Hospital

UPMC SOMERSET

Somerset, PA · CCN 390039 · Rates published

10,295 distinct procedures filed

18 distinct payers

172,185 rate rows

2026-03-06 last MRF observed

Data quality

168,816 of 172,185 rate rows are consumer-grade (98.0%)

3,369 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	2,801
professional (physician) fee — not the facility price	456
exceeds 10× this hospital's gross charge — excluded from medians	77
placeholder amount (≤ $0.02) — excluded from medians	30
per-diem day rate — not a per-procedure price	5

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/machine-readable-csv-not-json/250965570_upmc-somerset_standardcharges.csv?
Found on page	https://www.upmc.com/cms-hpt.txt
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-05-18
Content fingerprint	bf7c1cdab8fc9530… · 72,201,863 bytes · first seen 2026-05-13

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
5834 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	5	$402,353.76	$523,462.33	$407,383.27	nat. median $309,665 1.3× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	9	$17.27	$469,107.28	$323,769.02	nat. median $370,174 0.9× median
5884 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	5	$246,434.06	$320,610.77	$249,514.54	nat. median $246,434 1.0× median
114 APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$230,374.89	$299,717.79	$233,254.62	nat. median $117,173 2.0× median
24 APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	5	$230,222.29	$299,519.26	$233,100.12	nat. median $234,738 1.0× median
5833 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	5	$229,153.42	$298,128.65	$232,017.89	nat. median $244,017 1.0× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	9	$11.21	$304,431.75	$210,113.07	nat. median $265,286 0.8× median
5832 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	5	$175,947.84	$228,908.19	$178,147.22	nat. median $156,126 1.1× median
1614 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	5	$171,802.78	$223,515.46	$173,950.35	nat. median $207,730 0.8× median
6094 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	5	$171,697.14	$223,378.01	$173,843.39	nat. median $162,982 1.1× median
113 APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$171,448.02	$223,053.91	$173,591.15	nat. median $60,845 outlier · 2.9×
94 APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	5	$168,422.04	$219,117.12	$170,527.36	nat. median $164,834 1.0× median
6314 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure	5	$165,141.73	$214,849.44	$167,206.04	nat. median $122,924 1.4× median
5883 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	5	$164,125.03	$213,526.71	$166,176.63	nat. median $182,736 0.9× median
5914 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$161,599.26	$210,240.68	$163,619.29	nat. median $164,279 1.0× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	8	$7.37	$313,524.34	$160,078.32	nat. median $206,368 0.8× median
5831 APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	5	$157,934.84	$205,473.26	$159,909.05	nat. median $145,122 1.1× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	9	$8.49	$230,575.50	$159,138.87	nat. median $202,986 0.8× median
8414 APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	5	$152,822.64	$198,822.29	$154,732.96	nat. median $160,267 1.0× median
6304 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	5	$149,766.67	$194,846.47	$151,638.79	nat. median $150,721 1.0× median
5934 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$142,077.18	$184,842.45	$143,853.17	nat. median $151,838 0.9× median
5882 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	5	$140,637.24	$182,969.08	$142,395.23	nat. median $145,336 1.0× median
112 APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	5	$136,299.14	$177,325.21	$138,002.91	nat. median $58,674 outlier · 2.4×
74 APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	5	$135,545.91	$176,345.26	$137,240.26	nat. median $187,294 0.7× median
1613 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	5	$134,525.30	$175,017.44	$136,206.89	nat. median $119,796 1.1× median
44 APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	5	$129,433.97	$168,393.62	$131,051.92	nat. median $105,658 1.2× median
14 APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	5	$128,146.63	$166,718.79	$129,748.49	nat. median $129,535 1.0× median
23 APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	5	$125,406.30	$163,153.62	$126,973.90	nat. median $93,528 1.4× median
5913 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$121,874.26	$158,558.44	$123,397.71	nat. median $102,636 1.2× median
5881 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	5	$120,546.48	$156,831.00	$122,053.33	nat. median $124,573 1.0× median
5893 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	5	$114,872.13	$149,448.67	$116,308.06	nat. median $69,788 1.7× median
5891 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	5	$114,872.13	$149,448.67	$116,308.06	nat. median $93,260 1.2× median
5892 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	5	$114,872.13	$149,448.67	$116,308.06	nat. median $89,790 1.3× median
93 APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	5	$113,190.24	$147,260.53	$114,605.14	nat. median $79,160 1.4× median
6024 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	5	$107,031.35	$139,247.81	$108,369.26	nat. median $118,620 0.9× median
5912 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	5	$104,532.96	$135,997.41	$105,839.65	nat. median $81,294 1.3× median
5933 APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	5	$103,933.64	$135,217.69	$105,232.83	nat. median $108,996 1.0× median
65200029 CDM	Hc Pancreas Acq No Related Kidney	9	$73,121.30	$156,688.50	$104,459.00	nat. median $114,905 0.9× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	9	$5.54	$150,471.78	$103,852.80	nat. median $133,176 0.8× median
1611 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	5	$98,984.48	$128,778.83	$100,221.80	nat. median $76,806 1.3× median
1612 APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	5	$98,984.48	$128,778.83	$100,221.80	nat. median $85,406 1.2× median
1604 APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	5	$98,623.84	$128,309.64	$99,856.66	nat. median $97,957 1.0× median
7 MS_DRG	Lung Transplant	8	$5.18	$140,681.78	$97,095.91	nat. median $122,708 0.8× median
22 APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	5	$94,962.02	$123,545.62	$96,149.07	nat. median $78,029 1.2× median
54 APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure	5	$90,168.73	$117,309.54	$91,295.86	nat. median $68,217 1.3× median
43 APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	5	$89,254.42	$116,120.02	$90,370.11	nat. median $69,926 1.3× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	8	$4.81	$130,553.93	$90,105.86	nat. median $117,303 0.8× median
73 APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	5	$86,208.88	$112,157.77	$87,286.51	nat. median $89,273 1.0× median
8424 APR_DRG	Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns	5	$85,558.69	$111,311.87	$86,628.19	nat. median $80,494 1.1× median
21 APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	5	$83,931.58	$109,195.00	$84,980.74	nat. median $65,130 1.3× median

Other procedures at this hospital

Browse this hospital's 10,295 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

110	MS_DRG	DRG Grouper 12 (10/1/1994): DRG 110: Major Cardiovascular Procedures W	1	1	—	—	$38,315.97	$38,315.97	$38,315.97	2026-03-06
107	MS_DRG	DRG Grouper 12 (10/1/1994): DRG 107: Coronary Bypass Without Cardiac Cath	1	1	—	—	$39,422.36	$39,422.36	$39,422.36	2026-03-06
264	APR_DRG	Apr-DRG 42.00: Other Nervous System And Related Procedures	6	5	—	—	$31,783.79	$41,350.71	$32,181.09	2026-03-06
4854	APR_DRG	Apr-DRG 42.00: Prostatectomy Procedures	6	5	—	—	$31,904.43	$41,507.68	$32,303.25	2026-03-06
9103	APR_DRG	Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma	6	5	—	—	$31,946.82	$41,562.82	$32,346.17	2026-03-06
4844	APR_DRG	Apr-DRG 42.00: Other Male Reproductive System And Related Procedures	6	5	—	—	$31,979.43	$41,605.25	$32,379.18	2026-03-06
294	APR_DRG	Apr-DRG 42.00: Other Percutaneous Intracranial Procedures	6	5	—	—	$31,982.04	$41,608.64	$32,381.82	2026-03-06
7114	APR_DRG	Apr-DRG 42.00: Post-operative, Post-trauma, Other Device Infections With O.r. Pr…	6	5	—	—	$32,197.90	$41,889.48	$32,600.38	2026-03-06
1673	APR_DRG	Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures	6	5	—	—	$32,405.28	$42,159.28	$32,810.35	2026-03-06
8412	APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	6	5	—	—	$32,565.06	$42,367.15	$32,972.13	2026-03-06
8411	APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	6	5	—	—	$32,565.06	$42,367.15	$32,972.13	2026-03-06
1781	APR_DRG	Apr-DRG 42.00: External Heart Assist Devices	6	5	—	—	$32,609.41	$42,424.85	$33,017.04	2026-03-06
2992	APR_DRG	Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce…	6	5	—	—	$32,681.79	$42,519.02	$33,090.32	2026-03-06
4034	APR_DRG	Apr-DRG 42.00: Procedures For Obesity	6	5	—	—	$32,720.92	$42,569.93	$33,129.94	2026-03-06
6344	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr…	6	5	—	—	$32,793.31	$42,664.11	$33,203.24	2026-03-06
4044	APR_DRG	Apr-DRG 42.00: Thyroid, Parathyroid And Thyroglossal Procedures	6	5	—	—	$32,812.88	$42,689.56	$33,223.04	2026-03-06
1764	APR_DRG	Apr-DRG 42.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi…	6	5	—	—	$32,891.13	$42,791.37	$33,302.28	2026-03-06
7104	APR_DRG	Apr-DRG 42.00: Infectious And Parasitic Diseases Including HIV With O.r. Procedu…	6	5	—	—	$33,025.48	$42,966.15	$33,438.31	2026-03-06
2644	APR_DRG	Apr-DRG 42.00: Other Hepatobiliary, Pancreas And Abdominal Procedures	6	5	—	—	$33,144.82	$43,121.42	$33,559.14	2026-03-06
4054	APR_DRG	Apr-DRG 42.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde…	6	5	—	—	$33,210.04	$43,206.26	$33,625.17	2026-03-06
3032	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	5	—	—	$33,292.21	$43,313.17	$33,708.37	2026-03-06
82	APR_DRG	Apr-DRG 42.00: Autologous Bone Marrow Transplant	6	5	—	—	$33,304.60	$43,329.29	$33,720.92	2026-03-06
2304	APR_DRG	Apr-DRG 42.00: Major Small Bowel Procedures	6	5	—	—	$33,586.33	$43,695.82	$34,006.17	2026-03-06
5124	APR_DRG	Apr-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mal…	6	5	—	—	$33,775.45	$43,941.87	$34,197.65	2026-03-06
1214	APR_DRG	Apr-DRG 42.00: Other Respiratory And Chest Procedures	6	5	—	—	$33,789.14	$43,959.68	$34,211.51	2026-03-06
1663	APR_DRG	Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	5	—	—	$34,078.70	$44,336.39	$34,504.69	2026-03-06
1814	APR_DRG	Apr-DRG 42.00: Lower Extremity Vascular Procedures	6	5	—	—	$34,083.26	$44,342.33	$34,509.31	2026-03-06
1704	APR_DRG	Apr-DRG 42.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh…	6	5	—	—	$34,158.91	$44,440.75	$34,585.90	2026-03-06
304	APR_DRG	Apr-DRG 42.00: Percutaneous Intracranial And Extracranial Vascular Procedures	6	5	—	—	$34,185.00	$44,474.69	$34,612.32	2026-03-06
1602	APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	6	5	—	—	$34,247.60	$44,556.14	$34,675.71	2026-03-06
3043	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	5	—	—	$34,291.95	$44,613.84	$34,720.60	2026-03-06
8633	APR_DRG	Apr-DRG 42.00: Neonatal Aftercare	6	5	—	—	$34,428.25	$44,791.16	$34,858.61	2026-03-06
6514	APR_DRG	Apr-DRG 42.00: Other Procedures Of Blood And Blood-forming Organs	6	5	—	—	$34,553.46	$44,954.06	$34,985.38	2026-03-06
8423	APR_DRG	Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns	6	5	—	—	$34,559.33	$44,961.70	$34,991.33	2026-03-06
1793	APR_DRG	Apr-DRG 42.00: Defibrillator Implants	6	5	—	—	$34,912.80	$45,421.56	$35,349.21	2026-03-06
7924	APR_DRG	Apr-DRG 42.00: Extensive O.r. Procedures For Other Complications Of Treatment	6	5	—	—	$34,914.10	$45,423.25	$35,350.54	2026-03-06
224	APR_DRG	Apr-DRG 42.00: Ventricular Shunt Procedures	6	5	—	—	$35,018.44	$45,559.00	$35,456.18	2026-03-06
3214	APR_DRG	Apr-DRG 42.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc …	6	5	—	—	$35,041.27	$45,588.70	$35,479.29	2026-03-06
6224	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy…	6	5	—	—	$35,151.48	$45,732.09	$35,590.89	2026-03-06
4401	APR_DRG	Apr-DRG 42.00: Kidney Transplant	6	5	—	—	$35,189.96	$45,782.15	$35,629.84	2026-03-06
5114	APR_DRG	Apr-DRG 42.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	6	5	—	—	$35,305.39	$45,932.32	$35,746.71	2026-03-06
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	15	8	—	—	$1.72	$46,635.02	$32,186.62	2026-03-06
1833	APR_DRG	Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures	6	5	—	—	$36,068.40	$46,925.00	$36,519.26	2026-03-06
6032	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …	6	5	—	—	$36,168.84	$47,055.66	$36,620.96	2026-03-06
1782	APR_DRG	Apr-DRG 42.00: External Heart Assist Devices	6	5	—	—	$36,232.75	$47,138.81	$36,685.67	2026-03-06
4414	APR_DRG	Apr-DRG 42.00: Major Bladder Procedures	6	5	—	—	$36,484.48	$47,466.31	$36,940.54	2026-03-06
1622	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	5	—	—	$36,653.38	$47,686.06	$37,111.56	2026-03-06
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	16	9	—	—	$1.76	$47,720.26	$32,935.63	2026-03-06
6113	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	5	—	—	$36,697.73	$47,743.75	$37,156.46	2026-03-06
6133	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal…	6	5	—	—	$36,842.51	$47,932.11	$37,303.04	2026-03-06
5204	APR_DRG	Apr-DRG 42.00: Other GYN Procedures For Malignancy	6	5	—	—	$36,856.85	$47,950.77	$37,317.57	2026-03-06
4014	APR_DRG	Apr-DRG 42.00: Adrenal Procedures	6	5	—	—	$36,993.15	$48,128.10	$37,455.57	2026-03-06
924	APR_DRG	Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced…	6	5	—	—	$37,297.71	$48,524.32	$37,763.93	2026-03-06
31	MS_DRG	Ventricular Shunt Procedures With Mcc	16	9	—	—	$1.79	$48,672.97	$33,593.17	2026-03-06
163	MS_DRG	Major Chest Procedures With Mcc	16	9	—	—	$1.79	$48,687.09	$33,602.92	2026-03-06
6123	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…	6	5	—	—	$37,537.04	$48,835.70	$38,006.26	2026-03-06
4402	APR_DRG	Apr-DRG 42.00: Kidney Transplant	6	5	—	—	$37,602.91	$48,921.40	$38,072.96	2026-03-06
6302	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	6	5	—	—	$37,623.78	$48,948.55	$38,094.08	2026-03-06
274	APR_DRG	Apr-DRG 42.00: Other Open Craniotomy	6	5	—	—	$37,716.39	$49,069.03	$38,187.85	2026-03-06
799	MS_DRG	Splenic Procedures With Mcc	15	8	—	—	$1.81	$49,198.75	$33,956.04	2026-03-06
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	16	9	—	—	$1.82	$49,392.12	$34,089.51	2026-03-06
6234	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal…	6	5	—	—	$37,973.98	$49,404.16	$38,448.67	2026-03-06
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	15	8	—	—	$1.82	$49,413.85	$34,104.51	2026-03-06
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	16	9	—	—	$1.84	$49,933.11	$34,462.89	2026-03-06
61	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	6	5	—	—	$38,628.09	$50,255.15	$39,110.95	2026-03-06
6	MS_DRG	Liver Transplant Without Mcc	12	8	—	—	$1.85	$50,373.08	$34,766.55	2026-03-06
1653	APR_DRG	Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis	6	5	—	—	$38,719.39	$50,373.94	$39,203.39	2026-03-06
6092	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	5	—	—	$38,863.52	$50,561.44	$39,349.32	2026-03-06
9504	APR_DRG	Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	5	—	—	$38,872.65	$50,573.32	$39,358.57	2026-03-06
2614	APR_DRG	Apr-DRG 42.00: Major Biliary Tract Procedures	6	5	—	—	$38,878.51	$50,580.96	$39,364.50	2026-03-06
4284	APR_DRG	Apr-DRG 42.00: Genetic Disorders	6	5	—	—	$39,035.68	$50,785.43	$39,523.63	2026-03-06
3614	APR_DRG	Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses	6	5	—	—	$39,083.29	$50,847.37	$39,571.84	2026-03-06
894	APR_DRG	Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures	6	5	—	—	$39,126.98	$50,904.21	$39,616.07	2026-03-06
204	APR_DRG	Apr-DRG 42.00: Open Craniotomy For Trauma	6	5	—	—	$39,150.46	$50,934.76	$39,639.85	2026-03-06
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	12	8	—	—	$1.88	$51,072.67	$35,249.39	2026-03-06
41	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	6	5	—	—	$39,461.54	$51,339.47	$39,954.82	2026-03-06
6954	APR_DRG	Apr-DRG 42.00: Chemotherapy For Acute Leukemia	6	5	—	—	$39,575.66	$51,487.95	$40,070.37	2026-03-06
2204	APR_DRG	Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures	6	5	—	—	$39,705.44	$51,656.79	$40,201.76	2026-03-06
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	15	8	—	—	$1.83	$51,791.63	$34,375.17	2026-03-06
1304	APR_DRG	Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	5	—	—	$39,836.52	$51,827.32	$40,334.49	2026-03-06
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	15	8	—	—	$1.92	$52,190.50	$36,020.90	2026-03-06
3124	APR_DRG	Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses	6	5	—	—	$40,169.77	$52,260.88	$40,671.90	2026-03-06
6814	APR_DRG	Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop…	6	5	—	—	$40,245.42	$52,359.30	$40,748.49	2026-03-06
1204	APR_DRG	Apr-DRG 42.00: Major Respiratory And Chest Procedures	6	5	—	—	$40,310.63	$52,444.14	$40,814.52	2026-03-06
471	MS_DRG	Cervical Spinal Fusion With Mcc	16	9	—	—	$1.93	$52,455.57	$36,203.85	2026-03-06
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	12	8	—	—	$1.94	$52,559.86	$40,729.42	2026-03-06
6083	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …	6	5	—	—	$40,734.53	$52,995.63	$41,243.72	2026-03-06
7404	APR_DRG	Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure	6	5	—	—	$40,749.53	$53,015.15	$41,258.91	2026-03-06
234	APR_DRG	Apr-DRG 42.00: Spinal Procedures	6	5	—	—	$40,861.05	$53,160.23	$41,371.82	2026-03-06
106	MS_DRG	DRG Grouper 12 (10/1/1994): DRG 106: Coronary Bypass W Cardiac Cath	1	1	—	—	$53,237.18	$53,237.18	$53,237.18	2026-03-06
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	16	9	—	—	$1.97	$53,465.85	$36,901.12	2026-03-06
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	15	8	—	—	$1.98	$53,649.44	$37,027.84	2026-03-06
1694	APR_DRG	Apr-DRG 42.00: Major Abdominal Vascular Procedures	6	5	—	—	$41,414.07	$53,879.71	$41,931.76	2026-03-06
91	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	6	5	—	—	$41,600.58	$54,122.37	$42,120.60	2026-03-06
105	MS_DRG	DRG Grouper 12 (10/1/1994): DRG 105: Cardiac Valve Procedures Without	1	1	—	—	$54,151.03	$54,151.03	$54,151.03	2026-03-06
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	16	9	—	—	$1.99	$54,179.57	$37,393.73	2026-03-06
1633	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…	6	5	—	—	$41,693.84	$54,243.70	$42,215.02	2026-03-06
2604	APR_DRG	Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures	6	5	—	—	$41,812.53	$54,398.12	$42,335.19	2026-03-06
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	16	9	—	—	$2.02	$54,753.15	$38,261.76	2026-03-06
28002624	CDM	Hc Wireless Pressure Sensor (cardiomems)	13	9	$73,239.00	$43,943.40 40% off	$14,647.80	$54,929.25	$34,788.53	2026-03-06
6072	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	6	5	—	—	$42,367.51	$55,120.14	$42,897.12	2026-03-06
83	APR_DRG	Apr-DRG 42.00: Autologous Bone Marrow Transplant	6	5	—	—	$42,432.73	$55,204.99	$42,963.15	2026-03-06
6904	APR_DRG	Apr-DRG 42.00: Acute Leukemia	6	5	—	—	$42,999.44	$55,942.29	$43,536.94	2026-03-06
484	MS_DRG	DRG Grouper 12 (10/1/1994): DRG 484: Craniotomy For Multiple	1	1	—	—	$56,171.27	$56,171.27	$56,171.27	2026-03-06
3004	APR_DRG	Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except…	6	5	—	—	$43,352.26	$56,401.30	$43,894.17	2026-03-06
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	16	9	—	—	$1.73	$56,415.88	$32,445.28	2026-03-06
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	16	9	—	—	$2.08	$56,547.77	$39,028.20	2026-03-06
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	15	8	—	—	$1.88	$56,647.10	$35,177.42	2026-03-06
52	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	5	—	—	$43,633.33	$56,766.98	$44,178.76	2026-03-06
9124	APR_DRG	Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra…	6	5	—	—	$43,767.02	$56,940.91	$44,314.12	2026-03-06
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	16	9	—	—	$2.11	$57,317.98	$39,559.79	2026-03-06
108	MS_DRG	DRG Grouper 12 (10/1/1994): DRG 108: Other Cardiothoracic Procedures	1	1	—	—	$57,367.82	$57,367.82	$57,367.82	2026-03-06
4403	APR_DRG	Apr-DRG 42.00: Kidney Transplant	6	5	—	—	$44,124.40	$57,405.86	$44,675.96	2026-03-06
6021	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	6	5	—	—	$44,234.61	$57,549.24	$44,787.56	2026-03-06
6033	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …	6	5	—	—	$44,328.52	$57,671.42	$44,882.64	2026-03-06
2993	APR_DRG	Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce…	6	5	—	—	$44,436.13	$57,811.41	$44,991.59	2026-03-06
1783	APR_DRG	Apr-DRG 42.00: External Heart Assist Devices	6	5	—	—	$44,500.04	$57,894.56	$45,056.30	2026-03-06
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	16	9	—	—	$2.13	$57,896.99	$39,959.42	2026-03-06
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	16	9	—	—	$1.90	$57,904.32	$37,120.76	2026-03-06
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	16	9	—	—	$2.13	$57,931.75	$41,301.21	2026-03-06
214	APR_DRG	Apr-DRG 42.00: Open Craniotomy Except Trauma	6	5	—	—	$44,813.72	$58,302.66	$45,373.90	2026-03-06
8504	APR_DRG	Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co…	6	5	—	—	$44,876.98	$58,384.96	$45,437.95	2026-03-06
11	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	6	5	—	—	$45,169.80	$58,765.92	$45,734.43	2026-03-06
6144	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif…	6	5	—	—	$45,491.96	$59,185.05	$46,060.62	2026-03-06
914	APR_DRG	Apr-DRG 42.00: Other Major Head And Neck Procedures	6	5	—	—	$45,577.39	$59,296.19	$46,147.11	2026-03-06
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	16	9	—	—	$2.19	$59,342.89	$40,957.34	2026-03-06
1603	APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	6	5	—	—	$45,712.38	$59,471.82	$46,283.79	2026-03-06
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	16	9	—	—	$1.85	$59,508.35	$35,869.92	2026-03-06
3033	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	5	—	—	$45,774.99	$59,553.27	$46,347.18	2026-03-06
1794	APR_DRG	Apr-DRG 42.00: Defibrillator Implants	6	5	—	—	$45,844.77	$59,644.06	$46,417.84	2026-03-06
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	16	9	—	—	$2.18	$60,375.40	$40,892.88	2026-03-06
1664	APR_DRG	Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	5	—	—	$46,450.62	$60,432.26	$47,031.26	2026-03-06
3044	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	5	—	—	$46,517.14	$60,518.80	$47,098.61	2026-03-06
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	12	8	—	—	$2.24	$60,884.40	$42,021.27	2026-03-06
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	16	9	—	—	$2.25	$61,073.42	$42,151.72	2026-03-06
33264	HCPCS	Hc Remv&replc Icd Gen Multi Leads	21	12	$81,556.00	$48,933.60 40% off	$499.04	$61,167.00	$32,622.40	2026-03-06
33270	HCPCS	Hc Insert/replace Subq Defibrillator	21	12	$81,556.00	$48,933.60 40% off	$397.50	$61,167.00	$32,622.40	2026-03-06
33249	HCPCS	Hc Ins/rep Lds Sc/dc Icd+ Gen Ins	21	12	$81,556.00	$48,933.60 40% off	$892.40	$61,167.00	$32,116.75	2026-03-06
9114	APR_DRG	Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa…	6	5	—	—	$47,072.11	$61,240.83	$47,660.53	2026-03-06
6254	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi…	6	5	—	—	$47,121.03	$61,304.47	$47,710.05	2026-03-06
6084	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant …	6	5	—	—	$47,189.50	$61,393.55	$47,779.38	2026-03-06
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	16	9	—	—	$2.28	$61,915.32	$42,732.78	2026-03-06
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	14	9	—	—	$2.28	$61,995.71	$42,788.27	2026-03-06
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	16	9	—	—	$2.29	$62,249.91	$42,963.72	2026-03-06
6804	APR_DRG	Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl…	6	5	—	—	$48,104.47	$62,583.92	$48,705.79	2026-03-06
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	16	9	—	—	$2.19	$62,615.27	$41,015.83	2026-03-06
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	16	9	—	—	$2.31	$62,649.68	$43,239.64	2026-03-06
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	16	9	—	—	$1.79	$62,730.88	$33,461.20	2026-03-06
1623	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	5	—	—	$48,483.37	$63,076.87	$49,089.42	2026-03-06
6313	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	5	—	—	$48,537.49	$63,147.29	$49,144.22	2026-03-06
10	MS_DRG	Pancreas Transplant	12	8	—	—	$1.23	$63,484.94	$53,262.79	2026-03-06
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	16	9	—	—	$2.35	$63,752.30	$44,000.64	2026-03-06
9104	APR_DRG	Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma	6	5	—	—	$49,489.63	$64,386.02	$50,108.26	2026-03-06
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	12	8	—	—	$2.37	$64,416.05	$44,458.75	2026-03-06
0408T	HCPCS	Hc Ins/rplc Ccm System	20	12	$86,071.00	$51,642.60 40% off	$22,501.54	$64,553.25	$35,762.50	2026-03-06
0409T	HCPCS	Hc Ins/rplc Ccm; Gen Only	20	12	$86,071.00	$51,642.60 40% off	$16,007.06	$64,553.25	$34,161.58	2026-03-06
0414T	HCPCS	Hc Exchange Of Ccm; Gen Only	20	12	$86,071.00	$51,642.60 40% off	$16,007.06	$64,553.25	$34,161.58	2026-03-06
1834	APR_DRG	Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures	6	5	—	—	$49,635.71	$64,576.07	$50,256.17	2026-03-06
8413	APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	6	5	—	—	$49,699.62	$64,659.22	$50,320.88	2026-03-06
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	16	9	—	—	$1.67	$64,753.99	$32,120.28	2026-03-06
28	MS_DRG	Spinal Procedures With Mcc	16	9	—	—	$2.40	$65,269.91	$45,048.07	2026-03-06
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	16	9	—	—	$2.23	$66,415.83	$41,733.35	2026-03-06
1674	APR_DRG	Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures	6	5	—	—	$51,052.18	$66,418.90	$51,690.35	2026-03-06
12	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	6	5	—	—	$51,415.43	$66,891.48	$52,058.13	2026-03-06
1654	APR_DRG	Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis	6	5	—	—	$52,104.10	$67,787.44	$52,755.41	2026-03-06
27001190	CDM	Hc Impella System	13	10	$91,103.00	$54,661.80 40% off	$31,886.05	$68,327.25	$45,551.50	2026-03-06
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	15	8	—	—	$2.35	$68,785.76	$43,972.15	2026-03-06
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	16	9	—	—	$2.43	$68,930.27	$47,271.12	2026-03-06
6214	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly	6	5	—	—	$53,158.62	$69,159.38	$53,823.12	2026-03-06
245	MS_DRG	Aicd Generator Procedures	16	9	—	—	$1.82	$69,580.55	$34,207.22	2026-03-06
71	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	6	5	—	—	$53,590.34	$69,721.05	$54,260.24	2026-03-06
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	15	8	—	—	$1.87	$69,811.77	$35,072.45	2026-03-06
6334	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly	6	5	—	—	$54,063.80	$70,337.02	$54,739.61	2026-03-06
6124	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy…	6	5	—	—	$54,205.97	$70,521.98	$54,883.56	2026-03-06
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	16	9	—	—	$2.63	$71,429.39	$51,268.73	2026-03-06
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	16	9	—	—	$2.63	$71,429.39	$51,268.73	2026-03-06
104	MS_DRG	DRG Grouper 12 (10/1/1994): DRG 104: Cardiac Valve Procedures W Cardiac	1	1	—	—	$71,451.26	$71,451.26	$71,451.26	2026-03-06
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	16	9	—	—	$2.39	$71,632.57	$44,709.17	2026-03-06
1784	APR_DRG	Apr-DRG 42.00: External Heart Assist Devices	6	5	—	—	$55,150.28	$71,750.53	$55,839.67	2026-03-06
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	13	9	—	—	$2.65	$71,993.20	$53,492.65	2026-03-06
62	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	6	5	—	—	$55,613.31	$72,352.93	$56,308.49	2026-03-06
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	16	9	—	—	$2.67	$72,584.16	$50,096.22	2026-03-06
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	16	9	—	—	$2.45	$73,245.00	$47,784.16	2026-03-06
6073	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	6	5	—	—	$56,725.22	$73,799.53	$57,434.30	2026-03-06
92	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	6	5	—	—	$56,810.00	$73,909.83	$57,520.14	2026-03-06
2994	APR_DRG	Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce…	6	5	—	—	$56,826.96	$73,931.89	$57,537.31	2026-03-06
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	16	9	—	—	$1.98	$74,031.40	$38,575.71	2026-03-06
42	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	6	5	—	—	$57,036.95	$74,205.09	$57,749.93	2026-03-06
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	15	8	—	—	$2.76	$75,144.11	$51,822.18	2026-03-06
1634	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos…	6	5	—	—	$57,996.91	$75,454.00	$58,721.89	2026-03-06
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	16	9	—	—	$2.40	$77,109.42	$45,035.31	2026-03-06
6022	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	6	5	—	—	$59,380.78	$77,254.40	$60,123.05	2026-03-06
6093	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	5	—	—	$59,560.12	$77,487.72	$60,304.63	2026-03-06
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	15	8	—	—	$2.87	$77,919.12	$53,778.30	2026-03-06
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	16	9	—	—	$2.89	$78,417.75	$54,122.45	2026-03-06
84	APR_DRG	Apr-DRG 42.00: Autologous Bone Marrow Transplant	6	5	—	—	$60,286.61	$78,432.89	$61,040.21	2026-03-06
72	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	6	5	—	—	$60,708.55	$78,981.84	$61,467.42	2026-03-06
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	15	8	—	—	$1.96	$79,089.17	$36,747.43	2026-03-06
653	MS_DRG	Major Bladder Procedures With Mcc	15	8	—	—	$2.08	$79,161.43	$38,960.72	2026-03-06
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	16	9	—	—	$2.75	$79,580.50	$51,568.00	2026-03-06
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	16	9	—	—	$2.57	$81,733.67	$48,245.05	2026-03-06
37231	HCPCS	Hc Tib/per Revasc Stent & Ather	21	12	$110,164.00	$66,098.40 40% off	$892.40	$82,623.00	$32,136.88	2026-03-06
5931	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	6	5	—	—	$63,620.40	$82,770.15	$64,415.67	2026-03-06
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	15	8	—	—	$3.05	$82,904.18	$57,131.26	2026-03-06
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	16	9	—	—	$3.06	$83,052.02	$57,320.94	2026-03-06
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	16	9	—	—	$3.07	$83,411.60	$57,569.11	2026-03-06
63	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	6	5	—	—	$64,507.97	$83,924.88	$65,314.33	2026-03-06
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	16	9	—	—	$2.12	$83,944.64	$39,691.00	2026-03-06
4404	APR_DRG	Apr-DRG 42.00: Kidney Transplant	6	5	—	—	$64,899.91	$84,434.80	$65,711.18	2026-03-06
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	15	8	—	—	$2.62	$84,623.83	$49,120.03	2026-03-06
53	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	5	—	—	$65,437.93	$85,134.77	$66,255.92	2026-03-06
3034	APR_DRG	Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	5	—	—	$65,959.00	$85,812.68	$66,783.50	2026-03-06
1624	APR_DRG	Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	5	—	—	$66,279.21	$86,229.26	$67,107.71	2026-03-06
955	MS_DRG	Craniotomy For Multiple Significant Trauma	15	8	—	—	$2.69	$86,444.63	$50,467.35	2026-03-06
13	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	6	5	—	—	$66,530.94	$86,556.76	$67,362.59	2026-03-06
111	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	5	—	—	$67,127.65	$87,333.09	$67,966.76	2026-03-06
8634	APR_DRG	Apr-DRG 42.00: Neonatal Aftercare	6	5	—	—	$67,301.12	$87,558.78	$68,142.40	2026-03-06
6134	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal…	6	5	—	—	$68,179.57	$88,701.64	$69,031.83	2026-03-06
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	16	9	—	—	$2.67	$89,392.59	$50,132.97	2026-03-06
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	16	9	—	—	$2.85	$89,479.29	$53,461.17	2026-03-06
6114	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	5	—	—	$68,812.15	$89,524.63	$69,672.32	2026-03-06
C1882	HCPCS	Hc Biv Defibrillator	13	9	$75,112.00	$45,067.20 40% off	$15,022.40	$89,600.45	$37,556.00	2026-03-06
65200019	CDM	Hc Pancreas Acq W/after Kidney	12	9	$122,033.00	$73,219.80 40% off	$42,711.55	$91,524.75	$61,016.50	2026-03-06
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	16	9	—	—	$2.14	$92,311.65	$41,409.45	2026-03-06
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	15	8	—	—	$2.38	$94,291.40	$44,562.20	2026-03-06
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	15	8	—	—	$2.45	$95,476.37	$45,895.29	2026-03-06
6023	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	6	5	—	—	$74,313.68	$96,682.12	$75,242.62	2026-03-06
834	MS_DRG	Acute Leukemia With Mcc	15	8	—	—	$2.20	$98,395.43	$41,161.28	2026-03-06
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	16	9	—	—	$3.36	$98,496.58	$63,005.66	2026-03-06
6034	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant …	6	5	—	—	$78,283.97	$101,847.46	$79,262.54	2026-03-06
231	MS_DRG	Coronary Bypass With Ptca With Mcc	16	9	—	—	$3.37	$102,340.49	$63,204.35	2026-03-06
8513	APR_DRG	Apr-DRG 42.00: Gender Related Procedures	6	5	—	—	$78,949.81	$102,713.72	$79,936.70	2026-03-06
8514	APR_DRG	Apr-DRG 42.00: Gender Related Procedures	6	5	—	—	$78,949.81	$102,713.72	$79,936.70	2026-03-06
65000029	CDM	Hc Kidney Acquis Chge-living Donr	12	9	$141,477.00	$84,886.20 40% off	$49,516.95	$106,107.75	$70,738.50	2026-03-06
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	16	9	—	—	$3.91	$106,273.39	$73,347.89	2026-03-06
6303	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	6	5	—	—	$82,554.89	$107,403.93	$83,586.85	2026-03-06
6074	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy…	6	5	—	—	$82,735.54	$107,638.95	$83,769.75	2026-03-06
215	MS_DRG	Other Heart Assist System Implant	16	9	—	—	$3.98	$108,165.78	$74,653.98	2026-03-06
5932	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	6	5	—	—	$83,597.02	$108,759.75	$84,642.00	2026-03-06
64	APR_DRG	Apr-DRG 42.00: Pancreas Transplant	6	5	—	—	$83,705.28	$108,900.59	$84,751.61	2026-03-06
21	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	6	5	—	—	$83,931.58	$109,195.00	$84,980.74	2026-03-06
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	16	9	—	—	$3.15	$111,010.97	$58,997.42	2026-03-06
8424	APR_DRG	Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns	6	5	—	—	$85,558.69	$111,311.87	$86,628.19	2026-03-06
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	12	8	—	—	$4.12	$112,005.95	$77,304.40	2026-03-06
73	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	6	5	—	—	$86,208.88	$112,157.77	$87,286.51	2026-03-06
65000019	CDM	Hc Kidney Acquis Chge-cadaver	12	9	$150,156.00	$90,093.60 40% off	$52,554.60	$112,617.00	$75,078.00	2026-03-06
43	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	6	5	—	—	$89,254.42	$116,120.02	$90,370.11	2026-03-06
54	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	5	—	—	$90,168.73	$117,309.54	$91,295.86	2026-03-06
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	16	9	—	—	$4.41	$119,726.49	$82,632.97	2026-03-06
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	16	9	—	—	$3.60	$120,519.59	$67,550.72	2026-03-06
209	MS_DRG	Complex Aortic Arch Procedures	14	9	—	—	$4.53	$122,959.41	$84,864.26	2026-03-06
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	13	9	—	—	$4.53	$123,100.63	$84,961.74	2026-03-06
22	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	6	5	—	—	$94,962.02	$123,545.62	$96,149.07	2026-03-06
1604	APR_DRG	Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly	6	5	—	—	$98,623.84	$128,309.64	$99,856.66	2026-03-06
1612	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	6	5	—	—	$98,984.48	$128,778.83	$100,221.80	2026-03-06
1611	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	6	5	—	—	$98,984.48	$128,778.83	$100,221.80	2026-03-06
14	MS_DRG	Allogeneic Bone Marrow Transplant	12	8	—	—	$4.81	$130,553.93	$90,105.86	2026-03-06
850	MS_DRG	Acute Leukemia With Other Procedures	15	8	—	—	$3.46	$133,106.23	$64,925.80	2026-03-06
5933	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	6	5	—	—	$103,933.64	$135,217.69	$105,232.83	2026-03-06
5912	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	6	5	—	—	$104,532.96	$135,997.41	$105,839.65	2026-03-06
6024	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy…	6	5	—	—	$107,031.35	$139,247.81	$108,369.26	2026-03-06
7	MS_DRG	Lung Transplant	12	8	—	—	$5.18	$140,681.78	$97,095.91	2026-03-06
93	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	6	5	—	—	$113,190.24	$147,260.53	$114,605.14	2026-03-06
5891	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	6	5	—	—	$114,872.13	$149,448.67	$116,308.06	2026-03-06
5892	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	6	5	—	—	$114,872.13	$149,448.67	$116,308.06	2026-03-06
5893	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…	6	5	—	—	$114,872.13	$149,448.67	$116,308.06	2026-03-06
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	16	9	—	—	$5.54	$150,471.78	$103,852.80	2026-03-06
A9543	HCPCS	Hc Y90 Ibritumomab Tiux/sdto40mci	21	13	$205,976.00	$123,585.60 40% off	$44,117.51	$154,482.00	$84,276.49	2026-03-06
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	16	9	—	—	$4.35	$156,097.43	$81,530.08	2026-03-06
65200029	CDM	Hc Pancreas Acq No Related Kidney	12	9	$208,918.00	$125,350.80 40% off	$73,121.30	$156,688.50	$104,459.00	2026-03-06
5881	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	6	5	—	—	$120,546.48	$156,831.00	$122,053.33	2026-03-06
5913	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	6	5	—	—	$121,874.26	$158,558.44	$123,397.71	2026-03-06
23	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	6	5	—	—	$125,406.30	$163,153.62	$126,973.90	2026-03-06
14	APR_DRG	Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant	6	5	—	—	$128,146.63	$166,718.79	$129,748.49	2026-03-06
44	APR_DRG	Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure	6	5	—	—	$129,433.97	$168,393.62	$131,051.92	2026-03-06
1613	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	6	5	—	—	$134,525.30	$175,017.44	$136,206.89	2026-03-06
74	APR_DRG	Apr-DRG 42.00: Allogeneic Bone Marrow Transplant	6	5	—	—	$135,545.91	$176,345.26	$137,240.26	2026-03-06
112	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	5	—	—	$136,299.14	$177,325.21	$138,002.91	2026-03-06
5882	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	6	5	—	—	$140,637.24	$182,969.08	$142,395.23	2026-03-06
5934	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure	6	5	—	—	$142,077.18	$184,842.45	$143,853.17	2026-03-06
6304	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce…	6	5	—	—	$149,766.67	$194,846.47	$151,638.79	2026-03-06
8414	APR_DRG	Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft	6	5	—	—	$152,822.64	$198,822.29	$154,732.96	2026-03-06
5831	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	6	5	—	—	$157,934.84	$205,473.26	$159,909.05	2026-03-06
5914	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure	6	5	—	—	$161,599.26	$210,240.68	$163,619.29	2026-03-06
5883	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	6	5	—	—	$164,125.03	$213,526.71	$166,176.63	2026-03-06
6314	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	5	—	—	$165,141.73	$214,849.44	$167,206.04	2026-03-06
94	APR_DRG	Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo)	6	5	—	—	$168,422.04	$219,117.12	$170,527.36	2026-03-06
113	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	5	—	—	$171,448.02	$223,053.91	$173,591.15	2026-03-06
6094	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	5	—	—	$171,697.14	$223,378.01	$173,843.39	2026-03-06
1614	APR_DRG	Apr-DRG 42.00: Implantable Heart Assist Systems	6	5	—	—	$171,802.78	$223,515.46	$173,950.35	2026-03-06
5832	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	6	5	—	—	$175,947.84	$228,908.19	$178,147.22	2026-03-06
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	16	9	—	—	$8.49	$230,575.50	$159,138.87	2026-03-06
5833	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	6	5	—	—	$229,153.42	$298,128.65	$232,017.89	2026-03-06
24	APR_DRG	Apr-DRG 42.00: Heart And/or Lung Transplant	6	5	—	—	$230,222.29	$299,519.26	$233,100.12	2026-03-06
114	APR_DRG	Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	5	—	—	$230,374.89	$299,717.79	$233,254.62	2026-03-06
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	13	9	—	—	$11.21	$304,431.75	$210,113.07	2026-03-06
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	15	8	—	—	$7.37	$313,524.34	$160,078.32	2026-03-06
5884	APR_DRG	Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure	6	5	—	—	$246,434.06	$320,610.77	$249,514.54	2026-03-06
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	13	9	—	—	$17.27	$469,107.28	$323,769.02	2026-03-06
5834	APR_DRG	Apr-DRG 42.00: Neonate With Ecmo	6	5	—	—	$402,353.76	$523,462.33	$407,383.27	2026-03-06

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