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

PROMEDICA TOLEDO HOSPITAL

Toledo, OH · CCN 360068 · Rates published

Your selected procedure

You selected 93350 (CPT)

HC STRESS ECHO WO CONTRAST

This hospital’s price: $1,386 across 26 payers · range $157-$3,449

Source: https://promedica.canto.com/direct/document/tfknhoa8rl20jfv8g6ea9o6i1d/RbyK13bg8zhCQijY_V10hy8hF6o/original?content-type=text%2Fcsv&name=344428256_toledo-hospital_standardcharges+4.csv · observed 2026-07-17

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.

5,203 distinct procedures filed
26 distinct payers
238,658 rate rows
2026-07-17 last MRF observed
Data quality

224,946 of 238,658 rate rows are consumer-grade (94.3%)

13,712 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 9,244
per-diem day rate — not a per-procedure price 3,334
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 323
placeholder amount (≤ $0.02) — excluded from medians 320
exceeds 10× this hospital's gross charge — excluded from medians 283
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 200
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://promedica.canto.com/direct/document/tfknhoa8rl20jfv8g6ea9o6i1d/RbyK13bg8zhCQijY_V10hy8hF6o/original?content-type=text%2Fcsv&name=344428256_toledo-hospital_standardcharges+4.csv
Found on page https://www.promedica.org/pay-my-bill/price-transparency-resources
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint 019084393465cdd0… · 77,542,544 bytes · first seen 2026-07-17

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $219,572.98 $775,044.90 $363,651.95 nat. median
$359,358
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $1,600.00 $360,001.11 $342,001.06 nat. median
$247,214
1.4× median
5833
APR_DRG 		Neonate With Ecmo 8 $1,600.00 $348,271.21 $330,857.65 nat. median
$244,017
1.4× median
5834
APR_DRG 		Neonate With Ecmo 8 $1,600.00 $348,271.21 $330,857.65 nat. median
$307,273
1.1× median
5831
APR_DRG 		Neonate With Ecmo 8 $1,600.00 $331,312.25 $314,746.64 nat. median
$146,591
outlier · 2.1×
5832
APR_DRG 		Neonate With Ecmo 8 $1,600.00 $331,312.25 $314,746.64 nat. median
$159,249
2.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 8 $1,600.00 $293,207.03 $278,546.68 nat. median
$202,993
1.4× median
7
MS_DRG 		Lung Transplant 12 $76,089.93 $270,156.88 $245,629.85 nat. median
$117,894
outlier · 2.1×
24
APR_DRG 		Heart And/or Lung Transplant 8 $1,600.00 $257,958.09 $245,060.18 nat. median
$241,915
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 $1,600.00 $231,153.34 $219,595.67 nat. median
$165,000
1.3× median
1612
APR_DRG 		Implantable Heart Assist Systems 8 $1,600.00 $227,082.80 $215,728.66 nat. median
$84,808
outlier · 2.5×
1611
APR_DRG 		Implantable Heart Assist Systems 8 $1,600.00 $227,082.80 $215,728.66 nat. median
$76,852
outlier · 2.8×
1613
APR_DRG 		Implantable Heart Assist Systems 8 $1,600.00 $227,082.80 $215,728.66 nat. median
$120,517
1.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $1,600.00 $224,353.72 $213,136.04 nat. median
$154,011
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $1,600.00 $220,609.84 $209,579.35 nat. median
$170,172
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $164,003.09 $488,316.46 $200,976.25 nat. median
$249,124
0.8× median
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $1,600.00 $205,400.87 $195,130.82 nat. median
$32,555
outlier · 6.0×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $1,600.00 $205,400.87 $195,130.82 nat. median
$156,153
1.2× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $1,600.00 $205,400.87 $195,130.82 nat. median
$61,012
outlier · 3.2×
8411
APR_DRG 		Chemotherapy For Acute Leukemia 8 $1,600.00 $205,400.87 $195,130.82 nat. median
$31,407
outlier · 6.2×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 $1,600.00 $198,116.93 $188,211.08 nat. median
$133,164
1.4× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $1,600.00 $182,210.21 $173,099.71 nat. median
$175,429
1.0× median
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 8 $1,600.00 $173,353.98 $164,686.29 nat. median
$120,505
1.4× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $1,600.00 $173,353.98 $164,686.29 nat. median
$145,061
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $1,600.00 $168,022.13 $159,621.03 nat. median
$151,838
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $131,052.04 $418,461.50 $153,235.77 nat. median
$198,433
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $10,353.57 $380,949.89 $152,339.40 nat. median
$190,557
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $1,600.00 $156,033.52 $148,231.84 nat. median
$162,514
0.9× median
A9699
HCPCS 		Hc Radiopharmaceutical Therapeutic 23 $553.00 $368,055.85 $124,369.05 nat. median
$1,683
outlier · 73.9×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 8 $1,600.00 $127,612.93 $121,232.28 nat. median
$98,624
1.2× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 $1,600.00 $115,227.98 $109,466.59 nat. median
$118,589
0.9× median
23
APR_DRG 		Heart And/or Lung Transplant 8 $1,600.00 $114,739.31 $109,002.34 nat. median
$111,046
1.0× median
22
APR_DRG 		Heart And/or Lung Transplant 8 $1,600.00 $114,739.31 $109,002.34 nat. median
$92,229
1.2× median
21
APR_DRG 		Heart And/or Lung Transplant 8 $1,600.00 $114,739.31 $109,002.34 nat. median
$73,922
1.5× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 8 $1,600.00 $114,556.38 $108,828.56 nat. median
$163,587
0.7× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 $1,600.00 $113,966.66 $108,268.32 nat. median
$96,883
1.1× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $1,600.00 $108,036.38 $102,634.56 nat. median
$89,273
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $16,251.62 $248,604.92 $100,428.55 nat. median
$126,722
0.8× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $1,600.00 $105,403.11 $100,132.96 nat. median
$108,798
0.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 8 $1,600.00 $104,097.37 $98,892.50 nat. median
$122,016
0.8× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $1,600.00 $99,498.96 $94,524.01 nat. median
$75,282
1.3× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 $1,600.00 $98,114.82 $93,209.08 nat. median
$66,842
1.4× median
6334
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Anomaly 8 $1,600.00 $97,029.46 $92,177.99 nat. median
$58,630
1.6× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 $1,600.00 $95,161.88 $90,403.79 nat. median
$82,615
1.1× median
6093
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 $1,600.00 $94,371.81 $89,653.21 nat. median
$69,447
1.3× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 $1,600.00 $93,293.42 $88,628.75 nat. median
$88,157
1.0× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 8 $1,600.00 $91,451.10 $86,878.54 nat. median
$136,728
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $5,887.68 $209,411.91 $86,471.79 nat. median
$110,192
0.8× median
6092
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 $1,600.00 $89,801.27 $85,311.21 nat. median
$35,889
outlier · 2.4×
6091
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 $1,600.00 $89,801.27 $85,311.21 nat. median
$33,663
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 5,203 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 13 — — $219,572.98 $775,044.90 $363,651.95 2026-07-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $1,600.00 $360,001.11 $342,001.06 2026-07-17
5834 APR_DRG Neonate With Ecmo 8 8 — — $1,600.00 $348,271.21 $330,857.65 2026-07-17
5833 APR_DRG Neonate With Ecmo 8 8 — — $1,600.00 $348,271.21 $330,857.65 2026-07-17
5832 APR_DRG Neonate With Ecmo 8 8 — — $1,600.00 $331,312.25 $314,746.64 2026-07-17
5831 APR_DRG Neonate With Ecmo 8 8 — — $1,600.00 $331,312.25 $314,746.64 2026-07-17
1614 APR_DRG Implantable Heart Assist Systems 8 8 — — $1,600.00 $293,207.03 $278,546.68 2026-07-17
7 MS_DRG Lung Transplant 16 12 — — $76,089.93 $270,156.88 $245,629.85 2026-07-17
24 APR_DRG Heart And/or Lung Transplant 8 8 — — $1,600.00 $257,958.09 $245,060.18 2026-07-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $1,600.00 $231,153.34 $219,595.67 2026-07-17
1612 APR_DRG Implantable Heart Assist Systems 8 8 — — $1,600.00 $227,082.80 $215,728.66 2026-07-17
1613 APR_DRG Implantable Heart Assist Systems 8 8 — — $1,600.00 $227,082.80 $215,728.66 2026-07-17
1611 APR_DRG Implantable Heart Assist Systems 8 8 — — $1,600.00 $227,082.80 $215,728.66 2026-07-17
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 — — $1,600.00 $224,353.72 $213,136.04 2026-07-17
74 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $1,600.00 $220,609.84 $209,579.35 2026-07-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 11 — — $164,003.09 $488,316.46 $200,976.25 2026-07-17
8411 APR_DRG Chemotherapy For Acute Leukemia 8 8 — — $1,600.00 $205,400.87 $195,130.82 2026-07-17
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 8 8 — — $1,600.00 $205,400.87 $195,130.82 2026-07-17
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 8 8 — — $1,600.00 $205,400.87 $195,130.82 2026-07-17
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 8 8 — — $1,600.00 $205,400.87 $195,130.82 2026-07-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 8 — — $1,600.00 $198,116.93 $188,211.08 2026-07-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $1,600.00 $182,210.21 $173,099.71 2026-07-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $1,600.00 $173,353.98 $164,686.29 2026-07-17
5881 APR_DRG Female Reproductive System Reconstructive Procedures 8 8 — — $1,600.00 $173,353.98 $164,686.29 2026-07-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $1,600.00 $168,022.13 $159,621.03 2026-07-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 12 — — $131,052.04 $418,461.50 $153,235.77 2026-07-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 13 — — $10,353.57 $380,949.89 $152,339.40 2026-07-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $1,600.00 $156,033.52 $148,231.84 2026-07-17
A9699 HCPCS Hc Radiopharmaceutical Therapeutic 47 23 $191,337.00 $124,369.05 35% off $553.00 $368,055.85 $124,369.05 2026-07-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 8 — — $1,600.00 $127,612.93 $121,232.28 2026-07-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $1,600.00 $115,227.98 $109,466.59 2026-07-17
21 APR_DRG Heart And/or Lung Transplant 8 8 — — $1,600.00 $114,739.31 $109,002.34 2026-07-17
22 APR_DRG Heart And/or Lung Transplant 8 8 — — $1,600.00 $114,739.31 $109,002.34 2026-07-17
23 APR_DRG Heart And/or Lung Transplant 8 8 — — $1,600.00 $114,739.31 $109,002.34 2026-07-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $1,600.00 $114,556.38 $108,828.56 2026-07-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $1,600.00 $113,966.66 $108,268.32 2026-07-17
73 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $1,600.00 $108,036.38 $102,634.56 2026-07-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 13 — — $16,251.62 $248,604.92 $100,428.55 2026-07-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $1,600.00 $105,403.11 $100,132.96 2026-07-17
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $1,600.00 $104,097.37 $98,892.50 2026-07-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 — — $1,600.00 $99,498.96 $94,524.01 2026-07-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 8 — — $1,600.00 $98,114.82 $93,209.08 2026-07-17
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 8 8 — — $1,600.00 $97,029.46 $92,177.99 2026-07-17
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 8 — — $1,600.00 $95,161.88 $90,403.79 2026-07-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $1,600.00 $94,371.81 $89,653.21 2026-07-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $1,600.00 $93,293.42 $88,628.75 2026-07-17
14 APR_DRG Liver Transplant And/or Intestinal Transplant 8 8 — — $1,600.00 $91,451.10 $86,878.54 2026-07-17
14 MS_DRG Allogeneic Bone Marrow Transplant 16 12 — — $5,887.68 $209,411.91 $86,471.79 2026-07-17
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $1,600.00 $89,801.27 $85,311.21 2026-07-17
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $1,600.00 $89,801.27 $85,311.21 2026-07-17
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 8 — — $1,600.00 $89,497.26 $85,022.40 2026-07-17
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 8 — — $1,600.00 $87,893.62 $83,498.93 2026-07-17
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 8 8 — — $1,600.00 $86,841.36 $82,499.29 2026-07-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $1,600.00 $86,753.38 $82,415.71 2026-07-17
71 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $1,600.00 $86,627.08 $82,295.73 2026-07-17
72 APR_DRG Allogeneic Bone Marrow Transplant 8 8 — — $1,600.00 $86,627.08 $82,295.73 2026-07-17
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 8 — — $1,600.00 $86,179.35 $81,870.38 2026-07-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 12 — — $32,088.26 $197,456.61 $81,564.95 2026-07-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $1,600.00 $83,708.10 $79,522.69 2026-07-17
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 18 13 — — $12,025.52 $195,168.35 $78,291.28 2026-07-17
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $1,600.00 $80,300.45 $76,285.43 2026-07-17
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 8 — — $1,600.00 $79,209.87 $75,249.38 2026-07-17
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 8 — — $1,600.00 $79,209.87 $75,249.38 2026-07-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 8 8 — — $1,600.00 $79,203.77 $75,243.59 2026-07-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $1,600.00 $79,052.20 $75,099.60 2026-07-17
8634 APR_DRG Neonatal Aftercare 8 8 — — $1,600.00 $78,938.09 $74,991.18 2026-07-17
1784 APR_DRG External Heart Assist Systems 8 8 — — $1,600.00 $78,911.95 $74,966.36 2026-07-17
6904 APR_DRG Acute Leukemia 8 8 — — $1,600.00 $78,606.21 $74,675.90 2026-07-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 12 — — $8,461.30 $179,660.46 $74,260.18 2026-07-17
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 8 — — $1,600.00 $75,633.23 $71,851.57 2026-07-17
215 MS_DRG Other Heart Assist System Implant 18 13 — — $27,487.93 $178,708.24 $71,731.81 2026-07-17
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 8 — — $1,600.00 $75,380.61 $71,611.58 2026-07-17
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 8 — — $1,600.00 $75,380.61 $71,611.58 2026-07-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 12 — — $56,190.84 $175,581.69 $70,489.46 2026-07-17
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $1,600.00 $73,699.44 $70,014.46 2026-07-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 12 — — $36,822.07 $109,865.09 $68,114.68 2026-07-17
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 8 — — $1,600.00 $71,553.98 $67,976.27 2026-07-17
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 8 — — $1,600.00 $69,290.06 $65,825.55 2026-07-17
6954 APR_DRG Chemotherapy For Acute Leukemia 8 8 — — $1,600.00 $68,898.94 $65,453.99 2026-07-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $1,600.00 $68,450.34 $65,027.82 2026-07-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 8 — — $1,600.00 $68,340.58 $64,923.55 2026-07-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 8 — — $1,600.00 $67,577.52 $64,198.65 2026-07-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 8 — — $1,600.00 $67,369.34 $64,000.86 2026-07-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 8 — — $1,600.00 $67,369.34 $64,000.86 2026-07-17
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 13 12 — — $17,085.87 $177,876.15 $63,890.68 2026-07-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $1,600.00 $66,944.25 $63,597.04 2026-07-17
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $1,600.00 $66,944.25 $63,597.04 2026-07-17
224 APR_DRG Ventricular Shunt Procedures 8 8 — — $1,600.00 $65,739.55 $62,452.57 2026-07-17
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $1,600.00 $65,623.70 $62,342.52 2026-07-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $1,600.00 $65,623.70 $62,342.52 2026-07-17
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 — — $1,600.00 $65,442.52 $62,170.40 2026-07-17
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 8 — — $1,600.00 $65,442.52 $62,170.40 2026-07-17
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 8 8 — — $1,600.00 $65,408.54 $62,138.12 2026-07-17
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $1,600.00 $64,794.43 $61,554.71 2026-07-17
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $1,600.00 $64,794.43 $61,554.71 2026-07-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $1,600.00 $64,794.43 $61,554.71 2026-07-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $1,600.00 $64,794.43 $61,554.71 2026-07-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 12 — — $49,337.58 $151,299.84 $60,814.89 2026-07-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 12 — — $49,309.51 $150,824.23 $60,625.40 2026-07-17
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 8 8 — — $1,600.00 $63,649.84 $60,467.35 2026-07-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 8 — — $1,600.00 $61,875.46 $58,781.69 2026-07-17
8633 APR_DRG Neonatal Aftercare 8 8 — — $1,600.00 $59,813.62 $56,822.94 2026-07-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 13 — — $9,649.50 $141,229.22 $56,796.12 2026-07-17
914 APR_DRG Other Major Head And Neck Procedures 8 8 — — $1,600.00 $58,475.65 $55,551.87 2026-07-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 13 — — $14,095.59 $137,810.13 $55,433.60 2026-07-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 13 — — $14,318.19 $137,216.05 $55,196.85 2026-07-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 12 — — $43,458.41 $136,761.97 $55,022.59 2026-07-17
2004 APR_DRG Cardiac Structural And Valvular Disorders 8 8 — — $1,600.00 $57,067.12 $54,213.76 2026-07-17
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 8 — — $1,600.00 $56,798.83 $53,958.89 2026-07-17
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 8 — — $1,600.00 $56,798.83 $53,958.89 2026-07-17
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 8 — — $1,600.00 $56,668.17 $53,834.76 2026-07-17
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 8 8 — — $1,600.00 $56,632.46 $53,800.83 2026-07-17
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $1,600.00 $56,331.07 $53,514.51 2026-07-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 8 8 — — $1,600.00 $56,325.84 $53,509.55 2026-07-17
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $1,600.00 $55,969.56 $53,171.08 2026-07-17
1833 APR_DRG Percutaneous Structural Cardiac Procedures 8 8 — — $1,600.00 $55,916.43 $53,120.61 2026-07-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 13 — — $5,291.68 $128,735.62 $51,809.99 2026-07-17
1794 APR_DRG Defibrillator Implants 8 8 — — $1,600.00 $54,421.66 $51,700.58 2026-07-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 13 — — $5,138.08 $128,051.80 $51,537.42 2026-07-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 13 — — $16,009.06 $127,976.42 $51,514.78 2026-07-17
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 8 8 — — $1,600.00 $54,069.75 $51,366.26 2026-07-17
10 MS_DRG Pancreas Transplant 16 12 — — $23,599.78 $125,036.57 $51,330.49 2026-07-17
214 APR_DRG Open Craniotomy Except Trauma 8 8 — — $1,600.00 $53,973.93 $51,275.24 2026-07-17
6 MS_DRG Liver Transplant Without Mcc 16 12 — — $28,233.41 $87,023.60 $51,127.92 2026-07-17
1204 APR_DRG Major Respiratory And Chest Procedures 8 8 — — $1,600.00 $53,671.67 $50,988.09 2026-07-17
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $1,600.00 $53,535.78 $50,858.99 2026-07-17
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 8 8 — — $1,600.00 $53,517.49 $50,841.61 2026-07-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 8 — — $1,600.00 $52,738.75 $50,101.82 2026-07-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 13 — — $7,673.70 $124,052.99 $49,951.26 2026-07-17
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $1,600.00 $52,414.70 $49,793.97 2026-07-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 12 — — $38,820.57 $123,444.55 $49,716.55 2026-07-17
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 8 8 — — $1,600.00 $51,716.97 $49,131.12 2026-07-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 12 — — $31,679.63 $97,660.15 $48,801.33 2026-07-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 13 — — $7,589.58 $120,809.78 $48,658.83 2026-07-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 13 12 — — $14,550.42 $115,033.02 $47,944.05 2026-07-17
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 8 8 — — $1,600.00 $50,375.52 $47,856.75 2026-07-17
1832 APR_DRG Percutaneous Structural Cardiac Procedures 8 8 — — $1,600.00 $50,279.70 $47,765.71 2026-07-17
6903 APR_DRG Acute Leukemia 8 8 — — $1,600.00 $50,068.03 $47,564.63 2026-07-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 13 — — $12,904.76 $118,013.48 $47,544.49 2026-07-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 13 — — $14,528.92 $118,013.48 $47,544.49 2026-07-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 12 — — $29,272.14 $117,584.53 $47,365.29 2026-07-17
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 8 — — $1,600.00 $49,464.37 $46,991.15 2026-07-17
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 8 — — $1,600.00 $49,183.01 $46,723.86 2026-07-17
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 8 — — $1,600.00 $49,098.52 $46,643.60 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 13 — — $31,626.61 $115,490.00 $46,538.85 2026-07-17
1831 APR_DRG Percutaneous Structural Cardiac Procedures 8 8 — — $1,600.00 $48,886.85 $46,442.51 2026-07-17
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 8 — — $1,600.00 $48,703.05 $46,267.90 2026-07-17
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 8 8 — — $1,600.00 $48,497.48 $46,072.61 2026-07-17
264 APR_DRG Other Nervous System And Related Procedures 8 8 — — $1,600.00 $48,171.69 $45,763.11 2026-07-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $1,600.00 $47,398.19 $45,028.28 2026-07-17
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $1,600.00 $47,398.19 $45,028.28 2026-07-17
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $1,600.00 $47,398.19 $45,028.28 2026-07-17
234 APR_DRG Spinal Procedures 8 8 — — $1,600.00 $47,196.96 $44,837.12 2026-07-17
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 8 — — $1,600.00 $47,159.51 $44,801.53 2026-07-17
1783 APR_DRG External Heart Assist Systems 8 8 — — $1,600.00 $47,102.89 $44,747.74 2026-07-17
1781 APR_DRG External Heart Assist Systems 8 8 — — $1,600.00 $47,102.89 $44,747.74 2026-07-17
1782 APR_DRG External Heart Assist Systems 8 8 — — $1,600.00 $47,102.89 $44,747.74 2026-07-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 13 — — $32,044.21 $109,992.52 $44,348.06 2026-07-17
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 13 12 — — $30,883.95 $89,596.60 $44,252.67 2026-07-17
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 8 — — $1,600.00 $46,479.20 $44,155.24 2026-07-17
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 8 — — $1,600.00 $46,436.51 $44,114.68 2026-07-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 13 — — $13,841.57 $108,811.54 $43,877.43 2026-07-17
28 MS_DRG Spinal Procedures With Mcc 18 13 — — $8,360.47 $107,836.97 $43,489.07 2026-07-17
2304 APR_DRG Major Small Bowel Procedures 8 8 — — $1,600.00 $45,775.37 $43,486.60 2026-07-17
276 MS_DRG Non-maligant Breast Disorders 18 13 — — $22,639.02 $107,806.46 $43,476.89 2026-07-17
204 APR_DRG Open Craniotomy For Trauma 8 8 — — $1,600.00 $45,650.80 $43,368.26 2026-07-17
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 8 — — $1,600.00 $45,625.55 $43,344.27 2026-07-17
570 MS_DRG Skin Debridement With Mcc 18 13 — — $17,528.72 $56,829.52 $43,250.22 2026-07-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 13 — — $16,906.57 $107,025.72 $43,165.77 2026-07-17
894 APR_DRG Major Cranial Or Facial Bone Procedures 8 8 — — $1,600.00 $45,334.61 $43,067.88 2026-07-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 8 — — $1,736.64 $45,303.25 $43,038.09 2026-07-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 12 — — $2,536.90 $103,565.49 $43,016.48 2026-07-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 12 — — $5,329.28 $103,325.02 $42,926.88 2026-07-17
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 8 8 — — $1,600.00 $45,128.16 $42,871.75 2026-07-17
0620T CPT Hc Evasc Ven Artlz Tibl Prnl Vn 55 23 $74,712.00 $48,562.80 35% off $5,181.00 $131,087.20 $42,789.18 2026-07-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 13 — — $15,071.81 $105,329.63 $42,489.87 2026-07-17
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 8 8 — — $1,600.00 $44,724.86 $42,488.62 2026-07-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 13 — — $7,464.15 $105,261.43 $42,462.68 2026-07-17
274 APR_DRG Other Open Craniotomy 8 8 — — $1,600.00 $44,675.20 $42,441.44 2026-07-17
1694 APR_DRG Major Abdominal Vascular Procedures 8 8 — — $1,600.00 $44,601.16 $42,371.10 2026-07-17
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 8 8 — — $1,600.00 $43,820.68 $41,629.65 2026-07-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 13 — — $8,809.02 $102,847.42 $41,500.68 2026-07-17
294 APR_DRG Other Percutaneous Intracranial Procedures 8 8 — — $1,600.00 $43,492.27 $41,317.66 2026-07-17
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 8 8 — — $1,600.00 $43,479.22 $41,305.26 2026-07-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 13 — — $6,820.50 $102,294.63 $41,280.38 2026-07-17
1814 APR_DRG Lower Extremity Arterial Procedures 8 8 — — $1,600.00 $43,291.06 $41,126.51 2026-07-17
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $1,600.00 $43,102.04 $40,946.93 2026-07-17
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 8 8 — — $1,600.00 $42,997.50 $40,847.63 2026-07-17
7544 APR_DRG Depression Except Major Depressive Disorder 8 8 — — $1,600.00 $42,847.07 $40,704.71 2026-07-17
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 8 8 — — $1,600.00 $42,709.18 $40,573.72 2026-07-17
7504 APR_DRG Schizophrenia 8 8 — — $1,600.00 $42,607.27 $40,476.90 2026-07-17
1824 APR_DRG Other Peripheral Vascular And Related Procedures 8 8 — — $1,600.00 $42,520.16 $40,394.15 2026-07-17
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 8 — — $1,600.00 $42,485.31 $40,361.04 2026-07-17
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 8 — — $1,600.00 $42,485.31 $40,361.04 2026-07-17
278 MS_DRG Cellulitis Age >17 Without Cc 18 13 — — $3,662.39 $99,902.16 $40,317.32 2026-07-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 12 — — $35,731.61 $108,248.12 $40,027.71 2026-07-17
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $1,600.00 $42,049.78 $39,947.29 2026-07-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 18 13 — — $5,863.63 $98,532.73 $39,771.49 2026-07-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 12 — — $31,607.71 $98,184.53 $39,652.28 2026-07-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 13 — — $14,263.51 $98,044.54 $39,586.71 2026-07-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $1,600.00 $41,618.60 $39,537.66 2026-07-17
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $1,600.00 $41,618.60 $39,537.66 2026-07-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 13 — — $9,651.13 $97,890.19 $39,525.19 2026-07-17
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 8 8 — — $1,600.00 $41,598.56 $39,518.62 2026-07-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 12 — — $6,067.51 $94,657.83 $39,359.43 2026-07-17
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 8 — — $1,600.00 $41,286.72 $39,222.39 2026-07-17
2294 APR_DRG Other Digestive System And Abdominal Procedures 8 8 — — $1,600.00 $41,261.45 $39,198.38 2026-07-17
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 8 8 — — $1,600.00 $41,197.86 $39,137.96 2026-07-17
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 8 — — $1,600.00 $40,960.06 $38,912.06 2026-07-17
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 8 — — $1,600.00 $40,798.04 $38,758.14 2026-07-17
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 8 8 — — $1,600.00 $40,794.56 $38,754.83 2026-07-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 13 — — $16,076.47 $95,713.09 $38,657.61 2026-07-17
1324 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 8 8 — — $1,600.00 $40,459.19 $38,436.22 2026-07-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 13 — — $8,093.76 $97,498.72 $38,378.66 2026-07-17
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 8 — — $1,600.00 $40,381.67 $38,362.58 2026-07-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 17 12 — — $29,886.35 $94,699.03 $38,263.56 2026-07-17
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 8 8 — — $1,600.00 $40,274.52 $38,260.79 2026-07-17
1793 APR_DRG Defibrillator Implants 8 8 — — $1,600.00 $40,197.00 $38,187.15 2026-07-17
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 8 — — $1,600.00 $40,188.29 $38,178.88 2026-07-17
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 8 8 — — $1,600.00 $40,002.75 $38,002.62 2026-07-17
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 8 8 — — $1,600.00 $40,002.75 $38,002.62 2026-07-17
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 8 8 — — $1,600.00 $39,812.85 $37,822.21 2026-07-17
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 8 — — $1,600.00 $39,801.53 $37,811.46 2026-07-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 13 — — $11,751.04 $93,426.52 $37,736.24 2026-07-17
653 MS_DRG Major Bladder Procedures With Mcc 18 13 — — $26,593.49 $93,264.99 $37,682.02 2026-07-17
1214 APR_DRG Other Respiratory And Chest Procedures 8 8 — — $1,600.00 $39,291.96 $37,327.36 2026-07-17
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 8 8 — — $1,600.00 $39,179.58 $37,220.60 2026-07-17
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 8 — — $1,600.00 $39,110.76 $37,155.22 2026-07-17
6311 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 8 — — $1,600.00 $39,110.76 $37,155.22 2026-07-17
13 APR_DRG Liver Transplant And/or Intestinal Transplant 8 8 — — $1,600.00 $39,056.77 $37,103.93 2026-07-17
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 8 — — $1,600.00 $38,983.59 $37,034.42 2026-07-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 13 — — $21,004.96 $90,461.51 $36,564.82 2026-07-17
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 8 8 — — $1,600.00 $38,371.22 $36,452.67 2026-07-17
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 8 — — $1,600.00 $38,370.35 $36,451.84 2026-07-17
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 8 8 — — $1,600.00 $38,345.09 $36,427.83 2026-07-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 13 — — $16,784.15 $89,513.85 $36,187.16 2026-07-17
4414 APR_DRG Major Bladder Procedures 8 8 — — $1,600.00 $37,809.38 $35,918.91 2026-07-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 13 — — $12,340.19 $88,795.94 $35,901.06 2026-07-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 13 — — $6,917.32 $88,637.99 $35,838.13 2026-07-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 13 — — $6,080.97 $88,334.67 $35,717.24 2026-07-17
C2616 HCPCS 278 Suphcpcs C2616 62 26 $73,793.00 $47,965.45 35% off $553.00 $73,793.00 $35,420.64 2026-07-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 13 — — $5,245.26 $87,966.74 $35,221.79 2026-07-17
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 8 — — $1,600.00 $37,047.19 $35,194.82 2026-07-17
471 MS_DRG Cervical Spinal Fusion With Mcc 18 13 — — $26,584.56 $86,665.50 $35,052.06 2026-07-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 12 — — $29,152.56 $86,227.58 $34,888.29 2026-07-17
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 8 — — $1,600.00 $36,594.23 $34,764.51 2026-07-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 13 — — $27,392.03 $85,446.84 $34,746.71 2026-07-17
2244 APR_DRG Peritoneal Adhesiolysis 8 8 — — $1,600.00 $36,575.07 $34,746.31 2026-07-17
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 8 — — $1,600.00 $36,123.85 $34,317.65 2026-07-17
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 8 — — $1,600.00 $36,011.48 $34,210.91 2026-07-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 13 — — $8,604.25 $84,380.73 $34,130.68 2026-07-17
8624 APR_DRG Other Aftercare And Convalescence 8 8 — — $1,600.00 $35,889.54 $34,095.06 2026-07-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 13 — — $6,761.91 $84,208.43 $34,072.90 2026-07-17
6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 8 8 — — $1,600.00 $35,791.10 $34,001.54 2026-07-17
6964 APR_DRG Other Chemotherapy 8 8 — — $1,600.00 $35,786.74 $33,997.40 2026-07-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 13 — — $9,161.45 $83,957.15 $33,972.75 2026-07-17
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 8 — — $1,600.00 $35,381.70 $33,612.62 2026-07-17
277 MS_DRG Cellulitis Age >17 W Cc 18 13 — — $9,090.99 $82,892.83 $33,548.63 2026-07-17
1792 APR_DRG Defibrillator Implants 8 8 — — $1,600.00 $35,245.80 $33,483.51 2026-07-17
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 13 12 — — $31,990.89 $95,002.93 $33,445.36 2026-07-17
734 APR_DRG Orbit And Eye Procedures 8 8 — — $1,600.00 $35,172.63 $33,414.00 2026-07-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 17 12 — — $26,735.99 $82,497.98 $33,402.30 2026-07-17
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 8 8 — — $1,600.00 $35,142.15 $33,385.04 2026-07-17
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 8 8 — — $1,600.00 $35,097.72 $33,342.84 2026-07-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 13 — — $4,914.60 $82,287.99 $33,307.60 2026-07-17
245 MS_DRG Aicd Generator Procedures 18 13 — — $14,515.58 $81,885.96 $33,136.30 2026-07-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 13 — — $6,910.61 $81,640.07 $33,049.39 2026-07-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 13 — — $11,208.96 $81,604.17 $33,035.09 2026-07-17
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 8 8 — — $1,600.00 $34,713.58 $32,977.90 2026-07-17
799 MS_DRG Splenectomy With Mcc 17 12 — — $27,683.79 $81,284.70 $32,918.91 2026-07-17
163 MS_DRG Major Chest Procedures With Mcc 18 13 — — $26,835.97 $80,439.34 $32,741.80 2026-07-17
9103 APR_DRG Craniotomy For Multiple Significant Trauma 8 8 — — $1,600.00 $34,433.96 $32,712.26 2026-07-17
213 APR_DRG Open Craniotomy Except Trauma 8 8 — — $1,600.00 $34,313.75 $32,598.07 2026-07-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 13 — — $6,342.08 $80,416.01 $32,561.60 2026-07-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 13 — — $8,564.40 $80,100.13 $32,435.74 2026-07-17
4403 APR_DRG Kidney Transplant 8 8 — — $1,600.00 $34,008.88 $32,308.43 2026-07-17
4404 APR_DRG Kidney Transplant 8 8 — — $1,600.00 $34,008.88 $32,308.43 2026-07-17
2234 APR_DRG Other Small And Large Bowel Procedures 8 8 — — $1,600.00 $33,867.77 $32,174.38 2026-07-17
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 8 8 — — $1,600.00 $33,823.34 $32,132.17 2026-07-17
1791 APR_DRG Defibrillator Implants 8 8 — — $1,600.00 $33,728.39 $32,041.97 2026-07-17
8632 APR_DRG Neonatal Aftercare 8 8 — — $1,600.00 $33,650.87 $31,968.33 2026-07-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 12 — — $24,835.72 $78,841.97 $31,945.65 2026-07-17
2614 APR_DRG Major Biliary Tract Procedures 8 8 — — $1,600.00 $33,392.16 $31,722.56 2026-07-17
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 18 13 — — $5,282.86 $77,668.18 $31,466.56 2026-07-17
7584 APR_DRG Behavioral Disorders 8 8 — — $1,600.00 $33,041.11 $31,389.05 2026-07-17
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 8 8 — — $1,600.00 $32,997.56 $31,347.68 2026-07-17
3094 APR_DRG Other Significant Hip And Femur Surgery 8 8 — — $1,600.00 $32,993.20 $31,343.54 2026-07-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 13 — — $7,192.10 $77,048.97 $31,208.34 2026-07-17
244 APR_DRG Open Extracranial Vascular Procedures 8 8 — — $1,600.00 $32,818.12 $31,177.21 2026-07-17
7583 APR_DRG Behavioral Disorders 8 8 — — $1,600.00 $32,794.60 $31,154.86 2026-07-17
2484 APR_DRG Major Gastrointestinal And Peritoneal Infections 8 8 — — $1,600.00 $32,785.89 $31,146.59 2026-07-17
140 MS_DRG Major Head And Neck Procedures With Mcc 18 13 — — $8,166.28 $76,553.60 $31,022.39 2026-07-17
2613 APR_DRG Major Biliary Tract Procedures 8 8 — — $1,600.00 $32,597.73 $30,967.84 2026-07-17
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $1,600.00 $32,494.08 $30,869.37 2026-07-17
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $1,600.00 $32,494.08 $30,869.37 2026-07-17
2314 APR_DRG Major Large Bowel Procedures 8 8 — — $1,600.00 $32,469.69 $30,846.21 2026-07-17
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 8 8 — — $1,600.00 $32,390.42 $30,770.90 2026-07-17
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 8 8 — — $1,600.00 $32,372.13 $30,753.53 2026-07-17
3613 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 8 8 — — $1,600.00 $32,372.13 $30,753.53 2026-07-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 17 12 — — $24,224.71 $75,797.99 $30,732.87 2026-07-17
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