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

UPMC Shadyside

Pittsburgh, PA · CCN 390055 · Rates published

10,579 distinct procedures filed
29 distinct payers
511,070 rate rows
2026-03-06 last MRF observed
Data quality

502,915 of 511,070 rate rows are consumer-grade (98.4%)

8,155 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 7,731
placeholder amount (≤ $0.02) — excluded from medians 140
exceeds 10× this hospital's gross charge — excluded from medians 120
per-diem day rate — not a per-procedure price 61
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 43
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 33
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/250965480_upmc-presbyterian-shadyside_standardcharges.csv?la=en&rev=43db47a4167a468285c99ca520d55919&hash=335CEC051E16A10A8A3EEABD6AE79944
Found on page https://www.upmc.com/locations/hospitals/presbyterian/patients-visitors/patient-information/cdm
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint 5bb96a3916c93b38… · 309,136,592 bytes · first seen 2026-05-09

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 		8 $564,035.87 $766,514.24 $680,498.99 nat. median
$390,362
1.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $213,297.16 $4,928,000.00 $667,978.72 nat. median
$599,737
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $262,164.97 $4,967,200.00 $655,726.55 nat. median
$562,501
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $204,698.58 $4,759,950.00 $650,408.00 nat. median
$574,037
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $198,696.49 $4,922,500.00 $639,506.03 nat. median
$621,313
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $200,209.36 $4,657,250.00 $622,891.96 nat. median
$579,571
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $194,695.43 $4,833,750.00 $611,862.03 nat. median
$513,770
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $10,292.55 $667,000.00 $433,601.10 nat. median
$168,055
outlier · 2.6×
5884
APR_DRG 		8 $345,461.30 $469,475.47 $416,792.76 nat. median
$286,698
1.5× median
24
APR_DRG 		7 $322,734.98 $545,631.38 $390,270.36 nat. median
$225,531
1.7× median
114
APR_DRG 		8 $322,948.90 $438,881.54 $389,631.96 nat. median
$135,803
outlier · 2.9×
5833
APR_DRG 		8 $321,236.59 $436,554.54 $387,566.08 nat. median
$268,208
1.4× median
5832
APR_DRG 		8 $246,650.85 $335,193.90 $297,579.75 nat. median
$201,678
1.5× median
1614
APR_DRG 		8 $240,840.13 $327,297.25 $290,569.23 nat. median
$202,242
1.4× median
6094
APR_DRG 		8 $240,692.03 $327,095.99 $290,390.55 nat. median
$198,578
1.5× median
113
APR_DRG 		8 $240,342.80 $326,621.39 $289,969.22 nat. median
$68,335
outlier · 4.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $10,292.55 $762,620.64 $287,567.27 nat. median
$186,516
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $10,292.55 $873,917.87 $284,876.50 nat. median
$69,922
outlier · 4.1×
94
APR_DRG 		8 $236,100.87 $320,856.69 $284,851.41 nat. median
$152,792
1.9× median
6314
APR_DRG 		8 $231,502.40 $314,607.45 $279,303.43 nat. median
$181,762
1.5× median
5883
APR_DRG 		8 $230,077.15 $312,670.56 $277,583.89 nat. median
$173,134
1.6× median
5914
APR_DRG 		8 $226,536.42 $307,858.77 $273,312.07 nat. median
$171,497
1.6× median
7
MS_DRG 		Lung Transplant 11 $10,292.55 $767,651.60 $267,915.50 nat. median
$70,649
outlier · 3.8×
5831
APR_DRG 		8 $221,399.48 $300,877.77 $267,114.43 nat. median
$173,909
1.5× median
8414
APR_DRG 		8 $214,232.99 $291,138.65 $258,468.20 nat. median
$173,018
1.5× median
6304
APR_DRG 		8 $209,949.01 $285,316.79 $253,299.65 nat. median
$187,567
1.4× median
5934
APR_DRG 		8 $199,169.57 $270,667.74 $240,294.46 nat. median
$168,439
1.4× median
6
MS_DRG 		Liver Transplant Without Mcc 11 $7,586.57 $873,917.87 $238,810.00 nat. median
$31,278
outlier · 7.6×
5882
APR_DRG 		8 $197,151.00 $267,924.54 $237,859.09 nat. median
$152,383
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $10,292.55 $553,644.90 $236,302.00 nat. median
$72,715
outlier · 3.2×
112
APR_DRG 		8 $191,069.68 $259,660.14 $230,522.08 nat. median
$63,564
outlier · 3.6×
74
APR_DRG 		7 $190,013.77 $321,246.48 $229,775.97 nat. median
$149,836
1.5× median
1613
APR_DRG 		8 $188,583.03 $256,280.83 $227,521.99 nat. median
$155,539
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $10,292.55 $762,620.64 $224,482.00 nat. median
$65,418
outlier · 3.4×
44
APR_DRG 		8 $181,445.80 $246,581.47 $218,911.05 nat. median
$135,630
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $198,752.86 $1,160,068.41 $218,628.15 nat. median
$131,925
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $10,292.55 $798,242.13 $217,348.30 nat. median
$145,435
1.5× median
14
APR_DRG 		7 $179,641.15 $303,710.03 $217,232.79 nat. median
$136,566
1.6× median
23
APR_DRG 		7 $175,799.65 $297,215.40 $212,587.41 nat. median
$117,894
1.8× median
5913
APR_DRG 		8 $170,848.29 $232,179.65 $206,125.35 nat. median
$120,079
1.7× median
5881
APR_DRG 		8 $168,986.96 $229,650.13 $203,879.70 nat. median
$130,862
1.6× median
5892
APR_DRG 		8 $161,032.43 $218,840.07 $194,282.69 nat. median
$96,548
outlier · 2.0×
5893
APR_DRG 		8 $161,032.43 $218,840.07 $194,282.69 nat. median
$77,096
outlier · 2.5×
5891
APR_DRG 		8 $161,032.43 $218,840.07 $194,282.69 nat. median
$99,483
2.0× median
93
APR_DRG 		8 $158,674.69 $215,635.94 $191,438.11 nat. median
$73,618
outlier · 2.6×
6024
APR_DRG 		8 $150,040.90 $203,902.78 $181,021.61 nat. median
$124,731
1.5× median
5912
APR_DRG 		8 $146,538.56 $199,143.17 $176,796.10 nat. median
$85,835
outlier · 2.1×
5933
APR_DRG 		8 $145,698.40 $198,001.41 $175,782.47 nat. median
$114,205
1.5× median
1612
APR_DRG 		8 $138,760.47 $188,572.89 $167,411.98 nat. median
$109,992
1.5× median
1611
APR_DRG 		8 $138,760.47 $188,572.89 $167,411.98 nat. median
$108,954
1.5× median

Other procedures at this hospital

Browse this hospital's 10,579 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 8 8 — — $564,035.87 $766,514.24 $680,498.99 2026-03-06
Q2056 HCPCS Carvykti 30ml Infusion Bag 21 12 — $4,224,000.00 $213,297.16 $4,928,000.00 $667,978.72 2026-03-06
Q2041 HCPCS Yescarta Infusion Bag 22 12 — $4,257,600.00 $262,164.97 $4,967,200.00 $655,726.55 2026-03-06
Q2055 HCPCS Abecma Infusion Bag 21 11 — $4,393,800.00 $204,698.58 $4,759,950.00 $650,408.00 2026-03-06
Q2042 HCPCS Kymriah Infusion (ped/aya) 20 10 — — $198,696.49 $4,922,500.00 $639,506.03 2026-03-06
Q2054 HCPCS Breyanzi Infusion Bag 22 11 — $4,299,000.00 $200,209.36 $4,657,250.00 $622,891.96 2026-03-06
Q2053 HCPCS Tecartus Infusion Bag 24 14 — $3,867,000.00 $194,695.43 $4,833,750.00 $611,862.03 2026-03-06
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $10,292.55 $667,000.00 $433,601.10 2026-03-06
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $345,461.30 $469,475.47 $416,792.76 2026-03-06
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 7 7 — — $322,734.98 $545,631.38 $390,270.36 2026-03-06
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $322,948.90 $438,881.54 $389,631.96 2026-03-06
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 8 8 — — $321,236.59 $436,554.54 $387,566.08 2026-03-06
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 8 8 — — $246,650.85 $335,193.90 $297,579.75 2026-03-06
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 8 8 — — $240,840.13 $327,297.25 $290,569.23 2026-03-06
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $240,692.03 $327,095.99 $290,390.55 2026-03-06
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $240,342.80 $326,621.39 $289,969.22 2026-03-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 11 — — $10,292.55 $762,620.64 $287,567.27 2026-03-06
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 42 11 — — $10,292.55 $873,917.87 $284,876.50 2026-03-06
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $236,100.87 $320,856.69 $284,851.41 2026-03-06
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 8 — — $231,502.40 $314,607.45 $279,303.43 2026-03-06
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $230,077.15 $312,670.56 $277,583.89 2026-03-06
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $226,536.42 $307,858.77 $273,312.07 2026-03-06
7 MS_DRG Lung Transplant 32 11 — — $10,292.55 $767,651.60 $267,915.50 2026-03-06
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 8 8 — — $221,399.48 $300,877.77 $267,114.43 2026-03-06
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 8 8 — — $214,232.99 $291,138.65 $258,468.20 2026-03-06
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 8 8 — — $209,949.01 $285,316.79 $253,299.65 2026-03-06
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $199,169.57 $270,667.74 $240,294.46 2026-03-06
6 MS_DRG Liver Transplant Without Mcc 29 11 — — $7,586.57 $873,917.87 $238,810.00 2026-03-06
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $197,151.00 $267,924.54 $237,859.09 2026-03-06
14 MS_DRG Allogeneic Bone Marrow Transplant 27 11 — — $10,292.55 $553,644.90 $236,302.00 2026-03-06
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $191,069.68 $259,660.14 $230,522.08 2026-03-06
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 7 7 — — $190,013.77 $321,246.48 $229,775.97 2026-03-06
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 8 8 — — $188,583.03 $256,280.83 $227,521.99 2026-03-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 11 — — $10,292.55 $762,620.64 $224,482.00 2026-03-06
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $181,445.80 $246,581.47 $218,911.05 2026-03-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 8 — — $198,752.86 $1,160,068.41 $218,628.15 2026-03-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 10 — — $10,292.55 $798,242.13 $217,348.30 2026-03-06
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 7 7 — — $179,641.15 $303,710.03 $217,232.79 2026-03-06
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 7 7 — — $175,799.65 $297,215.40 $212,587.41 2026-03-06
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $170,848.29 $232,179.65 $206,125.35 2026-03-06
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 8 8 — — $168,986.96 $229,650.13 $203,879.70 2026-03-06
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 8 8 — — $161,032.43 $218,840.07 $194,282.69 2026-03-06
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 8 8 — — $161,032.43 $218,840.07 $194,282.69 2026-03-06
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 8 8 — — $161,032.43 $218,840.07 $194,282.69 2026-03-06
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $158,674.69 $215,635.94 $191,438.11 2026-03-06
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 8 8 — — $150,040.90 $203,902.78 $181,021.61 2026-03-06
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 8 8 — — $146,538.56 $199,143.17 $176,796.10 2026-03-06
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $145,698.40 $198,001.41 $175,782.47 2026-03-06
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 8 8 — — $138,760.47 $188,572.89 $167,411.98 2026-03-06
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 8 8 — — $138,760.47 $188,572.89 $167,411.98 2026-03-06
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 8 8 — — $138,254.91 $187,885.85 $166,802.03 2026-03-06
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 7 7 — — $133,121.63 $225,061.87 $160,978.61 2026-03-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 29 11 — — $7,414.23 $553,644.90 $157,615.00 2026-03-06
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 27 11 — — $10,292.55 $553,644.90 $157,615.00 2026-03-06
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $126,402.19 $171,778.23 $152,501.94 2026-03-06
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $125,120.47 $170,036.39 $150,955.57 2026-03-06
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 7 7 — — $120,851.12 $204,316.75 $146,140.37 2026-03-06
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 8 8 — — $119,939.65 $162,995.75 $144,705.00 2026-03-06
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 7 7 — — $117,658.70 $198,919.49 $142,279.91 2026-03-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 10 — — $10,292.55 $531,056.39 $142,029.79 2026-03-06
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 7 7 — — $117,341.47 $198,375.85 $141,896.30 2026-03-06
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $117,189.71 $159,258.63 $141,387.25 2026-03-06
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 8 8 — — $115,982.04 $157,617.43 $139,930.22 2026-03-06
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 8 8 — — $115,728.80 $157,273.29 $139,624.69 2026-03-06
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 8 8 — — $110,675.06 $150,405.34 $133,527.43 2026-03-06
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 8 8 — — $110,675.06 $150,405.34 $133,527.43 2026-03-06
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 8 8 — — $109,741.65 $149,136.86 $132,401.30 2026-03-06
812.0nannannan CDM Acquisition Heart 134 16 $286,724.00 $172,034.40 40% off $17,815.32 $384,517.56 $132,182.40 2026-03-06
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 8 8 — — $104,175.94 $141,573.17 $125,686.38 2026-03-06
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 8 — — $96,463.68 $131,092.34 $116,381.67 2026-03-06
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 8 8 — — $95,576.89 $129,887.22 $115,311.79 2026-03-06
209 MS_DRG Complex Aortic Arch Procedures 10 10 — — $10,292.55 $136,224.47 $114,048.90 2026-03-06
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 8 8 — — $94,345.45 $128,213.72 $113,826.07 2026-03-06
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 8 — — $94,102.27 $127,883.24 $113,532.68 2026-03-06
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 7 7 — — $93,265.77 $157,679.63 $112,782.53 2026-03-06
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 8 — — $92,912.89 $126,266.89 $112,097.71 2026-03-06
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 10 — — $10,292.55 $577,574.62 $111,618.64 2026-03-06
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 8 — — $92,464.01 $125,656.87 $111,556.15 2026-03-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $7,132.98 $275,740.82 $111,064.38 2026-03-06
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $91,733.56 $124,664.20 $110,674.87 2026-03-06
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 7 7 — — $90,979.34 $153,814.07 $110,017.64 2026-03-06
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 7 7 — — $90,429.90 $152,879.52 $109,353.22 2026-03-06
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 8 8 — — $89,185.66 $121,201.65 $107,600.87 2026-03-06
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 7 7 — — $85,103.72 $143,880.46 $102,912.48 2026-03-06
215 MS_DRG Other Heart Assist System Implant 15 10 — — $10,292.55 $286,060.38 $102,251.04 2026-03-06
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 7 7 — — $84,512.22 $142,880.46 $102,197.22 2026-03-06
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $83,493.79 $113,466.51 $100,733.74 2026-03-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 9 — — $25,188.02 $366,691.98 $100,471.69 2026-03-06
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 8 8 — — $83,242.39 $113,124.85 $100,430.42 2026-03-06
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 8 8 — — $81,302.43 $110,488.49 $98,089.90 2026-03-06
J7330 HCPCS Maci Auto Cult Chon 1 Membrane 86 16 $128,610.00 $77,166.00 40% off $11,574.90 $437,273.15 $97,100.55 2026-03-06
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $79,956.72 $108,659.69 $96,466.32 2026-03-06
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 8 8 — — $79,662.34 $108,259.64 $96,111.17 2026-03-06
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $79,638.57 $108,227.34 $96,082.49 2026-03-06
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 8 8 — — $79,519.73 $108,065.83 $95,939.10 2026-03-06
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 7 7 — — $77,961.00 $131,799.78 $94,275.09 2026-03-06
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 8 8 — — $77,311.91 $105,065.45 $93,275.42 2026-03-06
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 10 — — $10,292.55 $445,933.38 $92,573.99 2026-03-06
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 8 8 — — $75,988.14 $103,266.46 $91,678.30 2026-03-06
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 8 8 — — $75,788.84 $102,995.62 $91,437.86 2026-03-06
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 7 7 — — $75,125.12 $127,010.17 $90,845.78 2026-03-06
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 8 — — $74,519.92 $101,271.18 $89,906.92 2026-03-06
813.0nannannan CDM Acquisition Lung Single 46 16 $132,058.00 $79,234.80 40% off $23,770.44 $158,914.98 $89,139.15 2026-03-06
850 MS_DRG Acute Leukemia With Other Procedures 13 8 — — $80,907.22 $492,505.08 $88,997.94 2026-03-06
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 11 — — $10,292.55 $473,460.27 $88,976.36 2026-03-06
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 8 8 — — $73,041.64 $99,262.23 $88,123.41 2026-03-06
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 7 7 — — $72,076.24 $121,855.58 $87,158.88 2026-03-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 8 — — $78,775.21 $378,669.09 $86,652.73 2026-03-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 9 — — $25,995.87 $364,446.27 $86,382.04 2026-03-06
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 8 8 — — $71,567.02 $97,258.25 $86,344.31 2026-03-06
652 MS_DRG Kidney Transplant 28 9 — — $30,485.52 $286,753.00 $85,646.00 2026-03-06
C2624 HCPCS Cardiomems Wirels Presre Sensr 28 18 $154,014.00 $92,408.40 40% off $18,481.68 $157,094.28 $84,707.70 2026-03-06
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 8 8 — — $69,670.95 $94,681.53 $84,056.74 2026-03-06
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 8 8 — — $69,581.36 $94,559.77 $83,948.64 2026-03-06
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 8 8 — — $69,376.58 $94,281.48 $83,701.57 2026-03-06
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 8 — — $68,041.83 $92,467.58 $82,091.23 2026-03-06
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 8 — — $67,965.95 $92,364.47 $81,999.68 2026-03-06
J7352 HCPCS Afamelanotide 16 Mg Implant 31 21 $234,483.00 $140,689.80 40% off $1,377.80 $199,310.55 $81,529.74 2026-03-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 29 10 — — $44,153.21 $286,753.00 $81,500.00 2026-03-06
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 29 10 — — $34,908.30 $286,753.00 $81,500.00 2026-03-06
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 8 8 — — $67,434.80 $91,642.63 $81,358.85 2026-03-06
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 10 — — $10,292.55 $410,750.62 $80,921.46 2026-03-06
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 8 8 — — $66,152.16 $89,899.56 $79,811.38 2026-03-06
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 12 — — $7,091.09 $473,460.27 $79,759.94 2026-03-06
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 8 8 — — $66,056.17 $89,769.11 $79,695.57 2026-03-06
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 8 8 — — $65,987.61 $89,675.93 $79,612.84 2026-03-06
10 MS_DRG Pancreas Transplant 20 11 — — $10,292.55 $254,117.64 $79,570.95 2026-03-06
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 8 — — $71,796.01 $253,390.68 $78,975.61 2026-03-06
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 8 — — $65,209.61 $88,618.65 $78,674.21 2026-03-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 9 — — $22,800.39 $261,464.53 $78,637.51 2026-03-06
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 8 — — $65,116.36 $88,491.93 $78,561.71 2026-03-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 8 — — $71,253.73 $306,752.97 $78,379.10 2026-03-06
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 8 8 — — $64,267.06 $87,337.74 $77,537.04 2026-03-06
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 8 — — $64,169.24 $87,204.81 $77,419.02 2026-03-06
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 8 8 — — $64,081.48 $87,085.54 $77,313.14 2026-03-06
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 8 8 — — $63,892.24 $86,828.36 $77,084.82 2026-03-06
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 8 8 — — $63,772.48 $86,665.61 $76,940.33 2026-03-06
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 7 7 — — $63,320.86 $107,053.31 $76,571.35 2026-03-06
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 8 8 — — $62,910.38 $85,494.03 $75,900.23 2026-03-06
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 8 8 — — $62,821.70 $85,373.52 $75,793.24 2026-03-06
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 8 8 — — $62,381.97 $84,775.93 $75,262.71 2026-03-06
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 8 8 — — $62,292.37 $84,654.17 $75,154.61 2026-03-06
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 8 8 — — $62,141.53 $84,449.18 $74,972.62 2026-03-06
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 8 8 — — $62,009.88 $84,270.27 $74,813.79 2026-03-06
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 7 7 — — $61,855.38 $104,575.70 $74,799.21 2026-03-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $7,143.75 $215,267.12 $74,280.10 2026-03-06
9124 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 8 8 — — $61,354.39 $83,379.48 $74,022.96 2026-03-06
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 8 — — $61,166.98 $83,124.79 $73,796.85 2026-03-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 8 — — $66,708.35 $331,081.47 $73,379.18 2026-03-06
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 8 8 — — $60,772.96 $82,589.32 $73,321.46 2026-03-06
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 8 8 — — $60,278.37 $81,917.18 $72,724.76 2026-03-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 8 — — $47,079.61 $125,920.04 $72,469.23 2026-03-06
819.0nannannan CDM Hr-b Typing - Nmdp 134 16 $84,669.00 $50,801.40 40% off $738.72 $434,425.14 $71,968.65 2026-03-06
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 7 7 — — $59,483.92 $100,566.40 $71,931.50 2026-03-06
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 8 8 — — $59,392.50 $80,713.30 $71,655.97 2026-03-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 8 — — $64,678.47 $278,040.00 $71,146.32 2026-03-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 8 — — $64,363.69 $294,455.05 $70,800.06 2026-03-06
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 8 8 — — $58,614.51 $79,656.03 $70,717.34 2026-03-06
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 8 8 — — $58,448.12 $79,429.91 $70,516.60 2026-03-06
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 8 8 — — $58,317.39 $79,252.25 $70,358.88 2026-03-06
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 8 8 — — $58,055.93 $78,896.93 $70,043.42 2026-03-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 8 — — $63,000.51 $319,852.93 $69,300.56 2026-03-06
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 8 8 — — $57,280.68 $77,843.38 $69,108.10 2026-03-06
7404 APR_DRG Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure 8 8 — — $57,124.35 $77,630.93 $68,919.49 2026-03-06
6083 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 8 8 — — $57,103.32 $77,602.35 $68,894.12 2026-03-06
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 10 — — $6,162.36 $330,760.66 $68,845.05 2026-03-06
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 8 — — $62,540.90 $225,640.15 $68,794.99 2026-03-06
1204 APR_DRG Apr-DRG 42.00: Major Respiratory And Chest Procedures 8 8 — — $56,509.09 $76,794.80 $68,177.18 2026-03-06
6814 APR_DRG Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 8 8 — — $56,417.67 $76,670.56 $68,066.89 2026-03-06
3124 APR_DRG Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 8 8 — — $56,311.62 $76,526.44 $67,938.94 2026-03-06
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 9 — — $36,004.77 $240,558.07 $67,709.20 2026-03-06
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 9 — — $16,788.82 $218,475.27 $67,709.20 2026-03-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 8 — — $61,331.90 $313,115.81 $67,465.09 2026-03-06
1304 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 8 — — $55,844.46 $75,891.58 $67,375.32 2026-03-06
2204 APR_DRG Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures 8 8 — — $55,660.70 $75,641.86 $67,153.62 2026-03-06
6954 APR_DRG Apr-DRG 42.00: Chemotherapy For Acute Leukemia 8 8 — — $55,478.77 $75,394.62 $66,934.13 2026-03-06
41 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 8 8 — — $55,318.79 $75,177.20 $66,741.11 2026-03-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 10 — — $10,292.55 $302,421.96 $66,273.07 2026-03-06
204 APR_DRG Apr-DRG 42.00: Open Craniotomy For Trauma 8 8 — — $54,882.71 $74,584.58 $66,214.99 2026-03-06
894 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 8 8 — — $54,849.80 $74,539.85 $66,175.28 2026-03-06
3614 APR_DRG Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 8 8 — — $54,788.55 $74,456.61 $66,101.38 2026-03-06
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 8 8 — — $54,721.81 $74,365.92 $66,020.86 2026-03-06
2614 APR_DRG Apr-DRG 42.00: Major Biliary Tract Procedures 8 8 — — $54,501.48 $74,066.50 $65,755.04 2026-03-06
9504 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 8 — — $54,493.26 $74,055.32 $65,745.12 2026-03-06
6092 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $54,480.46 $74,037.93 $65,729.67 2026-03-06
C1824 HCPCS Generator Pulse Ipg Opti Imp 54 18 $123,116.00 $73,869.60 40% off $14,773.92 $126,342.30 $65,648.45 2026-03-06
1653 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 8 8 — — $54,278.42 $73,763.36 $65,485.93 2026-03-06
61 APR_DRG Apr-DRG 42.00: Pancreas Transplant 7 7 — — $54,150.43 $91,545.96 $65,481.92 2026-03-06
6234 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 8 8 — — $53,233.48 $72,343.30 $64,225.22 2026-03-06
274 APR_DRG Apr-DRG 42.00: Other Open Craniotomy 8 8 — — $52,872.36 $71,852.56 $63,789.54 2026-03-06
4402 APR_DRG Apr-DRG 42.00: Kidney Transplant 7 7 — — $52,713.29 $89,119.64 $63,744.05 2026-03-06
6302 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 8 8 — — $52,742.55 $71,676.14 $63,632.92 2026-03-06
6123 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 8 8 — — $52,620.96 $71,510.90 $63,486.23 2026-03-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 9 — — $10,292.55 $237,884.60 $63,144.40 2026-03-06
924 APR_DRG Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 8 8 — — $52,285.44 $71,054.94 $63,081.43 2026-03-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 8 — — $57,338.08 $353,271.20 $63,071.89 2026-03-06
4014 APR_DRG Apr-DRG 42.00: Adrenal Procedures 8 8 — — $51,858.51 $70,474.74 $62,566.35 2026-03-06
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 9 — — $13,835.10 $255,048.23 $62,472.30 2026-03-06
5204 APR_DRG Apr-DRG 42.00: Other GYN Procedures For Malignancy 8 8 — — $51,667.44 $70,215.08 $62,335.82 2026-03-06
6133 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 8 8 — — $51,647.32 $70,187.75 $62,311.55 2026-03-06
6113 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 8 — — $51,444.37 $69,911.94 $62,066.69 2026-03-06
37227 CPT Rvsc Init Fem-pop Athrm+stn Rt 30 20 $91,854.00 $55,112.40 40% off $690.34 $178,699.06 $62,001.45 2026-03-06
1622 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 8 — — $51,382.20 $69,827.46 $61,991.69 2026-03-06
28 MS_DRG Spinal Procedures With Mcc 15 10 — — $10,292.55 $218,421.80 $61,917.67 2026-03-06
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 8 — — $56,273.01 $285,311.81 $61,900.31 2026-03-06
4414 APR_DRG Apr-DRG 42.00: Major Bladder Procedures 8 8 — — $51,145.42 $69,505.68 $61,706.02 2026-03-06
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $10,292.55 $265,046.97 $61,455.98 2026-03-06
1782 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 8 8 — — $50,792.54 $69,026.11 $61,280.27 2026-03-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 8 — — $55,687.06 $227,983.43 $61,255.77 2026-03-06
6032 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 8 8 — — $50,702.95 $68,904.36 $61,172.18 2026-03-06
1833 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 8 8 — — $50,562.16 $68,713.03 $61,002.32 2026-03-06
J9600 HCPCS Porfimer Sod 75mg Inj 31 21 $175,076.00 $105,045.60 40% off $4,829.04 $148,814.60 $60,873.93 2026-03-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 10 — — $10,292.55 $199,814.51 $60,490.73 2026-03-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 8 — — $54,956.28 $254,513.53 $60,451.91 2026-03-06
5114 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 8 8 — — $49,492.53 $67,259.43 $59,711.84 2026-03-06
4401 APR_DRG Apr-DRG 42.00: Kidney Transplant 7 7 — — $49,330.72 $83,400.90 $59,653.64 2026-03-06
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 10 — — $10,292.55 $200,883.90 $59,453.96 2026-03-06
6224 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 8 8 — — $49,276.78 $66,966.23 $59,451.54 2026-03-06
3214 APR_DRG Apr-DRG 42.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc … 8 8 — — $49,122.28 $66,756.26 $59,265.13 2026-03-06
224 APR_DRG Apr-DRG 42.00: Ventricular Shunt Procedures 8 8 — — $49,090.28 $66,712.78 $59,226.53 2026-03-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 10 — — $9,579.25 $228,848.30 $59,078.10 2026-03-06
7924 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedures For Other Complications Of Treatment 8 8 — — $48,944.01 $66,513.99 $59,050.06 2026-03-06
1793 APR_DRG Apr-DRG 42.00: Defibrillator Implants 8 8 — — $48,942.18 $66,511.51 $59,047.85 2026-03-06
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 10 — — $8,581.11 $195,109.22 $58,763.46 2026-03-06
8423 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 8 8 — — $48,446.68 $65,838.13 $58,450.04 2026-03-06
6514 APR_DRG Apr-DRG 42.00: Other Procedures Of Blood And Blood-forming Organs 8 8 — — $48,438.45 $65,826.95 $58,440.11 2026-03-06
0408T OTHER Insj/rplc Cardiac Modulj Sys 24 21 $109,668.00 $65,800.80 40% off $19,740.24 $93,217.80 $58,398.21 2026-03-06
8633 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 8 8 — — $48,262.92 $65,588.41 $58,228.33 2026-03-06
3043 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 8 — — $48,071.85 $65,328.75 $57,997.82 2026-03-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $9,001.19 $189,334.54 $57,971.86 2026-03-06
1602 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 8 8 — — $48,009.69 $65,244.27 $57,922.81 2026-03-06
304 APR_DRG Apr-DRG 42.00: Percutaneous Intracranial And Extracranial Vascular Procedures 8 8 — — $47,921.92 $65,125.00 $57,816.93 2026-03-06
1704 APR_DRG Apr-DRG 42.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh… 8 8 — — $47,885.35 $65,075.30 $57,772.81 2026-03-06
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 10 — — $10,292.55 $68,683.91 $57,769.25 2026-03-06
1814 APR_DRG Apr-DRG 42.00: Lower Extremity Vascular Procedures 8 8 — — $47,779.30 $64,931.19 $57,644.86 2026-03-06
1663 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 8 — — $47,772.91 $64,922.49 $57,637.14 2026-03-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 10 — — $7,001.33 $245,744.58 $57,401.89 2026-03-06
1214 APR_DRG Apr-DRG 42.00: Other Respiratory And Chest Procedures 8 8 — — $47,367.00 $64,370.87 $57,147.41 2026-03-06
5124 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mal… 8 8 — — $47,347.80 $64,344.78 $57,124.26 2026-03-06
C1891 HCPCS Pump Hepatic Model 3000 Codman 24 16 $91,279.00 $54,767.40 40% off $16,430.22 $93,104.58 $57,049.38 2026-03-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 10 — — $10,292.55 $341,561.44 $56,960.66 2026-03-06
C1767 HCPCS Interstim Ii Neurostm Sys Medt 294 18 $102,325.00 $61,395.00 40% off $6,181.20 $163,340.25 $56,943.20 2026-03-06
2304 APR_DRG Apr-DRG 42.00: Major Small Bowel Procedures 8 8 — — $47,082.68 $63,984.48 $56,804.40 2026-03-06
834 MS_DRG Acute Leukemia With Mcc 13 8 — — $51,475.05 $364,071.99 $56,622.56 2026-03-06
82 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 7 7 — — $46,687.74 $78,932.55 $56,457.60 2026-03-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 10 — — $10,292.55 $231,682.17 $56,424.38 2026-03-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 10 — — $10,292.55 $203,985.11 $56,344.72 2026-03-06
3032 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 8 — — $46,670.37 $63,424.16 $56,306.95 2026-03-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 10 — — $9,256.11 $223,394.44 $56,256.88 2026-03-06
4054 APR_DRG Apr-DRG 42.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 8 8 — — $46,555.18 $63,267.62 $56,167.98 2026-03-06
2644 APR_DRG Apr-DRG 42.00: Other Hepatobiliary, Pancreas And Abdominal Procedures 8 8 — — $46,463.76 $63,143.38 $56,057.68 2026-03-06
7104 APR_DRG Apr-DRG 42.00: Infectious And Parasitic Diseases Including HIV With O.r. Procedu… 8 8 — — $46,296.46 $62,916.02 $55,855.84 2026-03-06
1764 APR_DRG Apr-DRG 42.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 8 8 — — $46,108.13 $62,660.09 $55,628.62 2026-03-06
4044 APR_DRG Apr-DRG 42.00: Thyroid, Parathyroid And Thyroglossal Procedures 8 8 — — $45,998.43 $62,511.00 $55,496.26 2026-03-06
6344 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr… 8 8 — — $45,971.00 $62,473.73 $55,463.17 2026-03-06
4034 APR_DRG Apr-DRG 42.00: Procedures For Obesity 8 8 — — $45,869.52 $62,335.83 $55,340.75 2026-03-06
2992 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 8 8 — — $45,814.67 $62,261.28 $55,274.57 2026-03-06
1781 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 8 8 — — $45,713.19 $62,123.38 $55,152.14 2026-03-06
8412 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 8 8 — — $45,651.03 $62,038.89 $55,077.13 2026-03-06
8411 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 8 8 — — $45,651.03 $62,038.89 $55,077.13 2026-03-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $10,292.55 $199,065.94 $55,017.89 2026-03-06
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 9 — — $10,292.55 $189,815.77 $54,985.21 2026-03-06
1673 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 8 8 — — $45,427.05 $61,734.51 $54,806.90 2026-03-06
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 10 — — $10,292.55 $310,602.76 $54,619.52 2026-03-06
7114 APR_DRG Apr-DRG 42.00: Post-operative, Post-trauma, Other Device Infections With O.r. Pr… 8 8 — — $45,136.33 $61,339.43 $54,456.16 2026-03-06
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 9 — — $10,292.55 $190,296.99 $54,440.77 2026-03-06
294 APR_DRG Apr-DRG 42.00: Other Percutaneous Intracranial Procedures 8 8 — — $44,833.72 $60,928.20 $54,091.07 2026-03-06
4844 APR_DRG Apr-DRG 42.00: Other Male Reproductive System And Related Procedures 8 8 — — $44,830.07 $60,923.23 $54,086.66 2026-03-06
9103 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 8 8 — — $44,784.36 $60,861.11 $54,031.51 2026-03-06
4854 APR_DRG Apr-DRG 42.00: Prostatectomy Procedures 8 8 — — $44,724.93 $60,780.35 $53,959.82 2026-03-06
264 APR_DRG Apr-DRG 42.00: Other Nervous System And Related Procedures 8 8 — — $44,555.80 $60,550.51 $53,755.76 2026-03-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 10 — — $6,365.82 $172,331.33 $53,716.57 2026-03-06
653 MS_DRG Major Bladder Procedures With Mcc 13 8 — — $48,749.67 $292,904.44 $53,624.64 2026-03-06
213 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 8 8 — — $44,210.23 $60,080.88 $53,338.84 2026-03-06
1754 APR_DRG Apr-DRG 42.00: Percutaneous Cardiac Intervention Without Ami 8 8 — — $44,075.84 $59,898.25 $53,176.71 2026-03-06
1652 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 8 8 — — $43,765.93 $59,477.08 $52,802.79 2026-03-06
6091 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 8 — — $43,762.27 $59,472.11 $52,798.38 2026-03-06
4474 APR_DRG Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Non-percutaneous Procedur… 8 8 — — $43,656.22 $59,327.99 $52,670.44 2026-03-06
4424 APR_DRG Apr-DRG 42.00: Kidney And Urinary Tract Procedures For Malignancy 8 8 — — $43,519.09 $59,141.63 $52,504.99 2026-03-06
4484 APR_DRG Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Percutaneous Procedures 8 8 — — $43,289.62 $58,829.79 $52,228.14 2026-03-06
1632 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 8 8 — — $43,136.95 $58,622.31 $52,043.94 2026-03-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $10,292.55 $158,215.45 $52,029.18 2026-03-06
6504 APR_DRG Apr-DRG 42.00: Splenic Procedures 8 8 — — $43,116.84 $58,594.98 $52,019.68 2026-03-06
6143 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 8 8 — — $43,071.13 $58,532.86 $51,964.54 2026-03-06
1621 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 8 — — $42,815.15 $58,184.99 $51,655.70 2026-03-06
9514 APR_DRG Apr-DRG 42.00: Moderately Extensive O.r. Procedure Unrelated To Principal Diagno… 8 8 — — $42,728.30 $58,066.96 $51,550.92 2026-03-06
913 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 8 8 — — $42,691.73 $58,017.27 $51,506.80 2026-03-06
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 9 — — $10,292.55 $195,430.04 $51,489.85 2026-03-06
3003 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 8 8 — — $42,492.43 $57,746.43 $51,266.35 2026-03-06
6071 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 8 8 — — $42,458.61 $57,700.46 $51,225.54 2026-03-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 10 — — $10,063.96 $273,922.87 $51,081.27 2026-03-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 8 — — $46,355.79 $181,367.63 $50,991.37 2026-03-06
1303 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 8 — — $42,129.49 $57,253.20 $50,828.46 2026-03-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 10 — — $10,292.55 $170,513.37 $50,818.75 2026-03-06
434 APR_DRG Apr-DRG 42.00: Multiple Sclerosis, Other Demyelinating Disease And Inflammatory … 8 8 — — $42,071.90 $57,174.93 $50,758.98 2026-03-06
104 MS_DRG DRG Grouper 12 (10/1/1994): DRG 104: Cardiac Valve Procedures W Cardiac 2 2 — — $10,292.55 $91,048.37 $50,670.46 2026-03-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 8 — — $46,008.51 $292,637.10 $50,609.36 2026-03-06
5144 APR_DRG Apr-DRG 42.00: Female Reproductive System Reconstructive Procedures 8 8 — — $41,857.97 $56,884.21 $50,500.89 2026-03-06
2314 APR_DRG Apr-DRG 42.00: Major Large Bowel Procedures 8 8 — — $41,562.68 $56,482.91 $50,144.62 2026-03-06
J1300 HCPCS Eculizumab 300mg/30ml Inj 26 16 $103,363.00 $62,017.80 40% off $355.97 $87,858.55 $50,074.21 2026-03-06
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