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

10,739 distinct procedures filed
18 distinct payers
889,904 rate rows
2026-02-28 last MRF observed
Data quality

797,348 of 889,904 rate rows are consumer-grade (89.6%)

92,556 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
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 1,210
placeholder amount (≤ $0.02) — excluded from medians 694
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 · 2026-05-19
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
$246,434
0.9× median
5833
APR_DRG 		Neonate With Ecmo 14 $204,576.30 $210,593.25 $207,584.77 nat. median
$244,017
0.9× median
5834
APR_DRG 		Neonate With Ecmo 14 $204,576.30 $210,593.25 $207,584.77 nat. median
$309,665
0.7× median
5831
APR_DRG 		Neonate With Ecmo 14 $194,593.56 $200,316.90 $197,455.23 nat. median
$144,745
1.4× median
5832
APR_DRG 		Neonate With Ecmo 14 $194,593.56 $200,316.90 $197,455.23 nat. median
$156,126
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 14 $193,839.78 $199,540.95 $196,690.36 nat. median
$207,730
0.9× median
24
APR_DRG 		Heart And/or Lung Transplant 14 $170,479.74 $175,493.85 $172,986.80 nat. median
$234,729
0.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 14 $150,018.54 $154,430.85 $152,224.70 nat. median
$119,796
1.3× median
1612
APR_DRG 		Implantable Heart Assist Systems 14 $150,018.54 $154,430.85 $152,224.70 nat. median
$85,444
1.8× median
1611
APR_DRG 		Implantable Heart Assist Systems 14 $150,018.54 $154,430.85 $152,224.70 nat. median
$76,806
2.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 14 $145,728.42 $150,014.55 $147,871.48 nat. median
$187,061
0.8× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 14 $135,648.78 $139,638.45 $137,643.61 nat. median
$66,693
outlier · 2.1×
8411
APR_DRG 		Extensive Third Degree Burns With Skin Graft 14 $135,648.78 $139,638.45 $137,643.61 nat. median
$34,381
outlier · 4.0×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 14 $135,648.78 $139,638.45 $137,643.61 nat. median
$160,267
0.9× median
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 14 $135,648.78 $139,638.45 $137,643.61 nat. median
$35,675
outlier · 3.9×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 $135,638.58 $139,627.95 $137,633.27 nat. median
$162,982
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
$150,721
0.9× 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
$122,924
1.0× median
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 $109,835.64 $113,066.10 $111,450.87 nat. median
$34,274
outlier · 3.3×
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
$38,489
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
$54,045
outlier · 2.1×
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
$55,916
2.0× 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
$182,665
0.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $101,617.50 $104,606.25 $103,111.88 nat. median
$145,336
0.7× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $101,617.50 $104,606.25 $103,111.88 nat. median
$124,573
0.8× 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
$151,838
0.7× 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
$164,289
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $90,109.86 $92,760.15 $91,435.01 nat. median
$117,357
0.8× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 14 $84,096.96 $86,570.40 $85,333.68 nat. median
$97,957
0.9× median
22
APR_DRG 		Heart And/or Lung Transplant 14 $75,565.68 $77,788.20 $76,676.94 nat. median
$77,804
1.0× median
23
APR_DRG 		Heart And/or Lung Transplant 14 $75,565.68 $77,788.20 $76,676.94 nat. median
$93,528
0.8× median
21
APR_DRG 		Heart And/or Lung Transplant 14 $75,565.68 $77,788.20 $76,676.94 nat. median
$64,672
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 14 $75,444.30 $77,663.25 $76,553.77 nat. median
$164,834
outlier · 0.5×
13
MS_DRG 		Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 14 $71,523.42 $73,627.05 $72,575.24 nat. median
$27,767
outlier · 2.6×
12
MS_DRG 		Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 $71,523.42 $73,627.05 $72,575.24 nat. median
$40,914
1.8× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 14 $71,123.58 $73,215.45 $72,169.51 nat. median
$89,273
0.8× median
71
MS_DRG 		Nonspecific Cerebrovascular Disorders With Cc 14 $12,545.63 $70,900.20 $69,887.34 nat. median
$11,209
outlier · 6.2×
73
MS_DRG 		Cranial And Peripheral Nerve Disorders With Mcc 14 $68,874.48 $70,900.20 $69,887.34 nat. median
$16,028
outlier · 4.4×
74
MS_DRG 		Cranial And Peripheral Nerve Disorders Without Mcc 14 $3,449.00 $70,900.20 $69,887.34 nat. median
$11,117
outlier · 6.3×
72
MS_DRG 		Nonspecific Cerebrovascular Disorders Without Cc/mcc 14 $68,874.48 $70,900.20 $69,887.34 nat. median
$8,633
outlier · 8.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 14 $68,513.40 $70,528.50 $69,520.95 nat. median
$105,658
0.7× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 $67,403.64 $69,386.10 $68,394.87 nat. median
$118,620
0.6× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 $66,661.08 $68,621.70 $67,641.39 nat. median
$95,507
0.7× median
26008088
CDM 		Ocrelizumab 300 Mg/250 Ml Ivpb 16 $32,546.76 $87,110.44 $67,008.03 nat. median
$67,008
1.0× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 14 $64,547.64 $66,446.10 $65,496.87 nat. median
$73,845
0.9× median
63
MS_DRG 		Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 14 $63,710.22 $65,584.05 $64,647.14 nat. median
$14,997
outlier · 4.3×
61
MS_DRG 		Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 14 $63,710.22 $65,584.05 $64,647.14 nat. median
$27,312
outlier · 2.4×
62
MS_DRG 		Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 14 $63,710.22 $65,584.05 $64,647.14 nat. median
$18,436
outlier · 3.5×
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 14 $23,938.94 $65,584.05 $64,647.14 nat. median
$20,254
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 10,739 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
             
0097 EAPG Aicd Implant 42 16 — — $19,527.06 $20,101.38 $19,814.22 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 46 14 — — $18,290.64 $18,828.60 $18,559.62 2026-02-28
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
12 APR_DRG Liver Transplant And/or Intestinal Transplant 46 14 — — $18,290.64 $18,828.60 $18,559.62 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 46 14 — — $35,095.14 $36,127.35 $35,611.25 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 46 14 — — $25,565.28 $26,317.20 $25,941.24 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
13 APR_DRG Liver Transplant And/or Intestinal Transplant 46 14 — — $25,409.22 $26,156.55 $25,782.88 2026-02-28
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 46 14 — — $18,071.34 $18,602.85 $18,337.10 2026-02-28
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 46 14 — — $18,071.34 $18,602.85 $18,337.10 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 46 14 — — $23,465.10 $24,155.25 $23,810.17 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
1314 APR_DRG Cystic Fibrosis - Pulmonary Disease 46 14 — — $19,706.40 $20,286.00 $19,996.20 2026-02-28
1324 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 46 14 — — $26,338.44 $27,113.10 $26,725.77 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 46 14 — — $90,109.86 $92,760.15 $91,435.01 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
1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 46 14 — — $20,951.82 $21,568.05 $21,259.94 2026-02-28
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 46 14 — — $23,777.22 $24,476.55 $24,126.88 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 46 14 — — $34,476.00 $35,490.00 $34,983.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 46 14 — — $84,096.96 $86,570.40 $85,333.68 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 46 14 — — $150,018.54 $154,430.85 $152,224.70 2026-02-28
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
1614 APR_DRG Implantable Heart Assist Systems 46 14 — — $193,839.78 $199,540.95 $196,690.36 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 46 14 — — $24,954.30 $25,688.25 $25,321.28 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
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
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 46 14 — — $18,510.96 $19,055.40 $18,783.18 2026-02-28
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 46 14 — — $20,406.12 $21,006.30 $20,706.21 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 46 14 — — $26,562.84 $27,344.10 $26,953.47 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
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 46 14 — — $19,412.64 $19,983.60 $19,698.12 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 46 14 — — $19,412.64 $19,983.60 $19,698.12 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 46 14 — — $22,973.46 $23,649.15 $23,311.31 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
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 46 14 — — $20,132.76 $20,724.90 $20,428.83 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
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 46 14 — — $22,530.78 $23,193.45 $22,862.12 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
1693 APR_DRG Major Abdominal Vascular Procedures 46 14 — — $19,241.28 $19,807.20 $19,524.24 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 46 14 — — $29,083.26 $29,938.65 $29,510.96 2026-02-28
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 46 14 — — $22,785.78 $23,455.95 $23,120.87 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 46 14 — — $20,585.64 $21,191.10 $20,888.37 2026-02-28
1763 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 46 14 — — $20,233.74 $20,828.85 $20,531.29 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 46 14 — — $26,216.04 $26,987.10 $26,601.57 2026-02-28
1781 APR_DRG External Heart Assist Systems 46 14 — — $30,741.78 $31,645.95 $31,193.87 2026-02-28
1782 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
1784 APR_DRG External Heart Assist Systems 46 14 — — $51,822.12 $53,346.30 $52,584.21 2026-02-28
1791 APR_DRG Defibrillator Implants 46 14 — — $21,877.98 $22,521.45 $22,199.72 2026-02-28
1792 APR_DRG Defibrillator Implants 46 14 — — $22,883.70 $23,556.75 $23,220.22 2026-02-28
1793 APR_DRG Defibrillator Implants 46 14 — — $26,165.04 $26,934.60 $26,549.82 2026-02-28
1794 APR_DRG Defibrillator Implants 46 14 — — $35,591.88 $36,638.70 $36,115.29 2026-02-28
1804 APR_DRG Other Circulatory System Procedures 46 14 — — $19,837.98 $20,421.45 $20,129.72 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 46 14 — — $28,215.24 $29,045.10 $28,630.17 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 46 14 — — $27,704.22 $28,519.05 $28,111.63 2026-02-28
1831 APR_DRG Percutaneous Structural Cardiac Procedures 46 14 — — $31,923.96 $32,862.90 $32,393.43 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 46 14 — — $32,847.06 $33,813.15 $33,330.11 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 46 14 — — $36,582.30 $37,658.25 $37,120.28 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 46 14 — — $52,014.90 $53,544.75 $52,779.82 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
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
2004 APR_DRG Cardiac Structural And Valvular Disorders 46 14 — — $37,345.26 $38,443.65 $37,894.46 2026-02-28
203 APR_DRG Open Craniotomy For Trauma 46 14 — — $18,006.06 $18,535.65 $18,270.85 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 46 14 — — $29,778.90 $30,654.75 $30,216.83 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
21 APR_DRG Heart And/or Lung Transplant 46 14 — — $75,565.68 $77,788.20 $76,676.94 2026-02-28
213 APR_DRG Open Craniotomy Except Trauma 46 14 — — $22,265.58 $22,920.45 $22,593.01 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 46 14 — — $35,295.06 $36,333.15 $35,814.11 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
22 APR_DRG Heart And/or Lung Transplant 46 14 — — $75,565.68 $77,788.20 $76,676.94 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
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 46 14 — — $20,376.54 $20,975.85 $20,676.19 2026-02-28
2234 APR_DRG Other Small And Large Bowel Procedures 46 14 — — $21,969.78 $22,615.95 $22,292.87 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 46 14 — — $43,091.94 $44,359.35 $43,725.64 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 46 14 — — $23,763.96 $24,462.90 $24,113.43 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 46 14 — — $21,393.48 $22,022.70 $21,708.09 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 46 14 — — $26,869.86 $27,660.15 $27,265.01 2026-02-28
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
23 APR_DRG Heart And/or Lung Transplant 46 14 — — $75,565.68 $77,788.20 $76,676.94 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 46 14 — — $29,861.52 $30,739.80 $30,300.66 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 46 14 — — $21,043.62 $21,662.55 $21,353.08 2026-02-28
233 APR_DRG Spinal Procedures 46 14 — — $20,574.42 $21,179.55 $20,876.99 2026-02-28
234 APR_DRG Spinal Procedures 46 14 — — $30,804.00 $31,710.00 $31,257.00 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
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
244 APR_DRG Open Extracranial Vascular Procedures 46 14 — — $21,274.14 $21,899.85 $21,586.99 2026-02-28
2484 APR_DRG Major Gastrointestinal And Peritoneal Infections 46 14 — — $21,252.72 $21,877.80 $21,565.26 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
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 46 14 — — $29,433.12 $30,298.80 $29,865.96 2026-02-28
2613 APR_DRG Major Biliary Tract Procedures 46 14 — — $21,128.28 $21,749.70 $21,438.99 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 46 14 — — $21,654.60 $22,291.50 $21,973.05 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
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 46 14 — — $27,093.24 $27,890.10 $27,491.67 2026-02-28
274 APR_DRG Other Open Craniotomy 46 14 — — $29,132.22 $29,989.05 $29,560.63 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 46 14 — — $28,348.86 $29,182.65 $28,765.76 2026-02-28
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 46 14 — — $19,597.26 $20,173.65 $19,885.46 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 46 14 — — $25,902.90 $26,664.75 $26,283.83 2026-02-28
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
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
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
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 46 14 — — $29,165.88 $30,023.70 $29,594.79 2026-02-28
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 46 14 — — $18,848.58 $19,402.95 $19,125.76 2026-02-28
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
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
3060 EAPG No Active Code Description 42 16 — — $60,996.27 $62,790.28 $61,893.28 2026-02-28
3084 APR_DRG Hip And Femur Fracture Repair 46 14 — — $18,738.42 $19,289.55 $19,013.99 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 46 14 — — $21,390.42 $22,019.55 $21,704.99 2026-02-28
3104 APR_DRG Intervertebral Disc Excision And Decompression 46 14 — — $19,602.36 $20,178.90 $19,890.63 2026-02-28
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
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 46 14 — — $18,893.46 $19,449.15 $19,171.31 2026-02-28
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 46 14 — — $18,184.56 $18,719.40 $18,451.98 2026-02-28
3174 APR_DRG Tendon Muscle And Other Soft Tissue Procedures 46 14 — — $19,013.82 $19,573.05 $19,293.44 2026-02-28
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 46 14 — — $18,622.14 $19,169.85 $18,895.99 2026-02-28
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
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 46 14 — — $22,814.34 $23,485.35 $23,149.85 2026-02-28
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement 46 14 — — $18,607.86 $19,155.15 $18,881.51 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 46 14 — — $24,954.30 $25,688.25 $25,321.28 2026-02-28
33231 CPT Insrt Pulse Gen W/mult Leads 40 10 — — $413.00 $50,361.25 $20,245.22 2026-02-28
33249 CPT Insj/rplcmt Defib W/lead(s) 50 10 — — $945.00 $50,361.25 $23,357.55 2026-02-28
33264 CPT Rmvl Rplcmt Dfb Gen Mlt Ld 44 10 — — $418.00 $50,361.25 $21,453.90 2026-02-28
33270 CPT Ins/rep Subq Defibrillator 40 10 — — $580.00 $50,361.25 $20,245.22 2026-02-28
3464 APR_DRG Connective Tissue Disorders 46 14 — — $19,653.36 $20,231.40 $19,942.38 2026-02-28
3613 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 46 14 — — $20,979.36 $21,596.40 $21,287.88 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 46 14 — — $20,979.36 $21,596.40 $21,287.88 2026-02-28
38240 CPT Transplt Allo Hct/donor 40 10 — — $230.00 $92,898.77 $37,345.30 2026-02-28
403 APR_DRG Spinal Disorders And Injuries 46 14 — — $18,528.30 $19,073.25 $18,800.78 2026-02-28
4034 APR_DRG Procedures For Obesity 46 14 — — $20,810.04 $21,422.10 $21,116.07 2026-02-28
404 APR_DRG Spinal Disorders And Injuries 46 14 — — $18,528.30 $19,073.25 $18,800.78 2026-02-28
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
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
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
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
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
4214 APR_DRG Malnutrition Failure To Thrive And Other Nutritional Disorders 46 14 — — $18,046.86 $18,577.65 $18,312.26 2026-02-28
424 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 46 14 — — $18,576.24 $19,122.60 $18,849.42 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
43 MS_DRG No Active Code Description 46 14 — — $46,176.42 $47,534.55 $46,855.49 2026-02-28
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 46 14 — — $25,490.82 $26,240.55 $25,865.69 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
44 MS_DRG No Active Code Description 46 14 — — $61,016.40 $62,811.00 $61,913.70 2026-02-28
4403 APR_DRG Kidney Transplant 46 14 — — $22,063.62 $22,712.55 $22,388.08 2026-02-28
4404 APR_DRG Kidney Transplant 46 14 — — $22,063.62 $22,712.55 $22,388.08 2026-02-28
4414 APR_DRG Major Bladder Procedures 46 14 — — $24,582.00 $25,305.00 $24,943.50 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 46 14 — — $19,500.36 $20,073.90 $19,787.13 2026-02-28
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 46 14 — — $18,935.28 $19,492.20 $19,213.74 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 46 14 — — $26,828.04 $27,617.10 $27,222.57 2026-02-28
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 46 14 — — $21,941.22 $22,586.55 $22,263.88 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
51 MS_DRG No Active Code Description 46 14 — — $27,167.70 $27,966.75 $27,567.22 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 46 14 — — $21,059.94 $21,679.35 $21,369.65 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
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 46 14 — — $21,059.94 $21,679.35 $21,369.65 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
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 46 14 — — $27,167.70 $27,966.75 $27,567.22 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
54 MS_DRG Nervous System Neoplasms With Mcc 46 14 — — $42,200.46 $43,441.65 $42,821.06 2026-02-28
5831 APR_DRG Neonate With Ecmo 46 14 — — $194,593.56 $200,316.90 $197,455.23 2026-02-28
5832 APR_DRG Neonate With Ecmo 46 14 — — $194,593.56 $200,316.90 $197,455.23 2026-02-28
5833 APR_DRG Neonate With Ecmo 46 14 — — $204,576.30 $210,593.25 $207,584.77 2026-02-28
5834 APR_DRG Neonate With Ecmo 46 14 — — $204,576.30 $210,593.25 $207,584.77 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 46 14 — — $23,347.80 $24,034.50 $23,691.15 2026-02-28
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
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
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
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 46 14 — — $23,233.56 $23,916.90 $23,575.23 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
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
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 46 14 — — $24,329.04 $25,044.60 $24,686.82 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
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
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
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 46 14 — — $21,384.30 $22,013.25 $21,698.78 2026-02-28
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
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
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
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
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
61 APR_DRG Pancreas Transplant 46 14 — — $17,953.02 $18,481.05 $18,217.03 2026-02-28
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 46 14 — — $20,775.36 $21,386.40 $21,080.88 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
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
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 46 14 — — $24,949.20 $25,683.00 $25,316.10 2026-02-28
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
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
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 46 14 — — $24,586.08 $25,309.20 $24,947.64 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 46 14 — — $24,586.08 $25,309.20 $24,947.64 2026-02-28
61886 CPT Implant Neurostim Arrays 40 10 — — $785.00 $47,866.89 $19,242.49 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
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
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
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
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
63 APR_DRG Pancreas Transplant 46 14 — — $17,953.02 $18,481.05 $18,217.03 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
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
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
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
6311 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 46 14 — — $22,599.12 $23,263.80 $22,931.46 2026-02-28
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 46 14 — — $22,599.12 $23,263.80 $22,931.46 2026-02-28
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
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
6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 46 14 — — $20,644.80 $21,252.00 $20,948.40 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
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
63685 CPT Insrt/redo Spine N Generator 48 10 — — $326.00 $47,866.89 $21,583.18 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
64 APR_DRG Pancreas Transplant 46 14 — — $17,953.02 $18,481.05 $18,217.03 2026-02-28
641404 CDM Mtp Fusion Kit 66 16 $27,410.00 $13,595.36 50% off $9,319.40 $24,943.10 $19,187.00 2026-02-28
64568 CPT Inc For Vagus N Elect Impl 40 10 — — $559.00 $47,866.89 $19,242.49 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
6614 APR_DRG Coagulation And Platelet Disorders 46 14 — — $20,953.86 $21,570.15 $21,262.01 2026-02-28
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
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
6903 APR_DRG Acute Leukemia 46 14 — — $32,706.30 $33,668.25 $33,187.28 2026-02-28
6904 APR_DRG Acute Leukemia 46 14 — — $51,619.14 $53,137.35 $52,378.25 2026-02-28
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 46 14 — — $20,991.60 $21,609.00 $21,300.30 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 46 14 — — $45,186.00 $46,515.00 $45,850.50 2026-02-28
6964 APR_DRG Other Chemotherapy 46 14 — — $23,241.72 $23,925.30 $23,583.51 2026-02-28
69930 CPT Implant Cochlear Device 40 10 — — $1,143.00 $49,962.65 $20,084.99 2026-02-28
71 MS_DRG Nonspecific Cerebrovascular Disorders With Cc 46 14 — — $12,545.63 $70,900.20 $69,887.34 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 46 14 — — $56,935.38 $58,609.95 $57,772.67 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 46 14 — — $26,560.80 $27,342.00 $26,951.40 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 46 14 — — $25,910.04 $26,672.10 $26,291.07 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
72 APR_DRG Allogeneic Bone Marrow Transplant 46 14 — — $56,935.38 $58,609.95 $57,772.67 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 46 14 — — $71,123.58 $73,215.45 $72,169.51 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
734 APR_DRG Orbit And Eye Procedures 46 14 — — $22,834.74 $23,506.35 $23,170.54 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 46 14 — — $145,728.42 $150,014.55 $147,871.48 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
7504 APR_DRG Schizophrenia 46 14 — — $24,034.26 $24,741.15 $24,387.71 2026-02-28
7583 APR_DRG Behavioral Disorders 46 14 — — $18,403.86 $18,945.15 $18,674.51 2026-02-28
7584 APR_DRG Behavioral Disorders 46 14 — — $18,545.64 $19,091.10 $18,818.37 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
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 46 14 — — $19,987.92 $20,575.80 $20,281.86 2026-02-28
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 46 14 — — $18,459.96 $19,002.90 $18,731.43 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
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 46 14 — — $26,035.50 $26,801.25 $26,418.38 2026-02-28
8154 APR_DRG Other Injury Poisoning And Toxic Effect Diagnoses 46 14 — — $20,935.50 $21,551.25 $21,243.38 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
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 46 14 — — $26,035.50 $26,801.25 $26,418.38 2026-02-28
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
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
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
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
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 46 14 — — $135,648.78 $139,638.45 $137,643.61 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
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
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
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
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 46 14 — — $25,360.26 $26,106.15 $25,733.21 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
8604 APR_DRG Rehabilitation 46 14 — — $18,496.68 $19,040.70 $18,768.69 2026-02-28
8624 APR_DRG Other Aftercare And Convalescence 46 14 — — $23,310.06 $23,995.65 $23,652.85 2026-02-28
8632 APR_DRG Neonatal Aftercare 46 14 — — $21,825.96 $22,467.90 $22,146.93 2026-02-28
8633 APR_DRG Neonatal Aftercare 46 14 — — $39,164.94 $40,316.85 $39,740.89 2026-02-28
8634 APR_DRG Neonatal Aftercare 46 14 — — $51,839.46 $53,364.15 $52,601.81 2026-02-28
893 APR_DRG Major Cranial Or Facial Bone Procedures 46 14 — — $20,918.16 $21,533.40 $21,225.78 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
91 MS_DRG Other Disorders Of Nervous System With Mcc 46 14 — — $20,232.37 $53,204.55 $52,444.49 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 46 14 — — $30,936.60 $31,846.50 $31,391.55 2026-02-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 46 14 — — $22,345.14 $23,002.35 $22,673.74 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
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
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
913 APR_DRG Other Major Head And Neck Procedures 46 14 — — $20,222.52 $20,817.30 $20,519.91 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
92 MS_DRG Other Disorders Of Nervous System With Cc 46 14 — — $11,750.51 $53,204.55 $52,444.49 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 46 14 — — $30,936.60 $31,846.50 $31,391.55 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 46 14 — — $19,351.44 $19,920.60 $19,636.02 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
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 46 14 — — $30,936.60 $31,846.50 $31,391.55 2026-02-28
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 46 14 — — $18,102.96 $18,635.40 $18,369.18 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 46 14 — — $75,444.30 $77,663.25 $76,553.77 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
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
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 46 14 — — $26,669.94 $27,454.35 $27,062.15 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 46 14 — — $24,936.96 $25,670.40 $25,303.68 2026-02-28
984 APR_DRG Other Ear Nose Mouth And Throat Procedures 46 14 — — $20,678.46 $21,286.65 $20,982.56 2026-02-28
C1721 HCPCS Icd-dr Evera MRI Xt Dr Surescan (trunk) 138 16 $37,212.00 $18,457.16 50% off $5,000.00 $40,949.09 $26,048.40 2026-02-28
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