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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

SAINT MARY'S STANDISH COMMUNITY HOSPITAL

Standish, MI · CCN 231305 · Rates published

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You selected 59510 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

4,042 distinct procedures filed
14 distinct payers
343,709 rate rows
2026-05-11 last MRF observed
Data quality

194,558 of 343,709 rate rows are consumer-grade (56.6%)

149,151 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 148,603
placeholder amount (≤ $0.02) — excluded from medians 243
exceeds 10× this hospital's gross charge — excluded from medians 177
per-diem day rate — not a per-procedure price 77
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 35
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mymichigan.org/app/files/public/bec484d2-1281-4b72-875f-b322b91bde7d/381671120_mymichigan-medical-center-standish_standardcharges.csv
Found on page https://www.mymichigan.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-10-10
Content fingerprint da2dfe9a3d63ece4… · 129,682,781 bytes · first seen 2026-10-10

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo 4 $292,757.97 $325,113.09 $301,284.91 nat. median
$390,362
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $195,749.02 $217,382.87 $201,450.45 nat. median
$286,698
0.7× median
5833
APR_DRG 		Neonate With Ecmo 4 $177,021.00 $196,585.06 $182,176.95 nat. median
$268,208
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 4 $147,472.53 $163,770.95 $151,767.85 nat. median
$202,242
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $144,058.30 $159,979.38 $148,254.17 nat. median
$198,578
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $136,326.61 $151,393.20 $140,297.29 nat. median
$173,018
0.8× median
5832
APR_DRG 		Neonate With Ecmo 4 $135,919.62 $150,941.23 $139,878.45 nat. median
$201,678
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 $134,578.48 $149,451.87 $138,498.24 nat. median
$181,762
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $126,825.65 $140,842.20 $130,519.60 nat. median
$171,497
0.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $120,924.62 $134,289.01 $124,446.70 nat. median
$187,567
0.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $117,912.21 $130,943.67 $121,346.54 nat. median
$168,439
0.7× median
5831
APR_DRG 		Neonate With Ecmo 4 $115,947.43 $128,761.75 $119,324.54 nat. median
$173,909
0.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $108,789.34 $120,812.56 $111,957.97 nat. median
$173,134
0.6× median
1613
APR_DRG 		Implantable Heart Assist Systems 4 $103,932.35 $115,418.77 $106,959.50 nat. median
$155,539
0.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $102,271.39 $113,574.25 $105,250.17 nat. median
$152,383
0.7× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $95,752.92 $106,335.38 $98,541.85 nat. median
$130,862
0.8× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $92,258.22 $102,454.44 $94,945.35 nat. median
$120,079
0.8× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $90,190.79 $100,158.53 $92,817.71 nat. median
$99,483
0.9× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $90,124.25 $100,084.63 $92,749.23 nat. median
$96,548
1.0× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $90,058.74 $100,011.88 $92,681.81 nat. median
$77,096
1.2× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $86,711.56 $96,294.78 $89,237.14 nat. median
$124,731
0.7× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $86,329.34 $95,870.31 $88,843.78 nat. median
$106,926
0.8× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $80,243.13 $89,111.46 $82,580.31 nat. median
$114,205
0.7× median
1612
APR_DRG 		Implantable Heart Assist Systems 4 $78,932.42 $87,655.90 $81,231.42 nat. median
$109,992
0.7× median
1611
APR_DRG 		Implantable Heart Assist Systems 4 $76,474.00 $84,925.78 $78,701.40 nat. median
$108,954
0.7× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $71,152.25 $79,015.87 $73,224.64 nat. median
$85,835
0.9× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 4 $69,883.84 $77,607.28 $71,919.29 nat. median
$91,950
0.8× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $67,789.59 $75,281.58 $69,764.04 nat. median
$95,499
0.7× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $65,190.35 $72,395.08 $67,089.10 nat. median
$95,757
0.7× median
8514
APR_DRG 		Gender Related Procedures 4 $64,956.68 $72,135.59 $66,848.63 nat. median
$56,282
1.2× median
8513
APR_DRG 		Gender Related Procedures 4 $64,956.68 $72,135.59 $66,848.63 nat. median
$20,484
outlier · 3.3×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 $63,988.48 $71,060.38 $65,852.23 nat. median
$115,963
0.6× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $62,080.97 $68,942.05 $63,889.15 nat. median
$91,110
0.7× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 $61,062.73 $67,811.28 $62,841.26 nat. median
$100,752
0.6× median
8634
APR_DRG 		Neonatal Aftercare 4 $57,459.18 $63,809.47 $59,132.75 nat. median
$79,210
0.7× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 $57,249.24 $63,576.33 $58,916.70 nat. median
$85,322
0.7× median
6134
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 $56,678.23 $62,942.21 $58,329.05 nat. median
$69,517
0.8× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 $54,870.26 $60,934.43 $56,468.43 nat. median
$75,821
0.7× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 $54,090.85 $60,068.88 $55,666.31 nat. median
$77,606
0.7× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $51,149.11 $56,802.02 $52,638.89 nat. median
$54,727
1.0× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 $50,957.22 $56,588.93 $52,441.41 nat. median
$71,851
0.7× median
6022
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $50,436.75 $56,010.94 $51,905.79 nat. median
$73,858
0.7× median
1634
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 $48,298.15 $53,635.98 $49,704.89 nat. median
$69,586
0.7× median
6073
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 $47,904.57 $53,198.91 $49,299.85 nat. median
$74,166
0.7× median
2994
APR_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 $47,127.23 $52,335.65 $48,499.87 nat. median
$96,571
0.5× median
6334
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Anomaly 4 $46,877.57 $52,058.40 $48,242.94 nat. median
$69,976
0.7× median
6093
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $46,781.11 $51,951.28 $48,143.67 nat. median
$78,775
0.6× median
1784
APR_DRG 		External Heart Assist Devices 4 $46,505.14 $51,644.81 $47,859.66 nat. median
$66,229
0.7× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 $44,488.27 $49,405.04 $45,784.05 nat. median
$50,461
0.9× median
1674
APR_DRG 		Other Cardiothoracic And Thoracic Circulatory Procedures 4 $42,920.17 $47,663.63 $44,170.27 nat. median
$54,029
0.8× median

Other procedures at this hospital

Browse this hospital's 4,042 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 4 4 — — $292,757.97 $325,113.09 $301,284.91 2026-05-11
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $195,749.02 $217,382.87 $201,450.45 2026-05-11
5833 APR_DRG Neonate With Ecmo 4 4 — — $177,021.00 $196,585.06 $182,176.95 2026-05-11
1614 APR_DRG Implantable Heart Assist Systems 4 4 — — $147,472.53 $163,770.95 $151,767.85 2026-05-11
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $144,058.30 $159,979.38 $148,254.17 2026-05-11
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $136,326.61 $151,393.20 $140,297.29 2026-05-11
5832 APR_DRG Neonate With Ecmo 4 4 — — $135,919.62 $150,941.23 $139,878.45 2026-05-11
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $134,578.48 $149,451.87 $138,498.24 2026-05-11
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $126,825.65 $140,842.20 $130,519.60 2026-05-11
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $120,924.62 $134,289.01 $124,446.70 2026-05-11
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $117,912.21 $130,943.67 $121,346.54 2026-05-11
5831 APR_DRG Neonate With Ecmo 4 4 — — $115,947.43 $128,761.75 $119,324.54 2026-05-11
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $108,789.34 $120,812.56 $111,957.97 2026-05-11
1613 APR_DRG Implantable Heart Assist Systems 4 4 — — $103,932.35 $115,418.77 $106,959.50 2026-05-11
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $102,271.39 $113,574.25 $105,250.17 2026-05-11
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $95,752.92 $106,335.38 $98,541.85 2026-05-11
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $92,258.22 $102,454.44 $94,945.35 2026-05-11
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $90,190.79 $100,158.53 $92,817.71 2026-05-11
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $90,124.25 $100,084.63 $92,749.23 2026-05-11
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $90,058.74 $100,011.88 $92,681.81 2026-05-11
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $86,711.56 $96,294.78 $89,237.14 2026-05-11
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $86,329.34 $95,870.31 $88,843.78 2026-05-11
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $80,243.13 $89,111.46 $82,580.31 2026-05-11
1612 APR_DRG Implantable Heart Assist Systems 4 4 — — $78,932.42 $87,655.90 $81,231.42 2026-05-11
1611 APR_DRG Implantable Heart Assist Systems 4 4 — — $76,474.00 $84,925.78 $78,701.40 2026-05-11
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $71,152.25 $79,015.87 $73,224.64 2026-05-11
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $69,883.84 $77,607.28 $71,919.29 2026-05-11
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $67,789.59 $75,281.58 $69,764.04 2026-05-11
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $65,190.35 $72,395.08 $67,089.10 2026-05-11
8513 APR_DRG Gender Related Procedures 4 4 — — $64,956.68 $72,135.59 $66,848.63 2026-05-11
8514 APR_DRG Gender Related Procedures 4 4 — — $64,956.68 $72,135.59 $66,848.63 2026-05-11
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $63,988.48 $71,060.38 $65,852.23 2026-05-11
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $62,080.97 $68,942.05 $63,889.15 2026-05-11
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $61,062.73 $67,811.28 $62,841.26 2026-05-11
8634 APR_DRG Neonatal Aftercare 4 4 — — $57,459.18 $63,809.47 $59,132.75 2026-05-11
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $57,249.24 $63,576.33 $58,916.70 2026-05-11
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 4 — — $56,678.23 $62,942.21 $58,329.05 2026-05-11
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $54,870.26 $60,934.43 $56,468.43 2026-05-11
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $54,090.85 $60,068.88 $55,666.31 2026-05-11
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $51,149.11 $56,802.02 $52,638.89 2026-05-11
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $50,957.22 $56,588.93 $52,441.41 2026-05-11
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $50,436.75 $56,010.94 $51,905.79 2026-05-11
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $48,298.15 $53,635.98 $49,704.89 2026-05-11
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $47,904.57 $53,198.91 $49,299.85 2026-05-11
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 4 — — $47,127.23 $52,335.65 $48,499.87 2026-05-11
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 4 — — $46,877.57 $52,058.40 $48,242.94 2026-05-11
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $46,781.11 $51,951.28 $48,143.67 2026-05-11
1784 APR_DRG External Heart Assist Devices 4 4 — — $46,505.14 $51,644.81 $47,859.66 2026-05-11
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 4 — — $44,488.27 $49,405.04 $45,784.05 2026-05-11
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 4 4 — — $42,920.17 $47,663.63 $44,170.27 2026-05-11
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 4 — — $42,470.37 $47,164.12 $43,707.37 2026-05-11
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $42,044.81 $46,691.54 $43,269.42 2026-05-11
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $41,710.04 $46,319.77 $42,924.90 2026-05-11
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 4 — — $39,953.66 $44,369.28 $41,117.36 2026-05-11
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $39,659.64 $44,042.76 $40,814.78 2026-05-11
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $39,650.88 $44,033.02 $40,805.75 2026-05-11
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $39,618.89 $43,997.51 $40,772.84 2026-05-11
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $39,216.55 $43,550.70 $40,358.78 2026-05-11
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $38,379.88 $42,621.56 $39,497.75 2026-05-11
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $37,765.02 $41,938.75 $38,864.97 2026-05-11
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 4 4 — — $37,251.78 $41,368.78 $38,336.78 2026-05-11
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $37,151.71 $41,257.65 $38,233.80 2026-05-11
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $36,956.21 $41,040.55 $38,032.60 2026-05-11
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 4 4 — — $36,810.75 $40,879.01 $37,882.91 2026-05-11
6904 APR_DRG Acute Leukemia 4 4 — — $36,726.67 $40,785.64 $37,796.38 2026-05-11
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $36,472.37 $40,503.23 $37,534.67 2026-05-11
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 4 — — $35,861.12 $39,824.43 $36,905.61 2026-05-11
1783 APR_DRG External Heart Assist Devices 4 4 — — $35,804.89 $39,761.99 $36,847.75 2026-05-11
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 4 — — $35,786.32 $39,741.37 $36,828.64 2026-05-11
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 4 — — $35,465.48 $39,385.06 $36,498.45 2026-05-11
1794 APR_DRG Defibrillator Implants 4 4 — — $35,405.13 $39,318.04 $36,436.35 2026-05-11
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $35,043.54 $38,916.49 $36,064.22 2026-05-11
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $35,004.85 $38,873.53 $36,024.41 2026-05-11
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $34,771.70 $38,614.61 $35,784.46 2026-05-11
1204 APR_DRG Major Respiratory And Chest Procedures 4 4 — — $34,760.86 $38,602.58 $35,773.32 2026-05-11
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $34,608.18 $38,433.02 $35,616.18 2026-05-11
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $34,367.29 $38,165.50 $35,368.28 2026-05-11
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $34,244.52 $38,029.17 $35,241.94 2026-05-11
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 4 4 — — $33,429.01 $37,123.52 $34,402.67 2026-05-11
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 4 — — $33,326.87 $37,010.10 $34,297.56 2026-05-11
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 4 4 — — $33,205.65 $36,875.49 $34,172.81 2026-05-11
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 4 4 — — $32,977.14 $36,621.72 $33,937.64 2026-05-11
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $32,734.71 $36,352.49 $33,688.14 2026-05-11
4414 APR_DRG Major Bladder Procedures 4 4 — — $32,607.30 $36,211.00 $33,557.03 2026-05-11
1694 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $32,541.79 $36,138.25 $33,489.61 2026-05-11
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 4 4 — — $32,263.76 $35,829.50 $33,203.48 2026-05-11
6954 APR_DRG Chemotherapy For Acute Leukemia 4 4 — — $32,190.00 $35,747.58 $33,127.57 2026-05-11
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $32,078.58 $35,623.85 $33,012.91 2026-05-11
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $31,998.11 $35,534.49 $32,930.09 2026-05-11
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 4 — — $31,895.46 $35,420.49 $32,824.46 2026-05-11
4234 APR_DRG Inborn Errors Of Metabolism 4 4 — — $31,669.01 $35,169.02 $32,591.41 2026-05-11
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $31,321.35 $34,782.93 $32,233.62 2026-05-11
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $31,005.66 $34,432.36 $31,908.74 2026-05-11
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 4 — — $30,817.39 $34,223.28 $31,714.98 2026-05-11
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $30,783.86 $34,186.04 $31,680.48 2026-05-11
C2624 HCPCS Sensor Cardiomems Pa Abbott (cm2000) 22 13 $66,117.50 $39,670.50 40% off $21,818.78 $62,811.62 $31,590.94 2026-05-11
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $30,645.10 $34,031.95 $31,537.68 2026-05-11
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 4 4 — — $30,539.88 $33,915.09 $31,429.39 2026-05-11
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $30,474.37 $33,842.34 $31,361.97 2026-05-11
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 4 4 — — $30,078.21 $33,402.41 $30,954.28 2026-05-11
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 4 — — $29,718.17 $33,002.57 $30,583.75 2026-05-11
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $29,564.45 $32,831.87 $30,425.55 2026-05-11
1782 APR_DRG External Heart Assist Devices 4 4 — — $29,324.59 $32,565.50 $30,178.71 2026-05-11
4284 APR_DRG Genetic Disorders 4 4 — — $29,098.66 $32,314.60 $29,946.20 2026-05-11
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 4 4 — — $29,063.07 $32,275.07 $29,909.57 2026-05-11
4014 APR_DRG Adrenal Procedures 4 4 — — $28,844.36 $32,032.19 $29,684.49 2026-05-11
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 4 — — $28,446.15 $31,589.97 $29,274.67 2026-05-11
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $28,444.08 $31,587.67 $29,272.55 2026-05-11
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $28,309.97 $31,438.74 $29,134.53 2026-05-11
1833 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $28,187.72 $31,302.98 $29,008.72 2026-05-11
2614 APR_DRG Major Biliary Tract Procedures 4 4 — — $28,157.80 $31,269.75 $28,977.93 2026-05-11
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $27,764.74 $30,833.26 $28,573.42 2026-05-11
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $27,744.63 $30,810.91 $28,552.72 2026-05-11
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $27,618.25 $30,670.57 $28,422.66 2026-05-11
5144 APR_DRG Female Reproductive System Reconstructive Procedures 4 4 — — $27,582.66 $30,631.05 $28,386.04 2026-05-11
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $27,265.42 $30,278.75 $28,059.56 2026-05-11
1214 APR_DRG Other Respiratory And Chest Procedures 4 4 — — $27,245.82 $30,256.99 $28,039.39 2026-05-11
4844 APR_DRG Other Male Reproductive System And Related Procedures 4 4 — — $27,213.33 $30,220.90 $28,005.95 2026-05-11
1814 APR_DRG Lower Vascular Procedures 4 4 — — $27,084.89 $30,078.26 $27,873.77 2026-05-11
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $27,022.99 $30,009.52 $27,810.07 2026-05-11
5114 APR_DRG Gynecologic Procedures For Malignancy 4 4 — — $26,980.69 $29,962.55 $27,766.54 2026-05-11
1793 APR_DRG Defibrillator Implants 4 4 — — $26,973.47 $29,954.53 $27,759.10 2026-05-11
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 4 — — $26,971.41 $29,952.24 $27,756.98 2026-05-11
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $26,637.67 $29,581.62 $27,413.52 2026-05-11
8633 APR_DRG Neonatal Aftercare 4 4 — — $26,573.19 $29,510.01 $27,347.17 2026-05-11
9103 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $26,544.82 $29,478.51 $27,317.97 2026-05-11
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 4 4 — — $26,521.09 $29,452.16 $27,293.55 2026-05-11
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 4 — — $26,498.39 $29,426.95 $27,270.19 2026-05-11
1781 APR_DRG External Heart Assist Devices 4 4 — — $26,435.46 $29,357.07 $27,205.43 2026-05-11
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $26,386.98 $29,303.22 $27,155.53 2026-05-11
2304 APR_DRG Major Small Bowel Procedures 4 4 — — $26,384.40 $29,300.36 $27,152.88 2026-05-11
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 4 4 — — $26,377.18 $29,292.34 $27,145.44 2026-05-11
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 4 4 — — $26,217.27 $29,114.76 $26,980.88 2026-05-11
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 4 — — $25,927.89 $28,793.40 $26,683.07 2026-05-11
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $25,616.85 $28,447.98 $26,362.97 2026-05-11
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 4 4 — — $25,583.32 $28,410.75 $26,328.47 2026-05-11
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 4 4 — — $25,578.68 $28,405.59 $26,323.69 2026-05-11
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 4 4 — — $25,271.77 $28,064.76 $26,007.84 2026-05-11
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 4 4 — — $25,179.43 $27,962.22 $25,912.81 2026-05-11
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 4 4 — — $25,115.47 $27,891.19 $25,846.99 2026-05-11
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $24,960.21 $27,718.77 $25,687.20 2026-05-11
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 4 4 — — $24,944.22 $27,701.01 $25,670.75 2026-05-11
4034 APR_DRG Procedures For Obesity 4 4 — — $24,887.48 $27,638.00 $25,612.35 2026-05-11
6504 APR_DRG Splenic Procedures 4 4 — — $24,798.24 $27,538.90 $25,520.52 2026-05-11
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $24,520.21 $27,230.14 $25,234.39 2026-05-11
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $24,471.72 $27,176.30 $25,184.49 2026-05-11
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 4 — — $24,327.29 $27,015.90 $25,035.85 2026-05-11
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $24,209.17 $26,884.72 $24,914.29 2026-05-11
1824 APR_DRG Other Upper Vascular Procedures 4 4 — — $24,125.09 $26,791.35 $24,827.76 2026-05-11
5134 APR_DRG Gynecologic Procedures Without Malignancy 4 4 — — $23,901.22 $26,542.74 $24,597.37 2026-05-11
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $23,722.75 $26,344.54 $24,413.70 2026-05-11
2294 APR_DRG Other Digestive System And Abdominal Procedures 4 4 — — $23,654.66 $26,268.93 $24,343.63 2026-05-11
2314 APR_DRG Major Large Bowel Procedures 4 4 — — $23,597.92 $26,205.92 $24,285.23 2026-05-11
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 4 4 — — $23,442.65 $26,033.50 $24,125.45 2026-05-11
1804 APR_DRG Other Peripheral Vascular And Circulatory Procedures 4 4 — — $23,355.99 $25,937.26 $24,036.27 2026-05-11
3094 APR_DRG Other Significant Hip And Femur Surgery 4 4 — — $23,352.38 $25,933.25 $24,032.55 2026-05-11
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $23,286.36 $25,859.93 $23,964.60 2026-05-11
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 4 — — $23,236.32 $25,804.36 $23,913.11 2026-05-11
3054 APR_DRG Amputation Of Lower Limb Except Toes 4 4 — — $23,203.31 $25,767.70 $23,879.14 2026-05-11
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 4 4 — — $23,164.62 $25,724.74 $23,839.32 2026-05-11
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 4 4 — — $23,009.88 $25,552.89 $23,680.07 2026-05-11
4834 APR_DRG Penis, Testes And Scrotal Procedures 4 4 — — $22,747.84 $25,261.89 $23,410.40 2026-05-11
4444 APR_DRG Renal Dialysis Access Procedures 4 4 — — $22,682.33 $25,189.14 $23,342.98 2026-05-11
2244 APR_DRG Peritoneal Adhesiolysis 4 4 — — $22,597.73 $25,095.20 $23,255.92 2026-05-11
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 4 4 — — $22,569.88 $25,064.26 $23,227.25 2026-05-11
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $22,520.88 $25,009.85 $23,176.82 2026-05-11
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $22,463.62 $24,946.26 $23,117.90 2026-05-11
6903 APR_DRG Acute Leukemia 4 4 — — $22,461.04 $24,943.40 $23,115.25 2026-05-11
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 4 4 — — $22,398.11 $24,873.51 $23,050.48 2026-05-11
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 4 4 — — $22,375.41 $24,848.31 $23,027.12 2026-05-11
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $22,374.90 $24,847.73 $23,026.59 2026-05-11
1832 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $22,333.12 $24,801.33 $22,983.60 2026-05-11
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $22,313.00 $24,778.99 $22,962.89 2026-05-11
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 4 4 — — $22,273.28 $24,734.89 $22,922.02 2026-05-11
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 4 — — $22,183.53 $24,635.21 $22,829.65 2026-05-11
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 4 4 — — $22,098.93 $24,541.27 $22,742.59 2026-05-11
3224 APR_DRG Shoulder And Elbow Joint Replacement 4 4 — — $22,067.98 $24,506.90 $22,710.74 2026-05-11
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $21,950.37 $24,376.29 $22,589.71 2026-05-11
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $21,916.85 $24,339.06 $22,555.20 2026-05-11
4854 APR_DRG Prostatectomy Procedures 4 4 — — $21,816.26 $24,227.36 $22,451.69 2026-05-11
1792 APR_DRG Defibrillator Implants 4 4 — — $21,816.26 $24,227.36 $22,451.69 2026-05-11
7594 APR_DRG Eating Disorders 4 4 — — $21,711.55 $24,111.07 $22,343.92 2026-05-11
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 4 4 — — $21,674.92 $24,070.40 $22,306.23 2026-05-11
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 4 4 — — $21,667.70 $24,062.38 $22,298.80 2026-05-11
5184 APR_DRG Other Female Reproductive System And Related Procedures 4 4 — — $21,599.61 $23,986.77 $22,228.73 2026-05-11
2234 APR_DRG Other Small And Large Bowel Procedures 4 4 — — $21,592.39 $23,978.75 $22,221.30 2026-05-11
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $21,547.52 $23,928.91 $22,175.11 2026-05-11
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $21,529.46 $23,908.86 $22,156.53 2026-05-11
3244 APR_DRG Elective Hip Joint Replacement 4 4 — — $21,502.12 $23,878.50 $22,128.40 2026-05-11
2991 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 4 — — $21,475.30 $23,848.71 $22,100.79 2026-05-11
1693 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $21,433.52 $23,802.32 $22,057.80 2026-05-11
6924 APR_DRG Radiotherapy 4 4 — — $21,227.19 $23,573.18 $21,845.46 2026-05-11
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 4 4 — — $21,186.95 $23,528.50 $21,804.05 2026-05-11
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $20,991.97 $23,311.97 $21,603.39 2026-05-11
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 4 4 — — $20,934.72 $23,248.39 $21,544.47 2026-05-11
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 4 4 — — $20,883.65 $23,191.68 $21,491.91 2026-05-11
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 4 — — $20,879.52 $23,187.09 $21,487.67 2026-05-11
3213 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 4 4 — — $20,848.57 $23,152.72 $21,455.81 2026-05-11
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $20,847.54 $23,151.58 $21,454.75 2026-05-11
9113 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 4 — — $20,699.50 $22,987.18 $21,302.40 2026-05-11
5194 APR_DRG Gynecologic Procedures For Leiomyoma 4 4 — — $20,648.95 $22,931.04 $21,250.38 2026-05-11
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $20,578.28 $22,852.56 $21,177.65 2026-05-11
1831 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $20,435.92 $22,694.46 $21,031.14 2026-05-11
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $20,422.50 $22,679.56 $21,017.33 2026-05-11
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $20,381.75 $22,634.31 $20,975.40 2026-05-11
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 4 4 — — $20,062.46 $22,279.73 $20,646.80 2026-05-11
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 4 4 — — $19,870.57 $22,066.63 $20,449.33 2026-05-11
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 4 — — $19,820.02 $22,010.50 $20,397.30 2026-05-11
1203 APR_DRG Major Respiratory And Chest Procedures 4 4 — — $19,791.65 $21,978.99 $20,368.11 2026-05-11
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml IV Soln 26 14 $59,821.50 $35,892.90 40% off $228.88 $56,830.43 $20,333.33 2026-05-11
3264 APR_DRG Elective Knee Joint Replacement 4 4 — — $19,712.21 $21,890.77 $20,286.36 2026-05-11
4413 APR_DRG Major Bladder Procedures 4 4 — — $19,697.77 $21,874.74 $20,271.49 2026-05-11
2603 APR_DRG Major Pancreas, Liver And Shunt Procedures 4 4 — — $19,643.61 $21,814.59 $20,215.75 2026-05-11
7584 APR_DRG Disorders Of Impulse Control & Development 4 4 — — $19,593.06 $21,758.45 $20,163.73 2026-05-11
2634 APR_DRG Cholecystectomy 4 4 — — $19,508.98 $21,665.08 $20,077.20 2026-05-11
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $19,481.13 $21,634.15 $20,048.54 2026-05-11
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 4 4 — — $19,445.02 $21,594.05 $20,011.38 2026-05-11
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 4 4 — — $19,295.94 $21,428.50 $19,857.96 2026-05-11
3123 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 4 4 — — $19,233.01 $21,358.61 $19,793.20 2026-05-11
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 4 4 — — $19,072.59 $21,180.46 $19,628.10 2026-05-11
1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $19,059.18 $21,165.57 $19,614.30 2026-05-11
2334 APR_DRG Appendectomy With Complex Principal Diagnosis 4 4 — — $18,897.73 $20,986.27 $19,448.15 2026-05-11
1763 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 4 — — $18,782.18 $20,857.96 $19,329.24 2026-05-11
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $18,749.17 $20,821.30 $19,295.26 2026-05-11
1672 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 4 4 — — $18,749.17 $20,821.30 $19,295.26 2026-05-11
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 4 4 — — $18,653.74 $20,715.32 $19,197.06 2026-05-11
3144 APR_DRG Foot And Toe Procedures 4 4 — — $18,524.79 $20,572.12 $19,064.34 2026-05-11
1661 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $18,498.48 $20,542.90 $19,037.27 2026-05-11
2284 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 4 4 — — $18,421.11 $20,456.98 $18,957.64 2026-05-11
1813 APR_DRG Lower Vascular Procedures 4 4 — — $18,419.56 $20,455.26 $18,956.05 2026-05-11
1791 APR_DRG Defibrillator Implants 4 4 — — $18,411.82 $20,446.67 $18,948.09 2026-05-11
2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 4 — — $18,409.24 $20,443.80 $18,945.43 2026-05-11
9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $18,394.80 $20,427.76 $18,930.57 2026-05-11
9102 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $18,390.16 $20,422.61 $18,925.79 2026-05-11
3002 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 4 — — $18,358.18 $20,387.09 $18,892.88 2026-05-11
3084 APR_DRG Hip And Femur Fracture Repair 4 4 — — $18,292.15 $20,313.77 $18,824.93 2026-05-11
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 4 4 — — $18,251.40 $20,268.51 $18,782.99 2026-05-11
6132 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 4 — — $18,028.05 $20,020.48 $18,553.14 2026-05-11
5474 APR_DRG Antepartum With O.r. Procedure 4 4 — — $17,939.33 $19,921.95 $18,461.83 2026-05-11
3814 APR_DRG Major Skin Disorders 4 4 — — $17,900.64 $19,878.99 $18,422.02 2026-05-11
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement 4 4 — — $17,896.00 $19,873.83 $18,417.24 2026-05-11
1753 APR_DRG Percutaneous Cardiac Intervention Without Ami 4 4 — — $17,860.92 $19,834.88 $18,381.14 2026-05-11
5394 APR_DRG Cesarean Section With Sterilization 4 4 — — $17,859.89 $19,833.74 $18,380.08 2026-05-11
3613 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 4 — — $17,837.71 $19,809.10 $18,357.25 2026-05-11
3464 APR_DRG Connective Tissue Disorders 4 4 — — $17,765.49 $19,728.91 $18,282.94 2026-05-11
3634 APR_DRG Breast Procedures Except Mastectomy 4 4 — — $17,691.22 $19,646.42 $18,206.49 2026-05-11
C1882 HCPCS Icd Dynagen X4 (g156) 66 13 $37,359.70 $22,415.82 40% off $12,243.00 $37,717.18 $18,185.81 2026-05-11
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 4 4 — — $17,494.17 $19,427.60 $18,003.71 2026-05-11
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $17,490.56 $19,423.59 $17,999.99 2026-05-11
4454 APR_DRG Other Bladder Procedures 4 4 — — $17,459.61 $19,389.22 $17,968.14 2026-05-11
1692 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $17,418.86 $19,343.96 $17,926.21 2026-05-11
8444 APR_DRG Partial Thickness Burns Without Skin Graft 4 4 — — $17,316.21 $19,229.97 $17,820.57 2026-05-11
4624 APR_DRG Nephritis And Nephrosis 4 4 — — $17,164.04 $19,060.98 $17,663.97 2026-05-11
4283 APR_DRG Genetic Disorders 4 4 — — $17,157.34 $19,053.54 $17,657.07 2026-05-11
7574 APR_DRG Organic Mental Health Conditions And Disturbances 4 4 — — $17,060.88 $18,946.42 $17,557.80 2026-05-11
4013 APR_DRG Adrenal Procedures 4 4 — — $16,976.28 $18,852.47 $17,470.74 2026-05-11
8512 APR_DRG Gender Related Procedures 4 4 — — $16,969.58 $18,845.03 $17,463.84 2026-05-11
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 4 4 — — $16,921.61 $18,791.75 $17,414.47 2026-05-11
4464 APR_DRG Urethral And Transurethral Procedures 4 4 — — $16,839.07 $18,700.10 $17,329.53 2026-05-11
C1722 HCPCS Emblem S-icd MRI Pulse Gen (a219) 44 13 $36,921.12 $22,152.68 40% off $7,052.84 $49,846.50 $17,315.10 2026-05-11
3633 APR_DRG Breast Procedures Except Mastectomy 4 4 — — $16,794.20 $18,650.26 $17,283.35 2026-05-11
7103 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 4 — — $16,760.15 $18,612.46 $17,248.31 2026-05-11
1213 APR_DRG Other Respiratory And Chest Procedures 4 4 — — $16,666.27 $18,508.20 $17,151.70 2026-05-11
2303 APR_DRG Major Small Bowel Procedures 4 4 — — $16,586.32 $18,419.41 $17,069.42 2026-05-11
2613 APR_DRG Major Biliary Tract Procedures 4 4 — — $16,573.94 $18,405.66 $17,056.68 2026-05-11
3164 APR_DRG Hand And Wrist Procedures 4 4 — — $16,563.11 $18,393.64 $17,045.53 2026-05-11
6964 APR_DRG Other Chemotherapy 4 4 — — $16,547.12 $18,375.88 $17,029.07 2026-05-11
8434 APR_DRG Extensive Third Degree Burns Without Skin Graft 4 4 — — $16,478.51 $18,299.69 $16,958.47 2026-05-11
4824 APR_DRG Transurethral Prostatectomy 4 4 — — $16,397.01 $18,209.18 $16,874.60 2026-05-11
3624 APR_DRG Mastectomy Procedures 4 4 — — $16,384.63 $18,195.44 $16,861.86 2026-05-11
7403 APR_DRG Mental Illness Diagnosis With O.r. Procedure 4 4 — — $16,295.91 $18,096.91 $16,770.55 2026-05-11
6503 APR_DRG Splenic Procedures 4 4 — — $16,264.45 $18,061.97 $16,738.17 2026-05-11
3093 APR_DRG Other Significant Hip And Femur Surgery 4 4 — — $16,248.97 $18,044.78 $16,722.24 2026-05-11
6923 APR_DRG Radiotherapy 4 4 — — $16,088.55 $17,866.63 $16,557.15 2026-05-11
3001 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 4 — — $16,056.57 $17,831.11 $16,524.24 2026-05-11
6813 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $16,056.05 $17,830.54 $16,523.71 2026-05-11
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $16,034.39 $17,806.48 $16,501.41 2026-05-11
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 4 4 — — $15,990.03 $17,757.22 $16,455.76 2026-05-11
6614 APR_DRG Coagulation And Platelet Disorders 4 4 — — $15,922.97 $17,682.75 $16,386.75 2026-05-11
7923 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $15,849.21 $17,600.84 $16,310.84 2026-05-11
1743 APR_DRG Percutaneous Cardiac Intervention With Ami 4 4 — — $15,708.90 $17,445.03 $16,166.44 2026-05-11
7524 APR_DRG Personality Disorders 4 4 — — $15,708.90 $17,445.03 $16,166.44 2026-05-11
6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 4 — — $15,687.24 $17,420.97 $16,144.15 2026-05-11
5174 APR_DRG Dilation And Curettage For Non-obstetric Diagnoses 4 4 — — $15,640.82 $17,369.41 $16,096.37 2026-05-11
3133 APR_DRG Knee And Lower Leg Procedures Except Foot 4 4 — — $15,638.24 $17,366.55 $16,093.72 2026-05-11
9122 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 4 — — $15,629.47 $17,356.81 $16,084.69 2026-05-11
2264 APR_DRG Anal And Perineal Procedures 4 4 — — $15,593.36 $17,316.71 $16,047.54 2026-05-11
5434 APR_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 4 4 — — $15,571.18 $17,292.08 $16,024.71 2026-05-11
1773 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 4 4 — — $15,523.72 $17,239.38 $15,975.87 2026-05-11
2313 APR_DRG Major Large Bowel Procedures 4 4 — — $15,508.76 $17,222.77 $15,960.48 2026-05-11
4853 APR_DRG Prostatectomy Procedures 4 4 — — $15,493.29 $17,205.58 $15,944.55 2026-05-11
3223 APR_DRG Shoulder And Elbow Joint Replacement 4 4 — — $15,453.06 $17,160.90 $15,903.14 2026-05-11
J3241 HCPCS Teprotumumab-trbw 500 Mg IV Solr 26 14 $46,688.70 $28,013.22 40% off $380.39 $44,354.26 $15,869.49 2026-05-11
7204 APR_DRG Septicemia And Disseminated Infections 4 4 — — $15,363.82 $17,061.80 $15,811.31 2026-05-11
5113 APR_DRG Gynecologic Procedures For Malignancy 4 4 — — $15,346.28 $17,042.32 $15,793.26 2026-05-11
2804 APR_DRG Alcoholic Liver Disease 4 4 — — $15,330.81 $17,025.14 $15,777.33 2026-05-11
3434 APR_DRG Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 4 4 — — $15,324.62 $17,018.27 $15,770.96 2026-05-11
4412 APR_DRG Major Bladder Procedures 4 4 — — $15,102.81 $16,771.95 $15,542.70 2026-05-11
1823 APR_DRG Other Upper Vascular Procedures 4 4 — — $15,101.78 $16,770.80 $15,541.64 2026-05-11
1691 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $15,090.43 $16,758.20 $15,529.96 2026-05-11
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