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 HOSPITAL OF SOUTH BEND

South Bend, IN · CCN 150058 · Rates published

Your selected procedure

You selected 27447 (CPT)

Total knee arthroplasty

This hospital’s price: $26,103 across 11 payers · range $4,033-$41,843

Source: https://www.beaconhealthsystem.org/wp-content/uploads/2026/03/350868132_Memorial-Hospital-of-South-Bend_standardcharges.csv · 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.

19,232 distinct procedures filed
17 distinct payers
474,949 rate rows
2026-07-15 last MRF observed
Data quality

470,232 of 474,949 rate rows are consumer-grade (99.0%)

4,717 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,819
per-diem day rate — not a per-procedure price 1,746
placeholder amount (≤ $0.02) — excluded from medians 781
percent-of-charges filed in the dollar field — excluded from medians 252
template filing: same amount across many unrelated codes — excluded 60
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 54
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.beaconhealthsystem.org/wp-content/uploads/2026/03/350868132_Memorial-Hospital-of-South-Bend_standardcharges.csv
Found on page https://www.beaconhealthsystem.org/hospital-chargemaster/
Discovered viaCMS hospital list
Last fetch success · 2026-08-12
Content fingerprint 5e2ee62b857495ec… · 102,194,934 bytes · first seen 2026-05-13

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
J3391
HCPCS 		Inj- Atidarsagene Autotemcel 7 $2,414,680.00 $4,730,250.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj- Beqvez- Per Tx Dose 6 $3,675,000.00 $3,675,000.00 $3,675,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj- Hemgenix- Per Tx Dose 10 $1,975,302.94 $3,869,530.00 $3,675,000.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Inj- Beqvez- Per Tx Dose 6 $3,675,000.00 $3,675,000.00 $3,675,000.00 nat. median
$3,605,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 11 $1,777,623.95 $4,986,857.85 $3,360,000.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj- Lovotibeglogene Autotem 8 $1,741,166.91 $4,892,032.50 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj- Betibeglogene Autotemce 9 $1,578,916.64 $4,713,184.00 $2,945,740.00 nat. median
$2,997,086
1.0× median
J3392
HCPCS 		Inj- Exagamglogene Autotem 10 $1,249,952.00 $4,430,800.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 11 $1,315,939.29 $4,664,710.16 $2,231,250.00 nat. median
$2,460,273
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel 11 $413,052.32 $1,464,178.00 $763,350.00 nat. median
$809,151
0.9× median
114
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $177,405.59 $647,979.12 $647,979.12 nat. median
$119,243
outlier · 5.4×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $317,165.24 $1,124,279.78 $591,726.20 nat. median
$691,418
0.9× median
5834
APR_DRG 		Neonate With Ecmo 7 $191,228.48 $588,944.20 $588,944.20 nat. median
$311,018
1.9× median
5833
APR_DRG 		Neonate With Ecmo 7 $180,341.03 $588,944.20 $588,944.20 nat. median
$250,089
outlier · 2.4×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $303,305.76 $1,075,151.01 $583,075.96 nat. median
$631,793
0.9× median
5831
APR_DRG 		Neonate With Ecmo 7 $90,026.85 $558,502.30 $558,502.30 nat. median
$154,685
outlier · 3.6×
5832
APR_DRG 		Neonate With Ecmo 7 $100,230.25 $558,502.30 $558,502.30 nat. median
$169,230
outlier · 3.3×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $301,520.47 $1,068,822.56 $557,917.92 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $298,722.41 $1,058,904.07 $554,728.05 nat. median
$610,161
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 11 $149,142.00 $551,250.00 $539,962.50 nat. median
$302,242
1.8× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $553.00 $537,458.68 $537,458.68 nat. median
$243,231
outlier · 2.2×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 11 $285,811.37 $1,013,137.32 $528,759.00 nat. median
$588,565
0.9× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $194,088.23 $503,124.62 $503,124.62 nat. median
$254,667
2.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $262,267.27 $929,678.76 $485,100.00 nat. median
$577,541
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 11 $345,198.35 $855,753.55 $477,692.94 nat. median
$370,165
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $146,815.70 $469,930.95 $469,930.95 nat. median
$209,486
outlier · 2.2×
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 7 $164,228.17 $469,136.53 $469,136.53 nat. median
$147,677
outlier · 3.2×
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $128,398.70 $396,403.43 $396,403.43 nat. median
$180,995
outlier · 2.2×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $94,208.19 $393,435.20 $393,435.20 nat. median
$127,600
outlier · 3.1×
113
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $132,169.26 $378,177.99 $378,177.99 nat. median
$67,603
outlier · 5.6×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $110,764.16 $333,375.47 $333,375.47 nat. median
$175,480
1.9× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 7 $116,500.55 $332,614.53 $332,614.53 nat. median
$168,361
2.0× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $553.00 $328,688.97 $328,688.97 nat. median
$137,901
outlier · 2.4×
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 7 $111,580.00 $317,330.38 $317,330.38 nat. median
$156,285
outlier · 2.0×
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $314,107.50 $314,107.50 $314,107.50 nat. median
$16,786
outlier · 18.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $224,278.27 $555,349.63 $310,352.39 nat. median
$261,939
1.2× median
112
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $105,186.77 $304,837.81 $304,837.81 nat. median
$63,564
outlier · 4.8×
1613
APR_DRG 		Implantable Heart Assist Systems 7 $79,670.23 $303,870.59 $303,870.59 nat. median
$127,938
outlier · 2.4×
1612
APR_DRG 		Implantable Heart Assist Systems 7 $67,714.74 $303,851.24 $303,851.24 nat. median
$93,192
outlier · 3.3×
1611
APR_DRG 		Implantable Heart Assist Systems 7 $55,181.08 $302,838.59 $302,838.59 nat. median
$82,164
outlier · 3.7×
23
APR_DRG 		Heart And/or Lung Transplant 7 $553.00 $295,712.02 $295,712.02 nat. median
$116,111
outlier · 2.5×
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $108,017.95 $294,207.35 $294,207.35 nat. median
$147,847
2.0× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $92,664.62 $294,207.35 $294,207.35 nat. median
$120,928
outlier · 2.4×
J3403
HCPCS 		Revakinagene- Per Implant 9 $138,020.00 $489,250.00 $257,500.00 nat. median
$265,000
1.0× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 7 $135,485.25 $250,369.68 $250,369.68 nat. median
$168,174
1.5× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 $54,187.99 $245,243.37 $245,243.37 nat. median
$123,690
2.0× median
22
APR_DRG 		Heart And/or Lung Transplant 7 $553.00 $243,586.70 $243,586.70 nat. median
$94,014
outlier · 2.6×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $80,148.73 $242,358.25 $242,358.25 nat. median
$101,315
outlier · 2.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $171,045.65 $423,102.86 $236,684.09 nat. median
$205,166
1.2× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 $121,216.75 $235,523.02 $235,523.02 nat. median
$160,171
1.5× median

Other procedures at this hospital

Browse this hospital's 19,232 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
             
J3391 HCPCS Inj- Atidarsagene Autotemcel 9 7 — — $2,414,680.00 $4,730,250.00 $4,505,000.00 2026-07-15
C9172 HCPCS Inj- Beqvez- Per Tx Dose 13 6 — — $3,675,000.00 $3,675,000.00 $3,675,000.00 2026-07-15
J1414 HCPCS Inj- Beqvez- Per Tx Dose 13 6 — — $3,675,000.00 $3,675,000.00 $3,675,000.00 2026-07-15
J1411 HCPCS Inj- Hemgenix- Per Tx Dose 23 10 — — $1,975,302.94 $3,869,530.00 $3,675,000.00 2026-07-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 24 11 — — $1,777,623.95 $4,986,857.85 $3,360,000.00 2026-07-15
J3394 HCPCS Inj- Lovotibeglogene Autotem 10 8 — — $1,741,166.91 $4,892,032.50 $3,248,445.72 2026-07-15
J3393 HCPCS Inj- Betibeglogene Autotemce 11 9 — — $1,578,916.64 $4,713,184.00 $2,945,740.00 2026-07-15
J3392 HCPCS Inj- Exagamglogene Autotem 13 10 — — $1,249,952.00 $4,430,800.00 $2,332,000.00 2026-07-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 27 11 — — $1,315,939.29 $4,664,710.16 $2,231,250.00 2026-07-15
Q2057 HCPCS Afamitresgene Autoleucel 26 11 — — $413,052.32 $1,464,178.00 $763,350.00 2026-07-15
114 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 7 — — $177,405.59 $647,979.12 $647,979.12 2026-07-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 13 10 — — $317,165.24 $1,124,279.78 $591,726.20 2026-07-15
5834 APR_DRG Neonate With Ecmo 16 7 — — $191,228.48 $588,944.20 $588,944.20 2026-07-15
5833 APR_DRG Neonate With Ecmo 16 7 — — $180,341.03 $588,944.20 $588,944.20 2026-07-15
Q2056 HCPCS Ciltacabtagene Car-pos T 27 11 — — $303,305.76 $1,075,151.01 $583,075.96 2026-07-15
5831 APR_DRG Neonate With Ecmo 16 7 — — $90,026.85 $558,502.30 $558,502.30 2026-07-15
5832 APR_DRG Neonate With Ecmo 16 7 — — $100,230.25 $558,502.30 $558,502.30 2026-07-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 27 11 — — $301,520.47 $1,068,822.56 $557,917.92 2026-07-15
Q2055 HCPCS Idecabtagene Vicleucel Car 27 11 — — $298,722.41 $1,058,904.07 $554,728.05 2026-07-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 26 11 — — $149,142.00 $551,250.00 $539,962.50 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 16 7 — — $553.00 $537,458.68 $537,458.68 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 27 11 — — $285,811.37 $1,013,137.32 $528,759.00 2026-07-15
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 16 7 — — $194,088.23 $503,124.62 $503,124.62 2026-07-15
Q2053 HCPCS Brexucabtagene Car Pos T 27 11 — — $262,267.27 $929,678.76 $485,100.00 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 16 11 — — $345,198.35 $855,753.55 $477,692.94 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 16 7 — — $146,815.70 $469,930.95 $469,930.95 2026-07-15
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 16 7 — — $164,228.17 $469,136.53 $469,136.53 2026-07-15
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 16 7 — — $128,398.70 $396,403.43 $396,403.43 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 7 — — $94,208.19 $393,435.20 $393,435.20 2026-07-15
113 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 7 — — $132,169.26 $378,177.99 $378,177.99 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 16 7 — — $110,764.16 $333,375.47 $333,375.47 2026-07-15
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 16 7 — — $116,500.55 $332,614.53 $332,614.53 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 16 7 — — $553.00 $328,688.97 $328,688.97 2026-07-15
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 16 7 — — $111,580.00 $317,330.38 $317,330.38 2026-07-15
E0766 HCPCS Elec Stim Cancer Treatment 1 1 — — $314,107.50 $314,107.50 $314,107.50 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 11 — — $224,278.27 $555,349.63 $310,352.39 2026-07-15
112 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 7 — — $105,186.77 $304,837.81 $304,837.81 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 16 7 — — $79,670.23 $303,870.59 $303,870.59 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 16 7 — — $67,714.74 $303,851.24 $303,851.24 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 16 7 — — $55,181.08 $302,838.59 $302,838.59 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 16 7 — — $553.00 $295,712.02 $295,712.02 2026-07-15
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 16 7 — — $108,017.95 $294,207.35 $294,207.35 2026-07-15
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 16 7 — — $92,664.62 $294,207.35 $294,207.35 2026-07-15
J3403 HCPCS Revakinagene- Per Implant 12 9 — — $138,020.00 $489,250.00 $257,500.00 2026-07-15
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 16 7 — — $135,485.25 $250,369.68 $250,369.68 2026-07-15
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 16 7 — — $54,187.99 $245,243.37 $245,243.37 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 16 7 — — $553.00 $243,586.70 $243,586.70 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 16 7 — — $80,148.73 $242,358.25 $242,358.25 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 11 — — $171,045.65 $423,102.86 $236,684.09 2026-07-15
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 16 7 — — $121,216.75 $235,523.02 $235,523.02 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 16 11 — — $170,046.16 $420,619.79 $235,300.89 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 7 — — $61,810.96 $228,748.68 $228,748.68 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 7 — — $109,523.99 $228,301.56 $227,390.60 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 16 7 — — $59,138.26 $220,943.88 $220,943.88 2026-07-15
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 16 7 — — $40,752.01 $219,132.78 $219,132.78 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 16 7 — — $553.00 $217,018.03 $217,018.03 2026-07-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 12 9 — — $110,223.04 $390,716.00 $205,640.00 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 7 — — $64,311.12 $199,957.70 $199,957.70 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 16 7 — — $58,533.55 $198,437.33 $198,437.33 2026-07-15
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 16 7 — — $81,235.12 $191,842.30 $191,842.30 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 16 7 — — $42,394.61 $186,758.52 $186,758.52 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 16 7 — — $47,221.34 $181,159.91 $181,159.91 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 16 7 — — $553.00 $180,772.13 $180,772.13 2026-07-15
8514 APR_DRG Gender Related Procedures 15 7 — — $49,493.69 $180,152.55 $180,152.55 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 16 7 — — $52,363.44 $180,120.92 $180,120.92 2026-07-15
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 16 7 — — $37,559.57 $172,990.93 $172,990.93 2026-07-15
63 APR_DRG Pancreas Transplant 16 7 — — $553.00 $171,455.28 $171,455.28 2026-07-15
62 APR_DRG Pancreas Transplant 16 7 — — $553.00 $171,455.28 $171,455.28 2026-07-15
64 APR_DRG Pancreas Transplant 16 7 — — $553.00 $171,455.28 $171,455.28 2026-07-15
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 16 7 — — $22,736.40 $169,641.18 $169,641.18 2026-07-15
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 16 7 — — $52,506.80 $167,555.65 $167,555.65 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 7 — — $54,675.93 $166,227.07 $166,227.07 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 16 7 — — $50,750.54 $166,222.61 $166,222.61 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 16 7 — — $35,884.11 $166,061.36 $166,061.36 2026-07-15
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 16 7 — — $46,708.90 $157,422.04 $157,422.04 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 16 11 — — $111,226.56 $274,493.19 $153,900.81 2026-07-15
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 16 7 — — $42,675.60 $153,859.46 $153,859.46 2026-07-15
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 16 7 — — $31,865.41 $163,952.35 $152,229.56 2026-07-15
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 16 7 — — $29,866.74 $151,921.76 $151,921.76 2026-07-15
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 16 7 — — $24,837.24 $150,780.11 $150,780.11 2026-07-15
8634 APR_DRG Neonatal Aftercare 16 7 — — $47,094.66 $150,117.29 $150,117.29 2026-07-15
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 16 7 — — $17,517.67 $149,016.91 $149,016.91 2026-07-15
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 16 7 — — $91,132.52 $147,993.49 $147,993.49 2026-07-15
7 MS_DRG Lung Transplant 16 11 — — $104,037.83 $256,634.11 $143,952.36 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 16 7 — — $39,751.63 $143,859.47 $143,859.47 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 16 7 — — $36,471.61 $142,378.87 $142,378.87 2026-07-15
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 16 7 — — $27,049.12 $141,031.91 $141,031.91 2026-07-15
4404 APR_DRG Kidney Transplant 16 7 — — $553.00 $140,057.84 $140,057.84 2026-07-15
4403 APR_DRG Kidney Transplant 16 7 — — $553.00 $138,967.79 $138,967.79 2026-07-15
4402 APR_DRG Kidney Transplant 16 7 — — $553.00 $138,883.94 $138,883.94 2026-07-15
4401 APR_DRG Kidney Transplant 16 7 — — $553.00 $138,825.89 $138,825.89 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 16 7 — — $28,364.36 $138,009.22 $138,009.22 2026-07-15
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 16 7 — — $30,200.89 $135,568.66 $135,568.66 2026-07-15
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 16 7 — — $27,751.83 $134,562.75 $134,562.75 2026-07-15
5894 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 16 7 — — $2,028.80 $134,367.74 $134,367.74 2026-07-15
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 16 7 — — $66,187.58 $134,367.74 $134,367.74 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 16 11 — — $96,601.03 $238,158.72 $133,660.62 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 16 7 — — $45,074.63 $133,236.70 $133,236.70 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 16 7 — — $31,155.92 $132,125.87 $132,125.87 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 16 7 — — $40,481.45 $131,273.94 $131,273.94 2026-07-15
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 16 7 — — $35,944.58 $131,271.86 $131,271.86 2026-07-15
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 7 — — $27,427.06 $129,752.55 $129,752.55 2026-07-15
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 16 7 — — $66,187.58 $127,924.41 $127,924.41 2026-07-15
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 16 7 — — $66,187.58 $127,924.41 $127,924.41 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 16 7 — — $31,231.51 $127,441.76 $127,441.76 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 11 — — $91,128.11 $224,562.28 $126,086.68 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 16 7 — — $32,638.49 $125,385.71 $125,385.71 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 16 7 — — $21,628.12 $124,923.91 $124,923.91 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 16 7 — — $52,628.26 $142,486.60 $122,893.92 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $88,650.52 $218,407.12 $122,657.96 2026-07-15
111 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 7 — — $52,085.59 $122,184.42 $122,184.42 2026-07-15
212 MS_DRG Testes Procedures Age 0-17 16 11 — — $87,477.13 $215,492.04 $121,034.12 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 16 7 — — $553.00 $120,077.11 $120,077.11 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 7 — — $78,947.66 $132,078.56 $119,929.30 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $119,802.46 $119,802.46 $119,802.46 2026-07-15
1784 APR_DRG External Heart Assist Systems 15 7 — — $35,639.10 $118,390.37 $118,390.37 2026-07-15
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 14 10 — — $91,024.41 $224,304.66 $117,756.25 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 16 7 — — $28,375.30 $116,133.18 $116,133.18 2026-07-15
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 16 7 — — $60,846.56 $115,963.34 $115,963.34 2026-07-15
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 16 7 — — $35,087.04 $115,169.99 $115,169.99 2026-07-15
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 7 — — $35,779.85 $115,017.12 $115,017.12 2026-07-15
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 7 — — $28,099.01 $114,901.02 $114,901.02 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 11 — — $82,981.38 $204,323.18 $114,812.47 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 7 — — $41,153.93 $114,623.02 $114,623.02 2026-07-15
8633 APR_DRG Neonatal Aftercare 16 7 — — $22,297.47 $113,807.97 $113,807.97 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 15 7 — — $32,131.27 $113,743.82 $113,743.82 2026-07-15
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 16 7 — — $30,982.32 $112,777.42 $112,777.42 2026-07-15
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 16 7 — — $77,804.45 $112,195.05 $112,195.05 2026-07-15
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 16 7 — — $14,978.93 $111,911.47 $111,911.47 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 16 7 — — $36,483.08 $111,739.26 $111,739.26 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 16 7 — — $31,296.15 $111,363.86 $111,363.86 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 16 7 — — $37,601.27 $111,276.39 $111,276.39 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 16 7 — — $29,308.43 $111,053.89 $111,053.89 2026-07-15
215 MS_DRG Other Heart Assist System Implant 16 11 — — $80,161.56 $197,317.87 $110,910.15 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 16 7 — — $21,770.95 $110,819.19 $110,819.19 2026-07-15
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 16 7 — — $29,896.98 $109,899.76 $109,899.76 2026-07-15
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 16 7 — — $15,737.43 $109,627.95 $109,627.95 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 11 — — $78,772.01 $193,865.75 $108,987.15 2026-07-15
2004 APR_DRG Cardiac Structural And Valvular Disorders 16 7 — — $19,720.68 $107,954.58 $107,954.58 2026-07-15
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 16 7 — — $21,102.65 $104,674.53 $104,674.53 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 16 7 — — $30,666.94 $104,651.81 $104,651.81 2026-07-15
104 APR_DRG Head Trauma With Deep Coma 1 1 — — $104,064.07 $104,064.07 $104,064.07 2026-07-15
1814 APR_DRG Lower Extremity Vascular Procedures 16 7 — — $27,029.83 $103,777.96 $103,777.96 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 16 7 — — $26,067.51 $102,054.57 $102,054.57 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 16 7 — — $19,777.50 $101,277.72 $101,277.72 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 16 7 — — $24,564.60 $101,038.94 $101,038.94 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 16 7 — — $26,644.07 $100,576.91 $100,576.91 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 11 — — $72,604.31 $178,543.24 $100,451.71 2026-07-15
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 16 7 — — $28,120.91 $98,064.99 $98,064.99 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 16 7 — — $33,411.06 $97,549.52 $97,549.52 2026-07-15
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 16 7 — — $25,654.64 $97,374.00 $97,374.00 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 16 7 — — $26,392.80 $97,069.40 $97,069.40 2026-07-15
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 16 7 — — $23,587.16 $97,040.10 $97,040.10 2026-07-15
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 16 7 — — $22,220.83 $96,948.30 $96,948.30 2026-07-15
3213 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 16 7 — — $20,477.09 $96,872.40 $96,872.40 2026-07-15
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 16 7 — — $30,026.78 $96,758.04 $96,758.04 2026-07-15
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 16 7 — — $48,672.85 $96,758.04 $96,758.04 2026-07-15
6301 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 16 7 — — $15,706.15 $96,758.04 $96,758.04 2026-07-15
102 APR_DRG Head Trauma With Deep Coma 1 1 — — $96,681.47 $96,681.47 $96,681.47 2026-07-15
101 APR_DRG Head Trauma With Deep Coma 1 1 — — $96,681.47 $96,681.47 $96,681.47 2026-07-15
103 APR_DRG Head Trauma With Deep Coma 1 1 — — $96,681.47 $96,681.47 $96,681.47 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 16 11 — — $69,811.62 $171,605.31 $96,586.93 2026-07-15
6903 APR_DRG Acute Leukemia 16 7 — — $26,718.61 $95,802.54 $95,802.54 2026-07-15
6904 APR_DRG Acute Leukemia 16 7 — — $34,766.44 $95,802.54 $95,802.54 2026-07-15
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 16 7 — — $17,080.30 $94,985.80 $94,985.80 2026-07-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 16 7 — — $23,698.20 $94,520.97 $94,520.97 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 11 — — $67,980.13 $167,055.33 $94,052.34 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 16 11 — — $67,768.75 $166,530.18 $93,759.80 2026-07-15
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 16 7 — — $26,594.02 $95,180.70 $93,687.08 2026-07-15
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 16 7 — — $23,030.93 $93,332.37 $93,332.37 2026-07-15
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 16 7 — — $20,949.38 $93,047.62 $93,047.62 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 7 — — $24,404.56 $92,323.37 $92,323.37 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 16 7 — — $28,463.40 $92,232.30 $92,232.30 2026-07-15
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 16 7 — — $22,670.72 $98,772.21 $90,448.37 2026-07-15
1783 APR_DRG External Heart Assist Systems 15 7 — — $28,863.24 $90,339.64 $90,339.64 2026-07-15
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 7 — — $20,812.28 $90,231.60 $90,231.60 2026-07-15
234 APR_DRG Spinal Procedures 16 7 — — $26,125.89 $90,204.57 $90,204.57 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 16 7 — — $37,035.14 $89,298.56 $89,298.56 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 7 — — $47,840.12 $132,078.56 $88,620.13 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 7 — — $34,388.50 $132,078.56 $88,491.13 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 11 — — $63,504.32 $155,936.01 $87,858.29 2026-07-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 16 7 — — $29,357.43 $87,793.50 $87,793.50 2026-07-15
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 15 7 — — $22,301.64 $87,568.42 $87,568.42 2026-07-15
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 16 7 — — $13,970.74 $85,912.30 $85,912.30 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 11 — — $61,984.76 $152,160.87 $85,755.38 2026-07-15
1794 APR_DRG Defibrillator Implants 15 7 — — $29,719.21 $85,673.79 $85,673.79 2026-07-15
894 APR_DRG Major Cranial/facial Bone Procedures 16 7 — — $29,663.43 $85,568.88 $85,568.88 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 16 11 — — $61,720.71 $151,504.93 $85,389.96 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 11 — — $61,518.91 $151,003.56 $85,110.70 2026-07-15
274 APR_DRG Other Open Craniotomy 15 7 — — $24,547.92 $84,403.30 $84,403.30 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $84,402.02 $84,402.02 $84,402.02 2026-07-15
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 16 7 — — $27,675.20 $83,239.52 $83,239.52 2026-07-15
294 APR_DRG Other Percutaneous Intracranial Procedures 15 7 — — $20,900.38 $81,963.38 $81,963.38 2026-07-15
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 16 7 — — $25,812.59 $80,814.58 $80,814.58 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $58,317.80 $143,051.00 $80,680.70 2026-07-15
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 16 7 — — $24,792.93 $80,603.23 $80,603.23 2026-07-15
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 16 7 — — $19,755.09 $80,551.63 $80,551.63 2026-07-15
10 MS_DRG Pancreas Transplant 16 11 — — $57,975.59 $142,200.85 $80,207.11 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 11 — — $57,951.66 $142,141.40 $80,174.01 2026-07-15
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 16 7 — — $41,806.08 $79,950.34 $79,950.34 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 11 — — $57,647.73 $141,386.37 $79,753.40 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 11 — — $57,614.24 $141,303.14 $79,707.04 2026-07-15
6902 APR_DRG Acute Leukemia 16 7 — — $17,575.53 $79,314.45 $79,314.45 2026-07-15
4414 APR_DRG Major Bladder Procedures 16 7 — — $29,593.06 $79,252.26 $79,252.26 2026-07-15
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 16 7 — — $26,830.69 $78,591.47 $78,591.47 2026-07-15
1214 APR_DRG Other Respiratory And Chest Procedures 16 7 — — $23,536.07 $78,448.14 $78,448.14 2026-07-15
213 APR_DRG Open Craniotomy Except Trauma 16 7 — — $26,071.16 $78,298.23 $78,298.23 2026-07-15
4284 APR_DRG Genetic Disorders 15 7 — — $24,751.22 $78,294.40 $78,294.40 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 7 — — $28,838.74 $113,049.42 $78,058.12 2026-07-15
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 16 7 — — $20,601.68 $77,900.70 $77,900.70 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 16 11 — — $55,870.50 $136,971.14 $77,293.89 2026-07-15
554 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 16 7 — — $13,885.25 $77,121.40 $77,121.40 2026-07-15
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 16 7 — — $19,983.94 $76,940.27 $76,940.27 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 16 7 — — $30,633.05 $76,935.52 $76,935.52 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 11 — — $55,600.08 $136,299.34 $76,919.66 2026-07-15
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 16 7 — — $24,462.95 $76,544.35 $76,544.35 2026-07-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 16 7 — — $30,820.20 $87,926.72 $76,239.22 2026-07-15
6223 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 16 7 — — $19,031.00 $75,527.18 $75,527.18 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 11 — — $54,429.08 $133,390.21 $75,299.13 2026-07-15
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 16 7 — — $22,559.16 $75,266.96 $75,266.96 2026-07-15
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 11 — — $54,073.32 $132,506.37 $74,806.78 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 11 — — $54,034.25 $132,409.27 $74,752.71 2026-07-15
3084 APR_DRG Hip And Femur Fracture Repair 16 7 — — $21,702.66 $74,569.02 $74,569.02 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 15 7 — — $23,499.06 $74,455.37 $74,455.37 2026-07-15
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 15 7 — — $19,695.66 $74,022.53 $74,022.53 2026-07-15
1782 APR_DRG External Heart Assist Systems 15 7 — — $23,604.36 $73,715.50 $73,715.50 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 11 — — $53,186.30 $130,302.72 $73,579.24 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 11 — — $53,186.30 $130,302.72 $73,579.24 2026-07-15
5204 APR_DRG Other GYN Procedures For Malignancy 15 7 — — $23,400.54 $73,420.43 $73,420.43 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 11 — — $52,995.66 $129,829.09 $73,315.42 2026-07-15
J7330 HCPCS Implant Autologous Cultured Chondrocytes Single 22 13 $99,999.00 $64,999.35 35% off $19,999.80 $99,999.00 $73,299.26 2026-07-15
C2624 HCPCS System Cardiomems Pa Sensor And Delivery 21 13 $99,999.00 $64,999.35 35% off $19,999.80 $99,999.00 $72,999.27 2026-07-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 16 7 — — $30,855.13 $72,944.62 $72,944.62 2026-07-15
Q0480 HCPCS Driver Pneumatic Vad- Rep 30 11 — — $58,277.79 $206,581.72 $72,648.53 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 17 12 — — $48,146.53 $117,782.34 $72,218.30 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 11 — — $52,064.75 $127,516.45 $72,027.13 2026-07-15
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 16 7 — — $24,443.66 $71,827.10 $71,827.10 2026-07-15
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 16 7 — — $15,522.13 $71,420.76 $71,420.76 2026-07-15
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 16 7 — — $23,573.38 $70,758.66 $70,758.66 2026-07-15
1824 APR_DRG Other Peripheral Vascular Procedures 16 7 — — $23,459.44 $70,195.10 $70,195.10 2026-07-15
6213 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 16 7 — — $9,075.73 $70,070.79 $70,070.79 2026-07-15
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 16 7 — — $25,532.13 $69,722.43 $69,722.43 2026-07-15
6122 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 16 7 — — $15,914.67 $69,137.09 $69,137.09 2026-07-15
6953 APR_DRG Chemotherapy For Acute Leukemia 16 7 — — $16,118.50 $69,037.41 $69,037.41 2026-07-15
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 16 7 — — $26,101.91 $84,467.93 $68,755.81 2026-07-15
2064 APR_DRG Malfunction,reaction,complication Of Cardiac/vasc Device Or Procedure 16 7 — — $12,831.18 $68,672.66 $68,672.66 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 16 11 — — $49,621.45 $121,446.50 $68,645.87 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 11 — — $49,564.81 $121,305.80 $68,567.48 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 11 — — $49,096.57 $120,142.54 $67,919.50 2026-07-15
1793 APR_DRG Defibrillator Implants 15 7 — — $22,764.55 $67,549.46 $67,549.46 2026-07-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 16 10 — — $2,299.94 $128,160.05 $67,452.66 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 16 11 — — $48,663.42 $119,066.48 $67,320.07 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 11 — — $48,649.87 $119,032.79 $67,301.30 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 16 11 — — $48,302.89 $118,170.75 $66,821.12 2026-07-15
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 16 7 — — $15,085.80 $66,705.33 $66,705.33 2026-07-15
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 16 7 — — $22,463.76 $66,541.14 $66,541.14 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 11 — — $48,036.45 $117,508.86 $66,452.40 2026-07-15
233 APR_DRG Spinal Procedures 16 7 — — $21,308.56 $66,407.89 $66,407.89 2026-07-15
2244 APR_DRG Peritoneal Adhesiolysis 16 7 — — $25,454.98 $66,397.62 $66,397.62 2026-07-15
734 APR_DRG Orbit And Eye Procedures 16 7 — — $21,650.01 $66,312.82 $66,312.82 2026-07-15
293 APR_DRG Other Percutaneous Intracranial Procedures 15 7 — — $20,773.18 $66,238.49 $66,238.49 2026-07-15
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 16 7 — — $16,573.59 $66,086.72 $66,086.72 2026-07-15
1804 APR_DRG Other Circulatory System Procedures 16 7 — — $19,186.87 $65,886.11 $65,886.11 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 11 — — $47,549.06 $116,298.05 $65,777.90 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 11 — — $47,518.76 $116,222.74 $65,735.96 2026-07-15
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 30 11 — — $29,625.96 $105,017.41 $65,732.65 2026-07-15
264 APR_DRG Other Nervous System And Related Procedures 16 7 — — $17,621.40 $65,432.59 $65,432.59 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 16 7 — — $47,961.59 $65,226.10 $65,226.10 2026-07-15
2294 APR_DRG Other Digestive System And Abdominal Procedures 16 7 — — $17,596.38 $65,179.74 $65,179.74 2026-07-15
3054 APR_DRG Amputation Of Lower Limb Except Toes 16 7 — — $18,662.96 $65,173.95 $65,173.95 2026-07-15
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 16 7 — — $20,666.32 $65,116.56 $65,116.56 2026-07-15
2804 APR_DRG Alcoholic Liver Disease 16 7 — — $13,635.02 $65,080.29 $65,080.29 2026-07-15
6333 APR_DRG Neonate Birthwt >2499g W Major Anomaly 16 7 — — $9,220.66 $64,851.31 $64,851.31 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 11 — — $46,739.42 $114,286.62 $64,657.44 2026-07-15
6112 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 16 7 — — $13,583.41 $72,122.13 $64,275.23 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 11 — — $46,445.87 $113,557.36 $64,251.20 2026-07-15
2234 APR_DRG Other Small And Large Bowel Procedures 16 7 — — $20,077.25 $64,136.78 $64,136.78 2026-07-15
J9029 HCPCS Instill Adstiladrin- Tx Dose 30 11 — — $33,951.46 $120,350.33 $63,945.00 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 11 — — $46,200.18 $112,946.99 $63,911.19 2026-07-15
9103 APR_DRG Craniotomy For Multiple Significant Trauma 16 7 — — $25,639.52 $63,841.42 $63,841.42 2026-07-15
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 16 7 — — $17,687.09 $63,777.03 $63,777.03 2026-07-15
8632 APR_DRG Neonatal Aftercare 16 7 — — $12,965.67 $63,739.24 $63,739.24 2026-07-15
9113 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 16 7 — — $19,698.26 $63,495.98 $63,495.98 2026-07-15
1781 APR_DRG External Heart Assist Systems 15 7 — — $21,299.18 $63,427.05 $63,427.05 2026-07-15
4854 APR_DRG Prostatectomy Procedures 15 7 — — $20,330.60 $63,155.40 $63,155.40 2026-07-15
913 APR_DRG Other Major Head And Neck Procedures 16 7 — — $36,122.30 $63,111.68 $63,111.68 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $45,581.98 $111,411.17 $63,055.67 2026-07-15
8 MS_DRG Simultaneous Pancreas/kidney Transplant 16 11 — — $45,443.18 $111,066.36 $62,863.58 2026-07-15
2614 APR_DRG Major Biliary Tract Procedures 16 7 — — $29,487.24 $62,708.61 $62,708.61 2026-07-15
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 16 7 — — $22,356.89 $62,661.22 $62,661.22 2026-07-15
1754 APR_DRG Percutaneous Coronary Intervention Without Ami 16 7 — — $23,126.33 $64,568.53 $62,534.12 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 11 — — $45,136.87 $110,305.39 $62,439.68 2026-07-15
403 APR_DRG Spinal Disorders And Injuries 16 7 — — $10,140.23 $62,277.48 $62,277.48 2026-07-15
404 APR_DRG Spinal Disorders And Injuries 16 7 — — $13,722.08 $62,277.48 $62,277.48 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 16 11 — — $44,792.26 $109,449.29 $61,962.78 2026-07-15
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 16 7 — — $19,355.25 $61,869.17 $61,869.17 2026-07-15
6312 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 16 7 — — $11,289.17 $61,660.06 $61,660.06 2026-07-15
C1882 HCPCS Crt-d Gallant Hf 84 13 $92,097.50 $59,863.38 35% off $13,871.00 $97,020.00 $61,615.12 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 16 11 — — $44,528.23 $108,793.35 $61,597.38 2026-07-15
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 16 7 — — $29,051.95 $61,559.03 $61,559.03 2026-07-15
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