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

TWIN CITY MEDICAL CENTER

Dennison, OH · CCN 361302 · Rates published

Your selected procedure

You selected 29916 (CPT)

HIP ARTHRO W/LABRAL REPAIR

This hospital’s price: $5,060 across 10 payers · range $1,003-$12,342

Source: https://www.trinitytwincity.org/upload/275401105_trinity-hospital-twin-city_standardcharges.json · observed 2026-02-28

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.

21,017 distinct procedures filed
39 distinct payers
1,034,512 rate rows
2026-07-30 last MRF observed
Data quality

865,567 of 1,034,512 rate rows are consumer-grade (83.7%)

168,945 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 75,772
per-diem day rate — not a per-procedure price 46,524
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 42,832
template filing: same amount across many unrelated codes — excluded 1,296
exceeds 10× this hospital's gross charge — excluded from medians 1,288
placeholder amount (≤ $0.02) — excluded from medians 1,033
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 200
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.trinitytwincity.org/upload/275401105-1629050240_twin-city-hospital-corporation_standardcharges.json
Found on page https://www.trinitytwincity.org/hospital-information/hospital-price-transparency-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-02
Content fingerprint 0b4699b89ea4f7dd… · 77,423,323 bytes · first seen 2026-05-14

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
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $211,480.68 $217,700.70 $217,700.70 nat. median
$247,815
0.9× median
5834
APR_DRG 		Neonate With Ecmo 5 $204,576.30 $210,593.25 $210,593.25 nat. median
$307,273
0.7× median
5833
APR_DRG 		Neonate With Ecmo 5 $204,576.30 $210,593.25 $210,593.25 nat. median
$244,017
0.9× median
5832
APR_DRG 		Neonate With Ecmo 5 $194,593.56 $200,316.90 $200,316.90 nat. median
$159,249
1.3× median
5831
APR_DRG 		Neonate With Ecmo 5 $194,593.56 $200,316.90 $200,316.90 nat. median
$147,206
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $193,839.78 $199,540.95 $199,540.95 nat. median
$202,649
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $170,479.74 $175,493.85 $175,493.85 nat. median
$241,734
0.7× median
1612
APR_DRG 		Implantable Heart Assist Systems 5 $150,018.54 $154,430.85 $154,430.85 nat. median
$85,271
1.8× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $150,018.54 $154,430.85 $154,430.85 nat. median
$120,841
1.3× median
1611
APR_DRG 		Implantable Heart Assist Systems 5 $150,018.54 $154,430.85 $154,430.85 nat. median
$77,028
outlier · 2.0×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $145,728.42 $150,014.55 $150,014.55 nat. median
$170,172
0.9× median
5884
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $144,131.46 $151,338.03 $148,455.40 nat. median
$243,175
0.6× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $135,648.78 $139,638.45 $139,638.45 nat. median
$61,016
outlier · 2.3×
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $135,648.78 $139,638.45 $139,638.45 nat. median
$31,180
outlier · 4.5×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $135,648.78 $139,638.45 $139,638.45 nat. median
$158,104
0.9× median
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $135,648.78 $139,638.45 $139,638.45 nat. median
$32,546
outlier · 4.3×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $135,638.58 $139,627.95 $139,627.95 nat. median
$165,000
0.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $131,636.10 $135,507.75 $135,507.75 nat. median
$154,116
0.9× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $116,193.30 $119,610.75 $119,610.75 nat. median
$134,402
0.9× median
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 5 $109,835.64 $113,066.10 $113,066.10 nat. median
$32,286
outlier · 3.5×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 $109,835.64 $113,066.10 $113,066.10 nat. median
$53,419
outlier · 2.1×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 $109,835.64 $113,066.10 $113,066.10 nat. median
$36,527
outlier · 3.1×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 $109,835.64 $113,066.10 $113,066.10 nat. median
$51,462
outlier · 2.2×
24
OTHER 		Heart And/or Lung Transplant 5 $107,682.21 $113,066.32 $110,912.68 nat. median
$27,611
outlier · 4.0×
23
OTHER 		Heart And/or Lung Transplant 5 $107,682.21 $113,066.32 $110,912.68 nat. median
$60,056
1.8× median
21
OTHER 		Heart And/or Lung Transplant 5 $107,682.21 $113,066.32 $110,912.68 nat. median
$57,281
1.9× median
1937
CDM 		Nf-gattex Multiple Route Kit 5mg 16 $53,636.70 $143,557.05 $110,428.50 nat. median
$623
outlier · 177.4×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $106,829.70 $109,971.75 $109,971.75 nat. median
$175,429
0.6× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $101,617.50 $104,606.25 $104,606.25 nat. median
$120,763
0.9× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $101,617.50 $104,606.25 $104,606.25 nat. median
$145,061
0.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $98,478.96 $101,375.40 $101,375.40 nat. median
$151,838
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $91,422.60 $94,111.50 $94,111.50 nat. median
$163,528
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $90,109.86 $92,760.15 $92,760.15 nat. median
$110,084
0.8× median
14
OTHER 		Liver Transplant And/or Intestinal Transplant 5 $88,342.97 $92,760.12 $90,993.26 nat. median
$114,398
0.8× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 5 $84,096.96 $86,570.40 $86,570.40 nat. median
$98,831
0.9× median
1614
OTHER 		Implantable Heart Assist Systems 5 $81,921.54 $86,017.62 $84,379.19 nat. median
$188,156
outlier · 0.4×
1784
OTHER 		External Heart Assist Systems 5 $81,921.54 $86,017.62 $84,379.19 nat. median
$58,679
1.4× median
1794
OTHER 		Defibrillator Implants 5 $81,921.54 $86,017.62 $84,379.19 nat. median
$47,555
1.8× median
6094
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $81,442.58 $85,514.71 $83,885.86 nat. median
$163,006
0.5× median
22
APR_DRG 		Heart And/or Lung Transplant 5 $75,565.68 $77,788.20 $77,788.20 nat. median
$92,158
0.8× median
23
APR_DRG 		Heart And/or Lung Transplant 5 $75,565.68 $77,788.20 $77,788.20 nat. median
$110,771
0.7× median
21
APR_DRG 		Heart And/or Lung Transplant 5 $75,565.68 $77,788.20 $77,788.20 nat. median
$73,922
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $75,444.30 $77,663.25 $77,663.25 nat. median
$163,718
outlier · 0.5×
5834
OTHER 		Neonate With Ecmo 5 $72,877.11 $76,520.97 $75,063.42 nat. median
$372,748
outlier · 0.2×
5831
OTHER 		Neonate With Ecmo 5 $72,877.11 $76,520.97 $75,063.42 nat. median
$144,202
0.5× median
5833
OTHER 		Neonate With Ecmo 5 $72,877.11 $76,520.97 $75,063.42 nat. median
$241,478
outlier · 0.3×
5832
OTHER 		Neonate With Ecmo 5 $72,877.11 $76,520.97 $75,063.42 nat. median
$183,648
outlier · 0.4×
5882
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $71,626.71 $75,208.05 $73,775.51 nat. median
$138,777
0.5× median
5881
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $71,626.71 $75,208.05 $73,775.51 nat. median
$14,035
outlier · 5.3×
5883
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $71,626.71 $75,208.05 $73,775.51 nat. median
$168,056
outlier · 0.4×

Other procedures at this hospital

Browse this hospital's 21,017 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
             
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $211,480.68 $217,700.70 $217,700.70 2026-02-28
5834 APR_DRG Neonate With Ecmo 10 5 — — $204,576.30 $210,593.25 $210,593.25 2026-02-28
5833 APR_DRG Neonate With Ecmo 10 5 — — $204,576.30 $210,593.25 $210,593.25 2026-02-28
5832 APR_DRG Neonate With Ecmo 10 5 — — $194,593.56 $200,316.90 $200,316.90 2026-02-28
5831 APR_DRG Neonate With Ecmo 10 5 — — $194,593.56 $200,316.90 $200,316.90 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 10 5 — — $193,839.78 $199,540.95 $199,540.95 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 10 5 — — $170,479.74 $175,493.85 $175,493.85 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 10 5 — — $150,018.54 $154,430.85 $154,430.85 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 10 5 — — $150,018.54 $154,430.85 $154,430.85 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 10 5 — — $150,018.54 $154,430.85 $154,430.85 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 10 5 — — $145,728.42 $150,014.55 $150,014.55 2026-02-28
5884 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $144,131.46 $151,338.03 $148,455.40 2026-07-30
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 10 5 — — $135,648.78 $139,638.45 $139,638.45 2026-02-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 10 5 — — $135,648.78 $139,638.45 $139,638.45 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 5 — — $135,648.78 $139,638.45 $139,638.45 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 10 5 — — $135,648.78 $139,638.45 $139,638.45 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $135,638.58 $139,627.95 $139,627.95 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 5 — — $131,636.10 $135,507.75 $135,507.75 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 5 — — $116,193.30 $119,610.75 $119,610.75 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 5 — — $109,835.64 $113,066.10 $113,066.10 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 — — $109,835.64 $113,066.10 $113,066.10 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 — — $109,835.64 $113,066.10 $113,066.10 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 5 — — $109,835.64 $113,066.10 $113,066.10 2026-02-28
24 OTHER Heart And/or Lung Transplant 5 5 — — $107,682.21 $113,066.32 $110,912.68 2026-07-30
23 OTHER Heart And/or Lung Transplant 5 5 — — $107,682.21 $113,066.32 $110,912.68 2026-07-30
21 OTHER Heart And/or Lung Transplant 5 5 — — $107,682.21 $113,066.32 $110,912.68 2026-07-30
1937 CDM Nf-gattex Multiple Route Kit 5mg 66 16 $157,755.00 $78,246.48 50% off $53,636.70 $143,557.05 $110,428.50 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $106,829.70 $109,971.75 $109,971.75 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $101,617.50 $104,606.25 $104,606.25 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $101,617.50 $104,606.25 $104,606.25 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $98,478.96 $101,375.40 $101,375.40 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $91,422.60 $94,111.50 $94,111.50 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 10 5 — — $90,109.86 $92,760.15 $92,760.15 2026-02-28
14 OTHER Liver Transplant And/or Intestinal Transplant 5 5 — — $88,342.97 $92,760.12 $90,993.26 2026-07-30
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $84,096.96 $86,570.40 $86,570.40 2026-02-28
1614 OTHER Implantable Heart Assist Systems 5 5 — — $81,921.54 $86,017.62 $84,379.19 2026-07-30
1784 OTHER External Heart Assist Systems 5 5 — — $81,921.54 $86,017.62 $84,379.19 2026-07-30
1794 OTHER Defibrillator Implants 5 5 — — $81,921.54 $86,017.62 $84,379.19 2026-07-30
6094 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $81,442.58 $85,514.71 $83,885.86 2026-07-30
22 APR_DRG Heart And/or Lung Transplant 10 5 — — $75,565.68 $77,788.20 $77,788.20 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 10 5 — — $75,565.68 $77,788.20 $77,788.20 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 10 5 — — $75,565.68 $77,788.20 $77,788.20 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 5 — — $75,444.30 $77,663.25 $77,663.25 2026-02-28
5834 OTHER Neonate With Ecmo 5 5 — — $72,877.11 $76,520.97 $75,063.42 2026-07-30
5831 OTHER Neonate With Ecmo 5 5 — — $72,877.11 $76,520.97 $75,063.42 2026-07-30
5833 OTHER Neonate With Ecmo 5 5 — — $72,877.11 $76,520.97 $75,063.42 2026-07-30
5832 OTHER Neonate With Ecmo 5 5 — — $72,877.11 $76,520.97 $75,063.42 2026-07-30
5882 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $71,626.71 $75,208.05 $73,775.51 2026-07-30
5881 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $71,626.71 $75,208.05 $73,775.51 2026-07-30
5883 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $71,626.71 $75,208.05 $73,775.51 2026-07-30
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 5 — — $71,523.42 $73,627.05 $73,627.05 2026-02-28
13 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 10 5 — — $71,523.42 $73,627.05 $73,627.05 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 10 5 — — $71,123.58 $73,215.45 $73,215.45 2026-02-28
12 OTHER Liver Transplant And/or Intestinal Transplant 5 5 — — $70,121.25 $73,627.31 $72,224.89 2026-07-30
11 OTHER Liver Transplant And/or Intestinal Transplant 5 5 — — $70,121.25 $73,627.31 $72,224.89 2026-07-30
13 OTHER Liver Transplant And/or Intestinal Transplant 5 5 — — $70,121.25 $73,627.31 $72,224.89 2026-07-30
72 MS_DRG Nonspecific Cerebrovascular Disorders Without Cc/mcc 10 5 — — $68,874.48 $70,900.20 $70,900.20 2026-02-28
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 10 5 — — $68,874.48 $70,900.20 $70,900.20 2026-02-28
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 10 5 — — $68,874.48 $70,900.20 $70,900.20 2026-02-28
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 10 5 — — $68,874.48 $70,900.20 $70,900.20 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $68,513.40 $70,528.50 $70,528.50 2026-02-28
5934 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $68,076.00 $71,479.80 $70,118.28 2026-07-30
5914 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $67,909.07 $71,304.52 $69,946.34 2026-07-30
6304 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $67,689.05 $71,073.50 $69,719.72 2026-07-30
72 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $67,524.05 $70,900.25 $69,549.77 2026-07-30
73 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $67,524.05 $70,900.25 $69,549.77 2026-07-30
71 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $67,524.05 $70,900.25 $69,549.77 2026-07-30
74 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $67,524.05 $70,900.25 $69,549.77 2026-07-30
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $67,403.64 $69,386.10 $69,386.10 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $66,661.08 $68,621.70 $68,621.70 2026-02-28
26008088 CDM Ocrelizumab 300 Mg/250 Ml Ivpb 66 16 $95,725.75 $47,479.98 50% off $32,546.76 $87,110.44 $67,008.03 2026-02-28
5933 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $64,633.36 $67,865.03 $66,572.36 2026-07-30
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 10 5 — — $64,547.64 $66,446.10 $66,446.10 2026-02-28
62 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 10 5 — — $63,710.22 $65,584.05 $65,584.05 2026-02-28
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 10 5 — — $63,710.22 $65,584.05 $65,584.05 2026-02-28
63 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 10 5 — — $63,710.22 $65,584.05 $65,584.05 2026-02-28
61 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 10 5 — — $63,710.22 $65,584.05 $65,584.05 2026-02-28
3034 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $63,651.15 $66,833.71 $65,560.68 2026-07-30
6024 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $62,577.43 $65,706.30 $64,454.75 2026-07-30
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $62,591.28 $64,432.20 $64,432.20 2026-02-28
61 OTHER Pancreas Transplant 5 5 — — $62,460.61 $65,583.64 $64,334.43 2026-07-30
62 OTHER Pancreas Transplant 5 5 — — $62,460.61 $65,583.64 $64,334.43 2026-07-30
64 OTHER Pancreas Transplant 5 5 — — $62,460.61 $65,583.64 $64,334.43 2026-07-30
63 OTHER Pancreas Transplant 5 5 — — $62,460.61 $65,583.64 $64,334.43 2026-07-30
6114 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $62,114.54 $65,220.27 $63,977.98 2026-07-30
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $61,620.24 $63,432.60 $63,432.60 2026-02-28
1998 CDM Nf-nystatin Powder 66 16 $90,309.00 $44,793.27 50% off $30,705.06 $82,181.19 $63,216.30 2026-02-28
1937 OTHER Nf-gattex Multiple Route Kit 5mg 16 16 $157,755.00 $110,428.50 30% off $61,524.45 $137,246.85 $63,102.00 2026-07-30
44 MS_DRG No Active Code Description 10 5 — — $61,016.40 $62,811.00 $62,811.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 5 — — $60,132.06 $61,900.65 $61,900.65 2026-02-28
3060 EAPG No Active Code Description 42 16 — — $60,996.27 $62,790.28 $61,893.28 2026-02-28
44 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $59,819.61 $62,810.59 $61,614.20 2026-07-30
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 5 — — $58,145.10 $59,855.25 $59,855.25 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 5 — — $57,077.16 $58,755.90 $58,755.90 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 10 5 — — $56,935.38 $58,609.95 $58,609.95 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 10 5 — — $56,935.38 $58,609.95 $58,609.95 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 10 5 — — $56,691.60 $58,359.00 $58,359.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 5 — — $56,638.56 $58,304.40 $58,304.40 2026-02-28
8411 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $55,555.86 $58,333.65 $57,222.54 2026-07-30
8412 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $55,555.86 $58,333.65 $57,222.54 2026-07-30
8413 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $55,555.86 $58,333.65 $57,222.54 2026-07-30
8414 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $55,555.86 $58,333.65 $57,222.54 2026-07-30
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $55,126.92 $56,748.30 $56,748.30 2026-02-28
6314 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $55,021.43 $57,772.50 $56,672.07 2026-07-30
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $54,492.48 $56,095.20 $56,095.20 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $52,437.18 $53,979.45 $53,979.45 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $52,437.18 $53,979.45 $53,979.45 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 5 — — $52,257.66 $53,794.65 $53,794.65 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 5 — — $52,014.90 $53,544.75 $53,544.75 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $51,914.94 $53,441.85 $53,441.85 2026-02-28
6023 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $51,834.31 $54,426.03 $53,389.34 2026-07-30
J3357 HCPCS Ustekinumab 90 Mg Syringe 21 21 $133,456.00 $93,419.20 30% off $170.82 $116,106.72 $53,382.40 2026-07-30
8634 APR_DRG Neonatal Aftercare 10 5 — — $51,839.46 $53,364.15 $53,364.15 2026-02-28
1784 APR_DRG External Heart Assist Systems 10 5 — — $51,822.12 $53,346.30 $53,346.30 2026-02-28
92 MS_DRG Other Disorders Of Nervous System With Cc 10 5 — — $51,684.42 $53,204.55 $53,204.55 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 5 — — $51,684.42 $53,204.55 $53,204.55 2026-02-28
91 MS_DRG Other Disorders Of Nervous System With Mcc 10 5 — — $51,684.42 $53,204.55 $53,204.55 2026-02-28
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 10 5 — — $51,684.42 $53,204.55 $53,204.55 2026-02-28
6904 APR_DRG Acute Leukemia 10 5 — — $51,619.14 $53,137.35 $53,137.35 2026-02-28
6074 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $51,575.38 $54,154.15 $53,122.64 2026-07-30
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 5 — — $51,314.16 $52,823.40 $52,823.40 2026-02-28
6214 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $50,955.29 $53,503.05 $52,483.95 2026-07-30
92 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $50,670.54 $53,204.07 $52,190.66 2026-07-30
94 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $50,670.54 $53,204.07 $52,190.66 2026-07-30
93 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $50,670.54 $53,204.07 $52,190.66 2026-07-30
91 OTHER Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $50,670.54 $53,204.07 $52,190.66 2026-07-30
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $50,643.00 $52,132.50 $52,132.50 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $48,849.84 $50,286.60 $50,286.60 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $48,367.38 $49,789.95 $49,789.95 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $46,945.50 $48,326.25 $48,326.25 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $46,844.52 $48,222.30 $48,222.30 2026-02-28
8504 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $46,245.20 $48,557.46 $47,632.56 2026-07-30
5894 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 5 — — $46,202.94 $47,561.85 $47,561.85 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 5 — — $46,202.94 $47,561.85 $47,561.85 2026-02-28
41 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Cc Or Peripher… 10 5 — — $46,176.42 $47,534.55 $47,534.55 2026-02-28
43 MS_DRG No Active Code Description 10 5 — — $46,176.42 $47,534.55 $47,534.55 2026-02-28
42 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 10 5 — — $46,176.42 $47,534.55 $47,534.55 2026-02-28
1604 OTHER Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $46,014.49 $48,315.21 $47,394.92 2026-07-30
6073 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $45,831.47 $48,123.04 $47,206.41 2026-07-30
8634 OTHER Neonatal Aftercare 5 5 — — $45,789.13 $48,078.59 $47,162.80 2026-07-30
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 10 5 — — $45,445.08 $46,781.70 $46,781.70 2026-02-28
6093 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $45,418.24 $47,689.15 $46,780.79 2026-07-30
6091 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $45,418.24 $47,689.15 $46,780.79 2026-07-30
6092 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $45,418.24 $47,689.15 $46,780.79 2026-07-30
42 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $45,271.24 $47,534.80 $46,629.38 2026-07-30
41 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $45,271.24 $47,534.80 $46,629.38 2026-07-30
43 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $45,271.24 $47,534.80 $46,629.38 2026-07-30
6954 APR_DRG Chemotherapy For Acute Leukemia 10 5 — — $45,186.00 $46,515.00 $46,515.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 5 — — $44,815.74 $46,133.85 $46,133.85 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $44,310.84 $45,614.10 $45,614.10 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 5 — — $44,097.66 $45,394.65 $45,394.65 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 5 — — $43,948.74 $45,241.35 $45,241.35 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 5 — — $43,948.74 $45,241.35 $45,241.35 2026-02-28
1793 OTHER Defibrillator Implants 5 5 — — $43,443.09 $45,615.24 $44,746.38 2026-07-30
6334 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $43,439.20 $45,611.16 $44,742.38 2026-07-30
224 APR_DRG Ventricular Shunt Procedures 10 5 — — $43,091.94 $44,359.35 $44,359.35 2026-02-28
5931 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $42,974.86 $45,123.60 $44,264.11 2026-07-30
5932 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $42,974.86 $45,123.60 $44,264.11 2026-07-30
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 5 — — $42,872.64 $44,133.60 $44,133.60 2026-02-28
54 MS_DRG Nervous System Neoplasms With Mcc 10 5 — — $42,200.46 $43,441.65 $43,441.65 2026-02-28
6302 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $42,169.81 $44,278.30 $43,434.90 2026-07-30
6301 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $42,169.81 $44,278.30 $43,434.90 2026-07-30
6303 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $42,169.81 $44,278.30 $43,434.90 2026-07-30
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 10 5 — — $41,707.80 $42,934.50 $42,934.50 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 5 — — $40,531.74 $41,723.85 $41,723.85 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $39,869.76 $41,042.40 $41,042.40 2026-02-28
6904 OTHER Acute Leukemia 5 5 — — $39,810.13 $41,800.64 $41,004.43 2026-07-30
5911 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $39,309.77 $41,275.26 $40,489.06 2026-07-30
5912 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $39,309.77 $41,275.26 $40,489.06 2026-07-30
5913 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $39,309.77 $41,275.26 $40,489.06 2026-07-30
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 5 — — $39,233.28 $40,387.20 $40,387.20 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 5 — — $39,233.28 $40,387.20 $40,387.20 2026-02-28
8633 APR_DRG Neonatal Aftercare 10 5 — — $39,164.94 $40,316.85 $40,316.85 2026-02-28
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $38,982.36 $40,128.90 $40,128.90 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $38,982.36 $40,128.90 $40,128.90 2026-02-28
6954 OTHER Chemotherapy For Acute Leukemia 5 5 — — $38,806.99 $40,747.34 $39,971.20 2026-07-30
J2350 HCPCS Ocrelizumab 300 Mg/10 Ml Vial 21 21 $99,682.00 $69,777.40 30% off $58.91 $86,723.34 $39,872.80 2026-07-30
1634 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $38,494.99 $40,419.74 $39,649.84 2026-07-30
6313 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $38,430.74 $40,352.28 $39,583.66 2026-07-30
914 APR_DRG Other Major Head And Neck Procedures 10 5 — — $38,278.56 $39,404.40 $39,404.40 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $38,205.12 $39,328.80 $39,328.80 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $38,205.12 $39,328.80 $39,328.80 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 5 — — $38,099.04 $39,219.60 $39,219.60 2026-02-28
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 5 — — $38,099.04 $39,219.60 $39,219.60 2026-02-28
3033 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $37,798.49 $39,688.41 $38,932.44 2026-07-30
6021 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $37,769.27 $39,657.73 $38,902.35 2026-07-30
6022 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $37,769.27 $39,657.73 $38,902.35 2026-07-30
2004 APR_DRG Cardiac Structural And Valvular Disorders 10 5 — — $37,345.26 $38,443.65 $38,443.65 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 5 — — $37,080.06 $38,170.65 $38,170.65 2026-02-28
204 OTHER Open Craniotomy For Trauma 5 5 — — $36,836.70 $38,678.54 $37,941.80 2026-07-30
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 5 — — $36,853.62 $37,937.55 $37,937.55 2026-02-28
8424 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $36,697.02 $38,531.87 $37,797.93 2026-07-30
1833 APR_DRG Percutaneous Structural Cardiac Procedures 10 5 — — $36,582.30 $37,658.25 $37,658.25 2026-02-28
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 10 5 — — $36,508.86 $37,582.65 $37,582.65 2026-02-28
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 10 5 — — $36,508.86 $37,582.65 $37,582.65 2026-02-28
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 10 5 — — $36,508.86 $37,582.65 $37,582.65 2026-02-28
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 10 5 — — $36,508.86 $37,582.65 $37,582.65 2026-02-28
38240 CPT Transplt Allo Hct/donor 40 10 — — $230.00 $92,898.77 $37,345.30 2026-02-28
83 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $35,792.67 $37,582.30 $36,866.45 2026-07-30
82 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $35,792.67 $37,582.30 $36,866.45 2026-07-30
81 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $35,792.67 $37,582.30 $36,866.45 2026-07-30
84 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $35,792.67 $37,582.30 $36,866.45 2026-07-30
9104 OTHER Craniotomy For Multiple Significant Trauma 5 5 — — $35,705.54 $37,490.82 $36,776.71 2026-07-30
1794 APR_DRG Defibrillator Implants 10 5 — — $35,591.88 $36,638.70 $36,638.70 2026-02-28
6814 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $35,538.11 $37,315.02 $36,604.25 2026-07-30
294 OTHER Other Percutaneous Intracranial Procedures 5 5 — — $35,434.93 $37,206.68 $36,497.98 2026-07-30
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 5 — — $35,358.30 $36,398.25 $36,398.25 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 10 5 — — $35,295.06 $36,333.15 $36,333.15 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 10 5 — — $35,095.14 $36,127.35 $36,127.35 2026-02-28
1998 OTHER Nf-nystatin Powder 16 16 $90,309.00 $63,216.30 30% off $35,220.51 $78,568.83 $36,123.60 2026-07-30
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $35,004.36 $36,033.90 $36,033.90 2026-02-28
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 10 5 — — $34,992.12 $36,021.30 $36,021.30 2026-02-28
274 OTHER Other Open Craniotomy 5 5 — — $34,668.81 $36,402.25 $35,708.87 2026-07-30
2004 OTHER Cardiac Structural And Valvular Disorders 5 5 — — $34,514.52 $36,240.25 $35,549.96 2026-07-30
8633 OTHER Neonatal Aftercare 5 5 — — $34,501.38 $36,226.45 $35,536.42 2026-07-30
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $34,476.00 $35,490.00 $35,490.00 2026-02-28
6124 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $33,885.18 $35,579.44 $34,901.74 2026-07-30
3044 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $33,818.97 $35,509.92 $34,833.54 2026-07-30
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 10 5 — — $33,799.74 $34,793.85 $34,793.85 2026-02-28
3124 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $33,365.83 $35,034.12 $34,366.80 2026-07-30
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 5 — — $33,011.28 $33,982.20 $33,982.20 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 5 — — $33,011.28 $33,982.20 $33,982.20 2026-02-28
6083 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $32,898.08 $34,542.98 $33,885.02 2026-07-30
6084 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $32,898.08 $34,542.98 $33,885.02 2026-07-30
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 10 5 — — $32,913.36 $33,881.40 $33,881.40 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 10 5 — — $32,910.30 $33,878.25 $33,878.25 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 10 5 — — $32,847.06 $33,813.15 $33,813.15 2026-02-28
8423 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $32,781.27 $34,420.33 $33,764.71 2026-07-30
214 OTHER Open Craniotomy Except Trauma 5 5 — — $32,772.02 $34,410.62 $33,755.18 2026-07-30
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $32,735.88 $33,698.70 $33,698.70 2026-02-28
6903 APR_DRG Acute Leukemia 10 5 — — $32,706.30 $33,668.25 $33,668.25 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $32,522.70 $33,479.25 $33,479.25 2026-02-28
6072 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $32,468.31 $34,091.73 $33,442.36 2026-07-30
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $32,306.46 $33,256.65 $33,256.65 2026-02-28
26008088 OTHER Ocrelizumab 300 Mg/250 Ml Ivpb 16 16 $83,068.25 $58,147.78 30% off $32,396.62 $72,269.38 $33,227.30 2026-07-30
26008089 OTHER Ocrelizumab 600 Mg/500 Ml Ivpb 16 16 $83,068.25 $58,147.78 30% off $32,396.62 $72,269.38 $33,227.30 2026-07-30
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $32,119.80 $33,064.50 $33,064.50 2026-02-28
6034 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $32,057.01 $33,659.86 $33,018.72 2026-07-30
6033 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $32,057.01 $33,659.86 $33,018.72 2026-07-30
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $32,063.70 $33,006.75 $33,006.75 2026-02-28
9124 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $31,923.66 $33,519.84 $32,881.37 2026-07-30
1831 APR_DRG Percutaneous Structural Cardiac Procedures 10 5 — — $31,923.96 $32,862.90 $32,862.90 2026-02-28
1654 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $31,836.52 $33,428.35 $32,791.62 2026-07-30
7924 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $31,670.07 $33,253.57 $32,620.17 2026-07-30
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 10 5 — — $31,665.90 $32,597.25 $32,597.25 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 10 5 — — $31,449.66 $32,374.65 $32,374.65 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 5 — — $30,936.60 $31,846.50 $31,846.50 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 5 — — $30,936.60 $31,846.50 $31,846.50 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 5 — — $30,936.60 $31,846.50 $31,846.50 2026-02-28
234 APR_DRG Spinal Procedures 10 5 — — $30,804.00 $31,710.00 $31,710.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 5 — — $30,778.50 $31,683.75 $31,683.75 2026-02-28
1782 APR_DRG External Heart Assist Systems 10 5 — — $30,741.78 $31,645.95 $31,645.95 2026-02-28
1781 APR_DRG External Heart Assist Systems 10 5 — — $30,741.78 $31,645.95 $31,645.95 2026-02-28
1783 APR_DRG External Heart Assist Systems 10 5 — — $30,741.78 $31,645.95 $31,645.95 2026-02-28
9114 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $30,462.49 $31,985.61 $31,376.36 2026-07-30
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $30,430.68 $31,325.70 $31,325.70 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 10 5 — — $30,327.66 $31,219.65 $31,219.65 2026-02-28
6113 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $30,256.60 $31,769.43 $31,164.30 2026-07-30
8604 OTHER Rehabilitation 5 5 — — $30,114.97 $31,620.72 $31,018.42 2026-07-30
6344 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 5 5 — — $30,015.18 $31,515.94 $30,915.64 2026-07-30
6903 OTHER Acute Leukemia 5 5 — — $29,889.12 $31,383.58 $30,785.79 2026-07-30
2304 APR_DRG Major Small Bowel Procedures 10 5 — — $29,861.52 $30,739.80 $30,739.80 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 10 5 — — $29,778.90 $30,654.75 $30,654.75 2026-02-28
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 5 — — $29,762.58 $30,637.95 $30,637.95 2026-02-28
2204 OTHER Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $29,682.75 $31,166.89 $30,573.23 2026-07-30
894 APR_DRG Major Cranial Or Facial Bone Procedures 10 5 — — $29,569.80 $30,439.50 $30,439.50 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 5 — — $29,548.38 $30,417.45 $30,417.45 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 10 5 — — $29,433.12 $30,298.80 $30,298.80 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 10 5 — — $29,165.88 $30,023.70 $30,023.70 2026-02-28
274 APR_DRG Other Open Craniotomy 10 5 — — $29,132.22 $29,989.05 $29,989.05 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 10 5 — — $29,083.26 $29,938.65 $29,938.65 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 5 — — $28,566.12 $29,406.30 $29,406.30 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 10 5 — — $28,348.86 $29,182.65 $29,182.65 2026-02-28
1324 OTHER Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 5 5 — — $28,330.12 $29,746.63 $29,180.02 2026-07-30
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 10 5 — — $28,339.68 $29,173.20 $29,173.20 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 5 — — $28,245.84 $29,076.60 $29,076.60 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 10 5 — — $28,215.24 $29,045.10 $29,045.10 2026-02-28
2304 OTHER Major Small Bowel Procedures 5 5 — — $28,169.01 $29,577.46 $29,014.08 2026-07-30
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 10 5 — — $28,020.42 $28,844.55 $28,844.55 2026-02-28
6032 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $27,993.31 $29,392.98 $28,833.11 2026-07-30
6031 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $27,993.31 $29,392.98 $28,833.11 2026-07-30
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 10 5 — — $27,829.68 $28,648.20 $28,648.20 2026-02-28
2604 OTHER Major Pancreas, Liver And Shunt Procedures 5 5 — — $27,703.70 $29,088.89 $28,534.81 2026-07-30
1664 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $27,699.81 $29,084.80 $28,530.80 2026-07-30
1824 APR_DRG Other Peripheral Vascular Procedures 10 5 — — $27,704.22 $28,519.05 $28,519.05 2026-02-28
6224 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $27,418.48 $28,789.40 $28,241.03 2026-07-30
1824 OTHER Other Peripheral Vascular Procedures 5 5 — — $27,370.77 $28,739.31 $28,191.89 2026-07-30
1304 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $27,189.23 $28,548.69 $28,004.91 2026-07-30
1603 OTHER Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $27,187.76 $28,547.15 $28,003.39 2026-07-30
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 10 5 — — $27,167.70 $27,966.75 $27,966.75 2026-02-28
51 MS_DRG No Active Code Description 10 5 — — $27,167.70 $27,966.75 $27,966.75 2026-02-28
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 10 5 — — $27,167.70 $27,966.75 $27,966.75 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $27,106.50 $27,903.75 $27,903.75 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $27,106.50 $27,903.75 $27,903.75 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 10 5 — — $27,093.24 $27,890.10 $27,890.10 2026-02-28
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 5 — — $26,911.68 $27,703.20 $27,703.20 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 5 — — $26,887.20 $27,678.00 $27,678.00 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 10 5 — — $26,869.86 $27,660.15 $27,660.15 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 10 5 — — $26,828.04 $27,617.10 $27,617.10 2026-02-28
3032 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $26,771.12 $28,109.68 $27,574.25 2026-07-30
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