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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 SOUTH HAVEN HOSPITAL

South Haven, MI · CCN 230085 · Rates published

7,014 distinct procedures filed
25 distinct payers
339,124 rate rows
2026-02-01 last MRF observed
Data quality

236,216 of 339,124 rate rows are consumer-grade (69.7%)

102,908 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 102,088
placeholder amount (≤ $0.02) — excluded from medians 706
exceeds 10× this hospital's gross charge — excluded from medians 97
template filing: same amount across many unrelated codes — excluded 15
per-diem day rate — not a per-procedure price 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/bronson-south-haven/381676780_bronson-south-haven-hospital_standardcharges.csv
Found on page https://pricetransparency.healthcare/bronson-south-haven/charges/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 0b6a42da5281190e… · 96,834,814 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $321,282.00 $524,196.95 $338,191.58 nat. median
$370,174
0.9× median
5834
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $272,266.02 $285,879.32 $272,266.02 nat. median
$309,665
0.9× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $240,373.57 $392,188.46 $253,024.81 nat. median
$265,286
1.0× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 17 $202,689.24 $330,703.49 $213,357.09 nat. median
$206,474
1.0× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 17 $183,266.79 $299,014.24 $192,912.41 nat. median
$202,976
1.0× median
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $166,778.95 $175,117.90 $166,778.95 nat. median
$246,434
0.7× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $155,890.28 $163,684.79 $155,890.28 nat. median
$117,173
1.3× median
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $155,791.74 $163,581.33 $155,791.74 nat. median
$234,729
0.7× median
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $155,052.69 $162,805.32 $155,052.69 nat. median
$244,017
0.6× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 17 $121,371.37 $198,026.98 $127,759.34 nat. median
$133,161
1.0× median
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $119,085.59 $125,039.87 $119,085.59 nat. median
$156,126
0.8× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 17 $112,655.36 $183,806.11 $118,584.59 nat. median
$117,357
1.0× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 17 $112,375.62 $183,349.70 $118,290.13 nat. median
$122,708
1.0× median
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $116,277.20 $122,091.06 $116,277.20 nat. median
$207,730
0.6× median
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $116,178.66 $121,987.59 $116,178.66 nat. median
$162,982
0.7× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $116,030.85 $121,832.39 $116,030.85 nat. median
$60,831
1.9× median
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 $113,961.51 $119,659.59 $113,961.51 nat. median
$164,834
0.7× median
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $111,744.36 $117,331.58 $111,744.36 nat. median
$122,924
0.9× median
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $111,054.58 $116,607.31 $111,054.58 nat. median
$182,665
0.6× median
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $109,330.13 $114,796.64 $109,330.13 nat. median
$164,289
0.7× median
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $106,866.63 $112,209.96 $106,866.63 nat. median
$144,745
0.7× median
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 $103,417.73 $108,588.62 $103,417.73 nat. median
$160,267
0.6× median
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 $101,348.39 $106,415.81 $101,348.39 nat. median
$150,721
0.7× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $95,005.46 $155,008.91 $100,005.75 nat. median
$108,660
0.9× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 17 $93,939.07 $153,269.01 $98,883.23 nat. median
$102,358
1.0× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 17 $91,866.45 $149,887.37 $96,701.53 nat. median
$100,136
1.0× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 17 $91,403.59 $149,132.18 $96,214.31 nat. median
$99,019
1.0× median
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $96,125.77 $100,932.06 $96,125.77 nat. median
$151,838
0.6× median
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $95,189.64 $99,949.12 $95,189.64 nat. median
$145,336
0.7× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 17 $90,391.46 $147,480.80 $95,148.90 nat. median
$98,894
1.0× median
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $92,233.44 $96,845.11 $92,233.44 nat. median
$58,674
1.6× median
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 $91,740.74 $96,327.78 $91,740.74 nat. median
$187,061
outlier · 0.5×
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $91,050.96 $95,603.51 $91,050.96 nat. median
$119,796
0.8× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 17 $83,403.88 $136,080.02 $87,793.56 nat. median
$93,672
0.9× median
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $87,602.06 $91,982.16 $87,602.06 nat. median
$105,658
0.8× median
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 $86,715.20 $91,050.96 $86,715.20 nat. median
$129,535
0.7× median
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $84,842.94 $89,085.09 $84,842.94 nat. median
$93,528
0.9× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 17 $79,680.81 $130,005.54 $83,874.54 nat. median
$83,470
1.0× median
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $82,477.98 $86,601.88 $82,477.98 nat. median
$102,919
0.8× median
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $81,591.12 $85,670.68 $81,591.12 nat. median
$124,573
0.7× median
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $77,748.06 $81,635.46 $77,748.06 nat. median
$89,796
0.9× median
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $77,748.06 $81,635.46 $77,748.06 nat. median
$69,788
1.1× median
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $77,748.06 $81,635.46 $77,748.06 nat. median
$93,370
0.8× median
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 17 $73,424.80 $119,798.35 $77,289.26 nat. median
$79,312
1.0× median
456
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 17 $73,384.96 $119,733.36 $77,247.33 nat. median
$81,118
1.0× median
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 $76,614.85 $80,445.59 $76,614.85 nat. median
$78,990
1.0× median
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $72,294.84 $117,954.74 $76,099.83 nat. median
$82,711
0.9× median
20
MS_DRG 		Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 17 $69,925.51 $114,088.99 $73,605.80 nat. median
$77,570
0.9× median
C1605
HCPCS 		Hc Pacemaker Avier Leadless Dual Chamber 12 $34,333.20 $85,833.00 $72,958.05 nat. median
$22,225
outlier · 3.3×
10
MS_DRG 		Ms-DRG 42.00: Pancreas Transplant 17 $69,178.70 $112,870.50 $72,819.68 nat. median
$68,884
1.1× median

Other procedures at this hospital

Browse this hospital's 7,014 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
             
0483T CPT Hc Trans Cath Mitral Valve Implnt/replace 19 12 $43,221.34 $34,577.07 20% off $17,288.54 $43,221.34 $36,738.14 2026-02-01
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 21 17 — — $240,373.57 $392,188.46 $253,024.81 2026-02-01
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 21 17 — — $69,178.70 $112,870.50 $72,819.68 2026-02-01
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 21 17 — — $47,332.70 $77,227.03 $49,823.89 2026-02-01
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $30,547.40 $32,074.77 $30,547.40 2026-02-01
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $45,426.94 $47,698.29 $45,426.94 2026-02-01
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $92,233.44 $96,845.11 $92,233.44 2026-02-01
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $116,030.85 $121,832.39 $116,030.85 2026-02-01
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $155,890.28 $163,684.79 $155,890.28 2026-02-01
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 21 17 — — $36,378.77 $59,354.83 $38,293.44 2026-02-01
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $34,784.62 $36,523.85 $34,784.62 2026-02-01
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $45,032.78 $47,284.42 $45,032.78 2026-02-01
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 21 17 — — $112,655.36 $183,806.11 $118,584.59 2026-02-01
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $86,715.20 $91,050.96 $86,715.20 2026-02-01
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 21 17 — — $37,442.63 $61,090.60 $39,413.29 2026-02-01
143 MS_DRG Ms-DRG 42.00: Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 21 17 — — $29,581.94 $48,265.26 $31,138.88 2026-02-01
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 21 17 — — $52,757.96 $86,078.79 $55,534.70 2026-02-01
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $30,941.56 $32,488.64 $30,941.56 2026-02-01
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $66,760.85 $70,098.89 $66,760.85 2026-02-01
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $67,007.20 $70,357.56 $67,007.20 2026-02-01
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $67,007.20 $70,357.56 $67,007.20 2026-02-01
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $91,050.96 $95,603.51 $91,050.96 2026-02-01
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $116,277.20 $122,091.06 $116,277.20 2026-02-01
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $32,813.82 $34,454.51 $32,813.82 2026-02-01
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $44,835.70 $47,077.49 $44,835.70 2026-02-01
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 21 17 — — $40,663.88 $66,346.32 $42,804.08 2026-02-01
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 6 6 — — $28,231.71 $29,643.30 $28,231.71 2026-02-01
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 6 6 — — $39,268.19 $41,231.60 $39,268.19 2026-02-01
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $35,277.32 $37,041.19 $35,277.32 2026-02-01
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 21 17 — — $34,230.69 $55,850.08 $36,032.31 2026-02-01
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $31,434.26 $33,005.97 $31,434.26 2026-02-01
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 — — $34,538.27 $36,265.18 $34,538.27 2026-02-01
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 6 6 — — $28,034.63 $29,436.36 $28,034.63 2026-02-01
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 21 17 — — $52,757.96 $86,078.79 $55,534.70 2026-02-01
173 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis With Principal Diagn… 21 17 — — $27,604.25 $45,038.52 $29,057.11 2026-02-01
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 6 6 — — $30,103.97 $31,609.17 $30,103.97 2026-02-01
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 6 6 — — $37,297.39 $39,162.26 $37,297.39 2026-02-01
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 6 6 — — $31,040.10 $32,592.10 $31,040.10 2026-02-01
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 17 — — $321,282.00 $524,196.95 $338,191.58 2026-02-01
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 6 6 — — $33,602.14 $35,282.25 $33,602.14 2026-02-01
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 17 — — $68,791.30 $112,238.43 $72,411.89 2026-02-01
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 17 — — $95,005.46 $155,008.91 $100,005.75 2026-02-01
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 21 17 — — $69,925.51 $114,088.99 $73,605.80 2026-02-01
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 21 17 — — $56,414.08 $92,044.02 $59,383.24 2026-02-01
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $56,808.31 $59,648.73 $56,808.31 2026-02-01
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 21 17 — — $48,446.58 $79,044.42 $50,996.40 2026-02-01
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 21 17 — — $93,939.07 $153,269.01 $98,883.23 2026-02-01
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 6 6 — — $30,350.32 $31,867.84 $30,350.32 2026-02-01
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 21 17 — — $91,403.59 $149,132.18 $96,214.31 2026-02-01
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 21 17 — — $83,403.88 $136,080.02 $87,793.56 2026-02-01
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 21 17 — — $56,335.24 $91,915.39 $59,300.25 2026-02-01
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 21 17 — — $52,023.85 $84,881.02 $54,761.95 2026-02-01
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 21 17 — — $67,182.37 $109,613.33 $70,718.28 2026-02-01
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $64,248.08 $67,460.48 $64,248.08 2026-02-01
22 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 21 17 — — $31,518.91 $51,425.59 $33,177.80 2026-02-01
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 21 17 — — $46,491.79 $75,855.03 $48,938.73 2026-02-01
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 21 17 — — $40,523.14 $66,116.71 $42,655.94 2026-02-01
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 21 17 — — $43,835.10 $71,520.43 $46,142.21 2026-02-01
229 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures Without Mcc 21 17 — — $27,923.83 $45,559.94 $29,393.51 2026-02-01
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $84,842.94 $89,085.09 $84,842.94 2026-02-01
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 21 17 — — $49,953.76 $81,503.51 $52,582.91 2026-02-01
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 21 17 — — $73,424.80 $119,798.35 $77,289.26 2026-02-01
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 21 17 — — $53,375.08 $87,085.66 $56,184.30 2026-02-01
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 21 17 — — $67,851.18 $110,704.57 $71,422.30 2026-02-01
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 21 17 — — $46,690.99 $76,180.04 $49,148.41 2026-02-01
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 6 6 — — $27,640.47 $29,022.49 $27,640.47 2026-02-01
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 21 17 — — $51,472.00 $83,980.63 $54,181.05 2026-02-01
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 21 17 — — $36,449.97 $59,471.00 $38,368.39 2026-02-01
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 21 17 — — $44,289.47 $72,261.76 $46,620.49 2026-02-01
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $155,791.74 $163,581.33 $155,791.74 2026-02-01
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 21 17 — — $33,818.72 $55,177.91 $35,598.65 2026-02-01
240 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 21 17 — — $26,278.46 $42,875.39 $27,661.54 2026-02-01
242 MS_DRG Ms-DRG 42.00: Permanent Cardiac Pacemaker Implant With Mcc 21 17 — — $30,345.70 $49,511.40 $31,942.84 2026-02-01
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 21 17 — — $43,017.08 $70,185.77 $45,281.14 2026-02-01
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 21 17 — — $39,503.38 $64,452.88 $41,582.50 2026-02-01
252 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Mcc 21 17 — — $30,671.22 $50,042.53 $32,285.50 2026-02-01
26 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Cc 21 17 — — $27,519.50 $44,900.23 $28,967.89 2026-02-01
260 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Revision Except Device Replacement With Mcc 21 17 — — $30,466.08 $49,707.82 $32,069.56 2026-02-01
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 6 6 — — $28,280.98 $29,695.03 $28,280.98 2026-02-01
264 MS_DRG Ms-DRG 42.00: Other Circulatory System O.r. Procedures 21 17 — — $31,219.69 $50,937.39 $32,862.83 2026-02-01
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 21 17 — — $31,830.88 $51,934.59 $33,506.19 2026-02-01
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 21 17 — — $52,375.65 $85,455.00 $55,132.26 2026-02-01
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 21 17 — — $41,473.42 $67,667.16 $43,656.23 2026-02-01
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 21 17 — — $58,112.86 $94,815.72 $61,171.43 2026-02-01
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 21 17 — — $36,861.95 $60,143.18 $38,802.05 2026-02-01
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 21 17 — — $45,104.10 $73,590.90 $47,478.00 2026-02-01
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 21 17 — — $30,789.91 $50,236.17 $32,410.43 2026-02-01
27200132 CDM Hc Impella Lvad 19 12 $46,227.59 $36,982.07 20% off $18,491.04 $46,227.59 $39,293.45 2026-02-01
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 21 17 — — $34,739.32 $56,679.95 $36,567.71 2026-02-01
274 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures Without Mcc 21 17 — — $28,048.45 $45,763.25 $29,524.68 2026-02-01
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 17 — — $61,498.56 $100,339.76 $64,735.33 2026-02-01
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 21 17 — — $54,101.55 $88,270.95 $56,949.00 2026-02-01
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 21 17 — — $41,025.84 $66,936.89 $43,185.09 2026-02-01
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 21 17 — — $44,004.63 $71,797.02 $46,320.66 2026-02-01
27800353 CDM Hc Tavr Valve Lvl 37 19 12 $37,500.00 $30,000.00 20% off $15,000.00 $37,500.00 $31,875.00 2026-02-01
27800354 CDM Hc Tavr Valve Lvl 40 19 12 $40,625.00 $32,500.00 20% off $16,250.00 $40,625.00 $34,531.25 2026-02-01
279 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 21 17 — — $28,755.42 $46,916.73 $30,268.86 2026-02-01
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 21 17 — — $53,127.55 $86,681.80 $55,923.74 2026-02-01
29 MS_DRG Ms-DRG 42.00: Spinal Procedures With Cc Or Spinal Neurostimulators 21 17 — — $30,046.47 $49,023.18 $31,627.86 2026-02-01
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 6 6 — — $30,054.70 $31,557.44 $30,054.70 2026-02-01
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 6 6 — — $38,430.60 $40,352.13 $38,430.60 2026-02-01
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 21 17 — — $183,266.79 $299,014.24 $192,912.41 2026-02-01
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 6 6 — — $29,315.65 $30,781.43 $29,315.65 2026-02-01
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $30,990.83 $32,540.37 $30,990.83 2026-02-01
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $44,638.62 $46,870.55 $44,638.62 2026-02-01
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $31,483.53 $33,057.71 $31,483.53 2026-02-01
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 21 17 — — $37,115.41 $60,556.72 $39,068.85 2026-02-01
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 17 — — $54,033.75 $88,160.33 $56,877.63 2026-02-01
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 21 17 — — $38,829.44 $63,353.31 $40,873.10 2026-02-01
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 21 17 — — $37,698.62 $61,508.28 $39,682.76 2026-02-01
324 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device Withou… 21 17 — — $28,676.59 $46,788.11 $30,185.88 2026-02-01
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 21 17 — — $44,646.34 $72,844.03 $46,996.15 2026-02-01
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 21 17 — — $40,517.21 $66,107.04 $42,649.70 2026-02-01
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 21 17 — — $30,995.89 $50,572.24 $32,627.25 2026-02-01
33270 CPT Hc Insert/replace Sq Icd W Electrodes 44 23 $84,898.54 $67,918.83 20% off $16,760.19 $84,898.54 $33,614.19 2026-02-01
33361 CPT Hc Replace Aortic Valve Perc Femoral Artery Appr 19 12 $60,520.07 $48,416.06 $24,208.03 $60,520.07 $51,442.06 2026-02-01
33362 CPT Hc Replace Aortic Valve Open Femoral Artery Appr 19 12 $63,641.27 $50,913.02 $25,456.51 $63,641.27 $54,095.08 2026-02-01
33363 CPT Hc Replace Aortic Valve Open Axillry Artery Appr 19 12 $66,762.47 $53,409.98 $26,704.99 $66,762.47 $56,748.10 2026-02-01
33364 CPT Hc Replace Aortic Valve Open Iliac Artery Appr 19 12 $69,883.67 $55,906.94 $27,953.47 $69,883.67 $59,401.12 2026-02-01
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 21 17 — — $32,307.27 $52,711.86 $34,007.65 2026-02-01
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 21 17 — — $34,556.21 $56,381.19 $36,374.96 2026-02-01
353 MS_DRG Ms-DRG 42.00: Hernia Procedures Except Inguinal And Femoral With Mcc 21 17 — — $26,454.77 $43,163.05 $27,847.13 2026-02-01
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 21 17 — — $37,752.04 $61,595.43 $39,738.99 2026-02-01
37 MS_DRG Ms-DRG 42.00: Extracranial Procedures With Mcc 21 17 — — $29,742.98 $48,528.02 $31,308.40 2026-02-01
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 21 17 — — $121,371.37 $198,026.98 $127,759.34 2026-02-01
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 21 17 — — $33,567.80 $54,768.52 $35,334.53 2026-02-01
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 21 17 — — $34,755.43 $56,706.22 $36,584.66 2026-02-01
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 21 17 — — $47,610.75 $77,680.70 $50,116.58 2026-02-01
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 21 17 — — $31,272.23 $51,023.12 $32,918.14 2026-02-01
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 21 17 — — $31,293.43 $51,057.70 $32,940.45 2026-02-01
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $38,578.41 $40,507.33 $38,578.41 2026-02-01
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 21 17 — — $31,511.30 $51,413.17 $33,169.79 2026-02-01
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 17 — — $36,071.06 $58,852.79 $37,969.54 2026-02-01
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 21 17 — — $90,391.46 $147,480.80 $95,148.90 2026-02-01
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 21 17 — — $61,801.20 $100,833.53 $65,053.89 2026-02-01
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 21 17 — — $48,249.91 $78,723.54 $50,789.38 2026-02-01
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 17 — — $72,294.84 $117,954.74 $76,099.83 2026-02-01
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $60,405.02 $63,425.27 $60,405.02 2026-02-01
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 17 — — $47,965.07 $78,258.80 $50,489.55 2026-02-01
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $87,602.06 $91,982.16 $87,602.06 2026-02-01
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 6 6 — — $29,857.62 $31,350.50 $29,857.62 2026-02-01
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 6 6 — — $43,899.57 $46,094.55 $43,899.57 2026-02-01
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 21 17 — — $58,427.36 $95,328.84 $61,502.48 2026-02-01
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 21 17 — — $36,207.53 $59,075.44 $38,113.19 2026-02-01
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 21 17 — — $45,249.07 $73,827.43 $47,630.60 2026-02-01
451 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical Without Mcc 21 17 — — $27,751.74 $45,279.16 $29,212.36 2026-02-01
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 21 17 — — $73,384.96 $119,733.36 $77,247.33 2026-02-01
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 21 17 — — $50,244.53 $81,977.92 $52,888.98 2026-02-01
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 21 17 — — $38,195.37 $62,318.76 $40,205.65 2026-02-01
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 21 17 — — $53,612.43 $87,472.92 $56,434.14 2026-02-01
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 21 17 — — $47,375.93 $77,297.57 $49,869.40 2026-02-01
464 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 21 17 — — $26,587.02 $43,378.83 $27,986.34 2026-02-01
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 21 17 — — $44,778.58 $73,059.79 $47,135.35 2026-02-01
467 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Cc 21 17 — — $30,627.15 $49,970.61 $32,239.10 2026-02-01
469 MS_DRG Ms-DRG 42.00: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extr… 21 17 — — $29,300.50 $47,806.08 $30,842.63 2026-02-01
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 21 17 — — $42,767.00 $69,777.73 $45,017.89 2026-02-01
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 21 17 — — $39,608.48 $64,624.37 $41,693.14 2026-02-01
477 MS_DRG Ms-DRG 42.00: Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 17 — — $30,744.13 $50,161.47 $32,362.24 2026-02-01
480 MS_DRG Ms-DRG 42.00: Hip And Femur Procedures Except Major Joint With Mcc 21 17 — — $26,522.58 $43,273.69 $27,918.51 2026-02-01
485 MS_DRG Ms-DRG 42.00: Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 17 — — $28,881.75 $47,122.85 $30,401.84 2026-02-01
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 21 17 — — $31,695.23 $51,713.27 $33,363.40 2026-02-01
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 21 17 — — $31,435.84 $51,290.06 $33,090.36 2026-02-01
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 21 17 — — $91,866.45 $149,887.37 $96,701.53 2026-02-01
500 MS_DRG Ms-DRG 42.00: Soft Tissue Procedures With Mcc 21 17 — — $28,452.79 $46,422.98 $29,950.31 2026-02-01
515 MS_DRG Ms-DRG 42.00: Other Musculoskeletal System And Connective Tissue O.r. Procedures… 21 17 — — $27,805.99 $45,367.66 $29,269.46 2026-02-01
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 21 17 — — $31,973.28 $52,166.92 $33,656.08 2026-02-01
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $29,512.73 $30,988.37 $29,512.73 2026-02-01
521 MS_DRG Ms-DRG 42.00: Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 21 17 — — $26,299.66 $42,909.97 $27,683.85 2026-02-01
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $44,293.73 $46,508.42 $44,293.73 2026-02-01
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $60,996.26 $64,046.07 $60,996.26 2026-02-01
570 MS_DRG Ms-DRG 42.00: Skin Debridement With Mcc 21 17 — — $27,109.20 $44,230.80 $28,536.00 2026-02-01
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 17 — — $53,794.69 $87,770.28 $56,625.99 2026-02-01
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 21 17 — — $30,963.67 $50,519.68 $32,593.34 2026-02-01
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 17 — — $47,327.61 $77,218.74 $49,818.54 2026-02-01
579 MS_DRG Ms-DRG 42.00: Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 21 17 — — $29,221.66 $47,677.44 $30,759.64 2026-02-01
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $106,866.63 $112,209.96 $106,866.63 2026-02-01
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $119,085.59 $125,039.87 $119,085.59 2026-02-01
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $155,052.69 $162,805.32 $155,052.69 2026-02-01
5834 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $272,266.02 $285,879.32 $272,266.02 2026-02-01
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $81,591.12 $85,670.68 $81,591.12 2026-02-01
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $95,189.64 $99,949.12 $95,189.64 2026-02-01
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $111,054.58 $116,607.31 $111,054.58 2026-02-01
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $166,778.95 $175,117.90 $166,778.95 2026-02-01
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 6 — — $77,748.06 $81,635.46 $77,748.06 2026-02-01
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 6 — — $77,748.06 $81,635.46 $77,748.06 2026-02-01
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 6 — — $77,748.06 $81,635.46 $77,748.06 2026-02-01
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $70,751.72 $74,289.31 $70,751.72 2026-02-01
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $82,477.98 $86,601.88 $82,477.98 2026-02-01
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $109,330.13 $114,796.64 $109,330.13 2026-02-01
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $43,061.98 $45,215.08 $43,061.98 2026-02-01
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $56,561.96 $59,390.06 $56,561.96 2026-02-01
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $70,308.29 $73,823.70 $70,308.29 2026-02-01
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $96,125.77 $100,932.06 $96,125.77 2026-02-01
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 21 17 — — $42,698.33 $69,665.70 $44,945.61 2026-02-01
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $29,956.16 $31,453.97 $29,956.16 2026-02-01
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $40,204.32 $42,214.54 $40,204.32 2026-02-01
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $50,304.67 $52,819.90 $50,304.67 2026-02-01
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $72,426.90 $76,048.24 $72,426.90 2026-02-01
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 6 — — $30,005.43 $31,505.70 $30,005.43 2026-02-01
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 6 — — $52,965.25 $55,613.51 $52,965.25 2026-02-01
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $28,675.14 $30,108.90 $28,675.14 2026-02-01
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $38,381.33 $40,300.40 $38,381.33 2026-02-01
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $55,970.72 $58,769.26 $55,970.72 2026-02-01
6083 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 6 6 — — $27,541.93 $28,919.03 $27,541.93 2026-02-01
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 6 6 — — $31,926.96 $33,523.31 $31,926.96 2026-02-01
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $40,302.86 $42,318.00 $40,302.86 2026-02-01
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $116,178.66 $121,987.59 $116,178.66 2026-02-01
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $46,560.15 $48,888.16 $46,560.15 2026-02-01
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 6 6 — — $36,656.88 $38,489.72 $36,656.88 2026-02-01
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 6 6 — — $46,116.72 $48,422.56 $46,116.72 2026-02-01
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 6 6 — — $30,793.75 $32,333.44 $30,793.75 2026-02-01
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 21 17 — — $34,355.31 $56,053.39 $36,163.48 2026-02-01
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $37,642.28 $39,524.39 $37,642.28 2026-02-01
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $35,967.10 $37,765.46 $35,967.10 2026-02-01
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 21 17 — — $33,312.64 $54,352.21 $35,065.94 2026-02-01
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 6 6 — — $31,877.69 $33,471.57 $31,877.69 2026-02-01
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 21 17 — — $35,039.41 $57,169.56 $36,883.59 2026-02-01
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $43,653.22 $45,835.88 $43,653.22 2026-02-01
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 6 — — $55,872.18 $58,665.79 $55,872.18 2026-02-01
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 6 — — $101,348.39 $106,415.81 $101,348.39 2026-02-01
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $32,863.09 $34,506.24 $32,863.09 2026-02-01
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $111,744.36 $117,331.58 $111,744.36 2026-02-01
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 6 6 — — $36,607.61 $38,437.99 $36,607.61 2026-02-01
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $56,660.50 $59,493.53 $56,660.50 2026-02-01
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 21 17 — — $40,647.77 $66,320.05 $42,787.13 2026-02-01
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 21 17 — — $31,028.10 $50,624.80 $32,661.16 2026-02-01
652 MS_DRG Ms-DRG 42.00: Kidney Transplant 21 17 — — $27,627.99 $45,077.25 $29,082.10 2026-02-01
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 21 17 — — $48,847.53 $79,698.60 $51,418.45 2026-02-01
656 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Neoplasm With Mcc 21 17 — — $29,209.79 $47,658.08 $30,747.15 2026-02-01
662 MS_DRG Ms-DRG 42.00: Minor Bladder Procedures With Mcc 21 17 — — $28,036.58 $45,743.89 $29,512.19 2026-02-01
665 MS_DRG Ms-DRG 42.00: Prostatectomy With Mcc 21 17 — — $30,698.34 $50,086.76 $32,314.04 2026-02-01
668 MS_DRG Ms-DRG 42.00: Transurethral Procedures With Mcc 21 17 — — $26,313.20 $42,932.07 $27,698.11 2026-02-01
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 21 17 — — $37,106.93 $60,542.89 $39,059.93 2026-02-01
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 6 6 — — $32,567.47 $34,195.84 $32,567.47 2026-02-01
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 6 6 — — $29,118.57 $30,574.50 $29,118.57 2026-02-01
7 MS_DRG Ms-DRG 42.00: Lung Transplant 21 17 — — $112,375.62 $183,349.70 $118,290.13 2026-02-01
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $36,262.72 $38,075.86 $36,262.72 2026-02-01
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $41,091.18 $43,145.74 $41,091.18 2026-02-01
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $58,335.68 $61,252.46 $58,335.68 2026-02-01
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 21 17 — — $34,970.74 $57,057.51 $36,811.30 2026-02-01
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 21 17 — — $35,337.81 $57,656.42 $37,197.69 2026-02-01
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $91,740.74 $96,327.78 $91,740.74 2026-02-01
7404 APR_DRG Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure 6 6 — — $27,591.20 $28,970.76 $27,591.20 2026-02-01
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 17 — — $51,985.71 $84,818.79 $54,721.80 2026-02-01
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 21 17 — — $36,007.47 $58,749.03 $37,902.60 2026-02-01
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 21 17 — — $36,945.02 $60,278.71 $38,889.49 2026-02-01
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 21 17 — — $41,898.13 $68,360.10 $44,103.29 2026-02-01
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 21 17 — — $47,715.85 $77,852.18 $50,227.21 2026-02-01
800 MS_DRG Ms-DRG 42.00: Splenic Procedures With Cc 21 17 — — $26,292.02 $42,897.51 $27,675.81 2026-02-01
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 21 17 — — $31,980.07 $52,178.01 $33,663.23 2026-02-01
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 17 — — $50,947.26 $83,124.49 $53,628.70 2026-02-01
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 17 — — $41,259.79 $67,318.61 $43,431.36 2026-02-01
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 21 17 — — $42,073.59 $68,646.38 $44,287.99 2026-02-01
829 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 21 17 — — $27,733.10 $45,248.75 $29,192.74 2026-02-01
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 6 6 — — $28,724.41 $30,160.63 $28,724.41 2026-02-01
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 21 17 — — $48,446.58 $79,044.42 $50,996.40 2026-02-01
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 21 17 — — $44,037.71 $71,850.99 $46,355.48 2026-02-01
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 6 6 — — $40,795.56 $42,835.34 $40,795.56 2026-02-01
840 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Mcc 21 17 — — $28,624.88 $46,703.75 $30,131.45 2026-02-01
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 6 — — $33,651.41 $35,333.98 $33,651.41 2026-02-01
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 6 — — $103,417.73 $108,588.62 $103,417.73 2026-02-01
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $57,892.25 $60,786.86 $57,892.25 2026-02-01
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 21 17 — — $79,680.81 $130,005.54 $83,874.54 2026-02-01
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 6 6 — — $30,350.32 $31,867.84 $30,350.32 2026-02-01
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 6 6 — — $53,408.68 $56,079.11 $53,408.68 2026-02-01
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 6 6 — — $53,408.68 $56,079.11 $53,408.68 2026-02-01
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 17 — — $43,987.69 $71,769.39 $46,302.83 2026-02-01
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 21 17 — — $39,836.52 $64,996.43 $41,933.18 2026-02-01
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 6 6 — — $45,525.48 $47,801.75 $45,525.48 2026-02-01
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 21 17 — — $60,561.86 $98,811.46 $63,749.33 2026-02-01
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 21 17 — — $34,902.91 $56,946.86 $36,739.91 2026-02-01
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 21 17 — — $39,149.03 $63,874.72 $41,209.50 2026-02-01
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 21 17 — — $34,322.25 $55,999.45 $36,128.68 2026-02-01
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 21 17 — — $35,361.53 $57,695.12 $37,222.66 2026-02-01
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $28,133.17 $29,539.83 $28,133.17 2026-02-01
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 6 6 — — $33,503.60 $35,178.78 $33,503.60 2026-02-01
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 6 6 — — $31,877.69 $33,471.57 $31,877.69 2026-02-01
9124 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 6 6 — — $29,611.27 $31,091.83 $29,611.27 2026-02-01
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 6 6 — — $30,843.02 $32,385.17 $30,843.02 2026-02-01
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $38,430.60 $40,352.13 $38,430.60 2026-02-01
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 21 17 — — $202,689.24 $330,703.49 $213,357.09 2026-02-01
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 21 17 — — $58,208.65 $94,972.00 $61,272.26 2026-02-01
929 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury Without C… 21 17 — — $28,551.97 $46,584.80 $30,054.71 2026-02-01
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $76,614.85 $80,445.59 $76,614.85 2026-02-01
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 21 17 — — $38,270.83 $62,441.87 $40,285.08 2026-02-01
939 MS_DRG Ms-DRG 42.00: O.r. Procedures With Diagnoses Of Other Contact With Health Servic… 21 17 — — $28,497.73 $46,496.30 $29,997.61 2026-02-01
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $113,961.51 $119,659.59 $113,961.51 2026-02-01
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 17 — — $32,521.76 $53,061.82 $34,233.43 2026-02-01
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 21 17 — — $59,475.12 $97,038.35 $62,605.39 2026-02-01
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 21 17 — — $33,994.18 $55,464.19 $35,783.35 2026-02-01
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 17 — — $64,865.61 $105,833.36 $68,279.59 2026-02-01
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 21 17 — — $36,430.47 $59,439.18 $38,347.86 2026-02-01
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 21 17 — — $55,202.70 $90,067.57 $58,108.11 2026-02-01
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 21 17 — — $31,978.37 $52,175.23 $33,661.44 2026-02-01
974 MS_DRG Ms-DRG 42.00: HIV With Major Related Condition With Mcc 21 17 — — $26,905.75 $43,898.85 $28,321.84 2026-02-01
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 21 17 — — $41,890.49 $68,347.64 $44,095.25 2026-02-01
987 MS_DRG Ms-DRG 42.00: Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Wit… 21 17 — — $31,284.11 $51,042.49 $32,930.64 2026-02-01
A9543 HCPCS Hc Zevalin Y-90 Per Study 44 23 $61,963.39 $49,570.71 20% off $30,457.96 $88,078.05 $56,824.55 2026-02-01
C1605 HCPCS Hc Pacemaker Avier Leadless Dual Chamber 19 12 $85,833.00 $68,666.40 20% off $34,333.20 $85,833.00 $72,958.05 2026-02-01
C2624 HCPCS Hc Implantable Pressure Sensor Wo Lead 19 12 $72,139.89 $57,711.91 20% off $28,855.96 $72,139.89 $61,318.91 2026-02-01
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