Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

OCHSNER WATKINS HOSPITAL

Quitman, MS · CCN 251316 · Rates published

Your selected procedure

You selected 29916 (CPT)

HIP ARTHRO W/LABRAL REPAIR

This hospital’s price: $6,493 across 39 payers · range $662-$24,532

Source: https://ochsner-craft.s3.amazonaws.com/core/720502505_ochsner-clinic-foundation_standardcharges.csv_2026-03-26-204318_iros.csv · observed 2026-10-17

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

53,634 distinct procedures filed
103 distinct payers
3,213,520 rate rows
2026-10-17 last MRF observed
Data quality

3,109,235 of 3,213,520 rate rows are consumer-grade (96.8%)

104,285 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 52,193
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 39,797
placeholder amount (≤ $0.02) — excluded from medians 5,438
per-diem day rate — not a per-procedure price 4,353
exceeds 10× this hospital's gross charge — excluded from medians 1,530
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 425
percent-of-charges filed in the dollar field — excluded from medians 410
exceeds 3× this hospital's gross charge for a DRG stay — excluded 134
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ochsnerrush.org/sites/rhs/assets/File/Patients%20and%20Visitors/Pricing%20Transparency/HC-Watkins-Memorial-Hospital-2021.csv
Found on page https://www.ochsnerrush.org/patients-visitors/hospital-pricing-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-04
Content fingerprint 0b1a5ac79b936e57… · 114,354 bytes · first seen 2026-05-04

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
Q2041
HCPCS 		Hc Car-t Cells, Axicabtagene Ciloleucel, Up To 200 Mill Cells, Per Dose 39 $0.95 $2,719,332.00 $1,908,000.00 nat. median
$608,239
outlier · 3.1×
Q2042
HCPCS 		Hc Car-t Cells, Tisagenlecleucel, Up To 600 Mill Cells, Per Dose, >25 Yrs 39 $511,072.50 $3,142,235.32 $1,795,995.00 nat. median
$739,658
outlier · 2.4×
Q2056
HCPCS 		Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1 X 10exp8 Cell IV Susp 39 $498,040.95 $2,819,099.70 $1,566,166.50 nat. median
$646,415
outlier · 2.4×
C9098
HCPCS 		*hc Car-t Cells, Ciltacabtagene Autoleucel, Up To 100 Mill Cells, Per Dose 32 $1,395,000.00 $2,790,000.00 $1,453,590.00 nat. median
$32,174
outlier · 45.2×
Q2053
HCPCS 		Hc Car-t Cells, Brexucabtagene Autoleucel, Up To 200 Mill Cells, Per Dose 40 $440,748.00 $2,289,600.00 $1,272,000.00 nat. median
$592,235
outlier · 2.1×
5834
APR_DRG 		Neonate With Ecmo 2 $327,627.00 $327,627.00 $327,627.00 nat. median
$307,273
1.1× median
583-4
OTHER 		Neonate With Ecmo 3 $327,626.80 $327,626.80 $327,626.80 nat. median
$254,150
1.3× median
633
OTHER 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 $270,033.00 $326,147.00 $298,090.00 nat. median
$6,213
outlier · 48.0×
18
MS_DRG 		Ms DRG- Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies;apr DRG… 35 $105,647.00 $1,945,631.16 $295,291.00 nat. median
$359,244
0.8× median
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $288,225.00 $288,225.00 $288,225.00 nat. median
$380,401
0.8× median
612
OTHER 		Neonate, Birth Weight <750 Grams, Discharged Alive 1 $247,448.00 $298,868.00 $273,158.00 nat. median
$1,885
outlier · 144.9×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $268,743.00 $282,180.00 $268,743.00 nat. median
$247,815
1.1× median
588-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $268,742.77 $268,742.77 $268,742.77 nat. median
$236,745
1.1× median
5833
APR_DRG 		Neonate With Ecmo 3 $259,487.00 $272,461.00 $259,487.00 nat. median
$244,017
1.1× median
583-3
OTHER 		Neonate With Ecmo 3 $259,486.85 $259,486.85 $259,486.85 nat. median
$243,100
1.1× median
7
MS_DRG 		Ms DRG- Lung Transplant;apr DRG- Heart And/or Lung Transplant;soi - Moderate 31 $70,123.00 $733,958.51 $248,996.00 nat. median
$117,977
outlier · 2.1×
1
MS_DRG 		Ms DRG- Heart Transplant Or Implant Of Heart Assist System With Mcc;apr DRG- Imp… 41 $41,747.77 $2,373,098.83 $228,911.50 nat. median
$248,541
0.9× median
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $208,951.00 $242,277.00 $225,614.00 nat. median
$2
outlier · 133499.4×
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $205,159.00 $205,159.00 $205,159.00 nat. median
$204,908
1.0× median
5
MS_DRG 		Ms DRG- Liver Transplant With Mcc Or Intestinal Transplant;apr DRG- Liver Transp… 34 $67,551.00 $654,371.20 $200,000.00 nat. median
$94,943
outlier · 2.1×
6
MS_DRG 		Ms DRG- Liver Transplant Without Mcc;apr DRG- Liver Transplant And/or Intestinal… 34 $32,597.00 $400,000.00 $200,000.00 nat. median
$44,153
outlier · 4.5×
631
OTHER 		Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 $179,427.00 $216,712.00 $198,069.50 nat. median
$5,390
outlier · 36.7×
630-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $195,063.44 $195,063.44 $195,063.44 nat. median
$195,063
1.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $195,063.00 $195,063.00 $195,063.00 nat. median
$154,116
1.3× median
5832
APR_DRG 		Neonate With Ecmo 3 $191,347.00 $200,914.00 $191,347.00 nat. median
$159,249
1.2× median
583-2
OTHER 		Neonate With Ecmo 3 $191,346.89 $191,346.89 $191,346.89 nat. median
$178,334
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 $120,283.00 $440,295.17 $183,752.00 nat. median
$198,115
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $175,272.00 $184,035.00 $175,272.00 nat. median
$151,838
1.2× median
593-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $175,271.74 $175,271.74 $175,271.74 nat. median
$128,260
1.4× median
636
OTHER 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $158,667.00 $191,638.00 $175,152.50 nat. median
$76
outlier · 2289.6×
588-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $173,134.48 $173,134.48 $173,134.48 nat. median
$148,138
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $173,134.00 $181,791.00 $173,134.00 nat. median
$175,429
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $169,532.00 $178,008.00 $169,532.00 nat. median
$145,061
1.2× median
588-2
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $169,531.65 $169,531.65 $169,531.65 nat. median
$133,956
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $169,254.00 $177,716.00 $169,254.00 nat. median
$163,528
1.0× median
591-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $169,253.71 $169,253.71 $169,253.71 nat. median
$134,440
1.3× median
609-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $168,174.25 $168,174.25 $168,174.25 nat. median
$168,174
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $168,174.00 $168,174.00 $168,174.00 nat. median
$165,000
1.0× median
583-1
OTHER 		Neonate With Ecmo 3 $165,358.21 $165,358.21 $165,358.21 nat. median
$161,998
1.0× median
5831
APR_DRG 		Neonate With Ecmo 3 $165,358.00 $173,626.00 $165,358.00 nat. median
$147,206
1.1× median
2
MS_DRG 		Ms DRG- Heart Transplant Or Implant Of Heart Assist System Without Mcc;apr DRG-… 40 $41,747.77 $561,781.36 $165,250.00 nat. median
$103,938
1.6× median
3
MS_DRG 		Ms DRG- Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Fac… 35 $23,567.00 $2,385,480.38 $163,813.15 nat. median
$190,359
0.9× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $161,454.00 $161,454.00 $161,454.00 nat. median
$134,402
1.2× median
631-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $161,453.84 $161,453.84 $161,453.84 nat. median
$183,175
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $160,594.00 $160,594.00 $160,594.00 nat. median
$202,649
0.8× median
161-4
OTHER 		Implantable Heart Assist Systems 3 $160,593.79 $160,593.79 $160,593.79 nat. median
$160,594
1.0× median
14
MS_DRG 		Ms DRG- Allogeneic Bone Marrow Transplant;apr DRG- Allogeneic Bone Marrow Transp… 32 $78,550.00 $367,486.01 $160,021.00 nat. median
$110,084
1.5× median
23
APR_DRG 		Heart And/Or Lung Transplant 2 $143,754.00 $150,941.00 $147,347.50 nat. median
$110,771
1.3× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 $61,245.07 $277,608.00 $144,336.00 nat. median
$66,623
outlier · 2.2×
8
MS_DRG 		Ms DRG- Simultaneous Pancreas And Kidney Transplant;apr DRG- Pancreas Transplant… 32 $35,085.00 $877,431.28 $141,672.00 nat. median
$50,763
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 53,634 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
             
Q2041 HCPCS Hc Car-t Cells, Axicabtagene Ciloleucel, Up To 200 Mill Cells, Per Dose 53 39 $2,544,000.00 $559,680.00 78% off $0.95 $2,719,332.00 $1,908,000.00 2026-08-17
Q2042 HCPCS Hc Car-t Cells, Tisagenlecleucel, Up To 600 Mill Cells, Per Dose, >25 Yrs 105 39 $2,741,646.24 $603,162.17 78% off $511,072.50 $3,142,235.32 $1,795,995.00 2026-08-17
Q2056 HCPCS Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1 X 10exp8 Cell IV Susp 39 39 $3,132,333.00 $689,113.26 78% off $498,040.95 $2,819,099.70 $1,566,166.50 2026-08-17
C9098 HCPCS *hc Car-t Cells, Ciltacabtagene Autoleucel, Up To 100 Mill Cells, Per Dose 32 32 $2,790,000.00 $613,800.00 78% off $1,395,000.00 $2,790,000.00 $1,453,590.00 2026-08-17
Q2053 HCPCS Hc Car-t Cells, Brexucabtagene Autoleucel, Up To 200 Mill Cells, Per Dose 40 40 $2,544,000.00 $559,680.00 78% off $440,748.00 $2,289,600.00 $1,272,000.00 2026-08-17
5834 APR_DRG Neonate With Ecmo 2 2 — — $327,627.00 $327,627.00 $327,627.00 2026-08-17
583-4 OTHER Neonate With Ecmo 3 3 — — $327,626.80 $327,626.80 $327,626.80 2026-05-06
633 OTHER Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 2 1 — — $270,033.00 $326,147.00 $298,090.00 2026-10-17
18 MS_DRG Ms DRG- Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies;apr Drg… 58 35 $2,408,630.93 $529,898.80 78% off $105,647.00 $1,945,631.16 $295,291.00 2026-10-17
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $288,225.00 $288,225.00 $288,225.00 2026-10-17
612 OTHER Neonate, Birth Weight <750 Grams, Discharged Alive 2 1 — — $247,448.00 $298,868.00 $273,158.00 2026-10-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 3 $2,028,612.20 $446,294.68 78% off $268,743.00 $282,180.00 $268,743.00 2026-08-17
588-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $268,742.77 $268,742.77 $268,742.77 2026-05-06
5833 APR_DRG Neonate With Ecmo 5 3 — — $259,487.00 $272,461.00 $259,487.00 2026-08-17
583-3 OTHER Neonate With Ecmo 3 3 — — $259,486.85 $259,486.85 $259,486.85 2026-05-06
7 MS_DRG Ms DRG- Lung Transplant;apr DRG- Heart And/or Lung Transplant;soi - Moderate 37 31 $532,037.90 $117,048.34 78% off $70,123.00 $733,958.51 $248,996.00 2026-08-17
1 MS_DRG Ms DRG- Heart Transplant Or Implant Of Heart Assist System With Mcc;apr DRG- Imp… 70 41 $931,405.82 $204,909.28 78% off $41,747.77 $2,373,098.83 $228,911.50 2026-08-17
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 1 — — $208,951.00 $242,277.00 $225,614.00 2026-10-17
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $205,159.00 $205,159.00 $205,159.00 2026-10-17
5 MS_DRG Ms DRG- Liver Transplant With Mcc Or Intestinal Transplant;apr DRG- Liver Transp… 37 34 $472,535.12 $103,957.73 78% off $67,551.00 $654,371.20 $200,000.00 2026-08-17
6 MS_DRG Ms DRG- Liver Transplant Without Mcc;apr DRG- Liver Transplant And/or Intestinal… 37 34 $296,800.04 $65,296.01 78% off $32,597.00 $400,000.00 $200,000.00 2026-08-17
631 OTHER Neonate, Birth Weight 750-999 Grams, Discharged Alive 2 1 — — $179,427.00 $216,712.00 $198,069.50 2026-10-17
630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $195,063.44 $195,063.44 $195,063.44 2026-05-06
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $195,063.00 $195,063.00 $195,063.00 2026-08-17
5832 APR_DRG Neonate With Ecmo 5 3 $554,382.62 $121,964.18 78% off $191,347.00 $200,914.00 $191,347.00 2026-08-17
583-2 OTHER Neonate With Ecmo 3 3 — — $191,346.89 $191,346.89 $191,346.89 2026-05-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 50 32 — — $120,283.00 $440,295.17 $183,752.00 2026-10-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 3 $1,360,662.40 $299,345.73 78% off $175,272.00 $184,035.00 $175,272.00 2026-08-17
593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $175,271.74 $175,271.74 $175,271.74 2026-05-06
636 OTHER Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 2 1 — — $158,667.00 $191,638.00 $175,152.50 2026-10-17
588-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $173,134.48 $173,134.48 $173,134.48 2026-05-06
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 3 $996,955.97 $219,330.31 78% off $173,134.00 $181,791.00 $173,134.00 2026-08-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 3 — — $169,532.00 $178,008.00 $169,532.00 2026-08-17
588-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $169,531.65 $169,531.65 $169,531.65 2026-05-06
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 3 $1,111,851.68 $244,607.37 78% off $169,254.00 $177,716.00 $169,254.00 2026-08-17
591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $169,253.71 $169,253.71 $169,253.71 2026-05-06
609-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $168,174.25 $168,174.25 $168,174.25 2026-05-06
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $168,174.00 $168,174.00 $168,174.00 2026-08-17
583-1 OTHER Neonate With Ecmo 3 3 — — $165,358.21 $165,358.21 $165,358.21 2026-05-06
5831 APR_DRG Neonate With Ecmo 5 3 $593,640.33 $130,600.87 78% off $165,358.00 $173,626.00 $165,358.00 2026-08-17
2 MS_DRG Ms DRG- Heart Transplant Or Implant Of Heart Assist System Without Mcc;apr DRG- … 40 40 $749,041.82 $164,789.20 78% off $41,747.77 $561,781.36 $165,250.00 2026-08-17
3 MS_DRG Ms DRG- Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Fac… 92 35 $230,635.97 $50,739.91 78% off $23,567.00 $2,385,480.38 $163,813.15 2026-10-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $161,454.00 $161,454.00 $161,454.00 2026-08-17
631-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $161,453.84 $161,453.84 $161,453.84 2026-05-06
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $160,594.00 $160,594.00 $160,594.00 2026-08-17
161-4 OTHER Implantable Heart Assist Systems 3 3 — — $160,593.79 $160,593.79 $160,593.79 2026-05-06
14 MS_DRG Ms DRG- Allogeneic Bone Marrow Transplant;apr DRG- Allogeneic Bone Marrow Transp… 39 32 $337,960.79 $74,351.37 78% off $78,550.00 $367,486.01 $160,021.00 2026-08-17
23 APR_DRG Heart And/Or Lung Transplant 2 2 $934,740.13 $205,642.83 78% off $143,754.00 $150,941.00 $147,347.50 2026-08-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 28 $801,038.63 $176,228.50 78% off $61,245.07 $277,608.00 $144,336.00 2026-08-17
8 MS_DRG Ms DRG- Simultaneous Pancreas And Kidney Transplant;apr DRG- Pancreas Transplant… 35 32 $449,041.54 $98,789.14 78% off $35,085.00 $877,431.28 $141,672.00 2026-08-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $140,889.00 $140,889.00 $140,889.00 2026-08-17
603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $140,888.59 $140,888.59 $140,888.59 2026-05-06
SUP-106524US OTHER Kit Implant Heartmate Iii 24 22 $206,800.00 $165,440.00 20% off $113,156.33 $175,780.00 $125,672.36 2026-05-06
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $125,635.00 $125,635.00 $125,635.00 2026-08-17
602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $125,634.78 $125,634.78 $125,634.78 2026-05-06
16 MS_DRG Ms DRG- Autologous Bone Marrow Transplant With Cc/mcc;apr DRG- Autologous Bone M… 48 33 $203,100.85 $44,682.19 78% off $43,454.00 $327,676.56 $123,721.50 2026-08-17
1613 APR_DRG Implantable Heart Assist Systems 5 3 $1,634,623.25 $359,617.11 78% off $123,032.00 $129,183.00 $123,032.00 2026-08-17
161-3 OTHER Implantable Heart Assist Systems 3 3 — — $123,031.66 $123,031.66 $123,031.66 2026-05-06
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml It Soln|discarded Drug Not Administe 72 47 $767,004.28 $168,740.94 78% off $1,122.25 $690,329.95 $119,373.43 2026-08-17
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 1 — — $108,072.00 $130,530.00 $119,301.00 2026-10-17
SUP-106524 OTHER Kit Implant Heartmate Ii 24 22 $192,500.00 $154,000.00 20% off $105,331.69 $163,625.00 $116,982.25 2026-05-06
841-4 OTHER Extensive Third Degree Burns With Skin Graft 3 3 — — $113,251.39 $113,251.39 $113,251.39 2026-05-06
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 3 — — $113,251.00 $118,914.00 $113,251.00 2026-08-17
593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $112,711.39 $112,711.39 $112,711.39 2026-05-06
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 3 $986,733.48 $217,081.37 78% off $112,711.00 $118,347.00 $112,711.00 2026-08-17
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 3 — — $111,593.00 $117,172.00 $111,593.00 2026-08-17
588-1 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $111,592.78 $111,592.78 $111,592.78 2026-05-06
10 MS_DRG Ms DRG- Pancreas Transplant;apr DRG- Pancreas Transplant;soi - Major 32 32 $305,108.89 $67,123.96 78% off $30,317.00 $228,831.67 $110,832.00 2026-08-17
SUP-106015 OTHER Heartmate Ii Implant Kit 24 22 $180,400.00 $144,320.00 20% off $98,710.84 $153,340.00 $109,629.08 2026-05-06
22 APR_DRG Heart And/Or Lung Transplant 2 2 $532,037.90 $117,048.34 78% off $106,681.00 $112,015.00 $109,348.00 2026-08-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 31 30 — — $29,455.00 $200,000.00 $108,532.00 2026-08-17
4 MS_DRG Ms DRG- Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 81 36 $127,976.92 $28,154.92 78% off $12,162.00 $697,374.19 $108,355.98 2026-10-17
359 OTHER Concomitant Aortic And Mitral Valve Procedures 2 1 — — $100,094.00 $116,057.00 $108,075.50 2026-10-17
651 OTHER Neonate, Birth Weight 2000-2499 Grams, With Significant O.r. Procedures, With Mu… 1 1 — — $107,388.00 $107,388.00 $107,388.00 2026-10-17
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 2 1 — — $96,789.00 $116,901.00 $106,845.00 2026-10-17
011-4 OTHER Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 3 — — $105,647.44 $105,647.44 $105,647.44 2026-05-06
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $105,647.00 $105,647.00 $105,647.00 2026-08-17
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $103,345.00 $103,345.00 $103,345.00 2026-10-17
004-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $100,636.02 $100,636.02 $100,636.02 2026-05-06
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $100,636.00 $100,636.00 $100,636.00 2026-08-17
591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $99,157.23 $99,157.23 $99,157.23 2026-05-06
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 3 $1,182,289.10 $260,103.60 78% off $99,157.00 $104,115.00 $99,157.00 2026-08-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 3 $582,361.00 $128,119.42 78% off $99,067.00 $104,020.00 $99,067.00 2026-08-17
602-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $99,066.83 $99,066.83 $99,066.83 2026-05-06
SUP-107801 OTHER Heartmate Ii & Pocket Control 24 22 $162,800.00 $130,240.00 20% off $89,080.51 $138,380.00 $98,933.56 2026-05-06
1612 APR_DRG Implantable Heart Assist Systems 5 3 $1,123,380.09 $247,143.62 78% off $98,784.00 $103,723.00 $98,784.00 2026-08-17
161-2 OTHER Implantable Heart Assist Systems 3 3 — — $98,783.50 $98,783.50 $98,783.50 2026-05-06
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 2 — — $98,526.00 $98,526.00 $98,526.00 2026-08-17
009-4 OTHER Extracorporeal Membrane Oxygenation (Ecmo) 3 3 — — $98,525.65 $98,525.65 $98,525.65 2026-05-06
632 OTHER Neonate, Birth Weight 750-999 Grams, Died 2 1 — — $88,059.00 $106,358.00 $97,208.50 2026-10-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 3 $427,079.80 $93,957.56 78% off $96,499.00 $101,324.00 $96,499.00 2026-08-17
607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $96,498.59 $96,498.59 $96,498.59 2026-05-06
212 OTHER Testes Procedures Age 0-17 1 1 — — $95,954.00 $95,954.00 $95,954.00 2026-10-17
63 APR_DRG Pancreas Transplant 2 2 $543,827.58 $119,642.07 78% off $92,279.00 $96,893.00 $94,586.00 2026-08-17
C9293 HCPCS Glucarpidase 1000 Units IV Solr 32 31 $222,339.60 $48,914.71 78% off $444.68 $200,105.64 $94,494.33 2026-08-17
630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $94,250.41 $94,250.41 $94,250.41 2026-05-06
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 3 $459,524.72 $101,095.44 78% off $94,250.00 $98,963.00 $94,250.00 2026-08-17
650 MS_DRG Ms DRG- Kidney Transplant With Hemodialysis With Mcc;apr DRG- Kidney Transplant;… 41 32 $273,507.13 $60,171.57 78% off $25,361.00 $373,850.22 $93,956.00 2026-08-17
161-1 OTHER Implantable Heart Assist Systems 3 3 — — $93,844.33 $93,844.33 $93,844.33 2026-05-06
1611 APR_DRG Implantable Heart Assist Systems 5 3 — — $93,844.00 $98,537.00 $93,844.00 2026-08-17
21 APR_DRG Heart And/Or Lung Transplant 2 2 $668,050.84 $146,971.18 78% off $91,454.00 $96,027.00 $93,740.50 2026-08-17
73 APR_DRG Allogeneic Bone Marrow Transplant 2 2 $578,180.18 $127,199.64 78% off $89,814.00 $94,305.00 $92,059.50 2026-08-17
652 MS_DRG Ms DRG- Kidney Transplant;apr DRG- Kidney Transplant;soi - Minor 39 33 $227,810.24 $50,118.25 78% off $22,538.00 $248,591.42 $91,680.00 2026-08-17
651 MS_DRG Ms DRG- Kidney Transplant With Hemodialysis Without Mcc;apr DRG- Kidney Transpla… 35 32 $306,732.94 $67,481.25 78% off $26,039.00 $232,441.84 $91,680.00 2026-08-17
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $91,075.00 $91,075.00 $91,075.00 2026-10-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 3 $624,798.46 $137,455.66 78% off $89,334.00 $93,801.00 $89,334.00 2026-08-17
593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $89,333.98 $89,333.98 $89,333.98 2026-05-06
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 $386,681.53 $85,069.94 78% off $85,914.00 $90,210.00 $88,062.00 2026-08-17
C9760 HCPCS Nonrnd Nonblinded Proc Nyha Class Ii Iii IV Hf; 88 38 — — $553.00 $167,445.04 $87,933.02 2026-10-17
535 OTHER Fractures Of Hip And Pelvis With McC 4 4 $105,136.26 $84,109.01 $11,714.00 $90,837.73 $86,419.70 2026-10-17
955 OTHER Craniotomy For Multiple Significant Trauma 2 1 — — $79,430.00 $92,099.00 $85,764.50 2026-10-17
426 MS_DRG Ms DRG- Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cerv… 56 32 $155,267.26 $34,158.80 78% off $18,684.00 $251,885.84 $85,707.99 2026-10-17
212 MS_DRG Ms DRG- Concomitant Aortic And Mitral Valve Procedures;apr DRG- Cardiac Valve Pr… 59 35 $411,973.99 $90,634.28 78% off $54,499.00 $611,953.49 $85,376.00 2026-10-17
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $85,028.00 $85,028.00 $85,028.00 2026-10-17
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $84,334.00 $84,334.00 $84,334.00 2026-08-17
215 OTHER Other Heart Assist System Implant 1 1 — — $84,165.00 $84,165.00 $84,165.00 2026-10-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 3 $517,104.67 $113,763.03 78% off $83,785.00 $87,974.00 $83,785.00 2026-08-17
609-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $83,784.94 $83,784.94 $83,784.94 2026-05-06
215 MS_DRG Ms DRG- Other Heart Assist System Implant;apr DRG- Insertion, Revision And Repla… 66 36 $112,932.78 $24,845.21 78% off $34,154.00 $235,199.23 $82,999.00 2026-10-17
365 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $76,714.00 $88,949.00 $82,831.50 2026-10-17
62 APR_DRG Pancreas Transplant 2 2 — — $80,108.00 $84,113.00 $82,110.50 2026-08-17
0571T CPT Insj/rplcmt Icds W/substernal Electrode 67 28 — — $553.00 $187,647.32 $80,608.75 2026-10-17
33270 CPT Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 97 52 $203,886.00 $44,854.92 78% off $553.00 $187,647.32 $80,608.75 2026-10-17
850 OTHER Acute Leukemia With Other Procedures 1 1 — — $76,113.00 $76,113.00 $76,113.00 2026-10-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 $680,010.61 $149,602.33 78% off $75,591.00 $79,370.00 $75,591.00 2026-08-17
602-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $75,590.50 $75,590.50 $75,590.50 2026-05-06
216 MS_DRG Ms DRG- Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Cat… 65 36 $291,129.16 $64,048.42 78% off $54,136.00 $569,726.93 $75,568.00 2026-10-17
607-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $75,071.12 $75,071.12 $75,071.12 2026-05-06
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 3 $512,763.24 $112,807.91 78% off $75,071.00 $78,825.00 $75,071.00 2026-08-17
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 $278,667.44 $61,306.84 78% off $72,006.00 $75,607.00 $73,806.50 2026-08-17
J7686 HCPCS Treprostinil 1.74 Mg/2.9 Ml (0.6 Mg/ml) Inhl Nebu 61 27 $112,893.26 $24,836.52 78% off $684.14 $113,344.89 $73,719.30 2026-08-17
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $73,465.00 $73,465.00 $73,465.00 2026-10-17
611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $73,331.41 $73,331.41 $73,331.41 2026-05-06
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $73,331.00 $73,331.00 $73,331.00 2026-08-17
740-4 OTHER Mental Illness Diagnosis With O.r. Procedure 3 3 — — $72,663.26 $72,663.26 $72,663.26 2026-05-06
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 5 3 — — $72,663.00 $76,296.00 $72,663.00 2026-08-17
850 MS_DRG Ms DRG- Acute Leukemia With Other Procedures;apr DRG- Acute Leukemia;soi - Moder… 60 35 $190,854.25 $41,987.93 78% off $35,851.00 $501,507.39 $72,316.50 2026-10-17
834 OTHER Acute Leukemia Age >17 With Mcc 1 1 — — $72,262.00 $72,262.00 $72,262.00 2026-10-17
72 APR_DRG Allogeneic Bone Marrow Transplant 2 2 $339,089.52 $74,599.69 78% off $70,254.00 $73,766.00 $72,010.00 2026-08-17
8634 APR_DRG Neonatal Aftercare 5 3 — — $71,892.00 $75,486.00 $71,892.00 2026-08-17
863-4 OTHER Neonatal Aftercare 3 3 — — $71,891.87 $71,891.87 $71,891.87 2026-05-06
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $70,124.00 $70,124.00 $70,124.00 2026-08-17
612-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $70,123.64 $70,123.64 $70,123.64 2026-05-06
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 3 $510,205.81 $112,245.28 78% off $68,868.00 $72,311.00 $68,868.00 2026-08-17
004-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $68,867.98 $68,867.98 $68,867.98 2026-05-06
613-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $68,799.13 $68,799.13 $68,799.13 2026-05-06
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 3 — — $68,799.00 $72,239.00 $68,799.00 2026-08-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 3 $435,708.47 $95,855.86 78% off $68,561.00 $71,989.00 $68,561.00 2026-08-17
603-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $68,560.56 $68,560.56 $68,560.56 2026-05-06
7594 APR_DRG Eating Disorders 2 2 — — $67,994.00 $67,994.00 $67,994.00 2026-08-17
759-4 OTHER Eating Disorders 3 3 — — $67,993.61 $67,993.61 $67,993.61 2026-05-06
160-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $67,954.36 $67,954.36 $67,954.36 2026-05-06
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $67,954.00 $67,954.00 $67,954.00 2026-08-17
SUP-TJF-Q190V OTHER Scope Duodenoscope 100deg 22 22 $113,170.84 $90,536.67 20% off $61,924.55 $92,800.09 $67,438.50 2026-05-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 50 32 — — $55,515.00 $157,275.58 $66,418.50 2026-10-17
005-4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $66,321.18 $66,321.18 $66,321.18 2026-05-06
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $66,321.00 $66,321.00 $66,321.00 2026-08-17
456 MS_DRG Ms DRG- Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infecti… 60 36 $269,596.66 $59,311.27 78% off $46,997.00 $215,755.22 $66,314.00 2026-10-17
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $63,932.00 $67,128.00 $65,530.00 2026-08-17
J7330 HCPCS Tissue Carticel 105 46 $121,146.30 $53,304.37 56% off $18,305.21 $167,146.65 $65,518.20 2026-10-17
429 MS_DRG Ms DRG- Combined Anterior And Posterior Cervical Spinal Fusion With Mcc;apr DRG-… 61 35 $225,696.34 $49,653.19 78% off $30,841.00 $184,819.43 $65,307.00 2026-10-17
33231 CPT Ins Pacng Cvdfb Pls Gen Only W/exist Multi Leads 97 52 $116,295.00 $25,584.90 78% off $763.00 $145,622.66 $65,183.42 2026-10-17
33262 CPT Rem Pac Cvdfb Plse Gen &repl Plse Gen Sngl Lead 97 52 $166,136.00 $36,549.92 78% off $553.00 $149,522.40 $65,183.42 2026-10-17
33230 CPT Ins Pacng Cvdfb Pls Gen Only W/exist Dual Leads 97 52 $116,295.00 $25,584.90 78% off $763.00 $145,622.66 $65,183.42 2026-10-17
33263 CPT Rem Pac Cvdfb Plse Gen &repl Plse Gen Dual Lead 97 52 $166,136.00 $36,549.92 78% off $553.00 $149,522.40 $65,183.42 2026-10-17
33264 CPT Rem Pac Cvdfb Pls Gen &repl Plse Gen Multi Lead 97 52 $166,136.00 $36,549.92 78% off $553.00 $149,522.40 $65,183.42 2026-10-17
61 APR_DRG Pancreas Transplant 2 2 — — $62,968.00 $66,117.00 $64,542.50 2026-08-17
17 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $64,212.00 $64,212.00 $64,212.00 2026-08-17
71 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $62,555.00 $65,683.00 $64,119.00 2026-08-17
219 MS_DRG Ms DRG- Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac … 76 36 $207,942.45 $45,747.34 78% off $44,925.00 $561,957.40 $64,046.00 2026-10-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $64,046.00 $64,046.00 $64,046.00 2026-08-17
162-4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $64,045.67 $64,045.67 $64,045.67 2026-05-06
20 MS_DRG Ms DRG- Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Wit… 67 36 $149,223.23 $32,829.11 78% off $29,985.00 $397,666.82 $63,344.00 2026-10-17
366 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $58,385.00 $67,697.00 $63,041.00 2026-10-17
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $62,271.00 $62,271.00 $62,271.00 2026-10-17
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 3 $409,155.01 $90,014.10 78% off $62,003.00 $65,103.00 $62,003.00 2026-08-17
631-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $62,002.64 $62,002.64 $62,002.64 2026-05-06
0268T OTHER Hc Implant/replcmt, Carotid Sinus Baroreflex Device, Generator Only 42 42 $82,616.00 $18,175.52 78% off $5,087.00 $86,509.27 $61,962.00 2026-08-17
303-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $61,230.01 $61,230.01 $61,230.01 2026-05-06
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $61,230.00 $61,230.00 $61,230.00 2026-08-17
233 MS_DRG Ms DRG- Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc;a… 60 36 $343,978.48 $75,675.27 78% off $44,925.00 $551,250.04 $61,202.00 2026-10-17
608-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $61,099.22 $61,099.22 $61,099.22 2026-05-06
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 3 $425,898.48 $93,697.67 78% off $61,099.00 $64,154.00 $61,099.00 2026-08-17
552 OTHER Medical Back Problems Without McC 4 4 $73,439.29 $58,751.43 20% off $6,066.00 $63,451.55 $60,365.48 2026-10-17
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $60,362.00 $60,362.00 $60,362.00 2026-10-17
A9543 HCPCS Hc Zevalin Up To 40 Mci Tx 41 41 $72,539.00 $15,958.58 78% off $36,269.50 $91,316.24 $60,234.02 2026-08-17
630-2 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $59,798.47 $59,798.47 $59,798.47 2026-05-06
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 3 $239,964.08 $52,792.10 78% off $59,798.00 $62,788.00 $59,798.00 2026-08-17
647 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 2 1 — — $53,982.00 $65,200.00 $59,591.00 2026-10-17
635 OTHER Neonate, Birth Weight 1000-1499 Grams, Died 2 1 — — $53,870.00 $65,064.00 $59,467.00 2026-10-17
4403 APR_DRG Kidney Transplant 2 2 $326,753.51 $71,885.77 78% off $57,554.00 $60,432.00 $58,993.00 2026-08-17
360 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $54,488.00 $63,179.00 $58,833.50 2026-10-17
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 1 — — $54,052.00 $62,673.00 $58,362.50 2026-10-17
0812 RC — 30 30 $97,500.00 $21,450.00 78% off $48,750.00 $97,500.00 $58,256.25 2026-08-17
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 3 $198,535.57 $43,677.82 78% off $58,190.00 $61,099.00 $58,190.00 2026-08-17
608-3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $58,189.70 $58,189.70 $58,189.70 2026-05-06
607-2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $58,129.33 $58,129.33 $58,129.33 2026-05-06
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 3 $429,771.76 $94,549.79 78% off $58,129.00 $61,036.00 $58,129.00 2026-08-17
SUP-CS1000 OTHER Tissue Carticel 25 23 $96,917.04 $77,533.63 20% off $38,766.82 $82,379.48 $57,752.86 2026-05-06
957 MS_DRG Ms DRG- Other O.r. Procedures For Multiple Significant Trauma With Mcc;apr DRG- … 62 36 $149,173.71 $32,818.22 78% off $18,831.00 $138,535.55 $57,727.87 2026-10-17
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $57,530.00 $57,530.00 $57,530.00 2026-08-17
621-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $57,529.76 $57,529.76 $57,529.76 2026-05-06
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 3 — — $57,234.00 $60,096.00 $57,234.00 2026-08-17
842-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $57,233.90 $57,233.90 $57,233.90 2026-05-06
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $56,790.00 $56,790.00 $56,790.00 2026-10-17
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $56,387.00 $56,387.00 $56,387.00 2026-10-17
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $56,284.00 $56,284.00 $56,284.00 2026-10-17
427 MS_DRG Ms DRG- Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cerv… 57 35 $202,138.06 $44,470.37 78% off $14,006.00 $205,718.39 $55,813.00 2026-10-17
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $55,705.00 $55,705.00 $55,705.00 2026-10-17
275 MS_DRG Ms DRG- Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc;apr D… 53 35 $238,285.67 $52,422.85 78% off $44,105.00 $131,163.52 $55,503.00 2026-10-17
646 OTHER Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without… 2 1 — — $50,265.00 $60,711.00 $55,488.00 2026-10-17
614-4 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $55,288.12 $55,288.12 $55,288.12 2026-05-06
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 3 — — $55,288.00 $58,053.00 $55,288.00 2026-08-17
SUP-1000100 OTHER Cath Impella Smartassist 5.5 24 22 $90,200.00 $72,160.00 20% off $49,355.42 $76,670.00 $54,814.54 2026-05-06
163-4 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $54,499.12 $54,499.12 $54,499.12 2026-05-06
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $54,499.00 $54,499.00 $54,499.00 2026-08-17
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $54,242.00 $54,242.00 $54,242.00 2026-10-17
217 MS_DRG Ms DRG- Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Cat… 59 36 $228,425.17 $50,253.54 78% off $42,309.00 $325,014.53 $54,136.00 2026-10-17
1784 APR_DRG External Heart Assist Systems 2 2 — — $54,136.00 $54,136.00 $54,136.00 2026-08-17
178-4 OTHER External Heart Assist Systems 3 3 — — $54,135.54 $54,135.54 $54,135.54 2026-05-06
870 MS_DRG Ms DRG- Septicemia Or Severe Sepsis With Mv >96 Hours;apr DRG- Septicemia And Di… 55 37 $250,791.36 $55,174.10 78% off $1,079.64 $137,935.25 $53,872.00 2026-10-17
232 OTHER Coronary Bypass With Ptca Without Mcc 1 1 — — $53,806.00 $53,806.00 $53,806.00 2026-10-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 50 32 — — $40,584.00 $126,733.25 $53,182.00 2026-10-17
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $52,924.00 $52,924.00 $52,924.00 2026-10-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 3 $984,866.08 $216,670.54 78% off $52,764.00 $55,402.00 $52,764.00 2026-08-17
591-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $52,763.51 $52,763.51 $52,763.51 2026-05-06
447 MS_DRG Ms DRG- Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Ana… 59 35 $296,210.41 $65,166.29 78% off $40,737.00 $207,188.89 $52,675.00 2026-10-17
904 OTHER Skin Grafts For Injuries With Cc/mcc 1 1 — — $52,588.00 $52,588.00 $52,588.00 2026-10-17
589-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $52,506.25 $52,506.25 $52,506.25 2026-05-06
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 3 $466,482.63 $102,626.18 78% off $52,506.00 $55,132.00 $52,506.00 2026-08-17
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $52,402.00 $52,402.00 $52,402.00 2026-10-17
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $52,291.00 $52,291.00 $52,291.00 2026-10-17
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $52,289.00 $52,289.00 $52,289.00 2026-08-17
633-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $52,288.74 $52,288.74 $52,288.74 2026-05-06
268 MS_DRG Ms DRG- Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc;apr… 77 36 $134,903.99 $29,678.88 78% off $14,461.00 $444,427.52 $52,207.00 2026-10-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 50 32 — — $39,149.00 $123,960.38 $52,029.60 2026-10-17
011-3 OTHER Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 3 — — $52,002.27 $52,002.27 $52,002.27 2026-05-06
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 3 $3,159,987.55 $695,197.26 78% off $52,002.00 $54,602.00 $52,002.00 2026-08-17
275 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $51,674.00 $51,674.00 $51,674.00 2026-10-17
228 OTHER Other Cardiothoracic Procedures With Mcc 1 1 — — $51,274.00 $51,274.00 $51,274.00 2026-10-17
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $51,075.00 $51,075.00 $51,075.00 2026-10-17
231 OTHER Coronary Bypass With Ptca With Mcc 2 1 — — $47,010.00 $54,508.00 $50,759.00 2026-10-17
207 MS_DRG Ms DRG- Respiratory System Diagnosis With Ventilator Support >96 Hours;apr DRG- … 57 36 $155,734.72 $34,261.64 78% off $34,195.00 $185,786.28 $50,638.18 2026-10-17
4402 APR_DRG Kidney Transplant 2 2 $264,311.35 $58,148.50 78% off $49,362.00 $51,830.00 $50,596.00 2026-08-17
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $50,384.00 $50,384.00 $50,384.00 2026-10-17
691 OTHER Kidney Transplant With Hemodialysis With Mcc 1 1 — — $50,363.00 $50,363.00 $50,363.00 2026-08-17
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $50,226.00 $50,226.00 $50,226.00 2026-10-17
33240 CPT Insert Pulse Generator 117 52 $82,912.00 $18,240.64 78% off $1,489.00 $103,820.46 $49,839.75 2026-10-17
165-4 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $49,838.33 $49,838.33 $49,838.33 2026-05-06
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $49,838.00 $49,838.00 $49,838.00 2026-08-17
83 APR_DRG Autologous Bone Marrow Transplant 2 2 $231,277.62 $50,881.08 78% off $48,544.00 $50,972.00 $49,758.00 2026-08-17
220 MS_DRG Ms DRG- Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac … 71 36 $246,763.98 $54,288.08 78% off $34,801.00 $248,607.99 $49,675.00 2026-10-17
969 MS_DRG Ms DRG- HIV With Extensive O.r. Procedures With Mcc;apr DRG- HIV With Multiple M… 61 36 $259,182.32 $57,020.11 78% off $16,566.00 $244,218.14 $49,519.00 2026-10-17
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 3 $340,591.91 $74,930.22 78% off $49,316.00 $51,782.00 $49,316.00 2026-08-17
612-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $49,315.72 $49,315.72 $49,315.72 2026-05-06
167-4 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $49,022.12 $49,022.12 $49,022.12 2026-05-06
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $49,022.00 $49,022.00 $49,022.00 2026-08-17
005-3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $48,838.14 $48,838.14 $48,838.14 2026-05-06
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 3 $343,382.14 $75,544.07 78% off $48,838.00 $51,280.00 $48,838.00 2026-08-17
276 MS_DRG Ms DRG- Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator;… 55 35 $186,088.56 $40,939.48 78% off $34,664.00 $131,141.89 $48,676.00 2026-10-17
317 MS_DRG Ms DRG- Concomitant Left Atrial Appendage Closure And Cardiac Ablation;apr DRG- … 53 35 $176,722.59 $38,878.97 78% off $27,740.00 $114,819.58 $48,613.00 2026-10-17
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $48,486.00 $48,486.00 $48,486.00 2026-10-17
235 MS_DRG Ms DRG- Coronary Bypass Without Cardiac Catheterization With Mcc;apr DRG- Corona… 61 36 $250,489.62 $55,107.72 78% off $38,723.00 $200,637.49 $48,474.00 2026-10-17
450 OTHER Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $48,370.00 $48,370.00 $48,370.00 2026-10-17
367 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $44,739.00 $51,875.00 $48,307.00 2026-10-17
457 MS_DRG Ms DRG- Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infecti… 64 36 $254,881.07 $56,073.84 78% off $38,586.00 $286,030.98 $48,190.11 2026-10-17
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $47,987.00 $47,987.00 $47,987.00 2026-10-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 50 32 — — $30,113.00 $113,897.15 $47,847.53 2026-10-17
232 MS_DRG Ms DRG- Coronary Bypass With Ptca Without Mcc;apr DRG- Coronary Bypass Without A… 54 36 $414,837.11 $91,264.16 78% off $40,996.00 $228,160.41 $47,831.00 2026-10-17
573 MS_DRG Ms DRG- Skin Graft For Skin Ulcer Or Cellulitis With Mcc;apr DRG- Skin Graft For… 55 36 $195,912.39 $43,100.73 78% off $33,745.00 $195,254.80 $47,808.36 2026-10-17
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 3 $399,884.87 $87,974.67 78% off $47,764.00 $50,152.00 $47,764.00 2026-08-17
611-3 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $47,763.65 $47,763.65 $47,763.65 2026-05-06
266 MS_DRG Ms DRG- Endovascular Cardiac Valve Replacement And Supplement Procedures With Mc… 57 36 $124,869.25 $27,471.24 78% off $40,258.00 $161,292.86 $47,684.00 2026-10-17
7524 APR_DRG Disorders Of Personality And Impulse Control 5 3 — — $47,650.00 $50,032.00 $47,650.00 2026-08-17
752-4 OTHER Disorders Of Personality And Impulse Control 3 3 — — $47,649.71 $47,649.71 $47,649.71 2026-05-06
228 MS_DRG Ms DRG- Other Cardiothoracic Procedures With Mcc;apr DRG- Permanent Cardiac Pace… 75 36 $101,925.04 $22,423.51 78% off $23,677.00 $468,759.21 $47,531.00 2026-10-17
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $47,522.00 $47,522.00 $47,522.00 2026-10-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 3 — — $47,348.00 $49,715.00 $47,348.00 2026-08-17
004-2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $47,347.52 $47,347.52 $47,347.52 2026-05-06
28 MS_DRG Ms DRG- Spinal Procedures With Mcc;apr DRG- Other Nervous System And Related Pro… 64 36 $76,826.54 $16,901.84 78% off $28,440.00 $377,664.24 $47,210.61 2026-10-17
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Impl Kit 46 44 $263,343.80 $57,935.64 78% off $39,791.25 $237,009.42 $47,109.28 2026-08-17
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $46,997.00 $46,997.00 $46,997.00 2026-08-17
304-4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $46,996.52 $46,996.52 $46,996.52 2026-05-06
218 MS_DRG Ms DRG- Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Cat… 58 36 $273,772.44 $60,229.94 78% off $39,342.00 $188,725.78 $46,975.00 2026-10-17
260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $46,883.00 $46,883.00 $46,883.00 2026-10-17
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 3 $440,461.44 $96,901.52 78% off $46,361.00 $48,679.00 $46,361.00 2026-08-17
303-3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $46,360.73 $46,360.73 $46,360.73 2026-05-06
408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $46,281.00 $46,281.00 $46,281.00 2026-10-17
0614T OTHER Hc Remvl W/repl Substernal Implant Defib Pulse Gen 42 42 $62,421.00 $13,732.62 78% off $9,431.81 $100,133.00 $46,224.61 2026-08-17
403 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 1 — — $42,796.00 $49,622.00 $46,209.00 2026-10-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $46,196.00 $46,196.00 $46,196.00 2026-08-17
183-4 OTHER Percutaneous Structural Cardiac Procedures 3 3 — — $46,195.76 $46,195.76 $46,195.76 2026-05-06
790 MS_DRG Ms DRG- Extreme Immaturity Or Respiratory Distress Syndrome, Neonate;apr DRG- Ne… 50 34 $129,438.85 $28,476.55 78% off $775.20 $311,197.53 $46,187.53 2026-10-17
8633 APR_DRG Neonatal Aftercare 5 3 $27,642.43 $6,081.33 78% off $46,128.00 $48,434.00 $46,128.00 2026-08-17
863-3 OTHER Neonatal Aftercare 3 3 — — $46,127.77 $46,127.77 $46,127.77 2026-05-06
33249 CPT Eltrd/insert Pace-defib 117 52 $96,114.00 $21,145.08 78% off $553.00 $100,133.00 $46,013.96 2026-10-17
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $45,773.00 $45,773.00 $45,773.00 2026-10-17
820 MS_DRG Ms DRG- Lymphoma And Leukemia With Major O.r. Procedures With Mcc;apr DRG- Major… 60 36 $154,411.63 $33,970.56 78% off $36,348.00 $135,802.64 $45,589.00 2026-10-17
C9782 HCPCS Bld Proc Nyha Cls Ii/iii Hf/ccs Cls Iii/iv Cra; 86 43 — — $1,100.00 $106,557.04 $45,458.71 2026-10-17
420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $45,439.00 $45,439.00 $45,439.00 2026-10-17
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