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

BRONSON METHODIST HOSPITAL

Kalamazoo, MI · CCN 230017 · Rates published

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You selected 29806 (CPT)

ARTHROSCOPY, SHOULDER, SURGICAL; CAPSULORRHAPHY

This hospital’s price: $7,230 across 18 payers · range $3,781-$23,382

Source: https://images.pricetransparency.healthcare/bronson-methodist/381359087_bronson-methodist-hospital_standardcharges.csv · observed 2026-08-03

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.

9,357 distinct procedures filed
30 distinct payers
571,160 rate rows
2026-08-03 last MRF observed
Data quality

400,753 of 571,160 rate rows are consumer-grade (70.2%)

170,407 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 169,035
placeholder amount (≤ $0.02) — excluded from medians 834
exceeds 10× this hospital's gross charge — excluded from medians 232
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 90
per-diem day rate — not a per-procedure price 90
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 64
template filing: same amount across many unrelated codes — excluded 42
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/bronson-methodist/381359087_bronson-methodist-hospital_standardcharges.csv
Found on page https://pricetransparency.healthcare/bronson-methodist/charges
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-03
Content fingerprint 03ea94c37e37aec3… · 190,575,107 bytes · first seen 2026-11-03

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 6 $458,918.79 $481,864.73 $458,918.79 nat. median
$309,665
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $185,900.92 $696,199.15 $361,717.49 nat. median
$360,195
1.0× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $311,518.12 $327,094.02 $311,518.12 nat. median
$138,094
outlier · 2.3×
5833
APR_DRG 		Neonate With Ecmo 6 $277,448.70 $291,321.13 $277,448.70 nat. median
$244,017
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $223,200.83 $672,741.66 $244,346.17 nat. median
$247,805
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $223,279.03 $234,442.98 $223,279.03 nat. median
$249,123
0.9× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $196,824.59 $206,665.82 $196,824.59 nat. median
$122,909
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $170,183.63 $680,211.07 $188,097.69 nat. median
$197,664
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $169,188.17 $516,317.62 $186,997.45 nat. median
$190,274
1.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $186,810.79 $196,151.33 $186,810.79 nat. median
$154,211
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $182,341.18 $191,458.24 $182,341.18 nat. median
$165,846
1.1× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $181,783.13 $190,872.29 $181,783.13 nat. median
$165,334
1.1× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $174,711.78 $183,447.37 $174,711.78 nat. median
$202,660
0.9× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $156,115.05 $163,920.80 $156,115.05 nat. median
$145,336
1.1× median
5832
APR_DRG 		Neonate With Ecmo 6 $153,820.00 $161,511.00 $153,820.00 nat. median
$159,829
1.0× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $151,653.51 $159,236.19 $151,653.51 nat. median
$67,440
outlier · 2.2×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $148,032.52 $155,434.14 $148,032.52 nat. median
$160,390
0.9× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $146,160.62 $153,468.65 $146,160.62 nat. median
$122,978
1.2× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $143,464.91 $150,638.15 $143,464.91 nat. median
$90,073
1.6× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $143,359.98 $150,527.98 $143,359.98 nat. median
$71,594
outlier · 2.0×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $141,612.04 $148,692.64 $141,612.04 nat. median
$95,269
1.5× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $136,976.40 $143,825.22 $136,976.40 nat. median
$103,993
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $136,889.35 $143,733.82 $136,889.35 nat. median
$152,569
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $135,947.35 $142,744.71 $135,947.35 nat. median
$171,358
0.8× median
5831
APR_DRG 		Neonate With Ecmo 6 $131,218.89 $137,779.84 $131,218.89 nat. median
$148,245
0.9× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $128,681.72 $135,115.80 $128,681.72 nat. median
$67,645
1.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $127,811.20 $134,201.76 $127,811.20 nat. median
$165,169
0.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $127,536.21 $133,913.02 $127,536.21 nat. median
$177,531
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $110,606.58 $249,101.35 $122,249.38 nat. median
$126,240
1.0× median
7
MS_DRG 		Lung Transplant 16 $103,446.95 $248,162.53 $113,247.19 nat. median
$117,943
1.0× median
21672
CDM 		Carmustine In Polifeprosan 7.7 Mg Wafer For Implant 15 $57,826.51 $140,659.07 $109,401.50 nat. median
$5,249
outlier · 20.8×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $107,237.65 $112,599.53 $107,237.65 nat. median
$122,016
0.9× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $106,823.14 $112,164.30 $106,823.14 nat. median
$76,612
1.4× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $105,040.61 $110,292.64 $105,040.61 nat. median
$83,372
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $96,040.23 $383,910.47 $103,116.88 nat. median
$109,875
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $90,486.20 $263,867.25 $100,011.06 nat. median
$92,760
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $90,589.46 $247,709.59 $99,171.62 nat. median
$103,911
1.0× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $99,125.72 $104,082.00 $99,125.72 nat. median
$109,393
0.9× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $98,452.36 $103,374.98 $98,452.36 nat. median
$107,562
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $88,121.90 $179,645.56 $97,397.88 nat. median
$93,094
1.0× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 6 $96,955.77 $101,803.56 $96,955.77 nat. median
$99,544
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $86,953.23 $260,798.23 $96,106.21 nat. median
$97,029
1.0× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 6 $95,305.25 $100,070.51 $95,305.25 nat. median
$83,417
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems 6 $94,609.41 $99,339.89 $94,609.41 nat. median
$121,888
0.8× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $94,502.76 $99,227.90 $94,502.76 nat. median
$119,800
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $82,475.70 $254,366.46 $90,289.19 nat. median
$94,844
1.0× median
6134
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 $88,753.33 $93,190.99 $88,753.33 nat. median
$56,729
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 17 $79,667.29 $205,989.56 $88,053.32 nat. median
$93,531
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $78,283.35 $225,265.65 $86,523.71 nat. median
$90,525
1.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 6 $85,926.17 $90,222.48 $85,926.17 nat. median
$85,665
1.0× median

Other procedures at this hospital

Browse this hospital's 9,357 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
             
5834 APR_DRG Neonate With Ecmo 6 6 — — $458,918.79 $481,864.73 $458,918.79 2026-08-03
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 16 — — $185,900.92 $696,199.15 $361,717.49 2026-08-03
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $311,518.12 $327,094.02 $311,518.12 2026-08-03
5833 APR_DRG Neonate With Ecmo 6 6 — — $277,448.70 $291,321.13 $277,448.70 2026-08-03
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 16 — — $223,200.83 $672,741.66 $244,346.17 2026-08-03
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $223,279.03 $234,442.98 $223,279.03 2026-08-03
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $196,824.59 $206,665.82 $196,824.59 2026-08-03
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 17 — — $170,183.63 $680,211.07 $188,097.69 2026-08-03
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 17 — — $169,188.17 $516,317.62 $186,997.45 2026-08-03
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $186,810.79 $196,151.33 $186,810.79 2026-08-03
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $182,341.18 $191,458.24 $182,341.18 2026-08-03
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $181,783.13 $190,872.29 $181,783.13 2026-08-03
1614 APR_DRG Implantable Heart Assist Systems 6 6 — — $174,711.78 $183,447.37 $174,711.78 2026-08-03
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $156,115.05 $163,920.80 $156,115.05 2026-08-03
5832 APR_DRG Neonate With Ecmo 6 6 — — $153,820.00 $161,511.00 $153,820.00 2026-08-03
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $151,653.51 $159,236.19 $151,653.51 2026-08-03
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $148,032.52 $155,434.14 $148,032.52 2026-08-03
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $146,160.62 $153,468.65 $146,160.62 2026-08-03
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $143,464.91 $150,638.15 $143,464.91 2026-08-03
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $143,359.98 $150,527.98 $143,359.98 2026-08-03
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $141,612.04 $148,692.64 $141,612.04 2026-08-03
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $136,976.40 $143,825.22 $136,976.40 2026-08-03
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $136,889.35 $143,733.82 $136,889.35 2026-08-03
74 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $135,947.35 $142,744.71 $135,947.35 2026-08-03
5831 APR_DRG Neonate With Ecmo 6 6 — — $131,218.89 $137,779.84 $131,218.89 2026-08-03
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $128,681.72 $135,115.80 $128,681.72 2026-08-03
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $127,811.20 $134,201.76 $127,811.20 2026-08-03
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $127,536.21 $133,913.02 $127,536.21 2026-08-03
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 17 — — $110,606.58 $249,101.35 $122,249.38 2026-08-03
7 MS_DRG Lung Transplant 21 16 — — $103,446.95 $248,162.53 $113,247.19 2026-08-03
21672 CDM Carmustine In Polifeprosan 7.7 Mg Wafer For Implant 22 15 $156,287.86 $125,030.29 $57,826.51 $140,659.07 $109,401.50 2026-08-03
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $107,237.65 $112,599.53 $107,237.65 2026-08-03
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $106,823.14 $112,164.30 $106,823.14 2026-08-03
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $105,040.61 $110,292.64 $105,040.61 2026-08-03
14 MS_DRG Allogeneic Bone Marrow Transplant 22 17 — — $96,040.23 $383,910.47 $103,116.88 2026-08-03
209 MS_DRG Complex Aortic Arch Procedures 25 17 — — $90,486.20 $263,867.25 $100,011.06 2026-08-03
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 16 — — $90,589.46 $247,709.59 $99,171.62 2026-08-03
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $99,125.72 $104,082.00 $99,125.72 2026-08-03
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $98,452.36 $103,374.98 $98,452.36 2026-08-03
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 17 — — $88,121.90 $179,645.56 $97,397.88 2026-08-03
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $96,955.77 $101,803.56 $96,955.77 2026-08-03
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 17 — — $86,953.23 $260,798.23 $96,106.21 2026-08-03
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $95,305.25 $100,070.51 $95,305.25 2026-08-03
1613 APR_DRG Implantable Heart Assist Systems 6 6 — — $94,609.41 $99,339.89 $94,609.41 2026-08-03
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $94,502.76 $99,227.90 $94,502.76 2026-08-03
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 16 — — $82,475.70 $254,366.46 $90,289.19 2026-08-03
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $88,753.33 $93,190.99 $88,753.33 2026-08-03
215 MS_DRG Other Heart Assist System Implant 25 17 — — $79,667.29 $205,989.56 $88,053.32 2026-08-03
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 17 — — $78,283.35 $225,265.65 $86,523.71 2026-08-03
1612 APR_DRG Implantable Heart Assist Systems 6 6 — — $85,926.17 $90,222.48 $85,926.17 2026-08-03
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $82,231.96 $86,343.56 $82,231.96 2026-08-03
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $82,198.52 $86,308.45 $82,198.52 2026-08-03
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $80,773.41 $84,812.09 $80,773.41 2026-08-03
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 46 27 $344,544.64 $275,635.71 20% off $29,428.79 $310,090.18 $80,051.64 2026-08-03
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 17 — — $72,140.61 $156,179.72 $79,734.35 2026-08-03
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $76,869.36 $80,712.82 $76,869.36 2026-08-03
850 MS_DRG Acute Leukemia With Other Procedures 25 17 — — $69,359.23 $177,819.34 $76,660.21 2026-08-03
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $75,663.32 $79,446.48 $75,663.32 2026-08-03
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 17 — — $67,535.14 $168,000.12 $74,644.10 2026-08-03
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 6 — — $74,524.73 $78,250.97 $74,524.73 2026-08-03
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 17 — — $67,324.64 $146,923.24 $74,411.44 2026-08-03
5814 APR_DRG Neonate, Transferred < 5 Days Old, Born Here 6 6 — — $73,461.09 $77,134.14 $73,461.09 2026-08-03
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $73,289.29 $76,953.76 $73,289.29 2026-08-03
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $72,464.90 $76,088.14 $72,464.90 2026-08-03
1611 APR_DRG Implantable Heart Assist Systems 6 6 — — $72,418.20 $76,039.11 $72,418.20 2026-08-03
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 47 27 $225,315.48 $180,252.38 20% off $21,533.70 $202,783.93 $71,255.81 2026-08-03
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 17 — — $63,077.46 $201,597.40 $69,717.20 2026-08-03
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $69,298.18 $72,763.09 $69,298.18 2026-08-03
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $68,826.61 $72,267.94 $68,826.61 2026-08-03
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 17 — — $61,564.03 $163,596.98 $68,044.45 2026-08-03
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 17 — — $61,301.07 $133,126.37 $67,753.81 2026-08-03
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 17 — — $61,100.07 $175,831.89 $67,531.65 2026-08-03
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $66,661.85 $69,994.94 $66,661.85 2026-08-03
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $66,403.58 $69,723.75 $66,403.58 2026-08-03
73 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $64,815.32 $68,056.08 $64,815.32 2026-08-03
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 17 — — $57,911.90 $117,663.18 $64,007.89 2026-08-03
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 17 — — $57,547.27 $135,607.94 $63,604.87 2026-08-03
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 17 — — $57,211.20 $165,238.55 $63,233.44 2026-08-03
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 16 — — $57,244.57 $161,716.59 $62,667.74 2026-08-03
72 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $62,274.11 $65,387.81 $62,274.11 2026-08-03
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 17 — — $55,474.51 $147,310.30 $61,313.93 2026-08-03
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 17 — — $55,205.19 $126,087.93 $61,016.27 2026-08-03
84 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $60,800.00 $63,840.00 $60,800.00 2026-08-03
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $60,646.07 $63,678.37 $60,646.07 2026-08-03
10 MS_DRG Pancreas Transplant 21 16 — — $39,601.71 $115,687.64 $60,601.17 2026-08-03
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $59,977.33 $62,976.20 $59,977.33 2026-08-03
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 17 — — $54,038.94 $207,334.66 $59,727.24 2026-08-03
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $59,378.35 $62,347.26 $59,378.35 2026-08-03
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 17 — — $53,684.61 $127,089.89 $59,335.63 2026-08-03
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 25 17 — — $53,645.68 $113,987.53 $59,292.60 2026-08-03
C1605 HCPCS Hc Pacemaker Aveir Leadless Dual Chamber 24 16 $87,549.66 $70,039.73 $0.03 $78,794.69 $59,096.02 2026-08-03
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 17 — — $52,801.17 $121,396.56 $58,359.19 2026-08-03
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 17 — — $52,801.17 $150,939.32 $58,359.19 2026-08-03
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 17 — — $52,611.31 $141,957.36 $58,149.35 2026-08-03
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 — — $57,807.96 $60,698.36 $57,807.96 2026-08-03
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 17 — — $51,684.20 $151,430.70 $57,124.64 2026-08-03
A9543 HCPCS Hc Zevalin Y-90 Per Study 47 27 $63,202.66 $50,562.13 $23,384.98 $179,222.83 $56,824.55 2026-08-03
8513 APR_DRG Gender Related Procedures 6 6 — — $56,034.07 $58,835.77 $56,034.07 2026-08-03
8514 APR_DRG Gender Related Procedures 6 6 — — $56,034.07 $58,835.77 $56,034.07 2026-08-03
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $55,682.41 $58,466.53 $55,682.41 2026-08-03
8634 APR_DRG Neonatal Aftercare 6 6 — — $55,295.00 $58,059.75 $55,295.00 2026-08-03
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $54,953.13 $57,700.79 $54,953.13 2026-08-03
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 17 — — $49,250.76 $135,432.25 $54,435.06 2026-08-03
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 17 — — $49,194.35 $154,568.35 $54,372.71 2026-08-03
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 17 — — $48,727.99 $150,511.09 $53,857.25 2026-08-03
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $53,665.81 $56,349.10 $53,665.81 2026-08-03
28 MS_DRG Spinal Procedures With Mcc 25 17 — — $48,296.62 $106,748.70 $53,380.48 2026-08-03
71 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $53,376.41 $56,045.23 $53,376.41 2026-08-03
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 17 — — $48,283.10 $159,849.92 $53,365.54 2026-08-03
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $52,999.95 $55,649.95 $52,999.95 2026-08-03
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 17 — — $47,937.52 $118,632.24 $52,983.58 2026-08-03
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 17 — — $47,781.81 $167,036.59 $52,811.47 2026-08-03
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $52,666.16 $55,299.47 $52,666.16 2026-08-03
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 24 15 $77,593.88 $62,075.10 20% off $240.34 $69,834.49 $52,375.87 2026-08-03
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 21 16 — — $47,672.18 $244,259.00 $52,188.49 2026-08-03
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 17 — — $47,186.77 $113,282.04 $52,153.79 2026-08-03
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 17 — — $47,156.57 $123,474.60 $52,120.41 2026-08-03
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $51,595.02 $54,174.77 $51,595.02 2026-08-03
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 17 — — $46,380.40 $109,779.29 $51,262.54 2026-08-03
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 17 — — $46,088.02 $123,669.50 $50,939.40 2026-08-03
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 25 17 — — $45,902.12 $107,105.57 $50,733.92 2026-08-03
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 17 — — $45,843.34 $119,362.44 $50,668.96 2026-08-03
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 17 — — $45,227.62 $91,638.60 $49,988.42 2026-08-03
C2624 HCPCS Hc Implantable Pressure Sensor Wo Lead 24 16 $73,582.69 $58,866.15 20% off $0.03 $66,224.42 $49,668.32 2026-08-03
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $49,599.75 $52,079.74 $49,599.75 2026-08-03
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 17 — — $44,784.33 $121,531.07 $49,498.47 2026-08-03
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 16 — — $45,089.40 $106,449.49 $49,361.03 2026-08-03
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 17 — — $44,441.11 $121,736.95 $49,119.13 2026-08-03
834 MS_DRG Acute Leukemia With Mcc 25 17 — — $44,178.15 $202,563.67 $48,828.49 2026-08-03
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 17 — — $44,024.03 $103,440.86 $48,658.13 2026-08-03
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 17 — — $43,962.06 $109,905.57 $48,589.64 2026-08-03
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 17 — — $43,893.72 $113,584.00 $48,514.12 2026-08-03
33364 CPT Hc Replace Aortic Valve Open Iliac Artery Appr 24 16 $71,281.34 $57,025.07 20% off $7,198.48 $64,153.21 $48,114.90 2026-08-03
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $47,909.46 $50,304.93 $47,909.46 2026-08-03
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 21 16 — — $43,720.55 $124,967.93 $47,862.50 2026-08-03
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 17 — — $42,930.04 $121,547.54 $47,449.00 2026-08-03
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 25 17 — — $42,904.62 $93,846.73 $47,420.90 2026-08-03
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 17 — — $42,620.23 $147,354.22 $47,106.57 2026-08-03
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 17 — — $42,481.19 $118,187.54 $46,952.89 2026-08-03
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 — — $46,713.22 $49,048.88 $46,713.22 2026-08-03
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 17 — — $41,917.91 $85,853.00 $46,330.33 2026-08-03
653 MS_DRG Major Bladder Procedures With Mcc 25 17 — — $41,846.43 $84,701.32 $46,251.31 2026-08-03
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $46,175.92 $48,484.72 $46,175.92 2026-08-03
33363 CPT Hc Replace Aortic Valve Open Axillry Artery Appr 24 16 $68,097.72 $54,478.18 $6,942.04 $61,287.95 $45,965.96 2026-08-03
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 47 27 $123,410.03 $98,728.02 20% off $14,865.78 $111,069.03 $45,661.71 2026-08-03
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 17 — — $40,605.49 $103,943.21 $44,879.75 2026-08-03
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 6 — — $44,873.61 $47,117.29 $44,873.61 2026-08-03
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 17 — — $40,186.03 $99,361.64 $44,416.13 2026-08-03
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 17 — — $39,868.21 $135,890.69 $44,064.87 2026-08-03
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 17 — — $39,798.31 $88,320.85 $43,987.61 2026-08-03
64568 CPT Open Implantation Of Cranial Nerve (eg, Vagus Nerve) Neurostimulator Electrode A… 31 18 — — $22,953.47 $131,664.27 $43,888.09 2026-08-03
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 17 — — $39,664.05 $80,223.71 $43,839.21 2026-08-03
33362 CPT Hc Replace Aortic Valve Open Femoral Artery Appr 24 16 $64,914.10 $51,931.28 20% off $6,594.04 $58,422.69 $43,817.02 2026-08-03
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 17 — — $39,501.19 $125,064.01 $43,659.21 2026-08-03
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $43,450.23 $45,622.74 $43,450.23 2026-08-03
471 MS_DRG Cervical Spinal Fusion With Mcc 25 17 — — $38,925.21 $78,707.81 $43,022.61 2026-08-03
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 17 — — $37,913.87 $210,796.23 $42,902.54 2026-08-03
914 APR_DRG Other Major Head And Neck Procedures 6 6 — — $42,896.79 $45,041.63 $42,896.79 2026-08-03
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 17 — — $38,731.37 $111,113.41 $42,808.35 2026-08-03
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $42,504.77 $44,630.01 $42,504.77 2026-08-03
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 17 — — $38,385.78 $113,658.12 $42,426.38 2026-08-03
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $42,420.02 $44,541.02 $42,420.02 2026-08-03
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 17 — — $37,837.60 $121,898.91 $41,820.50 2026-08-03
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 6 — — $41,802.59 $43,892.72 $41,802.59 2026-08-03
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 17 — — $37,726.37 $76,248.14 $41,697.57 2026-08-03
33361 CPT Hc Replace Aortic Valve Perc Femoral Artery Appr 24 16 $61,730.47 $49,384.38 $6,043.03 $55,557.42 $41,668.07 2026-08-03
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $41,660.77 $43,743.81 $41,660.77 2026-08-03
22552 CPT Arthrodesis, Anterior Interbody, Including Disc Space Preparation, Discectomy, O… 5 3 — — $41,481.86 $41,481.86 $41,481.86 2026-08-03
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 17 — — $37,255.26 $124,202.05 $41,176.86 2026-08-03
1784 APR_DRG External Heart Assist Devices 6 6 — — $41,171.32 $43,229.89 $41,171.32 2026-08-03
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 17 — — $37,080.49 $78,647.12 $40,983.69 2026-08-03
6 MS_DRG Liver Transplant Without Mcc 21 16 — — $37,402.23 $97,854.58 $40,945.60 2026-08-03
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 6 — — $40,924.01 $42,970.21 $40,924.01 2026-08-03
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 17 — — $36,987.54 $104,711.84 $40,880.96 2026-08-03
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $40,702.05 $42,737.16 $40,702.05 2026-08-03
245 MS_DRG Aicd Generator Procedures 25 17 — — $36,809.58 $100,506.35 $40,684.28 2026-08-03
6904 APR_DRG Acute Leukemia 6 6 — — $40,665.16 $42,698.41 $40,665.16 2026-08-03
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $40,653.63 $42,686.31 $40,653.63 2026-08-03
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 17 — — $36,700.73 $89,237.71 $40,563.97 2026-08-03
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 17 — — $36,684.85 $106,210.66 $40,546.41 2026-08-03
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 6 6 — — $40,503.74 $42,528.92 $40,503.74 2026-08-03
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 6 — — $40,457.04 $42,479.89 $40,457.04 2026-08-03
799 MS_DRG Splenic Procedures With Mcc 25 17 — — $36,543.44 $73,821.07 $40,390.12 2026-08-03
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $40,130.17 $42,136.67 $40,130.17 2026-08-03
163 MS_DRG Major Chest Procedures With Mcc 25 17 — — $36,169.24 $79,624.37 $39,976.52 2026-08-03
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 17 — — $36,158.91 $108,760.86 $39,965.11 2026-08-03
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $39,855.17 $41,847.93 $39,855.17 2026-08-03
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 17 — — $36,019.09 $82,668.69 $39,810.57 2026-08-03
913 APR_DRG Other Major Head And Neck Procedures 6 6 — — $39,701.25 $41,686.31 $39,701.25 2026-08-03
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 17 — — $35,462.18 $78,556.53 $39,195.04 2026-08-03
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $39,094.19 $41,048.90 $39,094.19 2026-08-03
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $38,902.22 $40,847.33 $38,902.22 2026-08-03
77539 CDM Vorinostat 100 Mg Capsule 22 15 $55,535.52 $44,428.42 $20,548.14 $49,981.97 $38,874.86 2026-08-03
204 APR_DRG Open Craniotomy For Trauma 6 6 — — $38,771.35 $40,709.92 $38,771.35 2026-08-03
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 17 — — $34,942.61 $114,349.89 $38,620.77 2026-08-03
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 6 — — $38,597.25 $40,527.11 $38,597.25 2026-08-03
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $38,358.00 $40,275.90 $38,358.00 2026-08-03
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 17 — — $34,668.52 $87,917.32 $38,317.84 2026-08-03
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $38,238.09 $40,150.00 $38,238.09 2026-08-03
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $38,223.10 $40,134.26 $38,223.10 2026-08-03
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $38,103.19 $40,008.35 $38,103.19 2026-08-03
33270 CPT Hc Insert/replace Sq Icd W Electrodes 47 27 $86,596.51 $69,277.21 $16,357.34 $101,143.75 $38,102.46 2026-08-03
140 MS_DRG Major Head And Neck Procedures With Mcc 25 17 — — $34,449.25 $91,993.79 $38,075.49 2026-08-03
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $37,926.78 $39,823.12 $37,926.78 2026-08-03
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 25 17 — — $34,254.61 $72,355.35 $37,860.35 2026-08-03
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 6 — — $37,787.27 $39,676.63 $37,787.27 2026-08-03
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 17 — — $34,114.78 $79,097.31 $37,705.80 2026-08-03
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 17 — — $34,057.58 $113,474.20 $37,642.58 2026-08-03
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 17 — — $34,040.90 $83,489.47 $37,624.16 2026-08-03
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 17 — — $33,943.19 $75,984.37 $37,516.15 2026-08-03
901 MS_DRG Wound Debridements For Injuries With Mcc 25 17 — — $33,903.46 $77,516.13 $37,472.24 2026-08-03
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 17 — — $33,841.48 $90,116.14 $37,403.74 2026-08-03
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 17 — — $33,712.77 $112,873.02 $37,261.49 2026-08-03
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 17 — — $33,557.08 $89,509.48 $37,089.40 2026-08-03
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 25 17 — — $33,338.60 $80,876.14 $36,847.92 2026-08-03
83 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $36,825.67 $38,666.95 $36,825.67 2026-08-03
4414 APR_DRG Major Bladder Procedures 6 6 — — $36,116.57 $37,922.40 $36,116.57 2026-08-03
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $36,029.52 $37,831.00 $36,029.52 2026-08-03
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 17 — — $32,504.40 $67,768.28 $35,925.92 2026-08-03
791 MS_DRG Prematurity With Major Problems 25 17 — — $32,810.29 $66,161.70 $35,918.64 2026-08-03
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $35,902.69 $37,697.83 $35,902.69 2026-08-03
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 6 — — $35,812.76 $37,603.39 $35,812.76 2026-08-03
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 6 — — $35,763.75 $37,551.94 $35,763.75 2026-08-03
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $35,757.99 $37,545.89 $35,757.99 2026-08-03
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 17 — — $32,215.23 $66,799.26 $35,606.31 2026-08-03
43675 CDM Sorafenib 200 Mg Tablet 43 15 $41,326.64 $33,061.31 20% off $15,290.86 $84,958.96 $35,540.91 2026-08-03
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $35,495.68 $37,270.47 $35,495.68 2026-08-03
22614 CPT Arthrodesis, Posterior Or Posterolateral Technique, Single Interspace; Each Addi… 5 3 — — $35,466.58 $35,466.58 $35,466.58 2026-08-03
793 MS_DRG Full Term Neonate With Major Problems 25 17 — — $9,268.29 $67,964.48 $35,462.05 2026-08-03
0571T CPT Hc Insert/replace Icd W/substernal Electrodes 50 27 $72,138.55 $57,710.84 20% off $16,357.34 $101,143.75 $35,361.07 2026-08-03
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $35,274.31 $37,038.02 $35,274.31 2026-08-03
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $35,201.09 $36,961.14 $35,201.09 2026-08-03
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $35,103.66 $36,858.84 $35,103.66 2026-08-03
177130 CDM Uridine Triacetate 10 Gram Oral Granules In Packet 66 15 $62,367.20 $49,893.76 $6,360.37 $61,884.72 $35,102.39 2026-08-03
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 17 — — $31,641.65 $96,064.77 $34,972.35 2026-08-03
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 6 — — $34,893.82 $36,638.51 $34,893.82 2026-08-03
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 17 — — $31,501.03 $62,782.84 $34,816.93 2026-08-03
6954 APR_DRG Chemotherapy For Acute Leukemia 6 6 — — $34,797.54 $36,537.42 $34,797.54 2026-08-03
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 17 — — $31,314.32 $73,291.42 $34,610.56 2026-08-03
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 25 17 — — $31,268.25 $62,997.87 $34,559.65 2026-08-03
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 17 — — $31,238.84 $71,339.66 $34,527.14 2026-08-03
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $34,418.78 $36,139.72 $34,418.78 2026-08-03
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 6 — — $34,339.22 $36,056.18 $34,339.22 2026-08-03
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 17 — — $31,064.86 $75,034.56 $34,334.84 2026-08-03
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $34,176.65 $35,885.48 $34,176.65 2026-08-03
7886 CDM Thioguanine 40 Mg Tablet 22 15 $48,758.33 $39,006.66 20% off $18,040.58 $43,882.50 $34,130.83 2026-08-03
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 17 — — $30,004.27 $134,581.27 $33,952.19 2026-08-03
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 17 — — $30,458.71 $127,987.54 $33,664.89 2026-08-03
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 25 17 — — $30,328.39 $85,125.55 $33,520.85 2026-08-03
1204 APR_DRG Major Respiratory And Chest Procedures 6 6 — — $33,492.34 $35,166.96 $33,492.34 2026-08-03
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 17 — — $30,257.70 $74,655.74 $33,442.72 2026-08-03
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 25 17 — — $30,254.52 $65,201.62 $33,439.20 2026-08-03
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 6 — — $33,365.51 $35,033.79 $33,365.51 2026-08-03
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 17 — — $30,171.11 $60,746.84 $33,347.01 2026-08-03
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $33,062.85 $34,715.99 $33,062.85 2026-08-03
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $33,015.58 $34,666.36 $33,015.58 2026-08-03
27200132 CDM Hc Impella Lvad 22 15 $47,152.14 $37,721.71 20% off $17,446.29 $42,436.93 $33,006.50 2026-08-03
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $32,944.09 $34,591.30 $32,944.09 2026-08-03
1694 APR_DRG Major Abdominal Vascular Procedures 6 6 — — $32,927.95 $34,574.35 $32,927.95 2026-08-03
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 25 17 — — $29,744.47 $69,316.52 $32,875.47 2026-08-03
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 17 — — $29,732.56 $72,311.42 $32,862.30 2026-08-03
69930 CPT Cochlear Device Implantation, With Or Without Mastoidectomy 31 18 — — $17,182.41 $106,245.46 $32,853.56 2026-08-03
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $32,723.29 $34,359.46 $32,723.29 2026-08-03
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 17 — — $29,390.14 $67,005.15 $32,483.84 2026-08-03
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 25 17 — — $29,367.90 $76,700.84 $32,459.26 2026-08-03
332 MS_DRG Rectal Resection With Mcc 25 17 — — $29,328.20 $67,554.17 $32,415.38 2026-08-03
265 MS_DRG Aicd Lead Procedures 25 17 — — $29,308.32 $83,165.55 $32,393.40 2026-08-03
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 17 — — $29,257.47 $58,872.34 $32,337.21 2026-08-03
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 17 — — $29,214.58 $61,199.26 $32,289.80 2026-08-03
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 6 6 — — $32,211.94 $33,822.53 $32,211.94 2026-08-03
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $32,124.89 $33,731.13 $32,124.89 2026-08-03
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 17 — — $29,027.09 $69,036.52 $32,082.57 2026-08-03
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 17 — — $28,961.16 $82,501.24 $32,009.70 2026-08-03
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 17 — — $28,932.54 $64,504.36 $31,978.08 2026-08-03
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 17 — — $28,890.44 $105,752.23 $31,931.54 2026-08-03
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 17 — — $28,866.60 $74,120.45 $31,905.19 2026-08-03
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $31,900.05 $33,495.05 $31,900.05 2026-08-03
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 17 — — $28,839.60 $58,014.96 $31,875.34 2026-08-03
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $31,868.34 $33,461.76 $31,868.34 2026-08-03
6132 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $31,851.05 $33,443.60 $31,851.05 2026-08-03
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 17 — — $28,816.56 $74,828.68 $31,849.88 2026-08-03
1783 APR_DRG External Heart Assist Devices 6 6 — — $31,697.70 $33,282.58 $31,697.70 2026-08-03
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 6 6 — — $31,636.59 $33,218.42 $31,636.59 2026-08-03
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 17 — — $28,580.61 $59,749.85 $31,589.09 2026-08-03
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 17 — — $28,523.40 $80,261.23 $31,525.86 2026-08-03
214 APR_DRG Open Craniotomy Except Trauma 6 6 — — $31,433.09 $33,004.74 $31,433.09 2026-08-03
1794 APR_DRG Defibrillator Implants 6 6 — — $31,344.88 $32,912.13 $31,344.88 2026-08-03
33264 CPT Hc Replace Multichamber Icd 50 27 $23,009.20 $18,407.36 20% off $8,513.40 $101,143.75 $31,275.99 2026-08-03
252 MS_DRG Other Vascular Procedures With Mcc 25 17 — — $28,276.31 $103,525.96 $31,252.77 2026-08-03
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 17 — — $28,269.17 $56,844.62 $31,244.87 2026-08-03
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 25 17 — — $28,142.06 $56,583.82 $31,104.38 2026-08-03
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 17 — — $28,008.59 $63,252.59 $30,956.87 2026-08-03
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $30,870.42 $32,413.94 $30,870.42 2026-08-03
0483T CPT Hc Trans Cath Mitral Valve Implnt/replace 23 15 $44,085.77 $35,268.62 $16,311.73 $39,677.19 $30,860.04 2026-08-03
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 25 17 — — $27,881.46 $74,850.64 $30,816.36 2026-08-03
22858 CPT Total Disc Arthroplasty (artificial Disc), Anterior Approach, Including Discecto… 5 3 — — $30,794.96 $30,794.96 $30,794.96 2026-08-03
64582 CPT Open Implantation Of Hypoglossal Nerve Neurostimulator Array, Pulse Generator, A… 31 18 — — $16,080.55 $99,432.20 $30,746.74 2026-08-03
63685 CPT Insertion Or Replacement Of Spinal Neurostimulator Pulse Generator Or Receiver, … 31 18 — — $16,080.55 $99,432.20 $30,746.74 2026-08-03
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 17 — — $27,800.46 $90,958.89 $30,726.82 2026-08-03
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 17 — — $27,666.99 $70,318.48 $30,579.31 2026-08-03
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