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

GEISINGER-LEWISTOWN HOSPITAL

Lewistown, PA · CCN 390048 · Rates published

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You selected 93306 (CPT)

HC 2D TTE DOPPLER COLOR FLOW CPL

This hospital’s price: $2,330 across 17 payers · range $787-$24,358

Source: https://www.geisinger.org/-/media/OneGeisinger/pdfs/ghs/patient-care/patients-and-visitors/billing-and-insurance/hosp-charges-csv/23-1352187_Geisinger-Lewistown-Hospital_standardcharges · observed 2026-07-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

9,284 distinct procedures filed
28 distinct payers
275,758 rate rows
2026-07-01 last MRF observed
Data quality

249,803 of 275,758 rate rows are consumer-grade (90.6%)

25,955 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
exceeds 10× this hospital's gross charge — excluded from medians 21,836
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,369
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,419
per-diem day rate — not a per-procedure price 141
placeholder amount (≤ $0.02) — excluded from medians 108
exceeds 3× this hospital's gross charge for a DRG stay — excluded 53
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 28
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.geisinger.org/-/media/OneGeisinger/pdfs/ghs/patient-care/patients-and-visitors/billing-and-insurance/hosp-charges-csv/23-1352187_Geisinger-Lewistown-Hospital_standardcharges
Found on page https://www.geisinger.org/patient-care/patients-and-visitors/billing-and-insurance/tools-to-use/shop-services-and-view-hospital-charge-lists
Discovered viaCMS hospital list
Last fetch success · 2026-08-03
Content fingerprint 1471d2feec903898… · 123,607,319 bytes · first seen 2026-08-03

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
J3590
HCPCS 		Omidubicel-onlv Susp 1 Each Flex Cont 15 $1.00 $1,843,452.00 $632,304.04 nat. median
$775
outlier · 815.6×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $286,353.78 $1,050,702.00 $448,419.90 nat. median
$359,358
1.2× median
583 - 4
OTHER 		Neonate With Ecmo 9 $12,413.27 $482,824.53 $412,412.47 nat. median
$341,637
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $185,832.09 $714,701.00 $305,229.31 nat. median
$249,124
1.2× median
588 - 4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $12,413.27 $295,720.86 $252,594.82 nat. median
$135,396
1.9× median
002 - 4
OTHER 		Heart And/or Lung Transplant 9 $12,413.27 $276,266.76 $235,977.78 nat. median
$950,509
outlier · 0.2×
583 - 3
OTHER 		Neonate With Ecmo 9 $12,413.27 $274,984.09 $234,882.17 nat. median
$269,285
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $16,340.00 $528,465.31 $203,223.16 nat. median
$198,433
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 12 $16,340.00 $496,506.00 $202,030.51 nat. median
$190,557
1.1× median
583 - 2
OTHER 		Neonate With Ecmo 9 $12,413.27 $211,137.41 $180,346.48 nat. median
$206,761
0.9× median
161 - 4
OTHER 		Implantable Heart Assist Systems 9 $12,413.27 $206,163.35 $176,097.80 nat. median
$467,324
outlier · 0.4×
609 - 4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $12,413.27 $206,036.56 $175,989.51 nat. median
$184,672
1.0× median
009 - 4
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 9 $12,413.27 $202,106.46 $172,632.54 nat. median
$307,953
0.6× median
631 - 4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $12,413.27 $198,170.09 $169,270.22 nat. median
$48,747
outlier · 3.5×
588 - 3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $12,413.27 $196,950.04 $168,228.10 nat. median
$172,331
1.0× median
591 - 4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $12,413.27 $193,919.11 $165,639.18 nat. median
$157,136
1.1× median
583 - 1
OTHER 		Neonate With Ecmo 9 $12,413.27 $189,521.80 $161,883.15 nat. median
$182,898
0.9× median
841 - 4
OTHER 		Extensive Third Degree Burns With Skin Graft 9 $12,413.27 $183,387.17 $156,643.16 nat. median
$253,670
0.6× median
630 - 4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $12,413.27 $179,720.00 $153,510.79 nat. median
$175,994
0.9× median
593 - 4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $12,413.27 $170,492.61 $145,629.06 nat. median
$161,603
0.9× median
588 - 2
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $12,413.27 $168,764.69 $144,153.12 nat. median
$157,618
0.9× median
7
MS_DRG 		Lung Transplant 11 $85,875.37 $298,991.14 $141,050.34 nat. median
$117,894
1.2× median
007 - 4
OTHER 		Allogeneic Bone Marrow Transplant 9 $12,413.27 $162,655.09 $138,934.51 nat. median
$232,782
0.6× median
161 - 3
OTHER 		Implantable Heart Assist Systems 9 $12,413.27 $161,430.36 $137,888.39 nat. median
$568,895
outlier · 0.2×
004 - 4
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $12,413.27 $155,320.76 $132,669.77 nat. median
$537,605
outlier · 0.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 12 $16,340.00 $305,487.00 $131,843.54 nat. median
$126,722
1.0× median
001 - 4
OTHER 		Liver Transplant And/or Intestinal Transplant 9 $12,413.27 $153,775.96 $131,350.25 nat. median
$166,822
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $79,693.10 $309,288.00 $130,895.96 nat. median
$110,192
1.2× median
002 - 3
OTHER 		Heart And/or Lung Transplant 9 $12,413.27 $150,487.56 $128,541.42 nat. median
$555,445
outlier · 0.2×
591 - 3
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $12,413.27 $146,249.12 $124,921.07 nat. median
$369,356
outlier · 0.3×
588 - 1
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $12,413.27 $144,655.79 $123,560.11 nat. median
$141,650
0.9× median
589 - 3
OTHER 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 9 $12,413.27 $137,846.57 $117,743.90 nat. median
$133,763
0.9× median
589 - 2
OTHER 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 9 $12,413.27 $137,846.57 $117,743.90 nat. median
$75,433
1.6× median
589 - 1
OTHER 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 9 $12,413.27 $137,846.57 $117,743.90 nat. median
$11,272
outlier · 10.4×
009 - 3
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 9 $12,413.27 $135,828.29 $116,019.96 nat. median
$72,623
1.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $68,370.99 $295,468.00 $112,299.39 nat. median
$94,964
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $75,143.43 $441,398.00 $111,823.17 nat. median
$103,967
1.1× median
602 - 4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $12,413.27 $128,437.61 $109,707.09 nat. median
$122,856
0.9× median
591 - 2
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $12,413.27 $125,439.55 $107,146.24 nat. median
$63,802
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $64,871.70 $268,063.00 $106,551.81 nat. median
$90,581
1.2× median
593 - 3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $12,413.27 $124,720.37 $106,531.95 nat. median
$136,257
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $16,340.00 $303,158.00 $103,504.32 nat. median
$97,414
1.1× median
161 - 1
OTHER 		Implantable Heart Assist Systems 9 $12,413.27 $118,781.37 $101,459.05 nat. median
$116,319
0.9× median
161 - 2
OTHER 		Implantable Heart Assist Systems 9 $12,413.27 $118,781.37 $101,459.05 nat. median
$116,319
0.9× median
160 - 4
OTHER 		Major Cardiothoracic Repair Of Heart Anomaly 9 $12,413.27 $118,348.61 $101,089.40 nat. median
$61,491
1.6× median
002 - 2
OTHER 		Heart And/or Lung Transplant 9 $12,413.27 $113,954.43 $97,336.04 nat. median
$101,640
1.0× median
005 - 4
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 $12,413.27 $108,202.47 $92,422.92 nat. median
$369,576
outlier · 0.3×
004 - 3
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $12,413.27 $107,105.30 $91,485.75 nat. median
$257,020
outlier · 0.4×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $16,340.00 $295,019.00 $88,848.89 nat. median
$93,270
1.0× median
007 - 3
OTHER 		Allogeneic Bone Marrow Transplant 9 $12,413.27 $103,450.66 $88,364.08 nat. median
$264,935
outlier · 0.3×

Other procedures at this hospital

Browse this hospital's 9,284 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3590 HCPCS Omidubicel-onlv Susp 1 Each Flex Cont 23 15 $2,048,280.00 $1,024,140.00 50% off $1.00 $1,843,452.00 $632,304.04 2026-07-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 11 — — $286,353.78 $1,050,702.00 $448,419.90 2026-07-01
583 - 4 OTHER Neonate With Ecmo 10 9 — — $12,413.27 $482,824.53 $412,412.47 2026-07-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 11 — — $185,832.09 $714,701.00 $305,229.31 2026-07-01
588 - 4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 10 9 — — $12,413.27 $295,720.86 $252,594.82 2026-07-01
002 - 4 OTHER Heart And/or Lung Transplant 10 9 — — $12,413.27 $276,266.76 $235,977.78 2026-07-01
583 - 3 OTHER Neonate With Ecmo 10 9 — — $12,413.27 $274,984.09 $234,882.17 2026-07-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 12 — — $16,340.00 $528,465.31 $203,223.16 2026-07-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 20 12 — — $16,340.00 $496,506.00 $202,030.51 2026-07-01
583 - 2 OTHER Neonate With Ecmo 10 9 — — $12,413.27 $211,137.41 $180,346.48 2026-07-01
161 - 4 OTHER Implantable Heart Assist Systems 10 9 — — $12,413.27 $206,163.35 $176,097.80 2026-07-01
609 - 4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 9 — — $12,413.27 $206,036.56 $175,989.51 2026-07-01
009 - 4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 10 9 — — $12,413.27 $202,106.46 $172,632.54 2026-07-01
631 - 4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 9 — — $12,413.27 $198,170.09 $169,270.22 2026-07-01
588 - 3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 10 9 — — $12,413.27 $196,950.04 $168,228.10 2026-07-01
591 - 4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 10 9 — — $12,413.27 $193,919.11 $165,639.18 2026-07-01
583 - 1 OTHER Neonate With Ecmo 10 9 — — $12,413.27 $189,521.80 $161,883.15 2026-07-01
841 - 4 OTHER Extensive Third Degree Burns With Skin Graft 10 9 — — $12,413.27 $183,387.17 $156,643.16 2026-07-01
630 - 4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 9 — — $12,413.27 $179,720.00 $153,510.79 2026-07-01
593 - 4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 10 9 — — $12,413.27 $170,492.61 $145,629.06 2026-07-01
588 - 2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 10 9 — — $12,413.27 $168,764.69 $144,153.12 2026-07-01
7 MS_DRG Lung Transplant 19 11 — — $85,875.37 $298,991.14 $141,050.34 2026-07-01
007 - 4 OTHER Allogeneic Bone Marrow Transplant 10 9 — — $12,413.27 $162,655.09 $138,934.51 2026-07-01
161 - 3 OTHER Implantable Heart Assist Systems 10 9 — — $12,413.27 $161,430.36 $137,888.39 2026-07-01
004 - 4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 10 9 — — $12,413.27 $155,320.76 $132,669.77 2026-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 20 12 — — $16,340.00 $305,487.00 $131,843.54 2026-07-01
001 - 4 OTHER Liver Transplant And/or Intestinal Transplant 10 9 — — $12,413.27 $153,775.96 $131,350.25 2026-07-01
14 MS_DRG Allogeneic Bone Marrow Transplant 19 11 — — $79,693.10 $309,288.00 $130,895.96 2026-07-01
002 - 3 OTHER Heart And/or Lung Transplant 10 9 — — $12,413.27 $150,487.56 $128,541.42 2026-07-01
591 - 3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 10 9 — — $12,413.27 $146,249.12 $124,921.07 2026-07-01
588 - 1 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 10 9 — — $12,413.27 $144,655.79 $123,560.11 2026-07-01
589 - 3 OTHER Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 9 — — $12,413.27 $137,846.57 $117,743.90 2026-07-01
589 - 2 OTHER Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 9 — — $12,413.27 $137,846.57 $117,743.90 2026-07-01
589 - 1 OTHER Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 9 — — $12,413.27 $137,846.57 $117,743.90 2026-07-01
009 - 3 OTHER Extracorporeal Membrane Oxygenation (ecmo) 10 9 — — $12,413.27 $135,828.29 $116,019.96 2026-07-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 11 — — $68,370.99 $295,468.00 $112,299.39 2026-07-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 11 — — $75,143.43 $441,398.00 $111,823.17 2026-07-01
602 - 4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $12,413.27 $128,437.61 $109,707.09 2026-07-01
591 - 2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 10 9 — — $12,413.27 $125,439.55 $107,146.24 2026-07-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 11 — — $64,871.70 $268,063.00 $106,551.81 2026-07-01
593 - 3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 10 9 — — $12,413.27 $124,720.37 $106,531.95 2026-07-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 12 — — $16,340.00 $303,158.00 $103,504.32 2026-07-01
161 - 1 OTHER Implantable Heart Assist Systems 10 9 — — $12,413.27 $118,781.37 $101,459.05 2026-07-01
161 - 2 OTHER Implantable Heart Assist Systems 10 9 — — $12,413.27 $118,781.37 $101,459.05 2026-07-01
160 - 4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 10 9 — — $12,413.27 $118,348.61 $101,089.40 2026-07-01
002 - 2 OTHER Heart And/or Lung Transplant 10 9 — — $12,413.27 $113,954.43 $97,336.04 2026-07-01
005 - 4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 9 — — $12,413.27 $108,202.47 $92,422.92 2026-07-01
004 - 3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 10 9 — — $12,413.27 $107,105.30 $91,485.75 2026-07-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 12 $329,514.53 $164,757.27 50% off $16,340.00 $295,019.00 $88,848.89 2026-07-01
007 - 3 OTHER Allogeneic Bone Marrow Transplant 10 9 — — $12,413.27 $103,450.66 $88,364.08 2026-07-01
842 - 4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 10 9 — — $12,413.27 $102,670.43 $87,697.62 2026-07-01
215 MS_DRG Other Heart Assist System Implant 20 12 — — $16,340.00 $434,438.00 $86,160.24 2026-07-01
002 - 1 OTHER Heart And/or Lung Transplant 10 9 — — $12,413.27 $100,717.89 $86,029.84 2026-07-01
006 - 4 OTHER Pancreas Transplant 10 9 — — $12,413.27 $100,446.34 $85,797.89 2026-07-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 12 — — $16,340.00 $234,741.00 $85,757.21 2026-07-01
593 - 2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 10 9 — — $12,413.27 $100,316.43 $85,686.92 2026-07-01
607 - 4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $12,413.27 $99,282.64 $84,803.89 2026-07-01
630 - 3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 9 — — $12,413.27 $99,065.87 $84,618.74 2026-07-01
850 MS_DRG Acute Leukemia With Other Procedures 20 12 — — $16,340.00 $259,265.00 $82,424.82 2026-07-01
603 - 4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 9 — — $12,413.27 $93,940.76 $80,241.04 2026-07-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 12 — — $16,340.00 $217,423.00 $80,239.38 2026-07-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 20 12 — — $16,340.00 $264,687.00 $79,987.14 2026-07-01
602 - 3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $12,413.27 $89,176.42 $76,171.49 2026-07-01
209 MS_DRG Complex Aortic Arch Procedures 17 12 — — $12,413.27 $229,726.36 $75,807.80 2026-07-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 12 — — $16,340.00 $265,770.00 $74,898.60 2026-07-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 12 — — $16,340.00 $206,858.00 $72,770.27 2026-07-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 12 — — $16,340.00 $192,673.00 $72,529.46 2026-07-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 12 — — $16,340.00 $216,918.00 $71,671.21 2026-07-01
10 MS_DRG Pancreas Transplant 19 11 $82,157.24 $41,078.62 50% off $47,583.50 $145,638.01 $71,301.30 2026-07-01
611 - 4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 9 — — $12,413.27 $82,574.59 $70,532.44 2026-07-01
613 - 4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 9 — — $12,413.27 $81,815.49 $69,884.04 2026-07-01
863 - 4 OTHER Neonatal Aftercare 10 9 — — $12,413.27 $80,761.35 $68,983.62 2026-07-01
001 - 3 OTHER Liver Transplant And/or Intestinal Transplant 10 9 — — $12,413.27 $79,837.13 $68,194.19 2026-07-01
162 - 4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 9 — — $12,413.27 $79,535.05 $67,936.17 2026-07-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 12 — — $16,340.00 $187,513.00 $67,910.17 2026-07-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 12 — — $16,340.00 $198,034.00 $67,870.18 2026-07-01
303 - 4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 9 — — $12,413.27 $79,150.81 $67,607.96 2026-07-01
005 - 3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 9 — — $12,413.27 $78,525.52 $67,073.85 2026-07-01
440 - 4 OTHER Kidney Transplant 10 9 — — $12,413.27 $77,879.90 $66,522.39 2026-07-01
006 - 3 OTHER Pancreas Transplant 10 9 — — $12,413.27 $77,409.56 $66,120.65 2026-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 12 $271,897.97 $135,948.98 50% off $16,340.00 $165,217.00 $65,789.46 2026-07-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 12 — — $16,340.00 $176,782.00 $65,466.78 2026-07-01
593 - 1 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 10 9 — — $12,413.27 $76,344.47 $65,210.88 2026-07-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 12 — — $16,340.00 $156,855.00 $64,069.48 2026-07-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 12 $260,757.44 $130,378.72 50% off $16,340.00 $199,802.00 $63,720.60 2026-07-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 12 — — $16,340.00 $174,113.00 $63,644.96 2026-07-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 12 — — $16,340.00 $188,699.00 $63,187.52 2026-07-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 12 — — $16,340.00 $178,143.00 $62,586.51 2026-07-01
007 - 2 OTHER Allogeneic Bone Marrow Transplant 10 9 — — $12,413.27 $72,850.26 $62,226.25 2026-07-01
008 - 4 OTHER Autologous Bone Marrow Transplant 10 9 — — $12,413.27 $72,343.93 $61,793.76 2026-07-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 12 — — $16,340.00 $156,756.00 $61,612.24 2026-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 12 $231,198.25 $115,599.13 50% off $16,340.00 $150,373.00 $61,248.21 2026-07-01
609 - 3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 9 — — $12,413.27 $71,472.14 $61,049.10 2026-07-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 11 — — $37,165.22 $150,025.00 $61,043.90 2026-07-01
602 - 2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $12,413.27 $71,256.93 $60,865.27 2026-07-01
163 - 4 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 9 — — $12,413.27 $69,596.30 $59,446.82 2026-07-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 12 — — $16,340.00 $142,638.87 $59,037.37 2026-07-01
004 - 2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 10 9 — — $12,413.27 $68,444.34 $58,462.85 2026-07-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 12 — — $16,340.00 $253,095.00 $58,332.72 2026-07-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 12 — — $16,340.00 $171,172.00 $58,265.15 2026-07-01
009 - 2 OTHER Extracorporeal Membrane Oxygenation (ecmo) 10 9 — — $12,413.27 $68,172.00 $58,230.23 2026-07-01
607 - 3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $12,413.27 $68,070.27 $58,143.34 2026-07-01
Q2043 HCPCS Sipuleucel-t Susp 250 Ml Flex Cont 36 21 $250,410.00 $125,205.00 50% off $1.00 $258,796.41 $57,861.48 2026-07-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 12 — — $16,340.00 $157,552.00 $57,706.41 2026-07-01
28 MS_DRG Spinal Procedures With Mcc 20 12 — — $16,340.00 $151,901.00 $57,189.56 2026-07-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 12 — — $16,340.00 $174,796.00 $57,173.38 2026-07-01
006 - 2 OTHER Pancreas Transplant 10 9 — — $12,413.27 $66,735.98 $57,003.62 2026-07-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 20 12 — — $16,340.00 $194,423.00 $56,759.32 2026-07-01
178 - 4 OTHER External Heart Assist Systems 10 9 — — $12,413.27 $66,180.34 $56,529.03 2026-07-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 12 — — $16,340.00 $155,445.00 $55,823.67 2026-07-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 12 — — $16,340.00 $160,689.00 $55,758.86 2026-07-01
612 - 4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $12,413.27 $65,047.17 $55,561.10 2026-07-01
633 - 4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 10 9 — — $12,413.27 $64,876.57 $55,415.38 2026-07-01
007 - 1 OTHER Allogeneic Bone Marrow Transplant 10 9 — — $12,413.27 $64,308.41 $54,930.08 2026-07-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 12 — — $16,340.00 $153,963.00 $54,893.71 2026-07-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 12 — — $16,340.00 $149,007.00 $54,543.44 2026-07-01
621 - 4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 9 — — $12,413.27 $63,790.35 $54,487.57 2026-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 12 — — $16,340.00 $150,148.00 $54,250.27 2026-07-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 12 — — $16,340.00 $151,486.00 $53,652.12 2026-07-01
165 - 4 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 10 9 — — $12,413.27 $62,524.92 $53,406.68 2026-07-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 12 $246,403.75 $123,201.88 50% off $16,340.00 $154,952.00 $53,083.63 2026-07-01
001 - 2 OTHER Liver Transplant And/or Intestinal Transplant 10 9 — — $12,413.27 $61,698.51 $52,700.79 2026-07-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 12 — — $16,340.00 $155,597.18 $52,570.27 2026-07-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 12 — — $16,340.00 $125,545.00 $52,414.23 2026-07-01
167 - 4 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 10 9 — — $12,413.27 $61,262.62 $52,328.46 2026-07-01
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 20 12 — — $16,340.00 $155,895.00 $52,070.56 2026-07-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 12 — — $16,340.00 $137,403.00 $51,996.31 2026-07-01
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 12 — — $16,340.00 $133,359.00 $51,914.45 2026-07-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 11 — — $39,321.03 $165,448.00 $51,628.64 2026-07-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 11 — — $31,175.92 $127,031.00 $51,206.47 2026-07-01
841 - 3 OTHER Extensive Third Degree Burns With Skin Graft 10 9 — — $12,413.27 $59,639.55 $50,942.10 2026-07-01
183 - 4 OTHER Percutaneous Structural Cardiac Procedures 10 9 — — $12,413.27 $59,562.86 $50,876.59 2026-07-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 12 — — $16,340.00 $146,523.00 $50,759.86 2026-07-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 12 — — $16,340.00 $144,945.00 $50,729.40 2026-07-01
910 - 4 OTHER Craniotomy For Multiple Significant Trauma 10 9 — — $12,413.27 $59,387.56 $50,726.85 2026-07-01
6 MS_DRG Liver Transplant Without Mcc 19 11 — — $30,748.87 $133,586.00 $50,505.04 2026-07-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 12 — — $16,340.00 $201,407.00 $50,388.65 2026-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 12 — — $16,340.00 $133,271.00 $50,222.07 2026-07-01
631 - 3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 9 — — $12,413.27 $58,244.99 $49,750.91 2026-07-01
162 - 3 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 9 — — $12,413.27 $58,180.04 $49,695.43 2026-07-01
680 - 4 OTHER Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 10 9 — — $12,413.27 $57,725.36 $49,307.07 2026-07-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 12 — — $16,340.00 $144,991.00 $48,675.99 2026-07-01
608 - 4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 9 — — $12,413.27 $56,627.40 $48,369.22 2026-07-01
625 - 4 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 10 9 — — $12,413.27 $56,545.23 $48,299.04 2026-07-01
911 - 4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 10 9 — — $12,413.27 $56,486.54 $48,248.90 2026-07-01
304 - 4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 9 — — $12,413.27 $55,820.57 $47,680.05 2026-07-01
166 - 4 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 9 — — $12,413.27 $55,740.74 $47,611.87 2026-07-01
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 20 12 $98,437.70 $49,218.85 50% off $16,340.00 $151,562.00 $47,472.20 2026-07-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 12 — — $16,340.00 $205,790.00 $47,091.46 2026-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 12 $129,972.49 $64,986.25 50% off $16,340.00 $146,557.00 $47,007.71 2026-07-01
179 - 4 OTHER Defibrillator Implants 10 9 — — $12,413.27 $55,013.72 $46,990.88 2026-07-01
303 - 3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 9 — — $12,413.27 $54,929.99 $46,919.35 2026-07-01
271997 LOCAL Valve Transcath Resilia 23mm 23 14 $119,000.00 $59,500.00 50% off $1.00 $107,100.00 $46,909.80 2026-07-01
160 - 3 OTHER Major Cardiothoracic Repair Of Heart Anomaly 10 9 — — $12,413.27 $54,854.86 $46,855.18 2026-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 12 — — $16,340.00 $133,950.00 $46,846.84 2026-07-01
091 - 4 OTHER Other Major Head And Neck Procedures 10 9 — — $12,413.27 $54,692.87 $46,716.81 2026-07-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 12 — — $16,340.00 $133,309.86 $46,651.71 2026-07-01
614 - 4 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 9 — — $12,413.27 $54,590.35 $46,629.24 2026-07-01
740 - 4 OTHER Mental Illness Diagnosis With O.r. Procedure 16 15 $152,160.97 $76,080.48 50% off $12,413.27 $136,944.87 $46,352.59 2026-07-01
001 - 1 OTHER Liver Transplant And/or Intestinal Transplant 10 9 — — $12,413.27 $54,203.76 $46,299.03 2026-07-01
850 - 4 OTHER Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 10 9 — — $12,413.27 $53,852.38 $45,998.89 2026-07-01
021 - 4 OTHER Open Craniotomy Except Trauma 10 9 — — $12,413.27 $53,776.47 $45,934.05 2026-07-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 12 — — $16,340.00 $130,452.00 $45,752.56 2026-07-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 12 — — $16,340.00 $181,915.00 $45,729.38 2026-07-01
178 - 3 OTHER External Heart Assist Systems 10 9 — — $12,413.27 $53,400.05 $45,612.53 2026-07-01
603 - 3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 9 — — $12,413.27 $53,194.23 $45,436.72 2026-07-01
602 - 1 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $12,413.27 $53,081.54 $45,340.46 2026-07-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 12 — — $16,340.00 $190,039.00 $45,315.32 2026-07-01
440 - 3 OTHER Kidney Transplant 10 9 — — $12,413.27 $52,949.28 $45,227.49 2026-07-01
471 MS_DRG Cervical Spinal Fusion With Mcc 20 12 — — $16,340.00 $137,180.00 $45,172.54 2026-07-01
912 - 4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 9 — — $12,413.27 $52,520.43 $44,861.19 2026-07-01
005 - 2 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 9 — — $12,413.27 $52,360.00 $44,724.15 2026-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 12 $114,411.79 $57,205.89 50% off $16,340.00 $140,644.00 $44,658.55 2026-07-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 12 — — $16,340.00 $143,270.00 $44,525.29 2026-07-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 11 — — $36,022.67 $117,099.00 $44,246.64 2026-07-01
690 - 4 OTHER Acute Leukemia 10 9 — — $12,413.27 $51,599.33 $44,074.42 2026-07-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 12 — — $16,340.00 $134,608.00 $43,960.86 2026-07-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 12 — — $16,340.00 $125,597.00 $43,640.08 2026-07-01
008 - 3 OTHER Autologous Bone Marrow Transplant 10 9 — — $12,413.27 $50,919.27 $43,493.53 2026-07-01
245 MS_DRG Aicd Generator Procedures 20 12 — — $16,340.00 $130,840.00 $43,426.87 2026-07-01
607 - 2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $12,413.27 $50,841.02 $43,426.68 2026-07-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 12 — — $16,340.00 $122,084.00 $43,277.43 2026-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 12 $196,518.59 $98,259.30 50% off $16,340.00 $142,921.00 $43,272.07 2026-07-01
799 MS_DRG Splenic Procedures With Mcc 20 12 — — $16,340.00 $141,105.00 $43,108.01 2026-07-01
260 - 4 OTHER Major Pancreas Liver And Shunt Procedures 10 9 — — $12,413.27 $50,175.04 $42,857.83 2026-07-01
163 - 3 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 9 — — $12,413.27 $50,032.61 $42,736.18 2026-07-01
163 MS_DRG Major Chest Procedures With Mcc 20 12 — — $16,340.00 $141,668.00 $42,659.68 2026-07-01
009 - 1 OTHER Extracorporeal Membrane Oxygenation (ecmo) 10 9 — — $12,413.27 $49,920.70 $42,640.59 2026-07-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 12 — — $16,340.00 $115,421.00 $42,479.79 2026-07-01
169 - 4 OTHER Major Abdominal Vascular Procedures 10 9 — — $12,413.27 $49,696.88 $42,449.40 2026-07-01
653 MS_DRG Major Bladder Procedures With Mcc 19 12 $52,167.62 $26,083.81 50% off $16,340.00 $144,519.00 $42,325.21 2026-07-01
280889 LOCAL Valve Heart Precision Mitral Pascal System 23 14 $107,100.00 $53,550.00 50% off $1.00 $96,390.00 $42,218.82 2026-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 12 $107,866.83 $53,933.41 50% off $16,340.00 $135,605.00 $41,926.50 2026-07-01
023 - 4 OTHER Spinal Procedures 10 9 — — $12,413.27 $49,033.26 $41,882.56 2026-07-01
608 - 3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 9 — — $12,413.27 $48,881.44 $41,752.88 2026-07-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 12 — — $16,340.00 $116,789.00 $41,734.00 2026-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 12 $151,350.56 $75,675.28 50% off $16,340.00 $108,571.00 $41,683.75 2026-07-01
120 - 4 OTHER Major Respiratory And Chest Procedures 10 9 — — $12,413.27 $48,372.76 $41,318.38 2026-07-01
681 - 4 OTHER Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 10 9 — — $12,413.27 $48,294.50 $41,251.54 2026-07-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 12 — — $16,340.00 $116,527.00 $41,190.04 2026-07-01
312 - 4 OTHER Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 10 9 — — $12,413.27 $48,203.72 $41,174.00 2026-07-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 12 $54,815.23 $27,407.62 50% off $16,340.00 $101,169.00 $40,861.65 2026-07-01
130 - 4 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 9 — — $12,413.27 $47,803.83 $40,832.42 2026-07-01
220 - 4 OTHER Major Stomach Esophageal And Duodenal Procedures 10 9 — — $12,413.27 $47,646.53 $40,698.06 2026-07-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 12 — — $16,340.00 $112,042.00 $40,598.94 2026-07-01
695 - 4 OTHER Chemotherapy For Acute Leukemia 10 9 — — $12,413.27 $47,490.79 $40,565.04 2026-07-01
004 - 1 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 10 9 — — $12,413.27 $47,353.84 $40,448.07 2026-07-01
C2616 HCPCS Brachytherapy Yttrium 90 1 Each 1 Each 36 20 $125,965.00 $62,982.50 50% off $1.00 $113,368.50 $40,396.85 2026-07-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 11 — — $24,573.90 $103,964.00 $40,362.65 2026-07-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 12 — — $16,340.00 $109,889.00 $40,198.22 2026-07-01
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 12 — — $16,340.00 $93,710.00 $40,129.68 2026-07-01
020 - 4 OTHER Open Craniotomy For Trauma 10 9 — — $12,413.27 $46,980.55 $40,129.21 2026-07-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 12 — — $16,340.00 $108,653.00 $40,109.70 2026-07-01
089 - 4 OTHER Major Cranial Or Facial Bone Procedures 10 9 — — $12,413.27 $46,952.38 $40,105.15 2026-07-01
361 - 4 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 9 — — $12,413.27 $46,899.95 $40,060.36 2026-07-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 12 — — $16,340.00 $114,927.00 $39,947.92 2026-07-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 12 — — $16,340.00 $112,388.00 $39,945.03 2026-07-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 12 — — $16,340.00 $106,822.00 $39,870.79 2026-07-01
261 - 4 OTHER Major Biliary Tract Procedures 10 9 — — $12,413.27 $46,654.22 $39,850.46 2026-07-01
950 - 4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 9 — — $12,413.27 $46,647.17 $39,844.45 2026-07-01
609 - 2 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 9 — — $12,413.27 $46,636.22 $39,835.09 2026-07-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 20 12 — — $16,340.00 $148,157.00 $39,716.59 2026-07-01
165 - 3 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 10 9 — — $12,413.27 $46,463.27 $39,687.36 2026-07-01
006 - 1 OTHER Pancreas Transplant 10 9 — — $12,413.27 $46,353.71 $39,593.78 2026-07-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 12 — — $16,340.00 $118,110.00 $39,530.03 2026-07-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 12 — — $16,340.00 $99,917.00 $39,268.26 2026-07-01
623 - 4 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 10 9 — — $12,413.27 $45,568.78 $38,923.32 2026-07-01
027 - 4 OTHER Other Open Craniotomy 10 9 — — $12,413.27 $45,259.66 $38,659.29 2026-07-01
630 - 2 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 9 — — $12,413.27 $45,148.53 $38,564.36 2026-07-01
440 - 2 OTHER Kidney Transplant 10 9 — — $12,413.27 $45,123.49 $38,542.97 2026-07-01
612 - 3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $12,413.27 $45,044.45 $38,475.46 2026-07-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 12 $119,997.68 $59,998.84 50% off $16,340.00 $110,593.00 $38,268.83 2026-07-01
092 - 4 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 10 9 — — $12,413.27 $44,757.25 $38,230.14 2026-07-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 17 12 — — $12,413.27 $115,827.24 $38,222.03 2026-07-01
401 - 4 OTHER Adrenal Procedures 10 9 — — $12,413.27 $44,391.78 $37,917.97 2026-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 12 $147,689.05 $73,844.52 50% off $16,340.00 $98,580.00 $37,793.38 2026-07-01
613 - 3 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 9 — — $12,413.27 $44,211.01 $37,763.56 2026-07-01
611 - 3 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 9 — — $12,413.27 $44,037.28 $37,615.16 2026-07-01
162 - 2 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 9 — — $12,413.27 $43,984.06 $37,569.71 2026-07-01
710 - 4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 16 15 $218,582.69 $109,291.34 50% off $12,413.27 $196,724.42 $37,566.48 2026-07-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 12 $222,940.69 $111,470.34 50% off $16,340.00 $94,575.00 $37,537.79 2026-07-01
441 - 4 OTHER Major Bladder Procedures 10 9 — — $12,413.27 $43,781.37 $37,396.57 2026-07-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 12 — — $16,340.00 $105,441.00 $37,235.14 2026-07-01
178 - 2 OTHER External Heart Assist Systems 10 9 — — $12,413.27 $43,479.30 $37,138.56 2026-07-01
603 - 2 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 9 — — $12,413.27 $43,402.60 $37,073.04 2026-07-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 12 — — $16,340.00 $79,162.62 $37,066.65 2026-07-01
183 - 3 OTHER Percutaneous Structural Cardiac Procedures 10 9 — — $12,413.27 $43,282.09 $36,970.11 2026-07-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 12 — — $16,340.00 $104,168.00 $36,842.97 2026-07-01
834 MS_DRG Acute Leukemia With Mcc 13 10 $25,615.84 $12,807.92 50% off $16,340.00 $76,449.71 $36,768.67 2026-07-01
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 20 12 $78,422.93 $39,211.46 50% off $16,340.00 $106,845.00 $36,752.55 2026-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 12 $93,355.59 $46,677.80 50% off $16,340.00 $106,598.00 $36,544.10 2026-07-01
511 - 4 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 10 9 — — $12,413.27 $42,366.47 $36,188.01 2026-07-01
440 - 1 OTHER Kidney Transplant 10 9 — — $12,413.27 $42,227.95 $36,069.69 2026-07-01
622 - 4 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 10 9 — — $12,413.27 $42,181.78 $36,030.26 2026-07-01
321 - 4 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 10 9 — — $12,413.27 $42,049.52 $35,917.29 2026-07-01
022 - 4 OTHER Ventricular Shunt Procedures 10 9 — — $12,413.27 $42,022.13 $35,893.89 2026-07-01
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 20 12 $120,758.99 $60,379.50 50% off $16,340.00 $115,894.08 $35,817.84 2026-07-01
792 - 4 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 10 9 — — $12,413.27 $41,896.92 $35,786.94 2026-07-01
179 - 3 OTHER Defibrillator Implants 10 9 — — $12,413.27 $41,895.36 $35,785.61 2026-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 12 $39,954.06 $19,977.03 50% off $16,340.00 $103,045.00 $35,577.02 2026-07-01
842 - 3 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 10 9 — — $12,413.27 $41,471.20 $35,423.31 2026-07-01
651 - 4 OTHER Other Procedures Of Blood And Blood-forming Organs 10 9 — — $12,413.27 $41,464.15 $35,417.29 2026-07-01
863 - 3 OTHER Neonatal Aftercare 10 9 — — $12,413.27 $41,313.90 $35,288.94 2026-07-01
652 MS_DRG Kidney Transplant 19 11 — — $21,415.46 $99,696.19 $35,174.91 2026-07-01
304 - 3 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 9 — — $12,413.27 $41,150.34 $35,149.24 2026-07-01
160 - 2 OTHER Major Cardiothoracic Repair Of Heart Anomaly 10 9 — — $12,413.27 $41,097.13 $35,103.79 2026-07-01
030 - 4 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 10 9 — — $12,413.27 $41,022.00 $35,039.61 2026-07-01
170 - 4 OTHER Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 10 9 — — $12,413.27 $40,990.69 $35,012.87 2026-07-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 20 12 — — $16,340.00 $94,677.00 $34,962.13 2026-07-01
181 - 4 OTHER Lower Extremity Arterial Procedures 10 9 — — $12,413.27 $40,899.91 $34,935.33 2026-07-01
166 - 3 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 9 — — $12,413.27 $40,894.44 $34,930.65 2026-07-01
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 20 12 — — $16,340.00 $83,422.00 $34,888.66 2026-07-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 20 12 $147,505.80 $73,752.90 50% off $16,340.00 $89,714.00 $34,765.36 2026-07-01
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 20 12 $105,630.17 $52,815.09 50% off $16,340.00 $92,700.00 $34,640.63 2026-07-01
121 - 4 OTHER Other Respiratory And Chest Procedures 10 9 — — $12,413.27 $40,546.97 $34,633.86 2026-07-01
512 - 4 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 10 9 — — $12,413.27 $40,530.54 $34,619.82 2026-07-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 12 — — $16,340.00 $87,103.24 $34,510.96 2026-07-01
303527 LOCAL Valve Aortic Navitor With Radiopaque Marker 27mm 23 14 $87,500.00 $43,750.00 50% off $1.00 $78,750.00 $34,492.50 2026-07-01
332 MS_DRG Rectal Resection With Mcc 20 12 — — $16,340.00 $132,425.00 $34,463.37 2026-07-01
265 MS_DRG Aicd Lead Procedures 20 12 — — $16,340.00 $84,594.40 $34,439.57 2026-07-01
230 - 4 OTHER Major Small Bowel Procedures 10 9 — — $12,413.27 $40,303.59 $34,425.98 2026-07-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 12 $49,103.69 $24,551.85 50% off $16,340.00 $89,013.00 $34,378.65 2026-07-01
130 - 3 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 16 15 $196,581.55 $98,290.77 50% off $12,413.27 $176,923.39 $34,185.27 2026-07-01
008 - 2 OTHER Autologous Bone Marrow Transplant 10 9 — — $12,413.27 $39,965.52 $34,137.21 2026-07-01
303 - 2 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 9 — — $12,413.27 $39,950.65 $34,124.50 2026-07-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 12 — — $16,340.00 $93,258.00 $34,102.61 2026-07-01
405 - 4 OTHER Other Procedures For Endocrine Nutritional And Metabolic Disorders 10 9 — — $12,413.27 $39,852.04 $34,040.28 2026-07-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 12 — — $16,340.00 $124,805.00 $34,023.61 2026-07-01
264 - 4 OTHER Other Hepatobiliary Pancreas And Abdominal Procedures 10 9 — — $12,413.27 $39,773.78 $33,973.43 2026-07-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 12 — — $16,340.00 $109,680.00 $33,938.90 2026-07-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 12 — — $16,340.00 $100,049.00 $33,910.35 2026-07-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 12 — — $16,340.00 $88,455.00 $33,850.38 2026-07-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 12 — — $16,340.00 $90,087.00 $33,738.04 2026-07-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 12 $100,977.98 $50,488.99 50% off $16,340.00 $120,695.00 $33,715.86 2026-07-01
176 - 4 OTHER Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 10 9 — — $12,413.27 $39,469.36 $33,713.40 2026-07-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 12 — — $16,340.00 $78,407.53 $33,647.31 2026-07-01
404 - 4 OTHER Thyroid Parathyroid And Thyroglossal Procedures 10 9 — — $12,413.27 $39,375.45 $33,633.19 2026-07-01
634 - 4 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 10 9 — — $12,413.27 $39,351.98 $33,613.13 2026-07-01
182 - 4 OTHER Other Peripheral Vascular And Related Procedures 16 15 $125,768.09 $62,884.05 50% off $12,413.27 $113,191.28 $33,542.11 2026-07-01
403 - 4 OTHER Procedures For Obesity 10 9 — — $12,413.27 $39,265.11 $33,538.93 2026-07-01
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