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 CARLISLE

Carlisle, PA · CCN 390058 · Rates published

9,332 distinct procedures filed
23 distinct payers
350,535 rate rows
2026-03-06 last MRF observed
Data quality

343,346 of 350,535 rate rows are consumer-grade (97.9%)

7,189 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 5,548
template filing: same amount across many unrelated codes — excluded 1,053
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 213
per-diem day rate — not a per-procedure price 164
exceeds 10× this hospital's gross charge — excluded from medians 161
placeholder amount (≤ $0.02) — excluded from medians 47
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
professional (physician) fee — not the facility price 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/machine-readable-csv-not-json/820880337_upmc-carlisle_standardcharges.csv?la=en&rev=5ee25cd4dbaa489d83c6557531af4a3a&hash=43BD0D58631B798719892EAA8E5731DA
Found on page https://www.upmc.com/locations/hospitals/carlisle/patients-visitors/patient-info/cdm
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-03
Content fingerprint 6cde62b1ab1205e0… · 134,676,058 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 7 $430,518.26 $553,477.73 $476,998.71 nat. median
$390,362
1.2× median
18
MS_DRG 		DRG Grouper 12 (10/1/1994): DRG 18: Cranial & Peripheral Nerve 10 $9,214.64 $1,014,795.80 $465,249.54 nat. median
$168,055
outlier · 2.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $31,871.59 $680,316.85 $326,064.61 nat. median
$186,516
1.7× median
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 $263,684.29 $338,994.64 $292,152.69 nat. median
$286,698
1.0× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $246,500.99 $316,903.65 $273,114.21 nat. median
$135,803
outlier · 2.0×
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 7 $245,194.01 $315,223.39 $271,666.13 nat. median
$268,208
1.0× median
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 7 $230,222.29 $316,693.73 $269,644.40 nat. median
$225,531
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $25,170.78 $458,817.05 $235,078.82 nat. median
$131,925
1.8× median
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 7 $188,264.08 $242,033.81 $208,589.81 nat. median
$201,678
1.0× median
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 7 $183,828.87 $236,331.87 $203,675.76 nat. median
$202,242
1.0× median
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $183,715.82 $236,186.54 $203,550.51 nat. median
$198,578
1.0× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $183,449.26 $235,843.85 $203,255.17 nat. median
$68,335
outlier · 3.0×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 7 $180,211.48 $231,681.32 $199,667.82 nat. median
$152,792
1.3× median
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $176,701.55 $227,168.93 $195,778.95 nat. median
$181,762
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $14,042.69 $498,792.20 $195,720.90 nat. median
$145,435
1.3× median
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 $175,613.68 $225,770.36 $194,573.63 nat. median
$173,134
1.1× median
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $172,911.10 $222,295.90 $191,579.27 nat. median
$171,497
1.1× median
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 7 $168,990.17 $217,255.12 $187,235.02 nat. median
$173,909
1.1× median
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 7 $163,520.12 $210,222.79 $181,174.40 nat. median
$173,018
1.0× median
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 7 $160,250.24 $206,018.99 $177,551.49 nat. median
$187,567
0.9× median
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $152,022.49 $195,441.33 $168,435.44 nat. median
$168,439
1.0× median
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 $150,481.75 $193,460.55 $166,728.36 nat. median
$152,383
1.1× median
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $145,839.99 $187,493.06 $161,585.45 nat. median
$63,564
outlier · 2.5×
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 7 $143,941.98 $185,052.96 $159,482.52 nat. median
$155,539
1.0× median
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 7 $135,545.91 $186,456.92 $158,756.11 nat. median
$149,836
1.1× median
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $138,494.26 $178,049.33 $153,446.65 nat. median
$135,630
1.1× median
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 7 $128,146.63 $176,278.47 $150,089.81 nat. median
$136,566
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $17,865.60 $325,657.09 $148,482.33 nat. median
$65,418
outlier · 2.3×
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 7 $125,406.30 $172,508.87 $146,880.24 nat. median
$117,894
1.2× median
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $130,405.37 $167,650.20 $144,484.45 nat. median
$120,079
1.2× median
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 $128,984.66 $165,823.71 $142,910.35 nat. median
$130,862
1.1× median
7
MS_DRG 		Lung Transplant 9 $16,187.12 $304,329.70 $141,964.51 nat. median
$70,649
outlier · 2.0×
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 7 $122,913.11 $158,018.08 $136,183.29 nat. median
$77,096
1.8× median
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 7 $122,913.11 $158,018.08 $136,183.29 nat. median
$99,483
1.4× median
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 7 $122,913.11 $158,018.08 $136,183.29 nat. median
$96,548
1.4× median
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 7 $121,113.48 $155,704.47 $134,189.37 nat. median
$73,618
1.8× median
14
MS_DRG 		DRG Grouper 12 (10/1/1994): DRG 14: Specific Cerebrovascular Disorders 10 $12,072.13 $282,420.65 $133,174.26 nat. median
$72,715
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 11 $11,083.62 $278,849.96 $129,787.75 nat. median
$73,023
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $14,042.69 $331,907.68 $129,776.65 nat. median
$97,418
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $15,125.91 $275,717.57 $127,228.44 nat. median
$69,922
1.8× median
6024
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 7 $114,523.47 $147,232.29 $126,887.88 nat. median
$124,731
1.0× median
5912
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $111,850.20 $143,795.52 $123,925.99 nat. median
$85,835
1.4× median
209
MS_DRG 		DRG Grouper 12 (10/1/1994): DRG 209: Major Joint & Limb Reattachment 11 $23,398.08 $265,991.80 $123,301.81 nat. median
$2,110
outlier · 58.4×
5933
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $111,208.92 $142,971.09 $123,215.48 nat. median
$114,205
1.1× median
212
MS_DRG 		DRG Grouper 12 (10/1/1994): DRG 212: Hip & Femur Procedures Except 11 $9,172.23 $255,541.35 $121,810.80 nat. median
$74,509
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $6,017.89 $258,998.20 $117,949.47 nat. median
$2,736
outlier · 43.1×
1611
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 7 $105,913.33 $136,163.03 $117,348.15 nat. median
$108,954
1.1× median
1612
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 7 $105,913.33 $136,163.03 $117,348.15 nat. median
$109,992
1.1× median
1604
APR_DRG 		Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 7 $105,527.44 $135,666.93 $116,920.60 nat. median
$106,926
1.1× median
216
MS_DRG 		DRG Grouper 12 (10/1/1994): DRG 216: Biopsies Of Musculoskeletal System 11 $12,917.95 $235,470.59 $115,725.93 nat. median
$69,822
1.7× median

Other procedures at this hospital

Browse this hospital's 9,332 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 7 7 — — $430,518.26 $553,477.73 $476,998.71 2026-03-06
18 MS_DRG DRG Grouper 12 (10/1/1994): DRG 18: Cranial & Peripheral Nerve 20 10 — — $9,214.64 $1,014,795.80 $465,249.54 2026-03-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 9 — — $31,871.59 $680,316.85 $326,064.61 2026-03-06
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $263,684.29 $338,994.64 $292,152.69 2026-03-06
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $246,500.99 $316,903.65 $273,114.21 2026-03-06
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 7 7 — — $245,194.01 $315,223.39 $271,666.13 2026-03-06
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 7 7 — — $230,222.29 $316,693.73 $269,644.40 2026-03-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 11 — — $25,170.78 $458,817.05 $235,078.82 2026-03-06
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 7 7 — — $188,264.08 $242,033.81 $208,589.81 2026-03-06
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 7 7 — — $183,828.87 $236,331.87 $203,675.76 2026-03-06
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $183,715.82 $236,186.54 $203,550.51 2026-03-06
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $183,449.26 $235,843.85 $203,255.17 2026-03-06
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $180,211.48 $231,681.32 $199,667.82 2026-03-06
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $176,701.55 $227,168.93 $195,778.95 2026-03-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 11 — — $14,042.69 $498,792.20 $195,720.90 2026-03-06
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $175,613.68 $225,770.36 $194,573.63 2026-03-06
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $172,911.10 $222,295.90 $191,579.27 2026-03-06
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 7 7 — — $168,990.17 $217,255.12 $187,235.02 2026-03-06
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 7 7 — — $163,520.12 $210,222.79 $181,174.40 2026-03-06
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 7 7 — — $160,250.24 $206,018.99 $177,551.49 2026-03-06
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $152,022.49 $195,441.33 $168,435.44 2026-03-06
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $150,481.75 $193,460.55 $166,728.36 2026-03-06
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $145,839.99 $187,493.06 $161,585.45 2026-03-06
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 7 7 — — $143,941.98 $185,052.96 $159,482.52 2026-03-06
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 7 7 — — $135,545.91 $186,456.92 $158,756.11 2026-03-06
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $138,494.26 $178,049.33 $153,446.65 2026-03-06
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 7 7 — — $128,146.63 $176,278.47 $150,089.81 2026-03-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 9 — — $17,865.60 $325,657.09 $148,482.33 2026-03-06
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 7 7 — — $125,406.30 $172,508.87 $146,880.24 2026-03-06
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $130,405.37 $167,650.20 $144,484.45 2026-03-06
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $128,984.66 $165,823.71 $142,910.35 2026-03-06
7 MS_DRG Lung Transplant 19 9 — — $16,187.12 $304,329.70 $141,964.51 2026-03-06
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 7 7 — — $122,913.11 $158,018.08 $136,183.29 2026-03-06
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 7 7 — — $122,913.11 $158,018.08 $136,183.29 2026-03-06
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 7 7 — — $122,913.11 $158,018.08 $136,183.29 2026-03-06
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $121,113.48 $155,704.47 $134,189.37 2026-03-06
14 MS_DRG DRG Grouper 12 (10/1/1994): DRG 14: Specific Cerebrovascular Disorders 20 10 — — $12,072.13 $282,420.65 $133,174.26 2026-03-06
215 MS_DRG Other Heart Assist System Implant 22 11 — — $11,083.62 $278,849.96 $129,787.75 2026-03-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 11 — — $14,042.69 $331,907.68 $129,776.65 2026-03-06
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 9 — — $15,125.91 $275,717.57 $127,228.44 2026-03-06
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 7 7 — — $114,523.47 $147,232.29 $126,887.88 2026-03-06
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $111,850.20 $143,795.52 $123,925.99 2026-03-06
209 MS_DRG DRG Grouper 12 (10/1/1994): DRG 209: Major Joint & Limb Reattachment 18 11 — — $23,398.08 $265,991.80 $123,301.81 2026-03-06
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $111,208.92 $142,971.09 $123,215.48 2026-03-06
212 MS_DRG DRG Grouper 12 (10/1/1994): DRG 212: Hip & Femur Procedures Except 19 11 — — $9,172.23 $255,541.35 $121,810.80 2026-03-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 11 — — $6,017.89 $258,998.20 $117,949.47 2026-03-06
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 7 7 — — $105,913.33 $136,163.03 $117,348.15 2026-03-06
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 7 7 — — $105,913.33 $136,163.03 $117,348.15 2026-03-06
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $105,527.44 $135,666.93 $116,920.60 2026-03-06
216 MS_DRG DRG Grouper 12 (10/1/1994): DRG 216: Biopsies Of Musculoskeletal System 22 11 — — $12,917.95 $235,470.59 $115,725.93 2026-03-06
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 9 — — $7,413.91 $412,228.80 $113,221.72 2026-03-06
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 7 7 — — $94,962.02 $130,629.74 $111,222.84 2026-03-06
453 MS_DRG DRG Grouper 12 (10/1/1994): DRG 453: Complications Of Treatment Without Cc 4 2 — — $4,397.30 $221,279.85 $109,242.12 2026-03-06
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $96,480.48 $124,036.08 $106,896.90 2026-03-06
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $95,502.17 $122,778.35 $105,812.96 2026-03-06
A9543 HCPCS Hc Y90 Ibritumomab Tiux/sdto40mci 48 17 $205,976.00 $123,585.60 40% off $28,218.71 $459,809.29 $105,655.93 2026-03-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 11 — — $11,203.81 $204,224.85 $103,322.90 2026-03-06
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $91,547.74 $117,694.51 $101,431.60 2026-03-06
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 7 7 — — $86,208.88 $118,588.91 $100,970.86 2026-03-06
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 11 — — $12,336.36 $224,869.23 $100,266.81 2026-03-06
850 MS_DRG Acute Leukemia With Other Procedures 17 11 — — $60,503.45 $203,498.25 $100,172.45 2026-03-06
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 7 7 — — $89,564.60 $115,144.96 $99,234.34 2026-03-06
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $89,448.76 $114,996.04 $99,106.00 2026-03-06
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 7 7 — — $83,931.58 $115,456.26 $98,303.60 2026-03-06
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 7 7 — — $88,526.97 $113,810.98 $98,084.69 2026-03-06
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 7 7 — — $88,333.68 $113,562.49 $97,870.53 2026-03-06
231 MS_DRG DRG Grouper 12 (10/1/1994): DRG 231: Local Excision & Removal Of Int 22 11 — — $11,129.55 $202,871.28 $97,655.54 2026-03-06
429 MS_DRG DRG Grouper 12 (10/1/1994): DRG 429: Organic Disturbances & Mental 18 11 — — $9,359.03 $211,725.60 $96,210.16 2026-03-06
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 7 7 — — $84,476.24 $108,603.34 $93,596.63 2026-03-06
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 7 7 — — $84,476.24 $108,603.34 $93,596.63 2026-03-06
222 MS_DRG DRG Grouper 12 (10/1/1994): DRG 222: Knee Procedures Without Cc 4 2 — — $9,947.69 $185,066.99 $92,931.95 2026-03-06
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 7 7 — — $83,763.79 $107,687.40 $92,807.26 2026-03-06
219 MS_DRG DRG Grouper 12 (10/1/1994): DRG 219: Lower Extrem & Humer Proc Except 22 11 — — $9,220.70 $196,468.41 $92,540.25 2026-03-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 11 — — $9,826.47 $179,118.53 $90,536.38 2026-03-06
233 MS_DRG DRG Grouper 12 (10/1/1994): DRG 233: Other Musculoskelet Sys & Conn 22 11 — — $10,269.89 $187,201.28 $90,331.01 2026-03-06
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 7 7 — — $79,515.59 $102,225.88 $88,100.41 2026-03-06
224 MS_DRG DRG Grouper 12 (10/1/1994): DRG 224: Shoulder, Elbow Or Forearm Proc, 4 2 — — $6,999.33 $171,352.42 $85,492.34 2026-03-06
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 2 — — $8,795.49 $160,325.65 $82,781.91 2026-03-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 11 — — $9,004.87 $164,142.23 $82,347.81 2026-03-06
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $73,628.96 $94,657.98 $81,578.23 2026-03-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 11 — — $7,429.47 $177,785.69 $81,365.07 2026-03-06
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 7 7 — — $72,952.09 $93,787.80 $80,828.29 2026-03-06
268 MS_DRG DRG Grouper 12 (10/1/1994): DRG 268: Skin, Subcutaneous Tissue & Breast 22 11 — — $8,437.16 $167,282.03 $80,193.03 2026-03-06
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 10 — — $5,982.55 $172,449.77 $80,179.22 2026-03-06
10 MS_DRG Pancreas Transplant 18 9 — — $5,498.74 $291,925.12 $80,112.79 2026-03-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 11 — — $8,209.79 $168,558.45 $80,015.79 2026-03-06
275 MS_DRG DRG Grouper 12 (10/1/1994): DRG 275: Malignant Breast Disorders Without Cc 19 11 — — $5,181.85 $167,564.40 $79,827.54 2026-03-06
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 7 7 — — $72,012.16 $92,579.41 $79,786.88 2026-03-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 11 — — $8,932.07 $162,815.25 $79,729.26 2026-03-06
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $71,826.54 $92,340.78 $79,581.22 2026-03-06
226 MS_DRG DRG Grouper 12 (10/1/1994): DRG 226: Soft Tissue Procedures W Cc 4 2 — — $8,487.72 $154,715.58 $78,989.57 2026-03-06
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $70,918.71 $91,173.66 $78,575.37 2026-03-06
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $70,576.09 $90,733.19 $78,195.76 2026-03-06
217 MS_DRG DRG Grouper 12 (10/1/1994): DRG 217: Wnd Debrid & Skn Grft Except Hand 22 11 — — $8,418.64 $154,519.55 $78,023.88 2026-03-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 11 — — $6,026.98 $169,637.10 $77,966.37 2026-03-06
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 7 7 — — $66,530.94 $91,519.94 $77,923.36 2026-03-06
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $70,018.55 $90,016.41 $77,578.03 2026-03-06
104 MS_DRG DRG Grouper 12 (10/1/1994): DRG 104: Cardiac Valve Procedures W Cardiac 1 1 — — $76,814.93 $76,814.93 $76,814.93 2026-03-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 11 — — $9,610.46 $175,181.09 $76,584.28 2026-03-06
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 7 7 — — $69,023.49 $88,737.15 $76,475.54 2026-03-06
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 7 7 — — $64,899.91 $89,276.30 $76,013.05 2026-03-06
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $68,073.78 $87,516.20 $75,423.30 2026-03-06
454 MS_DRG DRG Grouper 12 (10/1/1994): DRG 454: Other Injury, Poisoning & Toxic 4 2 — — $8,076.66 $147,222.60 $74,187.43 2026-03-06
218 MS_DRG DRG Grouper 12 (10/1/1994): DRG 218: Lower Extrem & Humer Proc Except 22 11 — — $7,874.83 $154,519.55 $73,749.86 2026-03-06
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 54 18 $238,702.00 $143,221.20 40% off $4,953.60 $202,896.70 $73,188.58 2026-03-06
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 11 — — $8,004.92 $145,914.95 $72,612.01 2026-03-06
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 11 — — $4,721.42 $157,017.60 $72,430.23 2026-03-06
317 MS_DRG DRG Grouper 12 (10/1/1994): DRG 317: Admit For Renal Dialysis 18 11 — — $5,199.01 $157,132.75 $71,360.31 2026-03-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 11 — — $7,784.40 $153,957.90 $71,339.75 2026-03-06
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 7 7 — — $60,708.55 $83,510.67 $71,103.98 2026-03-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 11 — — $7,051.24 $137,822.80 $71,026.73 2026-03-06
232 MS_DRG DRG Grouper 12 (10/1/1994): DRG 232: Arthroscopy 22 11 — — $7,767.56 $142,471.10 $70,854.09 2026-03-06
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 7 7 — — $60,286.61 $82,930.25 $70,609.79 2026-03-06
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $63,729.28 $81,930.88 $70,609.75 2026-03-06
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 7 7 — — $63,537.39 $81,684.18 $70,397.14 2026-03-06
28 MS_DRG Spinal Procedures With Mcc 22 11 — — $7,793.68 $142,064.52 $70,247.73 2026-03-06
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 11 — — $9,002.61 $164,101.14 $70,038.23 2026-03-06
16 MS_DRG DRG Grouper 12 (10/1/1994): DRG 16: Nonspecific Cerebrovascular 20 10 — — $8,068.04 $147,065.48 $69,980.36 2026-03-06
235 MS_DRG DRG Grouper 12 (10/1/1994): DRG 235: Fractures Of Femur 22 11 — — $7,942.86 $144,783.75 $69,887.84 2026-03-06
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 7 7 — — $62,056.66 $79,780.54 $68,756.54 2026-03-06
276 MS_DRG DRG Grouper 12 (10/1/1994): DRG 276: Non-maligant Breast Disorders 19 11 — — $6,196.61 $141,155.10 $68,244.38 2026-03-06
653 MS_DRG Major Bladder Procedures With Mcc 21 11 — — $7,368.30 $134,310.50 $67,882.52 2026-03-06
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $61,029.50 $78,460.02 $67,618.49 2026-03-06
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 7 7 — — $60,804.81 $78,171.15 $67,369.54 2026-03-06
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $60,786.67 $78,147.83 $67,349.44 2026-03-06
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 7 7 — — $60,695.95 $78,031.20 $67,248.93 2026-03-06
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 21 11 — — $7,332.89 $133,665.13 $67,203.98 2026-03-06
23 MS_DRG DRG Grouper 12 (10/1/1994): DRG 23: Nontraumatic Stupor & Coma 22 11 — — $7,599.95 $138,533.15 $66,832.43 2026-03-06
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 11 — — $6,950.47 $133,938.25 $66,071.38 2026-03-06
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 7 7 — — $59,506.21 $76,501.66 $65,930.73 2026-03-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 11 — — $7,348.67 $133,952.77 $65,579.61 2026-03-06
461 MS_DRG DRG Grouper 12 (10/1/1994): DRG 461: O.r. Proc W Diagnoses Of Other 22 11 — — $8,506.68 $155,061.22 $65,517.00 2026-03-06
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 11 — — $7,136.90 $130,092.67 $65,506.35 2026-03-06
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 7 7 — — $59,010.77 $75,864.72 $65,381.80 2026-03-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 11 — — $6,535.02 $140,012.19 $64,508.06 2026-03-06
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 7 7 — — $58,000.36 $74,565.72 $64,262.30 2026-03-06
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $57,848.23 $74,370.16 $64,093.76 2026-03-06
223 MS_DRG DRG Grouper 12 (10/1/1994): DRG 223: Major Shoulder/elbow Proc, Or 4 2 — — $6,920.10 $126,140.73 $63,707.19 2026-03-06
220 MS_DRG DRG Grouper 12 (10/1/1994): DRG 220: *lower Extrem & Humer Proc Except 22 11 — — $7,207.05 $131,371.31 $63,502.24 2026-03-06
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $56,879.69 $73,124.99 $63,020.65 2026-03-06
234 MS_DRG DRG Grouper 12 (10/1/1994): DRG 234: Other Musculoskelet Sys & Conn 22 11 — — $6,877.14 $128,373.45 $62,811.08 2026-03-06
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 7 7 — — $53,590.34 $73,718.86 $62,766.88 2026-03-06
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 11 — — $6,843.06 $133,491.49 $62,762.07 2026-03-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 11 — — $6,849.16 $128,171.35 $62,628.69 2026-03-06
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 11 — — $17,401.39 $134,112.15 $62,599.91 2026-03-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 11 — — $6,498.82 $118,461.63 $62,243.65 2026-03-06
430 MS_DRG DRG Grouper 12 (10/1/1994): DRG 430: Psychoses 18 11 — — $9,067.22 $135,526.85 $62,132.03 2026-03-06
225 MS_DRG DRG Grouper 12 (10/1/1994): DRG 225: Foot Procedures 4 2 — — $6,706.61 $122,249.21 $62,018.40 2026-03-06
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $55,751.35 $71,674.38 $61,770.49 2026-03-06
108 MS_DRG DRG Grouper 12 (10/1/1994): DRG 108: Other Cardiothoracic Procedures 1 1 — — $61,674.28 $61,674.28 $61,674.28 2026-03-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 11 — — $5,370.66 $126,778.84 $61,381.40 2026-03-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 11 — — $8,706.51 $158,703.78 $61,262.58 2026-03-06
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 11 — — $4,226.66 $123,726.05 $61,125.17 2026-03-06
227 MS_DRG DRG Grouper 12 (10/1/1994): DRG 227: Soft Tissue Procedures Without Cc 4 2 — — $6,657.55 $121,354.89 $61,074.71 2026-03-06
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 11 — — $6,674.20 $123,993.05 $60,932.50 2026-03-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 11 — — $7,594.05 $132,117.00 $60,885.17 2026-03-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 11 — — $7,490.69 $136,541.47 $60,618.43 2026-03-06
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $54,625.80 $70,227.37 $60,523.42 2026-03-06
484 MS_DRG DRG Grouper 12 (10/1/1994): DRG 484: Craniotomy For Multiple 1 1 — — $60,387.91 $60,387.91 $60,387.91 2026-03-06
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 7 7 — — $51,415.43 $70,727.05 $60,219.55 2026-03-06
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 11 — — $6,818.26 $124,284.40 $59,558.61 2026-03-06
799 MS_DRG Splenic Procedures With Mcc 21 11 — — $6,905.51 $125,874.85 $59,392.60 2026-03-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 11 — — $5,906.82 $130,805.70 $59,310.90 2026-03-06
471 MS_DRG DRG Grouper 12 (10/1/1994): DRG 471: Bilateral Or Multiple Major Joint 22 11 — — $6,679.16 $121,748.87 $58,980.52 2026-03-06
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 7 7 — — $53,178.56 $68,366.79 $58,919.93 2026-03-06
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 7 7 — — $53,110.18 $68,278.87 $58,844.16 2026-03-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 11 — — $6,073.70 $110,712.44 $58,837.50 2026-03-06
652 MS_DRG Kidney Transplant 19 10 — — $4,090.90 $176,276.01 $58,826.94 2026-03-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 11 — — $6,157.90 $112,247.29 $58,727.49 2026-03-06
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 7 7 — — $52,953.87 $68,077.92 $58,670.98 2026-03-06
105 MS_DRG DRG Grouper 12 (10/1/1994): DRG 105: Cardiac Valve Procedures Without 1 1 — — $58,216.01 $58,216.01 $58,216.01 2026-03-06
221 MS_DRG DRG Grouper 12 (10/1/1994): DRG 221: Knee Procedures W Cc 22 11 — — $6,274.20 $118,444.70 $58,156.69 2026-03-06
455 MS_DRG DRG Grouper 12 (10/1/1994): DRG 455: Other Injury, Poisoning & Toxic 4 2 — — $4,421.53 $115,730.32 $57,664.53 2026-03-06
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $51,935.09 $66,768.16 $57,542.20 2026-03-06
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $51,877.17 $66,693.71 $57,478.03 2026-03-06
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 11 — — $4,208.48 $125,245.60 $57,413.04 2026-03-06
239 MS_DRG DRG Grouper 12 (10/1/1994): DRG 239: Pathological Fractures & 22 11 — — $6,166.13 $115,659.95 $57,321.85 2026-03-06
106 MS_DRG DRG Grouper 12 (10/1/1994): DRG 106: Coronary Bypass W Cardiac Cath 1 1 — — $57,233.56 $57,233.56 $57,233.56 2026-03-06
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 7 7 — — $51,471.75 $66,172.49 $57,028.84 2026-03-06
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 11 — — $5,851.33 $106,894.45 $56,817.18 2026-03-06
17 MS_DRG DRG Grouper 12 (10/1/1994): DRG 17: Nonspecific Cerebrovascular 20 10 — — $5,794.84 $113,700.05 $56,731.60 2026-03-06
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 11 — — $4,332.68 $111,749.37 $56,399.27 2026-03-06
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 11 — — $5,736.89 $107,742.80 $56,133.72 2026-03-06
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 7 7 — — $50,492.74 $64,913.87 $55,944.13 2026-03-06
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 7 7 — — $50,419.47 $64,819.67 $55,862.95 2026-03-06
163 MS_DRG Major Chest Procedures With Mcc 22 11 — — $6,422.84 $117,076.64 $55,835.20 2026-03-06
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 7 7 — — $50,367.13 $64,752.39 $55,804.97 2026-03-06
6 MS_DRG Liver Transplant Without Mcc 19 9 — — $6,377.23 $116,245.16 $55,803.61 2026-03-06
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $49,773.30 $63,988.96 $55,147.03 2026-03-06
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $49,702.13 $63,897.46 $55,068.17 2026-03-06
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 11 — — $6,382.27 $116,337.01 $54,431.26 2026-03-06
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 7 7 — — $49,053.87 $63,064.05 $54,349.92 2026-03-06
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $48,979.21 $62,968.07 $54,267.20 2026-03-06
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $48,912.22 $62,881.94 $54,192.98 2026-03-06
25 MS_DRG DRG Grouper 12 (10/1/1994): DRG 25: Seizure & Headache Age >17 Without Cc 22 11 — — $5,568.57 $109,748.02 $54,176.33 2026-03-06
245 MS_DRG DRG Grouper 12 (10/1/1994): DRG 245: Bone Diseases & Specific 22 11 — — $4,859.75 $117,857.36 $54,072.67 2026-03-06
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 7 7 — — $48,767.78 $62,696.25 $54,032.94 2026-03-06
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 7 7 — — $48,676.36 $62,578.73 $53,931.66 2026-03-06
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 7 7 — — $48,018.34 $61,732.76 $53,202.59 2026-03-06
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 7 7 — — $47,950.65 $61,645.75 $53,127.60 2026-03-06
901 MS_DRG Wound Debridements For Injuries With Mcc 21 11 — — $5,832.63 $106,318.16 $52,916.94 2026-03-06
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 7 7 — — $45,169.80 $62,135.56 $52,904.44 2026-03-06
277 MS_DRG DRG Grouper 12 (10/1/1994): DRG 277: Cellulitis Age >17 W Cc 19 11 — — $8,889.51 $108,534.75 $52,766.03 2026-03-06
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 7 7 — — $47,615.01 $61,214.24 $52,755.72 2026-03-06
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 7 7 — — $47,546.63 $61,126.33 $52,679.95 2026-03-06
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 7 7 — — $47,431.49 $60,978.31 $52,552.38 2026-03-06
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 7 7 — — $47,331.01 $60,849.12 $52,441.05 2026-03-06
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 11 — — $5,464.53 $105,291.75 $52,034.33 2026-03-06
9124 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 7 7 — — $46,830.69 $60,205.91 $51,886.71 2026-03-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 11 — — $5,648.48 $145,535.47 $51,836.13 2026-03-06
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 11 — — $5,583.71 $104,878.15 $51,781.19 2026-03-06
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $46,687.64 $60,022.00 $51,728.22 2026-03-06
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 7 7 — — $44,124.40 $60,697.52 $51,680.04 2026-03-06
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 7 7 — — $46,386.89 $59,635.35 $51,395.00 2026-03-06
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 11 — — $5,530.17 $100,804.78 $51,294.07 2026-03-06
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 7 7 — — $46,009.38 $59,150.02 $50,976.73 2026-03-06
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 11 — — $5,432.57 $100,883.15 $50,788.08 2026-03-06
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 11 — — $5,599.12 $103,230.80 $50,777.05 2026-03-06
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 7 7 — — $45,333.21 $58,280.74 $50,227.56 2026-03-06
269 MS_DRG DRG Grouper 12 (10/1/1994): DRG 269: Other Skin, Subcut Tiss & Breast 22 11 — — $5,670.46 $103,362.06 $50,046.03 2026-03-06
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 11 — — $5,213.78 $97,595.50 $49,886.57 2026-03-06
140 MS_DRG Major Head And Neck Procedures With Mcc 22 11 — — $5,511.34 $100,461.55 $49,790.88 2026-03-06
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 7 7 — — $42,432.73 $58,370.45 $49,698.69 2026-03-06
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 7 7 — — $44,739.38 $57,517.31 $49,569.62 2026-03-06
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 7 7 — — $44,612.38 $57,354.04 $49,428.91 2026-03-06
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $44,512.60 $57,225.75 $49,318.35 2026-03-06
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 7 7 — — $44,313.03 $56,969.18 $49,097.24 2026-03-06
236 MS_DRG DRG Grouper 12 (10/1/1994): DRG 236: Fractures Of Hip & Pelvis 22 11 — — $5,408.04 $98,578.64 $48,621.81 2026-03-06
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 7 7 — — $43,721.29 $56,208.45 $48,441.62 2026-03-06
323 MS_DRG DRG Grouper 12 (10/1/1994): DRG 323: Urinary Stones W Cc, &/or Esw 19 11 — — $7,291.14 $101,693.90 $48,358.23 2026-03-06
7404 APR_DRG Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure 7 7 — — $43,601.97 $56,055.04 $48,309.41 2026-03-06
6083 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 7 7 — — $43,585.92 $56,034.41 $48,291.63 2026-03-06
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 11 — — $5,655.74 $103,093.77 $48,235.41 2026-03-06
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 11 — — $5,054.79 $93,626.35 $48,095.75 2026-03-06
1204 APR_DRG Apr-DRG 42.00: Major Respiratory And Chest Procedures 7 7 — — $43,132.35 $55,451.30 $47,789.09 2026-03-06
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 11 — — $5,126.00 $93,437.49 $47,738.25 2026-03-06
6814 APR_DRG Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 7 7 — — $43,062.57 $55,361.59 $47,711.78 2026-03-06
3124 APR_DRG Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $42,981.63 $55,257.53 $47,622.10 2026-03-06
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 11 — — $4,925.37 $129,592.62 $47,371.61 2026-03-06
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 11 — — $5,321.32 $96,997.86 $47,371.09 2026-03-06
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 11 — — $4,633.11 $98,737.60 $47,355.83 2026-03-06
1304 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $42,625.05 $54,799.11 $47,227.02 2026-03-06
2204 APR_DRG Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $42,484.79 $54,618.79 $47,071.62 2026-03-06
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 2 — — $4,993.79 $91,027.65 $47,016.67 2026-03-06
6954 APR_DRG Apr-DRG 42.00: Chemotherapy For Acute Leukemia 7 7 — — $42,345.93 $54,440.27 $46,917.77 2026-03-06
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 11 — — $5,184.08 $99,076.00 $46,895.89 2026-03-06
41 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $42,223.82 $54,283.28 $46,782.47 2026-03-06
332 MS_DRG Rectal Resection With Mcc 22 11 — — $5,384.04 $98,141.15 $46,731.22 2026-03-06
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 11 — — $4,702.33 $87,086.30 $46,458.45 2026-03-06
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 11 — — $5,044.45 $91,950.98 $46,433.75 2026-03-06
204 APR_DRG Apr-DRG 42.00: Open Craniotomy For Trauma 7 7 — — $41,890.97 $53,855.36 $46,413.68 2026-03-06
894 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 7 7 — — $41,865.85 $53,823.07 $46,385.85 2026-03-06
3614 APR_DRG Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 7 — — $41,819.09 $53,762.96 $46,334.05 2026-03-06
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 11 — — $4,991.80 $90,991.39 $46,299.70 2026-03-06
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 7 7 — — $41,768.15 $53,697.48 $46,277.61 2026-03-06
34 MS_DRG DRG Grouper 12 (10/1/1994): DRG 34: Other Disorders Of Nervous System 22 11 — — $5,303.28 $96,669.14 $46,139.31 2026-03-06
2614 APR_DRG Apr-DRG 42.00: Major Biliary Tract Procedures 7 7 — — $41,599.99 $53,481.28 $46,091.29 2026-03-06
9504 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $41,593.70 $53,473.20 $46,084.32 2026-03-06
6092 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $41,583.94 $53,460.64 $46,073.50 2026-03-06
1653 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $41,429.72 $53,262.38 $45,902.64 2026-03-06
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 11 — — $5,023.49 $91,569.08 $45,872.48 2026-03-06
24 MS_DRG DRG Grouper 12 (10/1/1994): DRG 24: Seizure & Headache Age >17 W Cc 22 11 — — $5,236.19 $95,446.09 $45,830.92 2026-03-06
61 APR_DRG Apr-DRG 42.00: Pancreas Transplant 7 7 — — $41,332.03 $53,136.79 $45,794.40 2026-03-06
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 11 — — $3,649.10 $99,658.80 $45,718.43 2026-03-06
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 11 — — $4,884.79 $89,040.80 $45,123.83 2026-03-06
6234 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 7 7 — — $40,632.14 $52,237.00 $45,018.94 2026-03-06
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 21 11 — — $4,833.08 $88,098.13 $44,859.58 2026-03-06
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 11 — — $4,860.92 $88,605.72 $44,767.76 2026-03-06
274 APR_DRG Apr-DRG 42.00: Other Open Craniotomy 7 7 — — $40,356.51 $51,882.65 $44,713.56 2026-03-06
6302 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 7 7 — — $40,257.42 $51,755.26 $44,603.77 2026-03-06
6123 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 7 7 — — $40,164.61 $51,635.95 $44,500.94 2026-03-06
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 11 — — $4,943.00 $90,101.90 $44,485.09 2026-03-06
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 11 — — $4,801.65 $87,525.28 $44,331.77 2026-03-06
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 11 — — $5,174.53 $94,322.14 $44,270.11 2026-03-06
924 APR_DRG Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 7 7 — — $39,908.52 $51,306.71 $44,217.20 2026-03-06
4402 APR_DRG Apr-DRG 42.00: Kidney Transplant 7 7 — — $37,602.91 $51,726.56 $44,041.85 2026-03-06
408 MS_DRG DRG Grouper 12 (10/1/1994): DRG 408: Myeloprolif Disord Or Poorly Diff 22 11 — — $4,865.83 $88,695.15 $43,895.15 2026-03-06
4014 APR_DRG Apr-DRG 42.00: Adrenal Procedures 7 7 — — $39,582.65 $50,887.77 $43,856.15 2026-03-06
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 11 — — $9,301.48 $94,481.75 $43,808.27 2026-03-06
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 11 — — $5,779.46 $105,348.91 $43,732.77 2026-03-06
5204 APR_DRG Apr-DRG 42.00: Other GYN Procedures For Malignancy 7 7 — — $39,436.81 $50,700.28 $43,694.56 2026-03-06
6133 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 7 7 — — $39,421.46 $50,680.54 $43,677.55 2026-03-06
6113 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $39,266.55 $50,481.39 $43,505.92 2026-03-06
1622 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $39,219.09 $50,420.38 $43,453.34 2026-03-06
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 11 — — $3,932.98 $184,354.41 $43,359.67 2026-03-06
0408T CPT Hc Ins/rplc Ccm System 46 15 $86,071.00 $51,642.60 40% off $11,791.73 $95,849.16 $43,315.32 2026-03-06
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 11 — — $4,622.37 $86,282.60 $43,281.17 2026-03-06
37231 HCPCS Hc Tib/per Revasc Stent & Ather 49 17 $110,164.00 $66,098.40 40% off $1,016.56 $93,639.40 $43,281.01 2026-03-06
4414 APR_DRG Apr-DRG 42.00: Major Bladder Procedures 7 7 — — $39,038.37 $50,188.04 $43,253.10 2026-03-06
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 21 11 — — $4,238.36 $90,825.15 $43,249.53 2026-03-06
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 21 11 — — $4,709.89 $86,317.85 $43,208.48 2026-03-06
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 11 — — $5,155.83 $93,981.33 $43,024.09 2026-03-06
1782 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 7 7 — — $38,769.01 $49,841.76 $42,954.67 2026-03-06
6032 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 7 7 — — $38,700.63 $49,753.84 $42,878.90 2026-03-06
1833 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 7 7 — — $38,593.17 $49,615.69 $42,759.84 2026-03-06
94 MS_DRG DRG Grouper 12 (10/1/1994): DRG 94: Pneumothorax W Cc 22 11 — — $4,738.53 $86,374.75 $42,502.87 2026-03-06
414 MS_DRG DRG Grouper 12 (10/1/1994): DRG 414: Other Myeloprolif Dis Or Poorly 22 11 — — $4,687.08 $85,436.92 $42,456.02 2026-03-06
107 MS_DRG DRG Grouper 12 (10/1/1994): DRG 107: Coronary Bypass Without Cardiac Cath 1 1 — — $42,381.69 $42,381.69 $42,381.69 2026-03-06
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 11 — — $4,400.26 $80,567.40 $42,056.75 2026-03-06
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 11 — — $4,021.82 $89,692.45 $41,907.74 2026-03-06
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