 $95,731.89 2026-10-09
72 APR_DRG Allogeneic Bone Marrow Transplant 4 2 — — $91,161.94 $98,480.41 $94,821.18 2026-10-09
1612 APR_DRG Implantable Heart Assist Systems 4 2 — — $91,125.51 $98,441.06 $94,783.29 2026-10-09
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 2 — — $90,887.44 $98,183.88 $94,535.66 2026-10-09
62 APR_DRG Pancreas Transplant 4 2 — — $85,000.00 $103,948.78 $94,474.39 2026-10-09
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 14 — — $51,418.92 $132,403.72 $90,302.69 2026-10-09
12 APR_DRG Liver Transplant And/or Intestinal Transplant 4 2 — — $87,000.00 $93,436.70 $90,218.35 2026-10-09
1611 APR_DRG Implantable Heart Assist Systems 4 2 — — $86,568.90 $93,518.65 $90,043.77 2026-10-09
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $86,111.65 $92,981.54 $89,546.60 2026-10-09
215 MS_DRG Other Heart Assist System Implant 40 14 — — $62,248.48 $215,369.91 $85,047.51 2026-10-09
71 APR_DRG Allogeneic Bone Marrow Transplant 4 2 — — $81,604.53 $88,112.60 $84,858.57 2026-10-09
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 13 — — $64,450.77 $201,364.06 $84,481.40 2026-10-09
21 APR_DRG Heart And/or Lung Transplant 4 2 — — $50,000.00 $118,672.24 $84,336.12 2026-10-09
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $81,039.84 $87,502.57 $84,271.21 2026-10-09
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $80,966.15 $87,422.97 $84,194.56 2026-10-09
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 38 16 — — $67,962.04 $235,206.78 $82,703.94 2026-10-09
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 16 — — $38,500.00 $211,601.96 $80,165.64 2026-10-09
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 2 — — $77,051.01 $83,193.51 $80,122.26 2026-10-09
4403 APR_DRG Kidney Transplant 4 2 — — $74,682.38 $80,677.88 $77,680.13 2026-10-09
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $74,084.64 $79,423.47 $76,754.05 2026-10-09
9103 APR_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $70,986.98 $76,685.81 $73,836.39 2026-10-09
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 2 — — $68,543.36 $74,002.87 $71,273.11 2026-10-09
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 32 15 — — $55,422.83 $273,655.62 $69,137.97 2026-10-09
6 MS_DRG Liver Transplant Without Mcc 28 13 — — $38,950.80 $90,560.61 $68,772.88 2026-10-09
5881 APR_DRG Female Reproductive System Reconstructive Procedures 4 2 — — $50,000.00 $86,856.68 $68,428.34 2026-10-09
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 2 — — $65,541.82 $70,760.37 $68,151.10 2026-10-09
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 14 — — $52,569.48 $181,765.54 $67,180.01 2026-10-09
231 MS_DRG Coronary Bypass With Ptca With Mcc 46 15 — — $31,950.00 $182,338.74 $67,154.00 2026-10-09
4402 APR_DRG Kidney Transplant 4 2 — — $64,052.68 $69,194.82 $66,623.75 2026-10-09
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 14 — — $47,078.64 $118,456.00 $66,601.98 2026-10-09
11 APR_DRG Liver Transplant And/or Intestinal Transplant 4 2 — — $50,000.00 $82,959.73 $66,479.86 2026-10-09
J9347 HCPCS 00310-4535-30 - Tremelimumab Actl 20 mg/mL Sol 114 35 $122,671.40 $122,671.40 $22,688.05 $122,671.40 $66,242.56 2026-10-09
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 38 16 — — $49,238.90 $170,202.14 $66,097.92 2026-10-09
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $63,529.23 $68,629.36 $66,079.29 2026-10-09
9102 APR_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $63,485.16 $68,538.61 $66,011.89 2026-10-09
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 2 — — $63,360.75 $68,447.35 $65,904.05 2026-10-09
61 APR_DRG Pancreas Transplant 4 2 — — $50,000.00 $81,708.41 $65,854.21 2026-10-09
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 2 — — $62,992.48 $68,049.52 $65,521.00 2026-10-09
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $62,753.84 $67,748.57 $65,251.21 2026-10-09
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 2 — — $62,686.12 $67,718.56 $65,202.34 2026-10-09
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $62,693.46 $67,683.34 $65,188.40 2026-10-09
203 APR_DRG Open Craniotomy For Trauma 4 2 — — $62,159.93 $67,150.13 $64,655.03 2026-10-09
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 38 16 — — $48,871.61 $139,182.56 $64,009.09 2026-10-09
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 38 16 — — $47,688.24 $164,818.44 $64,007.16 2026-10-09
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $61,459.20 $66,349.99 $63,904.60 2026-10-09
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 2 — — $61,179.90 $66,091.42 $63,635.66 2026-10-09
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 16 — — $33,100.00 $166,081.63 $62,954.09 2026-10-09
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 48 16 — — $46,816.00 $165,365.68 $62,683.38 2026-10-09
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 42 16 — — $44,638.63 $154,230.55 $61,998.09 2026-10-09
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 2 — — $61,517.87 $62,423.47 $61,970.67 2026-10-09
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $59,080.63 $63,823.62 $61,452.12 2026-10-09
J2507 HCPCS 75987-0080-10 - Pegloticase 8 mg/mL Inj 114 35 $111,842.24 $111,842.24 $23,558.30 $111,842.24 $60,394.81 2026-10-09
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 38 16 — — $44,902.17 $155,145.50 $60,250.68 2026-10-09
570 MS_DRG Skin Debridement With Mcc 34 14 — — $24,705.24 $63,615.99 $59,490.04 2026-10-09
4401 APR_DRG Kidney Transplant 4 2 — — $57,194.09 $61,785.63 $59,489.86 2026-10-09
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $56,914.71 $61,440.68 $59,177.69 2026-10-09
10 MS_DRG Pancreas Transplant 28 13 — — $44,920.87 $140,141.42 $58,843.60 2026-10-09
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 34 14 — — $47,457.14 $148,768.98 $58,520.13 2026-10-09
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 13 — — $44,664.80 $139,338.74 $58,507.46 2026-10-09
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 2 — — $56,167.50 $60,633.48 $58,400.49 2026-10-09
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 38 16 — — $43,276.75 $267,843.00 $58,059.12 2026-10-09
3084 APR_DRG Hip And Femur Fracture Repair 4 2 — — $55,690.59 $60,161.43 $57,926.01 2026-10-09
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 2 — — $54,680.73 $59,027.36 $56,854.04 2026-10-09
955 MS_DRG Craniotomy For Multiple Significant Trauma 38 16 — — $42,150.99 $145,593.69 $56,541.24 2026-10-09
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 16 — — $38,500.00 $142,223.74 $55,318.26 2026-10-09
9113 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 2 — — $52,967.91 $57,220.17 $55,094.04 2026-10-09
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 38 16 — — $41,031.46 $141,706.78 $55,031.76 2026-10-09
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 2 — — $52,704.19 $56,935.28 $54,819.74 2026-10-09
J9043 HCPCS 00024-5824-11 - Cabazitaxel 60 Mg/1.5 Ml Vial 114 35 $100,794.61 $100,794.61 $13,626.20 $100,794.61 $54,429.09 2026-10-09
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 16 — — $38,500.00 $142,223.74 $53,933.25 2026-10-09
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 2 — — $51,511.65 $55,603.86 $53,557.76 2026-10-09
C2616 HCPCS Nm Y-90 Microspheres- Nonstranded 200 34 $87,672.00 $87,672.00 $12,564.22 $89,975.00 $53,294.10 2026-10-09
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 2 — — $50,835.96 $54,873.92 $52,854.94 2026-10-09
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 4 2 — — $50,550.50 $54,608.69 $52,579.60 2026-10-09
9101 APR_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $50,000.00 $55,119.47 $52,559.74 2026-10-09
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 2 — — $50,274.01 $54,310.00 $52,292.01 2026-10-09
1784 APR_DRG External Heart Assist Systems 4 2 — — $49,938.39 $53,947.44 $51,942.92 2026-10-09
459 MS_DRG Spinal Fusion Except Cervical With Mcc 32 15 — — $41,535.47 $176,973.88 $51,823.56 2026-10-09
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $50,000.00 $53,615.73 $51,807.87 2026-10-09
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 2 — — $49,733.58 $53,683.04 $51,708.31 2026-10-09
28 MS_DRG Spinal Procedures With Mcc 38 16 — — $37,647.91 $129,959.53 $50,469.72 2026-10-09
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $48,357.43 $52,196.41 $50,276.92 2026-10-09
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 16 — — $37,366.32 $128,981.85 $50,090.04 2026-10-09
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 36 15 — — $37,244.21 $128,557.91 $49,667.43 2026-10-09
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 2 — — $47,735.72 $51,524.80 $49,630.26 2026-10-09
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 38 16 — — $36,753.91 $145,845.79 $49,264.32 2026-10-09
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 34 14 — — $38,396.15 $132,557.29 $49,078.06 2026-10-09
C2624 HCPCS Ccls-system Cardiomems Sensor 188 30 $82,500.00 $82,500.00 $11,512.00 $97,500.00 $49,013.25 2026-10-09
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 2 — — $46,858.18 $50,576.80 $48,717.49 2026-10-09
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 13 — — $37,158.24 $115,807.04 $48,653.26 2026-10-09
232 MS_DRG Coronary Bypass With Ptca Without Mcc 46 15 — — $31,950.00 $131,134.04 $48,554.49 2026-10-09
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 48 16 — — $36,193.00 $126,937.82 $48,153.55 2026-10-09
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 16 — — $35,915.97 $123,946.39 $48,134.52 2026-10-09
276 MS_DRG Non-maligant Breast Disorders 42 16 — — $35,538.36 $129,922.76 $48,108.91 2026-10-09
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 16 — — $35,724.09 $123,280.18 $47,875.80 2026-10-09
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 2 — — $45,974.44 $49,665.27 $47,819.85 2026-10-09
J3357 HCPCS 57894-0061-03 - Ustekinumab 90 mg/mL Subcutaneous 92 31 $79,352.13 $79,352.13 $13,805.00 $79,352.13 $47,611.28 2026-10-09
202 APR_DRG Open Craniotomy For Trauma 4 2 — — $45,429.55 $49,076.63 $47,253.09 2026-10-09
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 2 — — $45,221.91 $48,852.32 $47,037.12 2026-10-09
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 2 — — $45,051.97 $48,668.74 $46,860.35 2026-10-09
C1824 HCPCS Generator Optimizer Smart Mini 92 29 $78,000.00 $78,000.00 $13,427.20 $78,000.00 $46,800.00 2026-10-09
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 32 15 — — $38,320.75 $89,596.60 $46,649.30 2026-10-09
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 38 16 — — $34,418.26 $135,868.06 $46,115.16 2026-10-09
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 38 16 — — $34,297.40 $118,326.92 $45,952.20 2026-10-09
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 38 16 — — $34,195.23 $117,972.18 $45,814.44 2026-10-09
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $43,933.94 $47,417.81 $45,675.88 2026-10-09
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 34 14 — — $36,487.30 $103,917.01 $45,513.02 2026-10-09
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $43,676.59 $47,182.94 $45,429.76 2026-10-09
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 2 — — $43,353.36 $46,833.76 $45,093.56 2026-10-09
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 48 16 — — $31,650.00 $118,158.20 $44,833.92 2026-10-09
J1747 HCPCS 00597-0035-10 - Spesolimab Sbzo 450 Mg/7.5 Ml Sol 114 35 $82,705.33 $82,705.33 $18,608.70 $82,705.33 $44,660.88 2026-10-09
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 13 — — $34,059.42 $106,092.82 $44,585.29 2026-10-09
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $42,766.89 $46,200.22 $44,483.56 2026-10-09
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 38 16 — — $33,196.55 $119,120.47 $44,467.92 2026-10-09
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 2 — — $42,614.76 $46,035.87 $44,325.32 2026-10-09
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 34 14 — — $34,624.48 $119,462.49 $44,260.96 2026-10-09
163 MS_DRG Major Chest Procedures With Mcc 42 16 — — $35,133.59 $96,941.33 $43,979.49 2026-10-09
554 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 4 2 — — $42,179.67 $45,565.85 $43,872.76 2026-10-09
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 2 — — $26,081.74 $61,588.81 $43,835.27 2026-10-09
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 16 — — $33,100.00 $115,348.46 $43,771.53 2026-10-09
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 2 — — $41,889.33 $45,252.20 $43,570.76 2026-10-09
8634 APR_DRG Neonatal Aftercare 4 2 — — $41,880.74 $45,199.78 $43,540.26 2026-10-09
228 MS_DRG Other Cardiothoracic Procedures With Mcc 48 16 — — $31,038.47 $120,827.86 $43,108.98 2026-10-09
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 2 — — $41,441.84 $44,768.79 $43,105.32 2026-10-09
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 2 — — $41,299.58 $44,571.97 $42,935.78 2026-10-09
278 MS_DRG Cellulitis Age >17 Without Cc 38 16 — — $7,293.40 $120,396.91 $42,480.66 2026-10-09
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $40,748.93 $43,977.10 $42,363.01 2026-10-09
653 MS_DRG Major Bladder Procedures With Mcc 34 14 — — $33,041.48 $112,398.13 $42,320.99 2026-10-09
1794 APR_DRG Defibrillator Implants 4 2 — — $40,686.21 $43,952.50 $42,319.35 2026-10-09
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 14 — — $33,087.54 $114,126.37 $42,298.00 2026-10-09
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 2 — — $40,517.43 $43,770.17 $42,143.80 2026-10-09
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $40,522.75 $43,732.77 $42,127.76 2026-10-09
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $40,465.17 $43,713.71 $42,089.44 2026-10-09
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 38 16 — — $31,287.67 $107,877.46 $41,894.16 2026-10-09
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 38 16 — — $30,983.65 $106,821.92 $41,484.24 2026-10-09
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 16 — — $31,616.62 $109,019.53 $41,378.52 2026-10-09
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 38 16 — — $30,878.36 $106,456.37 $41,342.28 2026-10-09
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 2 — — $39,605.33 $42,784.85 $41,195.09 2026-10-09
9112 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 2 — — $38,883.62 $42,005.19 $40,444.40 2026-10-09
9122 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 2 — — $38,839.68 $41,957.73 $40,398.71 2026-10-09
1694 APR_DRG Major Abdominal Vascular Procedures 4 2 — — $38,788.24 $41,902.15 $40,345.19 2026-10-09
277 MS_DRG Cellulitis Age >17 W Cc 42 16 — — $28,989.41 $123,909.18 $40,263.06 2026-10-09
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 4 2 — — $38,509.13 $41,600.65 $40,054.89 2026-10-09
A9604 HCPCS Sm-153 114 35 $74,160.00 $74,160.00 $3,159.80 $74,160.00 $40,046.40 2026-10-09
8444 APR_DRG Partial Thickness Burns Without Skin Graft 4 2 — — $37,819.92 $42,194.32 $40,007.12 2026-10-09
914 APR_DRG Other Major Head And Neck Procedures 4 2 — — $38,307.45 $41,382.77 $39,845.11 2026-10-09
9121 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 2 — — $38,296.72 $41,371.18 $39,833.95 2026-10-09
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 38 14 — — $26,305.00 $112,592.80 $39,746.52 2026-10-09
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 13 — — $29,505.89 $91,818.34 $39,491.76 2026-10-09
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 16 — — $29,446.08 $101,483.63 $39,411.12 2026-10-09
201 APR_DRG Open Craniotomy For Trauma 4 2 — — $37,816.84 $40,852.78 $39,334.81 2026-10-09
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 34 14 — — $30,750.65 $106,012.96 $39,313.34 2026-10-09
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 1 — — $39,260.27 $39,260.27 $39,260.27 2026-10-09
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 4 2 — — $37,433.19 $40,395.18 $38,914.18 2026-10-09
471 MS_DRG Cervical Spinal Fusion With Mcc 38 16 — — $30,298.96 $104,444.78 $38,776.19 2026-10-09
A9545 HCPCS Nm I131 Bexxar Tx/Dose 88 30 $64,562.00 $64,562.00 $14,526.45 $64,562.00 $38,737.20 2026-10-09
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 38 16 — — $28,852.35 $99,422.29 $38,610.60 2026-10-09
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 38 16 — — $28,779.47 $155,236.96 $38,512.32 2026-10-09
1783 APR_DRG External Heart Assist Systems 4 2 — — $36,944.46 $39,910.36 $38,427.41 2026-10-09
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 2 — — $36,902.89 $39,822.31 $38,362.60 2026-10-09
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 2 — — $36,794.26 $39,748.10 $38,271.18 2026-10-09
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 38 16 — — $28,554.56 $98,388.38 $38,209.08 2026-10-09
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 34 14 — — $29,875.96 $102,976.10 $38,196.21 2026-10-09
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 38 16 — — $28,542.09 $103,466.44 $38,192.28 2026-10-09
234 APR_DRG Spinal Procedures 4 2 — — $36,699.81 $39,646.07 $38,172.94 2026-10-09
93656 CPT Cclp-ep Eval Transeptal Afib 114 35 $68,879.00 $68,879.00 $855.61 $98,594.57 $37,883.45 2026-10-09
214 APR_DRG Open Craniotomy Except Trauma 4 2 — — $36,196.96 $39,102.85 $37,649.90 2026-10-09
4414 APR_DRG Major Bladder Procedures 4 2 — — $36,190.38 $39,095.74 $37,643.06 2026-10-09
31 MS_DRG Ventricular Shunt Procedures With Mcc 38 16 — — $28,129.67 $180,671.10 $37,636.20 2026-10-09
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $36,133.97 $39,034.81 $37,584.39 2026-10-09
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 34 14 — — $29,358.86 $101,180.81 $37,535.78 2026-10-09
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 2 — — $36,014.38 $38,862.46 $37,438.42 2026-10-09
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 2 — — $35,848.10 $38,682.84 $37,265.47 2026-10-09
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 4 2 — — $35,736.69 $38,605.63 $37,171.16 2026-10-09
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 38 16 — — $27,583.29 $95,016.26 $36,899.52 2026-10-09
33405 CPT Cclp-rplcmt Prost Aortic Valve Open Xcp Homogrf/st 90 31 $60,759.00 $60,759.00 $2,236.82 $60,759.00 $36,455.40 2026-10-09
574 APR_DRG Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Co… 4 2 — — $34,983.76 $37,792.25 $36,388.01 2026-10-09
799 MS_DRG Splenectomy With Mcc 42 16 — — $10,965.00 $97,960.11 $36,351.00 2026-10-09
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 2 — — $34,911.75 $37,671.32 $36,291.54 2026-10-09
93654 CPT Cclp-ep Eval- Abl Vt3dlv P R 112 35 $64,742.00 $64,742.00 $908.89 $98,594.57 $36,255.52 2026-10-09
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 32 15 — — $28,909.04 $146,158.35 $36,081.25 2026-10-09
C1826 HCPCS Generator Scs Inceptiv Recharg 116 34 $66,000.00 $66,000.00 $6,042.50 $66,000.00 $35,970.00 2026-10-09
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 2 — — $34,549.83 $37,323.49 $35,936.66 2026-10-09
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 4 2 — — $34,518.66 $37,246.67 $35,882.67 2026-10-09
J9203 HCPCS 00008-4510-01 - Gemtuzumab 5 Mg Inj (Mylotarg Equi 114 35 $66,436.65 $66,436.65 $10,634.50 $66,436.65 $35,875.79 2026-10-09
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 34 14 — — $28,020.02 $96,532.53 $35,825.83 2026-10-09
1782 APR_DRG External Heart Assist Systems 4 2 — — $34,420.54 $37,183.82 $35,802.18 2026-10-09
J9228 HCPCS 00003-2327-11 - Ipilimumab 5 mg/mL 10mL 228 35 $68,472.66 $68,472.66 $8,051.48 $101,160.96 $35,784.36 2026-10-09
C1882 HCPCS Icd Cobalt Hf Quad Crt-d MRI 1,480 30 $58,874.00 $58,874.00 $4,786.00 $104,400.00 $35,743.22 2026-10-09
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 2 — — $34,285.44 $37,037.87 $35,661.65 2026-10-09
J9229 HCPCS 00008-0100-01 - Inotuzumab Ozogamicin 0.9 Mg Pwd 114 35 $65,906.01 $65,906.01 $14,828.85 $65,906.01 $35,589.25 2026-10-09
894 APR_DRG Major Cranial Or Facial Bone Procedures 4 2 — — $34,053.95 $36,787.80 $35,420.88 2026-10-09
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 38 16 — — $26,481.83 $91,192.08 $35,414.40 2026-10-09
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 38 16 — — $26,468.74 $91,146.66 $35,396.76 2026-10-09
245 MS_DRG Aicd Generator Procedures 38 16 — — $28,639.92 $98,684.71 $35,324.23 2026-10-09
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 2 — — $33,955.24 $36,681.16 $35,318.20 2026-10-09
564 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 4 2 — — $33,843.77 $36,560.75 $35,202.26 2026-10-09
3083 APR_DRG Hip And Femur Fracture Repair 4 2 — — $31,679.46 $38,529.90 $35,104.68 2026-10-09
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 2 — — $33,777.47 $36,369.00 $35,073.24 2026-10-09
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 2 — — $33,718.33 $36,425.24 $35,071.79 2026-10-09
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 16 — — $26,211.45 $90,253.34 $35,049.84 2026-10-09
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 2 — — $33,650.20 $36,351.64 $35,000.92 2026-10-09
8422 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 2 — — $33,588.06 $36,284.51 $34,936.29 2026-10-09
33366 CPT Cclp-tavr Transapical Apprch 90 31 $58,209.00 $58,209.00 $1,486.28 $58,209.00 $34,925.40 2026-10-09
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 38 16 — — $26,089.34 $89,829.39 $34,885.20 2026-10-09
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 2 — — $33,468.65 $36,155.51 $34,812.08 2026-10-09
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 42 16 — — $26,867.78 $93,601.66 $34,747.67 2026-10-09
1204 APR_DRG Major Respiratory And Chest Procedures 4 2 — — $33,240.26 $35,908.78 $34,574.52 2026-10-09
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 2 — — $33,243.05 $35,868.65 $34,555.85 2026-10-09
C1767 HCPCS Generator Aspire Sr 106 1,884 30 $57,875.00 $57,875.00 $1,169.92 $115,000.00 $34,500.00 2026-10-09
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 34 14 — — $26,960.93 $92,855.43 $34,473.18 2026-10-09
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 48 16 — — $25,665.00 $90,603.74 $34,415.39 2026-10-09
6904 APR_DRG Acute Leukemia 4 2 — — $33,071.48 $35,726.46 $34,398.97 2026-10-09
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 2 — — $32,977.03 $35,624.42 $34,300.72 2026-10-09
140 MS_DRG Major Head And Neck Procedures With Mcc 34 14 — — $26,788.96 $92,258.44 $34,253.54 2026-10-09
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 4 2 — — $32,662.10 $35,284.21 $33,973.15 2026-10-09
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 2 — — $32,612.37 $35,230.49 $33,921.43 2026-10-09
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 34 14 — — $26,526.69 $91,347.82 $33,918.57 2026-10-09
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 42 16 — — $16,973.00 $90,880.61 $33,746.71 2026-10-09
901 MS_DRG Wound Debridements For Injuries With Mcc 34 14 — — $26,360.97 $90,772.46 $33,706.92 2026-10-09
C1736 HCPCS Bundle Recor Paradise 112 35 $60,000.00 $60,000.00 $5,493.18 $60,000.00 $33,600.00 2026-10-09
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $32,070.43 $34,645.04 $33,357.74 2026-10-09
1814 APR_DRG Lower Extremity Arterial Procedures 4 2 — — $32,070.43 $34,645.04 $33,357.74 2026-10-09
274 APR_DRG Other Open Craniotomy 4 2 — — $31,905.52 $34,466.90 $33,186.21 2026-10-09
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $31,918.38 $34,437.64 $33,178.01 2026-10-09
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 34 14 — — $25,918.01 $89,234.56 $33,141.19 2026-10-09
J2350 HCPCS 50242-0150-01 - Ocrelizumab 300 Mg/10 Ml Sol 114 35 $61,179.81 $61,179.81 $13,765.46 $61,179.81 $33,037.10 2026-10-09
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 2 — — $31,782.76 $34,291.13 $33,036.94 2026-10-09
33231 CPT Cclp-insertion Icd Generator Only With Existing Mu 112 35 $56,200.00 $56,200.00 $367.62 $118,401.85 $32,998.87 2026-10-09
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 38 16 — — $24,587.27 $84,614.40 $32,859.96 2026-10-09
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 2 — — $31,544.74 $34,077.15 $32,810.94 2026-10-09
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 2 — — $31,505.64 $34,034.92 $32,770.28 2026-10-09
2614 APR_DRG Major Biliary Tract Procedures 4 2 — — $31,411.58 $33,933.30 $32,672.44 2026-10-09
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 38 16 — — $24,271.40 $83,517.76 $32,434.08 2026-10-09
6954 APR_DRG Chemotherapy For Acute Leukemia 4 2 — — $31,125.12 $33,623.84 $32,374.48 2026-10-09
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 4 2 — — $31,123.90 $33,622.53 $32,373.22 2026-10-09
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $31,072.09 $33,566.55 $32,319.32 2026-10-09
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 38 16 — — $24,134.98 $83,044.06 $32,250.12 2026-10-09
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 34 14 — — $25,037.09 $86,176.08 $32,016.09 2026-10-09
2304 APR_DRG Major Small Bowel Procedures 4 2 — — $30,729.50 $33,196.46 $31,962.98 2026-10-09
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 4 2 — — $30,718.27 $33,184.34 $31,951.31 2026-10-09
1781 APR_DRG External Heart Assist Systems 4 2 — — $30,700.47 $33,165.10 $31,932.78 2026-10-09
793 MS_DRG Full Term Neonate With Major Problems 36 15 — — $8,538.49 $90,188.45 $31,897.23 2026-10-09
C1820 HCPCS Generator Intellis Sensor 1,884 30 $52,125.00 $52,125.00 $5,591.30 $78,000.00 $31,815.00 2026-10-09
3844 APR_DRG Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue 4 2 — — $30,555.60 $33,008.59 $31,782.09 2026-10-09
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 2 — — $30,552.59 $33,005.35 $31,778.97 2026-10-09
33365 CPT Cclp-tavr Transoaortic Apprch 90 31 $52,784.00 $52,784.00 $1,352.26 $52,784.00 $31,670.40 2026-10-09
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 38 16 — — $23,659.62 $81,393.69 $31,609.20 2026-10-09
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 4 2 — — $30,304.85 $32,737.72 $31,521.28 2026-10-09
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 38 16 — — $23,502.01 $80,846.45 $31,396.68 2026-10-09
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 2 — — $30,157.75 $32,578.81 $31,368.28 2026-10-09
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 38 16 — — $23,434.09 $184,275.53 $31,305.12 2026-10-09
4014 APR_DRG Adrenal Procedures 4 2 — — $30,095.42 $32,511.48 $31,303.45 2026-10-09
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 34 14 — — $24,477.01 $84,231.55 $31,300.76 2026-10-09
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