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

KIRBY MEDICAL CENTER

Monticello, IL · CCN 141301 · Rates published

3,214 distinct procedures filed
16 distinct payers
183,232 rate rows
2025-06-30 last MRF observed · ⚠ 14 mo old
Data quality

97,632 of 183,232 rate rows are consumer-grade (53.3%)

85,600 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 85,334
percent-of-charges filed in the dollar field — excluded from medians 222
per-diem day rate — not a per-procedure price 24
placeholder amount (≤ $0.02) — excluded from medians 12
template filing: same amount across many unrelated codes — excluded 5
exceeds 10× this hospital's gross charge — excluded from medians 3

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11428/370661215_kirby-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/KirbyMedicalCenter/11428
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-01
Content fingerprint 1c13037a24460b8b… · 99,372,109 bytes · first seen 2026-05-18

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo 4 $190,753.52 $200,291.20 $190,753.52 nat. median
$311,018
0.6× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $156,469.62 $164,293.10 $156,469.62 nat. median
$254,667
0.6× median
5833
APR_DRG 		Neonate With Ecmo 4 $151,080.42 $158,634.44 $151,080.42 nat. median
$250,089
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 4 $149,603.54 $157,083.72 $149,603.54 nat. median
$209,486
0.7× median
24
APR_DRG 		Heart And/or Lung Transplant 4 $144,371.88 $151,590.47 $144,371.88 nat. median
$243,231
0.6× median
0120
EAPG 		Car T-cell Immunotherapy 4 $122,682.71 $128,816.85 $122,682.71 nat. median
$30,475
outlier · 4.0×
1613
APR_DRG 		Implantable Heart Assist Systems 4 $114,611.68 $120,342.26 $114,611.68 nat. median
$127,938
0.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $113,571.45 $119,250.02 $113,571.45 nat. median
$160,171
0.7× median
5832
APR_DRG 		Neonate With Ecmo 4 $111,407.33 $116,977.70 $111,407.33 nat. median
$169,230
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $105,500.95 $110,776.00 $105,500.95 nat. median
$165,646
0.6× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $102,047.97 $107,150.37 $102,047.97 nat. median
$156,285
0.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $100,803.68 $105,843.86 $100,803.68 nat. median
$180,995
0.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $98,706.40 $103,641.72 $98,706.40 nat. median
$147,847
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $98,544.17 $103,471.38 $98,544.17 nat. median
$168,361
0.6× median
0246
EAPG 		Class IV Therapeutic Radiopharmaceuticals 4 $98,431.17 $103,352.73 $98,431.17 nat. median
$27,823
outlier · 3.5×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $98,417.52 $103,338.40 $98,417.52 nat. median
$119,243
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $97,915.58 $102,811.36 $97,915.58 nat. median
$168,174
0.6× median
5831
APR_DRG 		Neonate With Ecmo 4 $96,276.07 $101,089.87 $96,276.07 nat. median
$154,685
0.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $94,647.89 $99,380.28 $94,647.89 nat. median
$175,480
0.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 $94,003.27 $98,703.43 $94,003.27 nat. median
$147,677
0.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $93,749.17 $98,436.63 $93,749.17 nat. median
$127,600
0.7× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $92,291.44 $96,906.01 $92,291.44 nat. median
$137,901
0.7× median
1612
APR_DRG 		Implantable Heart Assist Systems 4 $92,023.27 $96,624.43 $92,023.27 nat. median
$93,192
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $91,782.86 $96,372.00 $91,782.86 nat. median
$165,599
0.6× median
23
APR_DRG 		Heart And/or Lung Transplant 4 $89,277.46 $93,741.33 $89,277.46 nat. median
$116,111
0.8× median
1611
APR_DRG 		Implantable Heart Assist Systems 4 $87,421.77 $91,792.86 $87,421.77 nat. median
$82,164
1.1× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 $82,029.45 $86,130.92 $82,029.45 nat. median
$109,499
0.7× median
64
APR_DRG 		Pancreas Transplant 4 $81,504.06 $85,579.26 $81,504.06 nat. median
$92,994
0.9× median
3060
EAPG 		Ventricular Assist Device Procedures 4 $80,721.65 $84,757.73 $80,721.65 nat. median
$24,294
outlier · 3.3×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $73,148.19 $76,805.60 $73,148.19 nat. median
$123,690
0.6× median
22
APR_DRG 		Heart And/or Lung Transplant 4 $66,253.56 $69,566.24 $66,253.56 nat. median
$94,014
0.7× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $65,623.40 $68,904.57 $65,623.40 nat. median
$112,711
0.6× median
0250
EAPG 		Cochlear Device Implantation 4 $65,083.89 $68,338.08 $65,083.89 nat. median
$18,746
outlier · 3.5×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $64,972.14 $68,220.75 $64,972.14 nat. median
$120,928
0.5× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $64,155.12 $67,362.88 $64,155.12 nat. median
$78,024
0.8× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $63,303.70 $66,468.89 $63,303.70 nat. median
$101,315
0.6× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 $61,782.64 $64,871.77 $61,782.64 nat. median
$88,000
0.7× median
0097
EAPG 		Aicd And Related Cardiac Device Insertion Or Replacement 4 $60,637.60 $63,669.48 $60,637.60 nat. median
$17,255
outlier · 3.5×
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 $59,662.69 $62,645.82 $59,662.69 nat. median
$82,636
0.7× median
0466
EAPG 		Class Xiv Combined Chemotherapy And Pharmacotherapy 4 $58,748.36 $61,685.78 $58,748.36 nat. median
$18,480
outlier · 3.2×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $57,731.94 $60,618.54 $57,731.94 nat. median
$108,751
0.5× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $57,679.17 $60,563.13 $57,679.17 nat. median
$92,000
0.6× median
63
APR_DRG 		Pancreas Transplant 4 $57,309.36 $60,174.83 $57,309.36 nat. median
$75,474
0.8× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 $57,039.24 $59,891.20 $57,039.24 nat. median
$84,380
0.7× median
21
APR_DRG 		Heart And/or Lung Transplant 4 $56,796.87 $59,636.71 $56,796.87 nat. median
$74,854
0.8× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 $56,184.30 $58,993.52 $56,184.30 nat. median
$99,613
0.6× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $55,778.53 $58,567.46 $55,778.53 nat. median
$89,814
0.6× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $54,875.11 $57,618.87 $54,875.11 nat. median
$80,447
0.7× median
4404
APR_DRG 		Kidney Transplant 4 $54,225.80 $56,937.09 $54,225.80 nat. median
$80,513
0.7× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $53,356.40 $56,024.22 $53,356.40 nat. median
$74,748
0.7× median

Other procedures at this hospital

Browse this hospital's 3,214 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
             
5834 APR_DRG Neonate With Ecmo 4 4 — — $190,753.52 $200,291.20 $190,753.52 2025-06-30
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $156,469.62 $164,293.10 $156,469.62 2025-06-30
5833 APR_DRG Neonate With Ecmo 4 4 — — $151,080.42 $158,634.44 $151,080.42 2025-06-30
1614 APR_DRG Implantable Heart Assist Systems 4 4 — — $149,603.54 $157,083.72 $149,603.54 2025-06-30
24 APR_DRG Heart And/or Lung Transplant 4 4 — — $144,371.88 $151,590.47 $144,371.88 2025-06-30
0120 EAPG Car T-cell Immunotherapy 4 4 — — $122,682.71 $128,816.85 $122,682.71 2025-06-30
1613 APR_DRG Implantable Heart Assist Systems 4 4 — — $114,611.68 $120,342.26 $114,611.68 2025-06-30
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $113,571.45 $119,250.02 $113,571.45 2025-06-30
5832 APR_DRG Neonate With Ecmo 4 4 — — $111,407.33 $116,977.70 $111,407.33 2025-06-30
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $105,500.95 $110,776.00 $105,500.95 2025-06-30
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $102,047.97 $107,150.37 $102,047.97 2025-06-30
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $100,803.68 $105,843.86 $100,803.68 2025-06-30
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $98,706.40 $103,641.72 $98,706.40 2025-06-30
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $98,544.17 $103,471.38 $98,544.17 2025-06-30
0246 EAPG Class IV Therapeutic Radiopharmaceuticals 4 4 — — $98,431.17 $103,352.73 $98,431.17 2025-06-30
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $98,417.52 $103,338.40 $98,417.52 2025-06-30
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $97,915.58 $102,811.36 $97,915.58 2025-06-30
5831 APR_DRG Neonate With Ecmo 4 4 — — $96,276.07 $101,089.87 $96,276.07 2025-06-30
74 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $94,647.89 $99,380.28 $94,647.89 2025-06-30
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $94,003.27 $98,703.43 $94,003.27 2025-06-30
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $93,749.17 $98,436.63 $93,749.17 2025-06-30
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $92,291.44 $96,906.01 $92,291.44 2025-06-30
1612 APR_DRG Implantable Heart Assist Systems 4 4 — — $92,023.27 $96,624.43 $92,023.27 2025-06-30
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $91,782.86 $96,372.00 $91,782.86 2025-06-30
23 APR_DRG Heart And/or Lung Transplant 4 4 — — $89,277.46 $93,741.33 $89,277.46 2025-06-30
1611 APR_DRG Implantable Heart Assist Systems 4 4 — — $87,421.77 $91,792.86 $87,421.77 2025-06-30
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $82,029.45 $86,130.92 $82,029.45 2025-06-30
64 APR_DRG Pancreas Transplant 4 4 — — $81,504.06 $85,579.26 $81,504.06 2025-06-30
3060 EAPG Ventricular Assist Device Procedures 4 4 — — $80,721.65 $84,757.73 $80,721.65 2025-06-30
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $73,148.19 $76,805.60 $73,148.19 2025-06-30
22 APR_DRG Heart And/or Lung Transplant 4 4 — — $66,253.56 $69,566.24 $66,253.56 2025-06-30
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $65,623.40 $68,904.57 $65,623.40 2025-06-30
0250 EAPG Cochlear Device Implantation 4 4 — — $65,083.89 $68,338.08 $65,083.89 2025-06-30
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $64,972.14 $68,220.75 $64,972.14 2025-06-30
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $64,155.12 $67,362.88 $64,155.12 2025-06-30
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $63,303.70 $66,468.89 $63,303.70 2025-06-30
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $61,782.64 $64,871.77 $61,782.64 2025-06-30
0097 EAPG Aicd And Related Cardiac Device Insertion Or Replacement 4 4 — — $60,637.60 $63,669.48 $60,637.60 2025-06-30
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $59,662.69 $62,645.82 $59,662.69 2025-06-30
0466 EAPG Class Xiv Combined Chemotherapy And Pharmacotherapy 4 4 — — $58,748.36 $61,685.78 $58,748.36 2025-06-30
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $57,731.94 $60,618.54 $57,731.94 2025-06-30
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $57,679.17 $60,563.13 $57,679.17 2025-06-30
63 APR_DRG Pancreas Transplant 4 4 — — $57,309.36 $60,174.83 $57,309.36 2025-06-30
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $57,039.24 $59,891.20 $57,039.24 2025-06-30
21 APR_DRG Heart And/or Lung Transplant 4 4 — — $56,796.87 $59,636.71 $56,796.87 2025-06-30
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $56,184.30 $58,993.52 $56,184.30 2025-06-30
73 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $55,778.53 $58,567.46 $55,778.53 2025-06-30
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $54,875.11 $57,618.87 $54,875.11 2025-06-30
4404 APR_DRG Kidney Transplant 4 4 — — $54,225.80 $56,937.09 $54,225.80 2025-06-30
13 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $53,356.40 $56,024.22 $53,356.40 2025-06-30
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $53,317.31 $55,983.18 $53,317.31 2025-06-30
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $52,012.81 $54,613.45 $52,012.81 2025-06-30
0224 EAPG Level Ii Neurostimulator And Related Device Implantation 4 4 — — $51,624.19 $54,205.40 $51,624.19 2025-06-30
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $50,769.30 $53,307.77 $50,769.30 2025-06-30
1784 APR_DRG External Heart Assist Systems 4 4 — — $50,430.38 $52,951.90 $50,430.38 2025-06-30
62 APR_DRG Pancreas Transplant 4 4 — — $49,750.18 $52,237.69 $49,750.18 2025-06-30
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $48,781.88 $51,220.97 $48,781.88 2025-06-30
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $48,443.73 $50,865.92 $48,443.73 2025-06-30
84 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $47,878.46 $50,272.38 $47,878.46 2025-06-30
0082 EAPG Comprehensive Cardiac Electrophysiologic Procedures With Ablation 4 4 — — $47,815.45 $50,206.22 $47,815.45 2025-06-30
0104 EAPG Major Open Coronary Artery Procedures Including Cabg 4 4 — — $47,726.05 $50,112.35 $47,726.05 2025-06-30
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $46,427.38 $48,748.75 $46,427.38 2025-06-30
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 4 — — $45,667.43 $47,950.80 $45,667.43 2025-06-30
0057 EAPG Level Iii Spine Procedures 4 4 — — $45,538.37 $47,815.29 $45,538.37 2025-06-30
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $45,495.82 $47,770.61 $45,495.82 2025-06-30
0122 EAPG Percutaneous Intra-abdominal Or Intrathoracic Vascular Procedures 4 4 — — $44,910.46 $47,155.98 $44,910.46 2025-06-30
12 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $44,719.06 $46,955.01 $44,719.06 2025-06-30
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $44,106.89 $46,312.23 $44,106.89 2025-06-30
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $44,011.11 $46,211.67 $44,011.11 2025-06-30
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $43,780.47 $45,969.49 $43,780.47 2025-06-30
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $43,708.15 $45,893.56 $43,708.15 2025-06-30
72 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $43,630.36 $45,811.88 $43,630.36 2025-06-30
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $43,188.23 $45,347.64 $43,188.23 2025-06-30
0465 EAPG Class Xiii Combined Chemotherapy And Pharmacotherapy 4 4 — — $43,141.06 $45,298.11 $43,141.06 2025-06-30
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $43,034.60 $45,186.33 $43,034.60 2025-06-30
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $42,695.67 $44,830.45 $42,695.67 2025-06-30
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $42,302.02 $44,417.12 $42,302.02 2025-06-30
8634 APR_DRG Neonatal Aftercare 4 4 — — $41,857.15 $43,950.01 $41,857.15 2025-06-30
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $41,850.12 $43,942.63 $41,850.12 2025-06-30
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $41,343.49 $43,410.66 $41,343.49 2025-06-30
1794 APR_DRG Defibrillator Implants 4 4 — — $41,087.05 $43,141.40 $41,087.05 2025-06-30
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $40,916.61 $42,962.44 $40,916.61 2025-06-30
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $40,863.83 $42,907.02 $40,863.83 2025-06-30
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $40,827.87 $42,869.26 $40,827.87 2025-06-30
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 4 — — $40,056.98 $42,059.83 $40,056.98 2025-06-30
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $39,918.20 $41,914.11 $39,918.20 2025-06-30
11 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $39,704.76 $41,690.00 $39,704.76 2025-06-30
0121 EAPG Level Ii Percutaneous Coronary And Intracardiac Interventional Procedures 4 4 — — $39,471.80 $41,445.39 $39,471.80 2025-06-30
1694 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $39,170.37 $41,128.89 $39,170.37 2025-06-30
61 APR_DRG Pancreas Transplant 4 4 — — $39,105.87 $41,061.16 $39,105.87 2025-06-30
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 4 — — $39,058.96 $41,011.91 $39,058.96 2025-06-30
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 4 4 — — $38,888.52 $40,832.95 $38,888.52 2025-06-30
71 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $38,849.43 $40,791.90 $38,849.43 2025-06-30
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $38,717.69 $40,653.57 $38,717.69 2025-06-30
914 APR_DRG Other Major Head And Neck Procedures 4 4 — — $38,684.85 $40,619.09 $38,684.85 2025-06-30
0265 EAPG Percutaneous Intracranial And Extracranial Vascular Procedures 4 4 — — $38,464.11 $40,387.32 $38,464.11 2025-06-30
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 4 — — $37,949.15 $39,846.61 $37,949.15 2025-06-30
1783 APR_DRG External Heart Assist Systems 4 4 — — $37,308.43 $39,173.85 $37,308.43 2025-06-30
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 4 — — $37,156.76 $39,014.60 $37,156.76 2025-06-30
234 APR_DRG Spinal Procedures 4 4 — — $37,061.37 $38,914.44 $37,061.37 2025-06-30
214 APR_DRG Open Craniotomy Except Trauma 4 4 — — $36,553.57 $38,381.25 $36,553.57 2025-06-30
4414 APR_DRG Major Bladder Procedures 4 4 — — $36,546.92 $38,374.27 $36,546.92 2025-06-30
0182 EAPG Insertion Of Penile Prosthesis 4 4 — — $36,180.36 $37,989.38 $36,180.36 2025-06-30
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $36,099.71 $37,904.70 $36,099.71 2025-06-30
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 4 4 — — $36,088.77 $37,893.21 $36,088.77 2025-06-30
4403 APR_DRG Kidney Transplant 4 4 — — $35,743.20 $37,530.36 $35,743.20 2025-06-30
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 4 4 — — $35,626.31 $37,407.63 $35,626.31 2025-06-30
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $35,573.54 $37,352.22 $35,573.54 2025-06-30
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $34,890.21 $36,634.72 $34,890.21 2025-06-30
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $34,816.33 $36,557.15 $34,816.33 2025-06-30
1782 APR_DRG External Heart Assist Systems 4 4 — — $34,759.65 $36,497.63 $34,759.65 2025-06-30
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 4 — — $34,623.22 $36,354.38 $34,623.22 2025-06-30
3051 EAPG Heart And/or Lung Transplant 4 4 — — $34,441.41 $36,163.48 $34,441.41 2025-06-30
894 APR_DRG Major Cranial Or Facial Bone Procedures 4 4 — — $34,389.45 $36,108.92 $34,389.45 2025-06-30
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $34,289.76 $36,004.25 $34,289.76 2025-06-30
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $34,050.52 $35,753.05 $34,050.52 2025-06-30
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $33,981.72 $35,680.81 $33,981.72 2025-06-30
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $33,879.30 $35,573.27 $33,879.30 2025-06-30
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $33,844.51 $35,536.74 $33,844.51 2025-06-30
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $33,798.38 $35,488.30 $33,798.38 2025-06-30
0245 EAPG Class Iii Therapeutic Radiopharmaceuticals 4 4 — — $33,744.93 $35,432.18 $33,744.93 2025-06-30
204 APR_DRG Open Craniotomy For Trauma 4 4 — — $33,723.32 $35,409.49 $33,723.32 2025-06-30
1204 APR_DRG Major Respiratory And Chest Procedures 4 4 — — $33,567.74 $35,246.13 $33,567.74 2025-06-30
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 4 — — $33,495.42 $35,170.19 $33,495.42 2025-06-30
6904 APR_DRG Acute Leukemia 4 4 — — $33,397.30 $35,067.17 $33,397.30 2025-06-30
7594 APR_DRG Eating Disorders 4 4 — — $33,337.49 $35,004.36 $33,337.49 2025-06-30
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $33,301.91 $34,967.01 $33,301.91 2025-06-30
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 4 — — $32,933.67 $34,580.35 $32,933.67 2025-06-30
3030 EAPG Spinal Implantation Of Drug Infusion Device 4 4 — — $32,652.95 $34,285.60 $32,652.95 2025-06-30
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $32,386.38 $34,005.70 $32,386.38 2025-06-30
1814 APR_DRG Lower Extremity Arterial Procedures 4 4 — — $32,386.38 $34,005.70 $32,386.38 2025-06-30
274 APR_DRG Other Open Craniotomy 4 4 — — $32,219.85 $33,830.84 $32,219.85 2025-06-30
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 4 — — $32,190.53 $33,800.06 $32,190.53 2025-06-30
0055 EAPG Level Ii Hip And Femur Procedures 4 4 — — $32,021.11 $33,622.17 $32,021.11 2025-06-30
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $31,855.52 $33,448.30 $31,855.52 2025-06-30
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 4 — — $31,816.03 $33,406.83 $31,816.03 2025-06-30
2614 APR_DRG Major Biliary Tract Procedures 4 4 — — $31,721.04 $33,307.09 $31,721.04 2025-06-30
0029 EAPG Level Ii Spine Procedures 4 4 — — $31,436.22 $33,008.03 $31,436.22 2025-06-30
6954 APR_DRG Chemotherapy For Acute Leukemia 4 4 — — $31,431.76 $33,003.35 $31,431.76 2025-06-30
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $31,378.21 $32,947.12 $31,378.21 2025-06-30
2304 APR_DRG Major Small Bowel Procedures 4 4 — — $31,032.24 $32,583.85 $31,032.24 2025-06-30
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 4 4 — — $31,020.91 $32,571.96 $31,020.91 2025-06-30
1781 APR_DRG External Heart Assist Systems 4 4 — — $31,002.92 $32,553.07 $31,002.92 2025-06-30
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $30,853.59 $32,396.27 $30,853.59 2025-06-30
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $30,720.68 $32,256.71 $30,720.68 2025-06-30
4402 APR_DRG Kidney Transplant 4 4 — — $30,655.79 $32,188.58 $30,655.79 2025-06-30
0337 EAPG Class Iii Brachytherapy Sources 4 4 — — $30,651.13 $32,183.69 $30,651.13 2025-06-30
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 4 4 — — $30,603.41 $32,133.58 $30,603.41 2025-06-30
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $30,570.57 $32,099.10 $30,570.57 2025-06-30
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $30,454.86 $31,977.60 $30,454.86 2025-06-30
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 4 — — $30,443.91 $31,966.11 $30,443.91 2025-06-30
4014 APR_DRG Adrenal Procedures 4 4 — — $30,391.92 $31,911.52 $30,391.92 2025-06-30
1833 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $30,230.08 $31,741.58 $30,230.08 2025-06-30
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 4 4 — — $30,199.59 $31,709.57 $30,199.59 2025-06-30
83 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $30,148.38 $31,655.80 $30,148.38 2025-06-30
1793 APR_DRG Defibrillator Implants 4 4 — — $29,958.78 $31,456.72 $29,958.78 2025-06-30
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 4 4 — — $29,866.53 $31,359.86 $29,866.53 2025-06-30
0105 EAPG Major Open Cardiac And Cardiac Valve Procedures 4 4 — — $29,693.54 $31,178.22 $29,693.54 2025-06-30
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $29,587.02 $31,066.37 $29,587.02 2025-06-30
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $29,454.11 $30,926.82 $29,454.11 2025-06-30
0085 EAPG Level Iii Peripheral Endovascular And Transcatheter Procedures 4 4 — — $29,264.65 $30,727.88 $29,264.65 2025-06-30
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 4 4 — — $28,730.13 $30,166.64 $28,730.13 2025-06-30
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $28,713.32 $30,148.99 $28,713.32 2025-06-30
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 4 — — $28,520.20 $29,946.21 $28,520.20 2025-06-30
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $28,519.03 $29,944.98 $28,519.03 2025-06-30
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $28,508.09 $29,933.49 $28,508.09 2025-06-30
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 4 — — $28,443.98 $29,866.18 $28,443.98 2025-06-30
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 4 4 — — $28,176.20 $29,585.01 $28,176.20 2025-06-30
264 APR_DRG Other Nervous System And Related Procedures 4 4 — — $28,101.92 $29,507.02 $28,101.92 2025-06-30
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 4 — — $28,085.89 $29,490.18 $28,085.89 2025-06-30
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 4 4 — — $28,003.41 $29,403.58 $28,003.41 2025-06-30
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 4 4 — — $27,991.29 $29,390.85 $27,991.29 2025-06-30
224 APR_DRG Ventricular Shunt Procedures 4 4 — — $27,933.44 $29,330.11 $27,933.44 2025-06-30
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 4 4 — — $27,870.89 $29,264.43 $27,870.89 2025-06-30
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $27,809.12 $29,199.58 $27,809.12 2025-06-30
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $27,654.32 $29,037.04 $27,654.32 2025-06-30
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $27,637.51 $29,019.39 $27,637.51 2025-06-30
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 4 4 — — $27,620.31 $29,001.33 $27,620.31 2025-06-30
1824 APR_DRG Other Peripheral Vascular And Related Procedures 4 4 — — $27,515.55 $28,891.33 $27,515.55 2025-06-30
1214 APR_DRG Other Respiratory And Chest Procedures 4 4 — — $27,445.96 $28,818.26 $27,445.96 2025-06-30
6504 APR_DRG Splenectomy 4 4 — — $27,406.87 $28,777.21 $27,406.87 2025-06-30
4401 APR_DRG Kidney Transplant 4 4 — — $27,373.25 $28,741.91 $27,373.25 2025-06-30
2314 APR_DRG Major Large Bowel Procedures 4 4 — — $27,304.45 $28,669.67 $27,304.45 2025-06-30
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 4 4 — — $26,990.93 $28,340.48 $26,990.93 2025-06-30
8633 APR_DRG Neonatal Aftercare 4 4 — — $26,856.85 $28,199.69 $26,856.85 2025-06-30
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $26,748.17 $28,085.58 $26,748.17 2025-06-30
J3380 HCPCS Entyvio 300mg Vial 43 16 $33,685.00 $20,211.00 40% off $10,442.35 $33,011.30 $26,577.47 2025-06-30
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 4 4 — — $26,493.69 $27,818.37 $26,493.69 2025-06-30
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $26,437.78 $27,759.67 $26,437.78 2025-06-30
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $26,124.66 $27,430.89 $26,124.66 2025-06-30
294 APR_DRG Other Percutaneous Intracranial Procedures 4 4 — — $26,121.53 $27,427.61 $26,121.53 2025-06-30
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 4 — — $26,120.75 $27,426.79 $26,120.75 2025-06-30
0106 EAPG Major Open Abdominal And Thoracic Vascular Procedures 4 4 — — $26,065.94 $27,369.24 $26,065.94 2025-06-30
1832 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $25,962.82 $27,260.96 $25,962.82 2025-06-30
0047 EAPG Level Ii Arthroplasty 4 4 — — $25,956.70 $27,254.54 $25,956.70 2025-06-30
3094 APR_DRG Other Significant Hip And Femur Surgery 4 4 — — $25,914.35 $27,210.07 $25,914.35 2025-06-30
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 4 4 — — $25,841.24 $27,133.30 $25,841.24 2025-06-30
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 4 4 — — $25,773.61 $27,062.29 $25,773.61 2025-06-30
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $25,660.64 $26,943.67 $25,660.64 2025-06-30
2324 APR_DRG Gastric Fundoplication 4 4 — — $25,493.33 $26,768.00 $25,493.33 2025-06-30
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 4 4 — — $25,432.73 $26,704.37 $25,432.73 2025-06-30
2294 APR_DRG Other Digestive System And Abdominal Procedures 4 4 — — $25,420.62 $26,691.65 $25,420.62 2025-06-30
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $25,378.40 $26,647.32 $25,378.40 2025-06-30
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $25,320.93 $26,586.98 $25,320.93 2025-06-30
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $25,308.03 $26,573.43 $25,308.03 2025-06-30
1831 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $25,239.23 $26,501.19 $25,239.23 2025-06-30
82 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $25,224.37 $26,485.59 $25,224.37 2025-06-30
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $25,010.54 $26,261.07 $25,010.54 2025-06-30
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 4 4 — — $24,866.29 $26,109.60 $24,866.29 2025-06-30
3054 APR_DRG Amputation Of Lower Limb Except Toes 4 4 — — $24,717.75 $25,953.64 $24,717.75 2025-06-30
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 4 — — $24,694.68 $25,929.41 $24,694.68 2025-06-30
913 APR_DRG Other Major Head And Neck Procedures 4 4 — — $24,691.55 $25,926.13 $24,691.55 2025-06-30
9103 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $24,634.48 $25,866.20 $24,634.48 2025-06-30
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 4 4 — — $24,612.59 $25,843.22 $24,612.59 2025-06-30
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $24,592.65 $25,822.28 $24,592.65 2025-06-30
0058 EAPG Level Ii Shoulder And Upper Arm Procedures 4 4 — — $24,453.12 $25,675.78 $24,453.12 2025-06-30
2234 APR_DRG Other Small And Large Bowel Procedures 4 4 — — $24,444.10 $25,666.31 $24,444.10 2025-06-30
244 APR_DRG Open Extracranial Vascular Procedures 4 4 — — $24,442.54 $25,664.67 $24,442.54 2025-06-30
1792 APR_DRG Defibrillator Implants 4 4 — — $24,409.31 $25,629.78 $24,409.31 2025-06-30
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 4 4 — — $24,263.50 $25,476.68 $24,263.50 2025-06-30
3624 APR_DRG Mastectomy Procedures 4 4 — — $24,187.27 $25,396.63 $24,187.27 2025-06-30
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $24,172.81 $25,381.45 $24,172.81 2025-06-30
1693 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $24,077.42 $25,281.29 $24,077.42 2025-06-30
4034 APR_DRG Procedures For Obesity 4 4 — — $24,061.39 $25,264.46 $24,061.39 2025-06-30
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $24,006.27 $25,206.58 $24,006.27 2025-06-30
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $23,980.47 $25,179.49 $23,980.47 2025-06-30
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 4 4 — — $23,926.92 $25,123.27 $23,926.92 2025-06-30
893 APR_DRG Major Cranial Or Facial Bone Procedures 4 4 — — $23,882.74 $25,076.88 $23,882.74 2025-06-30
5144 APR_DRG Female Reproductive System Reconstructive Procedures 4 4 — — $23,870.63 $25,064.16 $23,870.63 2025-06-30
2244 APR_DRG Peritoneal Adhesiolysis 4 4 — — $23,739.28 $24,926.24 $23,739.28 2025-06-30
3052 EAPG Kidney Transplant 4 4 — — $23,616.95 $24,797.80 $23,616.95 2025-06-30
213 APR_DRG Open Craniotomy Except Trauma 4 4 — — $23,428.89 $24,600.33 $23,428.89 2025-06-30
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 4 4 — — $23,428.89 $24,600.33 $23,428.89 2025-06-30
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $23,419.90 $24,590.90 $23,419.90 2025-06-30
4844 APR_DRG Other Male Reproductive System And Related Procedures 4 4 — — $23,408.17 $24,578.58 $23,408.17 2025-06-30
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 4 4 — — $23,386.28 $24,555.59 $23,386.28 2025-06-30
7524 APR_DRG Disorders Of Personality And Impulse Control 4 4 — — $23,362.43 $24,530.55 $23,362.43 2025-06-30
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 4 — — $23,333.11 $24,499.77 $23,333.11 2025-06-30
1804 APR_DRG Other Circulatory System Procedures 4 4 — — $23,306.53 $24,471.86 $23,306.53 2025-06-30
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $23,170.88 $24,329.42 $23,170.88 2025-06-30
4804 APR_DRG Major Male Pelvic Procedures 4 4 — — $23,079.02 $24,232.97 $23,079.02 2025-06-30
5184 APR_DRG Other Female Reproductive System And Related Procedures 4 4 — — $22,903.49 $24,048.66 $22,903.49 2025-06-30
3011 EAPG Bone Conduction Hearing Device Implantation 4 4 — — $22,894.93 $24,039.68 $22,894.93 2025-06-30
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 4 4 — — $22,869.88 $24,013.37 $22,869.88 2025-06-30
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 4 4 — — $22,860.49 $24,003.51 $22,860.49 2025-06-30
233 APR_DRG Spinal Procedures 4 4 — — $22,773.71 $23,912.40 $22,773.71 2025-06-30
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 4 4 — — $22,627.12 $23,758.48 $22,627.12 2025-06-30
J3101 HCPCS TNKase 50mg 43 16 $28,628.00 $17,176.80 40% off $8,874.68 $28,055.44 $22,587.49 2025-06-30
0099 EAPG Level I Percutaneous Coronary And Intracardiac Interventional Procedures 4 4 — — $22,435.19 $23,556.95 $22,435.19 2025-06-30
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 4 4 — — $22,381.23 $23,500.29 $22,381.23 2025-06-30
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 4 4 — — $22,352.30 $23,469.92 $22,352.30 2025-06-30
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $22,235.42 $23,347.19 $22,235.42 2025-06-30
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $22,139.64 $23,246.62 $22,139.64 2025-06-30
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 4 4 — — $22,057.16 $23,160.02 $22,057.16 2025-06-30
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $22,023.93 $23,125.13 $22,023.93 2025-06-30
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $22,012.20 $23,112.81 $22,012.20 2025-06-30
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $21,987.96 $23,087.36 $21,987.96 2025-06-30
3244 APR_DRG Elective Hip Joint Replacement 4 4 — — $21,974.28 $23,072.99 $21,974.28 2025-06-30
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 4 4 — — $21,953.95 $23,051.65 $21,953.95 2025-06-30
9102 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $21,881.24 $22,975.30 $21,881.24 2025-06-30
3224 APR_DRG Shoulder And Elbow Joint Replacement 4 4 — — $21,774.91 $22,863.66 $21,774.91 2025-06-30
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $21,758.89 $22,846.83 $21,758.89 2025-06-30
734 APR_DRG Orbit And Eye Procedures 4 4 — — $21,754.98 $22,842.73 $21,754.98 2025-06-30
4444 APR_DRG Renal Dialysis Access Device Procedures 4 4 — — $21,704.16 $22,789.37 $21,704.16 2025-06-30
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 4 4 — — $21,689.69 $22,774.17 $21,689.69 2025-06-30
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 4 4 — — $21,617.37 $22,698.24 $21,617.37 2025-06-30
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 4 — — $21,602.13 $22,682.24 $21,602.13 2025-06-30
203 APR_DRG Open Craniotomy For Trauma 4 4 — — $21,571.25 $22,649.81 $21,571.25 2025-06-30
1661 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $21,559.52 $22,637.50 $21,559.52 2025-06-30
1791 APR_DRG Defibrillator Implants 4 4 — — $21,539.19 $22,616.15 $21,539.19 2025-06-30
0086 EAPG Pacemaker And Other Cardiovascular Device Insertion And Replacement 4 4 — — $21,526.91 $22,603.26 $21,526.91 2025-06-30
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 4 — — $21,373.05 $22,441.70 $21,373.05 2025-06-30
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $21,357.80 $22,425.69 $21,357.80 2025-06-30
4834 APR_DRG Penis, Testes And Scrotal Procedures 4 4 — — $21,059.93 $22,112.93 $21,059.93 2025-06-30
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $20,975.88 $22,024.67 $20,975.88 2025-06-30
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 4 4 — — $20,944.21 $21,991.42 $20,944.21 2025-06-30
6924 APR_DRG Radiotherapy 4 4 — — $20,841.01 $21,883.06 $20,841.01 2025-06-30
1813 APR_DRG Lower Extremity Arterial Procedures 4 4 — — $20,772.60 $21,811.23 $20,772.60 2025-06-30
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 4 4 — — $20,772.21 $21,810.82 $20,772.21 2025-06-30
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 4 4 — — $20,409.44 $21,429.91 $20,409.44 2025-06-30
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $20,186.22 $21,195.53 $20,186.22 2025-06-30
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement 4 4 — — $20,108.04 $21,113.44 $20,108.04 2025-06-30
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $20,090.45 $21,094.97 $20,090.45 2025-06-30
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $20,086.15 $21,090.46 $20,086.15 2025-06-30
0052 EAPG Level Ii Knee And Lower Leg Procedures 4 4 — — $20,055.56 $21,058.34 $20,055.56 2025-06-30
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 4 4 — — $20,041.19 $21,043.25 $20,041.19 2025-06-30
4454 APR_DRG Other Bladder Procedures 4 4 — — $20,040.41 $21,042.43 $20,040.41 2025-06-30
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 4 4 — — $20,008.36 $21,008.78 $20,008.36 2025-06-30
2634 APR_DRG Cholecystectomy 4 4 — — $19,994.67 $20,994.40 $19,994.67 2025-06-30
0087 EAPG Removal Or Revision Of Pacemakers And Other Cardiovascular Devices 4 4 — — $19,767.34 $20,755.71 $19,767.34 2025-06-30
0022 EAPG Level Ii Mastectomy And Reconstructive Breast Procedures 4 4 — — $19,760.85 $20,748.89 $19,760.85 2025-06-30
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $19,695.23 $20,679.99 $19,695.23 2025-06-30
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 4 — — $19,661.61 $20,644.69 $19,661.61 2025-06-30
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 4 4 — — $19,643.63 $20,625.81 $19,643.63 2025-06-30
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 4 4 — — $19,625.65 $20,606.93 $19,625.65 2025-06-30
3634 APR_DRG Breast Procedures Except Mastectomy 4 4 — — $19,547.07 $20,524.42 $19,547.07 2025-06-30
273 APR_DRG Other Open Craniotomy 4 4 — — $19,541.60 $20,518.68 $19,541.60 2025-06-30
2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 4 — — $19,385.23 $20,354.49 $19,385.23 2025-06-30
3164 APR_DRG Hand And Wrist Procedures 4 4 — — $19,355.52 $20,323.30 $19,355.52 2025-06-30
0464 EAPG Class Xii Combined Chemotherapy And Pharmacotherapy 4 4 — — $19,333.92 $20,300.62 $19,333.92 2025-06-30
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