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

21,762 distinct procedures filed
39 distinct payers
1,034,512 rate rows
2026-07-30 last MRF observed
Data quality

865,617 of 1,034,512 rate rows are consumer-grade (83.7%)

168,895 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 150
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 · 2026-08-14
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 14 $211,480.68 $217,700.70 $214,590.69 nat. median
$254,667
0.8× median
5833
APR_DRG 		Neonate With Ecmo 14 $204,576.30 $210,593.25 $207,584.77 nat. median
$250,089
0.8× median
5834
APR_DRG 		Neonate With Ecmo 14 $204,576.30 $210,593.25 $207,584.77 nat. median
$311,018
0.7× median
5831
APR_DRG 		Neonate With Ecmo 14 $194,593.56 $200,316.90 $197,455.23 nat. median
$154,685
1.3× median
5832
APR_DRG 		Neonate With Ecmo 14 $194,593.56 $200,316.90 $197,455.23 nat. median
$169,230
1.2× median
1614
APR_DRG 		Implantable Heart Assist Systems 14 $193,839.78 $199,540.95 $196,690.36 nat. median
$209,486
0.9× median
24
APR_DRG 		Heart And/or Lung Transplant 14 $170,479.74 $175,493.85 $172,986.80 nat. median
$243,231
0.7× median
1612
APR_DRG 		Implantable Heart Assist Systems 14 $150,018.54 $154,430.85 $152,224.70 nat. median
$93,192
1.6× median
1613
APR_DRG 		Implantable Heart Assist Systems 14 $150,018.54 $154,430.85 $152,224.70 nat. median
$127,938
1.2× median
1611
APR_DRG 		Implantable Heart Assist Systems 14 $150,018.54 $154,430.85 $152,224.70 nat. median
$82,164
1.9× median
5884
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $144,131.46 $151,338.03 $148,455.40 nat. median
$247,377
0.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 14 $145,728.42 $150,014.55 $147,871.48 nat. median
$175,480
0.8× median
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 14 $135,648.78 $139,638.45 $137,643.61 nat. median
$31,876
outlier · 4.3×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 14 $135,648.78 $139,638.45 $137,643.61 nat. median
$165,646
0.8× median
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 14 $135,648.78 $139,638.45 $137,643.61 nat. median
$33,878
outlier · 4.1×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 14 $135,648.78 $139,638.45 $137,643.61 nat. median
$64,013
outlier · 2.2×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 $135,638.58 $139,627.95 $137,633.27 nat. median
$168,174
0.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 $131,636.10 $135,507.75 $133,571.92 nat. median
$160,171
0.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 $116,193.30 $119,610.75 $117,902.02 nat. median
$147,677
0.8× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 $109,835.64 $113,066.10 $111,450.87 nat. median
$55,685
outlier · 2.0×
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 $109,835.64 $113,066.10 $111,450.87 nat. median
$38,059
outlier · 2.9×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 $109,835.64 $113,066.10 $111,450.87 nat. median
$54,267
outlier · 2.1×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 $109,835.64 $113,066.10 $111,450.87 nat. median
$34,270
outlier · 3.3×
21
OTHER 		Heart And/or Lung Transplant 5 $107,682.21 $113,066.32 $110,912.68 nat. median
$57,281
1.9× median
24
OTHER 		Heart And/or Lung Transplant 5 $107,682.21 $113,066.32 $110,912.68 nat. median
$27,882
outlier · 4.0×
23
OTHER 		Heart And/or Lung Transplant 5 $107,682.21 $113,066.32 $110,912.68 nat. median
$60,080
1.8× 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 14 $106,829.70 $109,971.75 $108,400.73 nat. median
$180,995
0.6× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $101,617.50 $104,606.25 $103,111.88 nat. median
$120,928
0.9× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $101,617.50 $104,606.25 $103,111.88 nat. median
$147,847
0.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 14 $98,478.96 $101,375.40 $99,927.18 nat. median
$156,285
0.6× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 14 $91,422.60 $94,111.50 $92,767.05 nat. median
$168,361
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $90,109.86 $92,760.15 $91,435.01 nat. median
$114,305
0.8× median
14
OTHER 		Liver Transplant And/or Intestinal Transplant 5 $88,342.97 $92,760.12 $90,993.26 nat. median
$114,463
0.8× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 14 $84,096.96 $86,570.40 $85,333.68 nat. median
$101,315
0.8× median
1614
OTHER 		Implantable Heart Assist Systems 5 $81,921.54 $86,017.62 $84,379.19 nat. median
$189,554
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
$167,902
outlier · 0.5×
22
APR_DRG 		Heart And/or Lung Transplant 14 $75,565.68 $77,788.20 $76,676.94 nat. median
$94,014
0.8× median
23
APR_DRG 		Heart And/or Lung Transplant 14 $75,565.68 $77,788.20 $76,676.94 nat. median
$116,111
0.7× median
21
APR_DRG 		Heart And/or Lung Transplant 14 $75,565.68 $77,788.20 $76,676.94 nat. median
$74,854
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 14 $75,444.30 $77,663.25 $76,553.77 nat. median
$165,599
outlier · 0.5×
5833
OTHER 		Neonate With Ecmo 5 $72,877.11 $76,520.97 $75,063.42 nat. median
$246,994
outlier · 0.3×
5834
OTHER 		Neonate With Ecmo 5 $72,877.11 $76,520.97 $75,063.42 nat. median
$376,382
outlier · 0.2×
5831
OTHER 		Neonate With Ecmo 5 $72,877.11 $76,520.97 $75,063.42 nat. median
$150,754
outlier · 0.5×
5832
OTHER 		Neonate With Ecmo 5 $72,877.11 $76,520.97 $75,063.42 nat. median
$184,745
outlier · 0.4×
5881
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $71,626.71 $75,208.05 $73,775.51 nat. median
$14,131
outlier · 5.2×
5882
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $71,626.71 $75,208.05 $73,775.51 nat. median
$139,074
0.5× median
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 21,762 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
             
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 46 14 — — $26,887.20 $27,678.00 $27,282.60 2026-02-28
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 46 14 — — $26,911.68 $27,703.20 $27,307.44 2026-02-28
52 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $26,635.34 $27,967.11 $27,434.40 2026-07-30
51 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $26,635.34 $27,967.11 $27,434.40 2026-07-30
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 46 14 — — $27,093.24 $27,890.10 $27,491.67 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 46 14 — — $27,106.50 $27,903.75 $27,505.12 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 46 14 — — $27,106.50 $27,903.75 $27,505.12 2026-02-28
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 46 14 — — $27,167.70 $27,966.75 $27,567.22 2026-02-28
51 MS_DRG No Active Code Description 46 14 — — $27,167.70 $27,966.75 $27,567.22 2026-02-28
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 46 14 — — $27,167.70 $27,966.75 $27,567.22 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
1603 OTHER Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $27,187.76 $28,547.15 $28,003.39 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
1824 APR_DRG Other Peripheral Vascular Procedures 46 14 — — $27,704.22 $28,519.05 $28,111.63 2026-02-28
1824 OTHER Other Peripheral Vascular Procedures 5 5 — — $27,370.77 $28,739.31 $28,191.89 2026-07-30
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 46 14 — — $27,829.68 $28,648.20 $28,238.94 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
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 46 14 — — $28,020.42 $28,844.55 $28,432.49 2026-02-28
1664 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $27,699.81 $29,084.80 $28,530.80 2026-07-30
2604 OTHER Major Pancreas, Liver And Shunt Procedures 5 5 — — $27,703.70 $29,088.89 $28,534.81 2026-07-30
1814 APR_DRG Lower Extremity Arterial Procedures 46 14 — — $28,215.24 $29,045.10 $28,630.17 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 46 14 — — $28,245.84 $29,076.60 $28,661.22 2026-02-28
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 46 14 — — $28,339.68 $29,173.20 $28,756.44 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 46 14 — — $28,348.86 $29,182.65 $28,765.76 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
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 46 14 — — $28,566.12 $29,406.30 $28,986.21 2026-02-28
2304 OTHER Major Small Bowel Procedures 5 5 — — $28,169.01 $29,577.46 $29,014.08 2026-07-30
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
1694 APR_DRG Major Abdominal Vascular Procedures 46 14 — — $29,083.26 $29,938.65 $29,510.96 2026-02-28
274 APR_DRG Other Open Craniotomy 46 14 — — $29,132.22 $29,989.05 $29,560.63 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 46 14 — — $29,165.88 $30,023.70 $29,594.79 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 46 14 — — $29,433.12 $30,298.80 $29,865.96 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 46 14 — — $29,548.38 $30,417.45 $29,982.92 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 46 14 — — $29,569.80 $30,439.50 $30,004.65 2026-02-28
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 46 14 — — $29,762.58 $30,637.95 $30,200.26 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 46 14 — — $29,778.90 $30,654.75 $30,216.83 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 46 14 — — $29,861.52 $30,739.80 $30,300.66 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
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 46 14 — — $30,327.66 $31,219.65 $30,773.65 2026-02-28
6903 OTHER Acute Leukemia 5 5 — — $29,889.12 $31,383.58 $30,785.79 2026-07-30
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 46 14 — — $30,430.68 $31,325.70 $30,878.19 2026-02-28
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
8604 OTHER Rehabilitation 5 5 — — $30,114.97 $31,620.72 $31,018.42 2026-07-30
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
1782 APR_DRG External Heart Assist Systems 46 14 — — $30,741.78 $31,645.95 $31,193.87 2026-02-28
1781 APR_DRG External Heart Assist Systems 46 14 — — $30,741.78 $31,645.95 $31,193.87 2026-02-28
1783 APR_DRG External Heart Assist Systems 46 14 — — $30,741.78 $31,645.95 $31,193.87 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 46 14 — — $30,778.50 $31,683.75 $31,231.12 2026-02-28
234 APR_DRG Spinal Procedures 46 14 — — $30,804.00 $31,710.00 $31,257.00 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
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 46 14 — — $30,936.60 $31,846.50 $31,391.55 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 46 14 — — $30,936.60 $31,846.50 $31,391.55 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 46 14 — — $30,936.60 $31,846.50 $31,391.55 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 46 14 — — $31,449.66 $32,374.65 $31,912.15 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 46 14 — — $31,665.90 $32,597.25 $32,131.58 2026-02-28
1831 APR_DRG Percutaneous Structural Cardiac Procedures 46 14 — — $31,923.96 $32,862.90 $32,393.43 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 46 14 — — $32,063.70 $33,006.75 $32,535.22 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 46 14 — — $32,119.80 $33,064.50 $32,592.15 2026-02-28
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
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 46 14 — — $32,306.46 $33,256.65 $32,781.56 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
9124 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $31,923.66 $33,519.84 $32,881.37 2026-07-30
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 46 14 — — $32,522.70 $33,479.25 $33,000.97 2026-02-28
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
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
6903 APR_DRG Acute Leukemia 46 14 — — $32,706.30 $33,668.25 $33,187.28 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 46 14 — — $32,735.88 $33,698.70 $33,217.29 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
1832 APR_DRG Percutaneous Structural Cardiac Procedures 46 14 — — $32,847.06 $33,813.15 $33,330.11 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 46 14 — — $32,910.30 $33,878.25 $33,394.28 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 46 14 — — $32,913.36 $33,881.40 $33,397.38 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
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 46 14 — — $33,011.28 $33,982.20 $33,496.74 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 46 14 — — $33,011.28 $33,982.20 $33,496.74 2026-02-28
214 OTHER Open Craniotomy Except Trauma 5 5 — — $32,772.02 $34,410.62 $33,755.18 2026-07-30
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
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
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 46 14 — — $33,799.74 $34,793.85 $34,296.79 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
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
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
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 46 14 — — $34,476.00 $35,490.00 $34,983.00 2026-02-28
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 46 14 — — $34,992.12 $36,021.30 $35,506.71 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 46 14 — — $35,004.36 $36,033.90 $35,519.13 2026-02-28
8633 OTHER Neonatal Aftercare 5 5 — — $34,501.38 $36,226.45 $35,536.42 2026-07-30
2004 OTHER Cardiac Structural And Valvular Disorders 5 5 — — $34,514.52 $36,240.25 $35,549.96 2026-07-30
1204 APR_DRG Major Respiratory And Chest Procedures 46 14 — — $35,095.14 $36,127.35 $35,611.25 2026-02-28
274 OTHER Other Open Craniotomy 5 5 — — $34,668.81 $36,402.25 $35,708.87 2026-07-30
214 APR_DRG Open Craniotomy Except Trauma 46 14 — — $35,295.06 $36,333.15 $35,814.11 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 46 14 — — $35,358.30 $36,398.25 $35,878.28 2026-02-28
1794 APR_DRG Defibrillator Implants 46 14 — — $35,591.88 $36,638.70 $36,115.29 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
294 OTHER Other Percutaneous Intracranial Procedures 5 5 — — $35,434.93 $37,206.68 $36,497.98 2026-07-30
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
9104 OTHER Craniotomy For Multiple Significant Trauma 5 5 — — $35,705.54 $37,490.82 $36,776.71 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
82 OTHER Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $35,792.67 $37,582.30 $36,866.45 2026-07-30
83 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
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 46 14 — — $36,508.86 $37,582.65 $37,045.75 2026-02-28
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 46 14 — — $36,508.86 $37,582.65 $37,045.75 2026-02-28
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 46 14 — — $36,508.86 $37,582.65 $37,045.75 2026-02-28
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 46 14 — — $36,508.86 $37,582.65 $37,045.75 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 46 14 — — $36,582.30 $37,658.25 $37,120.28 2026-02-28
38240 CPT Transplt Allo Hct/donor 40 10 — — $230.00 $92,898.77 $37,345.30 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 46 14 — — $36,853.62 $37,937.55 $37,395.58 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 46 14 — — $37,080.06 $38,170.65 $37,625.36 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
2004 APR_DRG Cardiac Structural And Valvular Disorders 46 14 — — $37,345.26 $38,443.65 $37,894.46 2026-02-28
204 OTHER Open Craniotomy For Trauma 5 5 — — $36,836.70 $38,678.54 $37,941.80 2026-07-30
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 46 14 — — $38,099.04 $39,219.60 $38,659.32 2026-02-28
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 46 14 — — $38,099.04 $39,219.60 $38,659.32 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 46 14 — — $38,205.12 $39,328.80 $38,766.96 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 46 14 — — $38,205.12 $39,328.80 $38,766.96 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 46 14 — — $38,278.56 $39,404.40 $38,841.48 2026-02-28
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
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
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 46 14 — — $38,982.36 $40,128.90 $39,555.63 2026-02-28
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 46 14 — — $38,982.36 $40,128.90 $39,555.63 2026-02-28
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
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
8633 APR_DRG Neonatal Aftercare 46 14 — — $39,164.94 $40,316.85 $39,740.89 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 46 14 — — $39,233.28 $40,387.20 $39,810.24 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 46 14 — — $39,233.28 $40,387.20 $39,810.24 2026-02-28
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
6954 OTHER Chemotherapy For Acute Leukemia 5 5 — — $38,806.99 $40,747.34 $39,971.20 2026-07-30
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 46 14 — — $39,869.76 $41,042.40 $40,456.08 2026-02-28
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
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
6904 OTHER Acute Leukemia 5 5 — — $39,810.13 $41,800.64 $41,004.43 2026-07-30
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 46 14 — — $40,531.74 $41,723.85 $41,127.79 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 46 14 — — $41,707.80 $42,934.50 $42,321.15 2026-02-28
54 MS_DRG Nervous System Neoplasms With Mcc 46 14 — — $42,200.46 $43,441.65 $42,821.06 2026-02-28
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
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
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 46 14 — — $42,872.64 $44,133.60 $43,503.12 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 46 14 — — $43,091.94 $44,359.35 $43,725.64 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
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 46 14 — — $43,948.74 $45,241.35 $44,595.04 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 46 14 — — $43,948.74 $45,241.35 $44,595.04 2026-02-28
6334 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $43,439.20 $45,611.16 $44,742.38 2026-07-30
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 46 14 — — $44,097.66 $45,394.65 $44,746.15 2026-02-28
1793 OTHER Defibrillator Implants 5 5 — — $43,443.09 $45,615.24 $44,746.38 2026-07-30
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 46 14 — — $44,310.84 $45,614.10 $44,962.47 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 46 14 — — $44,815.74 $46,133.85 $45,474.79 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 46 14 — — $45,186.00 $46,515.00 $45,850.50 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 46 14 — — $45,445.08 $46,781.70 $46,113.39 2026-02-28
41 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $45,271.24 $47,534.80 $46,629.38 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
43 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $45,271.24 $47,534.80 $46,629.38 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
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
41 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Cc Or Peripher… 46 14 — — $46,176.42 $47,534.55 $46,855.49 2026-02-28
42 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 46 14 — — $46,176.42 $47,534.55 $46,855.49 2026-02-28
43 MS_DRG No Active Code Description 46 14 — — $46,176.42 $47,534.55 $46,855.49 2026-02-28
5894 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 46 14 — — $46,202.94 $47,561.85 $46,882.39 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 46 14 — — $46,202.94 $47,561.85 $46,882.39 2026-02-28
8634 OTHER Neonatal Aftercare 5 5 — — $45,789.13 $48,078.59 $47,162.80 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
1604 OTHER Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $46,014.49 $48,315.21 $47,394.92 2026-07-30
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 46 14 — — $46,844.52 $48,222.30 $47,533.41 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
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 46 14 — — $46,945.50 $48,326.25 $47,635.88 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 46 14 — — $48,367.38 $49,789.95 $49,078.67 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 46 14 — — $48,849.84 $50,286.60 $49,568.22 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 46 14 — — $50,643.00 $52,132.50 $51,387.75 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 46 14 — — $51,314.16 $52,823.40 $52,068.78 2026-02-28
92 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
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
6904 APR_DRG Acute Leukemia 46 14 — — $51,619.14 $53,137.35 $52,378.25 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 46 14 — — $51,684.42 $53,204.55 $52,444.49 2026-02-28
91 MS_DRG Other Disorders Of Nervous System With Mcc 46 14 — — $20,232.37 $53,204.55 $52,444.49 2026-02-28
92 MS_DRG Other Disorders Of Nervous System With Cc 46 14 — — $11,750.51 $53,204.55 $52,444.49 2026-02-28
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 46 14 — — $51,684.42 $53,204.55 $52,444.49 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
1784 APR_DRG External Heart Assist Systems 46 14 — — $51,822.12 $53,346.30 $52,584.21 2026-02-28
8634 APR_DRG Neonatal Aftercare 46 14 — — $51,839.46 $53,364.15 $52,601.81 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 46 14 — — $51,914.94 $53,441.85 $52,678.39 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 46 14 — — $52,014.90 $53,544.75 $52,779.82 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 46 14 — — $52,257.66 $53,794.65 $53,026.15 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
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 46 14 — — $52,437.18 $53,979.45 $53,208.32 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 46 14 — — $52,437.18 $53,979.45 $53,208.32 2026-02-28
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
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
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 46 14 — — $54,492.48 $56,095.20 $55,293.84 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 46 14 — — $55,126.92 $56,748.30 $55,937.61 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
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
8411 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
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 46 14 — — $56,638.56 $58,304.40 $57,471.48 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 46 14 — — $56,691.60 $58,359.00 $57,525.30 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 46 14 — — $56,935.38 $58,609.95 $57,772.67 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 46 14 — — $56,935.38 $58,609.95 $57,772.67 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 46 14 — — $57,077.16 $58,755.90 $57,916.53 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 46 14 — — $58,145.10 $59,855.25 $59,000.18 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 46 14 — — $60,132.06 $61,900.65 $61,016.36 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
3060 EAPG No Active Code Description 42 16 — — $60,996.27 $62,790.28 $61,893.28 2026-02-28
44 MS_DRG No Active Code Description 46 14 — — $61,016.40 $62,811.00 $61,913.70 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 46 14 — — $61,620.24 $63,432.60 $62,526.42 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
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
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 46 14 — — $62,591.28 $64,432.20 $63,511.74 2026-02-28
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
63 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
61 OTHER Pancreas Transplant 5 5 — — $62,460.61 $65,583.64 $64,334.43 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
61 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 46 14 — — $63,710.22 $65,584.05 $64,647.14 2026-02-28
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 46 14 — — $23,938.94 $65,584.05 $64,647.14 2026-02-28
62 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 46 14 — — $63,710.22 $65,584.05 $64,647.14 2026-02-28
63 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 46 14 — — $63,710.22 $65,584.05 $64,647.14 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 46 14 — — $64,547.64 $66,446.10 $65,496.87 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
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
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
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 46 14 — — $66,661.08 $68,621.70 $67,641.39 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 46 14 — — $67,403.64 $69,386.10 $68,394.87 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 46 14 — — $68,513.40 $70,528.50 $69,520.95 2026-02-28
71 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $67,524.05 $70,900.25 $69,549.77 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
74 OTHER Allogeneic Bone Marrow Transplant 5 5 — — $67,524.05 $70,900.25 $69,549.77 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
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 46 14 — — $12,545.63 $70,900.20 $69,887.34 2026-02-28
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 46 14 — — $68,874.48 $70,900.20 $69,887.34 2026-02-28
72 MS_DRG Nonspecific Cerebrovascular Disorders Without Cc/mcc 46 14 — — $68,874.48 $70,900.20 $69,887.34 2026-02-28
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 46 14 — — $3,449.00 $70,900.20 $69,887.34 2026-02-28
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
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
73 APR_DRG Allogeneic Bone Marrow Transplant 46 14 — — $71,123.58 $73,215.45 $72,169.51 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
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 46 14 — — $71,523.42 $73,627.05 $72,575.24 2026-02-28
13 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 46 14 — — $71,523.42 $73,627.05 $72,575.24 2026-02-28
5883 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
5882 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $71,626.71 $75,208.05 $73,775.51 2026-07-30
5832 OTHER Neonate With Ecmo 5 5 — — $72,877.11 $76,520.97 $75,063.42 2026-07-30
5834 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
5831 OTHER Neonate With Ecmo 5 5 — — $72,877.11 $76,520.97 $75,063.42 2026-07-30
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 46 14 — — $75,444.30 $77,663.25 $76,553.77 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 46 14 — — $75,565.68 $77,788.20 $76,676.94 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 46 14 — — $75,565.68 $77,788.20 $76,676.94 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 46 14 — — $75,565.68 $77,788.20 $76,676.94 2026-02-28
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
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
1614 OTHER Implantable Heart Assist Systems 5 5 — — $81,921.54 $86,017.62 $84,379.19 2026-07-30
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 46 14 — — $84,096.96 $86,570.40 $85,333.68 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
14 MS_DRG Allogeneic Bone Marrow Transplant 46 14 — — $90,109.86 $92,760.15 $91,435.01 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 46 14 — — $91,422.60 $94,111.50 $92,767.05 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 46 14 — — $98,478.96 $101,375.40 $99,927.18 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 46 14 — — $101,617.50 $104,606.25 $103,111.88 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 46 14 — — $101,617.50 $104,606.25 $103,111.88 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 46 14 — — $106,829.70 $109,971.75 $108,400.73 2026-02-28
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
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
24 OTHER Heart And/or Lung Transplant 5 5 — — $107,682.21 $113,066.32 $110,912.68 2026-07-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 14 — — $109,835.64 $113,066.10 $111,450.87 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 46 14 — — $109,835.64 $113,066.10 $111,450.87 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 46 14 — — $109,835.64 $113,066.10 $111,450.87 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 14 — — $109,835.64 $113,066.10 $111,450.87 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 46 14 — — $116,193.30 $119,610.75 $117,902.02 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 46 14 — — $131,636.10 $135,507.75 $133,571.92 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 46 14 — — $135,638.58 $139,627.95 $137,633.27 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 46 14 — — $135,648.78 $139,638.45 $137,643.61 2026-02-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 46 14 — — $135,648.78 $139,638.45 $137,643.61 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 46 14 — — $135,648.78 $139,638.45 $137,643.61 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 46 14 — — $135,648.78 $139,638.45 $137,643.61 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 46 14 — — $145,728.42 $150,014.55 $147,871.48 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
1612 APR_DRG Implantable Heart Assist Systems 46 14 — — $150,018.54 $154,430.85 $152,224.70 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 46 14 — — $150,018.54 $154,430.85 $152,224.70 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 46 14 — — $150,018.54 $154,430.85 $152,224.70 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 46 14 — — $170,479.74 $175,493.85 $172,986.80 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 46 14 — — $193,839.78 $199,540.95 $196,690.36 2026-02-28
5832 APR_DRG Neonate With Ecmo 46 14 — — $194,593.56 $200,316.90 $197,455.23 2026-02-28
5831 APR_DRG Neonate With Ecmo 46 14 — — $194,593.56 $200,316.90 $197,455.23 2026-02-28
5834 APR_DRG Neonate With Ecmo 46 14 — — $204,576.30 $210,593.25 $207,584.77 2026-02-28
5833 APR_DRG Neonate With Ecmo 46 14 — — $204,576.30 $210,593.25 $207,584.77 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 46 14 — — $211,480.68 $217,700.70 $214,590.69 2026-02-28
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