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

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You selected 27447 (CPT)

ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)

This hospital’s price: $13,047 across 12 payers · range $1,017-$38,466

Source: 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 · observed 2026-03-06

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

10,166 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 · 2026-08-03
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 $486,807.77 nat. median
$311,018
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $9,214.64 $1,014,795.80 $323,012.37 nat. median
$370,165
0.9× median
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 $263,684.29 $338,994.64 $298,160.55 nat. median
$254,667
1.2× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $246,500.99 $316,903.65 $278,730.56 nat. median
$119,243
outlier · 2.3×
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 7 $230,222.29 $316,693.73 $278,545.92 nat. median
$243,231
1.1× median
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 7 $245,194.01 $315,223.39 $277,252.70 nat. median
$250,089
1.1× median
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 7 $188,264.08 $242,033.81 $212,879.28 nat. median
$169,230
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $31,871.59 $680,316.85 $212,713.82 nat. median
$261,939
0.8× median
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 7 $183,828.87 $236,331.87 $207,864.17 nat. median
$209,486
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 $207,736.35 nat. median
$168,174
1.2× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $183,449.26 $235,843.85 $207,434.93 nat. median
$67,603
outlier · 3.1×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 7 $180,211.48 $231,681.32 $203,773.81 nat. median
$165,599
1.2× median
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $176,701.55 $227,168.93 $199,804.97 nat. median
$147,677
1.4× median
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 $175,613.68 $225,770.36 $198,574.86 nat. median
$180,995
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 $195,518.93 nat. median
$168,361
1.2× median
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 7 $168,990.17 $217,255.12 $191,085.34 nat. median
$154,685
1.2× median
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 7 $163,520.12 $210,222.79 $184,900.09 nat. median
$165,646
1.1× median
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 7 $160,250.24 $206,018.99 $181,202.68 nat. median
$160,171
1.1× median
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $152,022.49 $195,441.33 $171,899.17 nat. median
$156,285
1.1× median
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 $150,481.75 $193,460.55 $170,156.98 nat. median
$147,847
1.2× median
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $145,839.99 $187,493.06 $164,908.32 nat. median
$63,564
outlier · 2.6×
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 7 $135,545.91 $186,456.92 $163,996.98 nat. median
$175,480
0.9× median
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 7 $143,941.98 $185,052.96 $162,762.14 nat. median
$127,938
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $25,170.78 $458,817.05 $162,154.30 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $26,834.80 $498,792.20 $156,727.07 nat. median
$199,832
0.8× median
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $138,494.26 $178,049.33 $156,602.14 nat. median
$127,600
1.2× median
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 7 $128,146.63 $176,278.47 $155,044.59 nat. median
$137,901
1.1× median
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 7 $125,406.30 $172,508.87 $151,729.06 nat. median
$116,111
1.3× median
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $130,405.37 $167,650.20 $147,455.65 nat. median
$108,751
1.4× median
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 7 $128,984.66 $165,823.71 $145,849.17 nat. median
$120,928
1.2× 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 $138,983.78 nat. median
$96,420
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 $138,983.78 nat. median
$89,188
1.6× median
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 $138,983.78 nat. median
$71,350
1.9× median
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 7 $121,113.48 $155,704.47 $136,948.86 nat. median
$80,413
1.7× 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 $129,497.21 nat. median
$123,690
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 $126,474.42 nat. median
$84,000
1.5× median
5933
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $111,208.92 $142,971.09 $125,749.30 nat. median
$112,711
1.1× median
1612
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 7 $105,913.33 $136,163.03 $119,761.31 nat. median
$93,192
1.3× median
1611
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 7 $105,913.33 $136,163.03 $119,761.31 nat. median
$82,164
1.5× median
1604
APR_DRG 		Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 7 $105,527.44 $135,666.93 $119,324.97 nat. median
$101,315
1.2× median
22
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 7 $94,962.02 $130,629.74 $114,894.54 nat. median
$94,014
1.2× median
54
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $96,480.48 $124,036.08 $109,095.14 nat. median
$88,000
1.2× median
43
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $95,502.17 $122,778.35 $107,988.91 nat. median
$78,024
1.4× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $4,397.30 $221,279.85 $105,645.66 nat. median
$83,623
1.3× median
73
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 7 $86,208.88 $118,588.91 $104,304.11 nat. median
$89,814
1.2× median
8424
APR_DRG 		Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 7 $91,547.74 $117,694.51 $103,517.45 nat. median
$83,517
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $18,208.51 $331,907.68 $102,412.95 nat. median
$132,706
0.8× median
21
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 7 $83,931.58 $115,456.26 $101,548.80 nat. median
$74,854
1.4× median
64
APR_DRG 		Apr-DRG 42.00: Pancreas Transplant 7 $89,564.60 $115,144.96 $101,275.01 nat. median
$92,994
1.1× median
5932
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $89,448.76 $114,996.04 $101,144.03 nat. median
$89,063
1.1× median

Other procedures at this hospital

Browse this hospital's 10,166 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 7 7 — — $430,518.26 $553,477.73 $486,807.77 2026-03-06
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 11 — — $9,214.64 $1,014,795.80 $323,012.37 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 $298,160.55 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 $278,730.56 2026-03-06
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 7 7 — — $230,222.29 $316,693.73 $278,545.92 2026-03-06
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 7 7 — — $245,194.01 $315,223.39 $277,252.70 2026-03-06
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 7 7 — — $188,264.08 $242,033.81 $212,879.28 2026-03-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 10 — — $31,871.59 $680,316.85 $212,713.82 2026-03-06
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 7 7 — — $183,828.87 $236,331.87 $207,864.17 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 $207,736.35 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 $207,434.93 2026-03-06
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $180,211.48 $231,681.32 $203,773.81 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 $199,804.97 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 $198,574.86 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 $195,518.93 2026-03-06
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 7 7 — — $168,990.17 $217,255.12 $191,085.34 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 $184,900.09 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 $181,202.68 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 $171,899.17 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 $170,156.98 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 $164,908.32 2026-03-06
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 7 7 — — $135,545.91 $186,456.92 $163,996.98 2026-03-06
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 7 7 — — $143,941.98 $185,052.96 $162,762.14 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 $162,154.30 2026-03-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 12 — — $26,834.80 $498,792.20 $156,727.07 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 $156,602.14 2026-03-06
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 7 7 — — $128,146.63 $176,278.47 $155,044.59 2026-03-06
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 7 7 — — $125,406.30 $172,508.87 $151,729.06 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 $147,455.65 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 $145,849.17 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 $138,983.78 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 $138,983.78 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 $138,983.78 2026-03-06
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $121,113.48 $155,704.47 $136,948.86 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 $129,497.21 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 $126,474.42 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 $125,749.30 2026-03-06
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 7 7 — — $105,913.33 $136,163.03 $119,761.31 2026-03-06
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 7 7 — — $105,913.33 $136,163.03 $119,761.31 2026-03-06
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $105,527.44 $135,666.93 $119,324.97 2026-03-06
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 7 7 — — $94,962.02 $130,629.74 $114,894.54 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 $109,095.14 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 $107,988.91 2026-03-06
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 2 — — $4,397.30 $221,279.85 $105,645.66 2026-03-06
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 7 7 — — $86,208.88 $118,588.91 $104,304.11 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 $103,517.45 2026-03-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 12 — — $18,208.51 $331,907.68 $102,412.95 2026-03-06
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 7 7 — — $83,931.58 $115,456.26 $101,548.80 2026-03-06
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 7 7 — — $89,564.60 $115,144.96 $101,275.01 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 $101,144.03 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 $100,101.71 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 $99,883.15 2026-03-06
7 MS_DRG Lung Transplant 19 10 — — $16,187.12 $304,329.70 $98,511.31 2026-03-06
A9543 HCPCS Hc Y90 Ibritumomab Tiux/sdto40mci 48 18 $205,976.00 $123,585.60 40% off $28,218.71 $459,809.29 $98,250.55 2026-03-06
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 7 7 — — $84,476.24 $108,603.34 $95,521.37 2026-03-06
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 7 7 — — $84,476.24 $108,603.34 $95,521.37 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 $94,715.76 2026-03-06
14 MS_DRG Allogeneic Bone Marrow Transplant 20 11 — — $12,072.13 $282,420.65 $90,177.82 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 $89,912.12 2026-03-06
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 2 — — $9,947.69 $185,066.99 $88,356.55 2026-03-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 10 — — $17,865.60 $325,657.09 $86,249.85 2026-03-06
209 MS_DRG Complex Aortic Arch Procedures 18 12 — — $23,398.08 $265,991.80 $84,555.96 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 $83,255.82 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 $82,490.45 2026-03-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $6,017.89 $258,998.20 $82,343.03 2026-03-06
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 12 — — $9,172.23 $255,541.35 $82,015.70 2026-03-06
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 2 — — $6,999.33 $171,352.42 $81,808.80 2026-03-06
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 7 7 — — $72,012.16 $92,579.41 $81,427.62 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 $81,217.74 2026-03-06
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 2 — — $8,795.49 $160,325.65 $81,003.24 2026-03-06
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 7 7 — — $66,530.94 $91,519.94 $80,495.77 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 $80,191.21 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 $79,803.79 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 $79,173.35 2026-03-06
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 7 7 — — $64,899.91 $89,276.30 $78,522.40 2026-03-06
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 10 — — $15,125.91 $275,717.57 $78,512.19 2026-03-06
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 7 7 — — $69,023.49 $88,737.15 $78,048.19 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 $76,974.31 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
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 52 17 $238,702.00 $143,221.20 40% off $4,953.60 $202,896.70 $76,623.34 2026-03-06
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 2 — — $8,487.72 $154,715.58 $76,377.50 2026-03-06
215 MS_DRG Other Heart Assist System Implant 22 12 — — $11,083.62 $278,849.96 $75,482.91 2026-03-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 12 — — $12,917.95 $235,470.59 $74,169.21 2026-03-06
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 7 7 — — $60,708.55 $83,510.67 $73,451.27 2026-03-06
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 7 7 — — $60,286.61 $82,930.25 $72,940.76 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 $72,061.78 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 $71,844.79 2026-03-06
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 2 — — $8,076.66 $147,222.60 $70,725.22 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 $70,170.46 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 $69,009.00 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 $68,754.93 2026-03-06
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $60,786.67 $78,147.83 $68,734.42 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 $68,631.84 2026-03-06
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 12 — — $9,359.03 $211,725.60 $67,384.82 2026-03-06
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 7 7 — — $59,506.21 $76,501.66 $67,286.54 2026-03-06
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 7 7 — — $59,010.77 $75,864.72 $66,726.32 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 $65,583.80 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 $65,411.79 2026-03-06
850 MS_DRG Acute Leukemia With Other Procedures 17 11 — — $60,503.45 $203,498.25 $65,392.62 2026-03-06
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 7 7 — — $53,590.34 $73,718.86 $64,838.95 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 $64,316.61 2026-03-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 12 — — $11,129.55 $202,871.28 $63,966.74 2026-03-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 12 — — $11,203.81 $204,224.85 $63,766.90 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 $63,040.74 2026-03-06
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 7 7 — — $51,415.43 $70,727.05 $62,207.52 2026-03-06
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $54,625.80 $70,227.37 $61,768.03 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
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 2 — — $6,920.10 $126,140.73 $60,883.97 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
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 7 7 — — $53,178.56 $68,366.79 $60,131.57 2026-03-06
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 7 7 — — $53,110.18 $68,278.87 $60,054.24 2026-03-06
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 7 7 — — $52,953.87 $68,077.92 $59,877.50 2026-03-06
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 12 — — $12,336.36 $224,869.23 $59,735.38 2026-03-06
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 2 — — $6,706.61 $122,249.21 $59,558.89 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 $58,725.51 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 $58,660.02 2026-03-06
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 12 — — $9,220.70 $196,468.41 $58,298.76 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
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 $58,201.59 2026-03-06
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 2 — — $6,657.55 $121,354.89 $58,143.19 2026-03-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 11 — — $9,826.47 $179,118.53 $58,127.48 2026-03-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 12 — — $10,269.89 $187,201.28 $58,049.15 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
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 $57,094.57 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 $57,011.72 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 $56,952.55 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 $56,281.08 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 $56,200.60 2026-03-06
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 7 7 — — $49,053.87 $63,064.05 $55,467.58 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 $55,383.16 2026-03-06
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $48,912.22 $62,881.94 $55,307.41 2026-03-06
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 4 2 — — $4,421.53 $115,730.32 $55,253.13 2026-03-06
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 7 7 — — $48,767.78 $62,696.25 $55,144.08 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 $55,040.71 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 $54,739.37 2026-03-06
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 7 7 — — $45,169.80 $62,135.56 $54,650.93 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 $54,296.65 2026-03-06
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 7 7 — — $47,950.65 $61,645.75 $54,220.12 2026-03-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $6,026.98 $169,637.10 $54,066.98 2026-03-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 12 — — $5,181.85 $167,564.40 $53,915.00 2026-03-06
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 7 7 — — $47,615.01 $61,214.24 $53,840.59 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 $53,763.27 2026-03-06
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 11 — — $5,982.55 $172,449.77 $53,694.45 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 $53,633.08 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 $53,519.46 2026-03-06
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 7 7 — — $44,124.40 $60,697.52 $53,386.11 2026-03-06
10 MS_DRG Pancreas Transplant 18 10 — — $5,498.74 $291,925.12 $53,063.45 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 $52,953.72 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 $52,791.96 2026-03-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 11 — — $9,004.87 $164,142.23 $52,762.71 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 $52,451.89 2026-03-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 12 — — $8,437.16 $167,282.03 $52,262.79 2026-03-06
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 7 7 — — $46,009.38 $59,150.02 $52,025.02 2026-03-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 11 — — $8,932.07 $162,815.25 $51,393.68 2026-03-06
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 7 7 — — $42,432.73 $58,370.45 $51,339.35 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 $51,260.45 2026-03-06
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 7 7 — — $44,739.38 $57,517.31 $50,588.98 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 $50,445.37 2026-03-06
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $44,512.60 $57,225.75 $50,332.54 2026-03-06
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 12 — — $5,199.01 $157,132.75 $50,110.29 2026-03-06
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 7 7 — — $44,313.03 $56,969.18 $50,106.88 2026-03-06
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 12 — — $4,721.42 $157,017.60 $50,073.85 2026-03-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 11 — — $7,784.40 $153,957.90 $50,032.22 2026-03-06
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 12 — — $8,418.64 $154,519.55 $49,980.82 2026-03-06
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 12 — — $7,874.83 $154,519.55 $49,980.82 2026-03-06
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 7 7 — — $43,721.29 $56,208.45 $49,437.78 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 $49,302.85 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 $49,284.70 2026-03-06
1204 APR_DRG Apr-DRG 42.00: Major Respiratory And Chest Procedures 7 7 — — $43,132.35 $55,451.30 $48,771.83 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 $48,692.93 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 $48,601.40 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 $48,198.20 2026-03-06
2204 APR_DRG Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $42,484.79 $54,618.79 $48,039.61 2026-03-06
6954 APR_DRG Apr-DRG 42.00: Chemotherapy For Acute Leukemia 7 7 — — $42,345.93 $54,440.27 $47,882.59 2026-03-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 12 — — $8,706.51 $158,703.78 $47,782.83 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 $47,744.51 2026-03-06
204 APR_DRG Apr-DRG 42.00: Open Craniotomy For Trauma 7 7 — — $41,890.97 $53,855.36 $47,368.14 2026-03-06
894 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 7 7 — — $41,865.85 $53,823.07 $47,339.73 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 $47,286.87 2026-03-06
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 7 7 — — $41,768.15 $53,697.48 $47,229.27 2026-03-06
2614 APR_DRG Apr-DRG 42.00: Major Biliary Tract Procedures 7 7 — — $41,599.99 $53,481.28 $47,039.11 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 $47,032.01 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 $47,020.96 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 $46,846.59 2026-03-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 11 — — $9,610.46 $175,181.09 $46,773.66 2026-03-06
61 APR_DRG Apr-DRG 42.00: Pancreas Transplant 7 7 — — $41,332.03 $53,136.79 $46,736.12 2026-03-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 12 — — $7,429.47 $177,785.69 $46,610.67 2026-03-06
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 12 — — $7,767.56 $142,471.10 $46,114.46 2026-03-06
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 2 — — $4,993.79 $91,027.65 $46,022.62 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 $45,944.72 2026-03-06
28 MS_DRG Spinal Procedures With Mcc 22 12 — — $7,793.68 $142,064.52 $45,704.97 2026-03-06
274 APR_DRG Apr-DRG 42.00: Other Open Craniotomy 7 7 — — $40,356.51 $51,882.65 $45,633.05 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 $45,521.01 2026-03-06
4402 APR_DRG Apr-DRG 42.00: Kidney Transplant 7 7 — — $37,602.91 $51,726.56 $45,495.76 2026-03-06
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 12 — — $6,196.61 $141,155.10 $45,479.62 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 $45,416.07 2026-03-06
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 12 — — $8,004.92 $145,914.95 $45,364.10 2026-03-06
37231 HCPCS Hc Tib/per Revasc Stent & Ather 46 17 $110,164.00 $66,098.40 40% off $1,016.56 $93,639.40 $45,277.40 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 $45,126.49 2026-03-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 11 — — $7,051.24 $137,822.80 $44,830.37 2026-03-06
4014 APR_DRG Apr-DRG 42.00: Adrenal Procedures 7 7 — — $39,582.65 $50,887.77 $44,758.01 2026-03-06
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 11 — — $8,068.04 $147,065.48 $44,692.58 2026-03-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 11 — — $6,157.90 $112,247.29 $44,686.65 2026-03-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 12 — — $7,942.86 $144,783.75 $44,651.47 2026-03-06
5204 APR_DRG Apr-DRG 42.00: Other GYN Procedures For Malignancy 7 7 — — $39,436.81 $50,700.28 $44,593.10 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 $44,575.74 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 $44,400.58 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 $44,346.92 2026-03-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 11 — — $7,984.10 $145,535.47 $44,164.75 2026-03-06
4414 APR_DRG Apr-DRG 42.00: Major Bladder Procedures 7 7 — — $39,038.37 $50,188.04 $44,142.56 2026-03-06
1782 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 7 7 — — $38,769.01 $49,841.76 $43,838.00 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 $43,760.67 2026-03-06
1833 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 7 7 — — $38,593.17 $49,615.69 $43,639.16 2026-03-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 12 — — $7,599.95 $138,533.15 $43,608.51 2026-03-06
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 12 — — $6,950.47 $133,938.25 $43,376.23 2026-03-06
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 12 — — $9,067.22 $135,526.85 $43,273.66 2026-03-06
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 10 — — $7,413.91 $412,228.80 $42,859.00 2026-03-06
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 12 — — $17,401.39 $134,112.15 $42,826.01 2026-03-06
5114 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 7 7 — — $37,776.74 $48,566.09 $42,715.99 2026-03-06
4401 APR_DRG Apr-DRG 42.00: Kidney Transplant 7 7 — — $35,189.96 $48,407.30 $42,576.33 2026-03-06
6224 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 7 7 — — $37,612.06 $48,354.37 $42,529.78 2026-03-06
3214 APR_DRG Apr-DRG 42.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc … 7 7 — — $37,494.14 $48,202.76 $42,396.43 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
224 APR_DRG Apr-DRG 42.00: Ventricular Shunt Procedures 7 7 — — $37,469.71 $48,171.36 $42,368.81 2026-03-06
7924 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $37,358.07 $48,027.83 $42,242.57 2026-03-06
1793 APR_DRG Apr-DRG 42.00: Defibrillator Implants 7 7 — — $37,356.67 $48,026.03 $42,240.99 2026-03-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $7,594.05 $132,117.00 $42,194.70 2026-03-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 12 — — $5,906.82 $130,805.70 $42,173.92 2026-03-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 12 — — $8,506.68 $155,061.22 $42,045.22 2026-03-06
834 MS_DRG Acute Leukemia With Mcc 21 11 — — $7,332.89 $133,665.13 $41,990.00 2026-03-06
0408T CPT Hc Ins/rplc Ccm System 46 17 $86,071.00 $51,642.60 40% off $11,791.73 $95,849.16 $41,959.62 2026-03-06
8423 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $36,978.46 $47,539.81 $41,813.33 2026-03-06
6514 APR_DRG Apr-DRG 42.00: Other Procedures Of Blood And Blood-forming Organs 7 7 — — $36,972.18 $47,531.73 $41,806.23 2026-03-06
8633 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 7 7 — — $36,838.20 $47,359.49 $41,654.74 2026-03-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 12 — — $7,348.67 $133,952.77 $41,649.30 2026-03-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 12 — — $6,877.14 $128,373.45 $41,590.49 2026-03-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 12 — — $6,849.16 $128,171.35 $41,525.62 2026-03-06
3043 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $36,692.36 $47,172.00 $41,489.83 2026-03-06
1602 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $36,644.91 $47,111.00 $41,436.17 2026-03-06
304 APR_DRG Apr-DRG 42.00: Percutaneous Intracranial And Extracranial Vascular Procedures 7 7 — — $36,577.93 $47,024.88 $41,360.43 2026-03-06
1704 APR_DRG Apr-DRG 42.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh… 7 7 — — $36,550.01 $46,988.99 $41,328.86 2026-03-06
1814 APR_DRG Apr-DRG 42.00: Lower Extremity Vascular Procedures 7 7 — — $36,469.07 $46,884.93 $41,237.34 2026-03-06
1663 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $36,464.18 $46,878.65 $41,231.81 2026-03-06
110 MS_DRG DRG Grouper 12 (10/1/1994): DRG 110: Major Cardiovascular Procedures W 1 1 — — $41,192.25 $41,192.25 $41,192.25 2026-03-06
0409T CPT Hc Ins/rplc Ccm; Gen Only 46 17 $86,071.00 $51,642.60 40% off $11,791.73 $73,160.35 $41,055.87 2026-03-06
0414T CPT Hc Exchange Of Ccm; Gen Only 46 17 $86,071.00 $51,642.60 40% off $11,791.73 $73,160.35 $41,055.87 2026-03-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 11 — — $5,794.84 $113,700.05 $40,976.49 2026-03-06
1214 APR_DRG Apr-DRG 42.00: Other Respiratory And Chest Procedures 7 7 — — $36,154.36 $46,480.34 $40,881.48 2026-03-06
5124 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mal… 7 7 — — $36,139.71 $46,461.50 $40,864.91 2026-03-06
2304 APR_DRG Apr-DRG 42.00: Major Small Bowel Procedures 7 7 — — $35,937.35 $46,201.34 $40,636.09 2026-03-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 12 — — $7,207.05 $131,371.31 $40,610.89 2026-03-06
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 12 — — $9,002.61 $164,101.14 $40,316.77 2026-03-06
82 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 7 7 — — $33,304.60 $45,813.80 $40,295.23 2026-03-06
3032 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $35,622.64 $45,796.75 $40,280.24 2026-03-06
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 12 — — $6,674.20 $123,993.05 $40,184.80 2026-03-06
4054 APR_DRG Apr-DRG 42.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 7 7 — — $35,534.72 $45,683.72 $40,180.82 2026-03-06
2644 APR_DRG Apr-DRG 42.00: Other Hepatobiliary, Pancreas And Abdominal Procedures 7 7 — — $35,464.94 $45,594.01 $40,101.91 2026-03-06
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 12 — — $4,208.48 $125,245.60 $40,020.42 2026-03-06
7104 APR_DRG Apr-DRG 42.00: Infectious And Parasitic Diseases Including HIV With O.r. Procedu… 7 7 — — $35,337.24 $45,429.84 $39,957.52 2026-03-06
1764 APR_DRG Apr-DRG 42.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 7 7 — — $35,193.49 $45,245.04 $39,794.98 2026-03-06
653 MS_DRG Major Bladder Procedures With Mcc 21 11 — — $7,368.30 $134,310.50 $39,766.37 2026-03-06
4044 APR_DRG Apr-DRG 42.00: Thyroid, Parathyroid And Thyroglossal Procedures 7 7 — — $35,109.76 $45,137.39 $39,700.30 2026-03-06
6344 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr… 7 7 — — $35,088.82 $45,110.47 $39,676.62 2026-03-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 12 — — $5,370.66 $126,778.84 $39,650.14 2026-03-06
4034 APR_DRG Apr-DRG 42.00: Procedures For Obesity 7 7 — — $35,011.37 $45,010.89 $39,589.04 2026-03-06
2992 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 7 7 — — $34,969.50 $44,957.07 $39,541.70 2026-03-06
1781 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 7 7 — — $34,892.04 $44,857.49 $39,454.12 2026-03-06
8412 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 7 7 — — $34,844.59 $44,796.49 $39,400.46 2026-03-06
8411 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 7 7 — — $34,844.59 $44,796.49 $39,400.46 2026-03-06
1673 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $34,673.63 $44,576.70 $39,207.15 2026-03-06
7114 APR_DRG Apr-DRG 42.00: Post-operative, Post-trauma, Other Device Infections With O.r. Pr… 7 7 — — $34,451.73 $44,291.42 $38,956.24 2026-03-06
294 APR_DRG Apr-DRG 42.00: Other Percutaneous Intracranial Procedures 7 7 — — $34,220.76 $43,994.48 $38,695.07 2026-03-06
4844 APR_DRG Apr-DRG 42.00: Other Male Reproductive System And Related Procedures 7 7 — — $34,217.97 $43,990.90 $38,691.91 2026-03-06
9103 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 7 7 — — $34,183.08 $43,946.04 $38,652.46 2026-03-06
4854 APR_DRG Apr-DRG 42.00: Prostatectomy Procedures 7 7 — — $34,137.72 $43,887.73 $38,601.17 2026-03-06
264 APR_DRG Apr-DRG 42.00: Other Nervous System And Related Procedures 7 7 — — $34,008.63 $43,721.77 $38,455.20 2026-03-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 12 — — $6,274.20 $118,444.70 $38,404.33 2026-03-06
213 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 7 7 — — $33,744.86 $43,382.67 $38,156.94 2026-03-06
1754 APR_DRG Apr-DRG 42.00: Percutaneous Cardiac Intervention Without Ami 7 7 — — $33,642.29 $43,250.79 $38,040.96 2026-03-06
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 12 — — $4,226.66 $123,726.05 $38,006.17 2026-03-06
33270 HCPCS Hc Insert/replace Subq Defibrillator 45 17 $81,556.00 $48,933.60 40% off $922.97 $95,849.16 $37,923.54 2026-03-06
33264 HCPCS Hc Remv&replc Icd Gen Multi Leads 45 17 $81,556.00 $48,933.60 40% off $610.72 $95,849.16 $37,923.54 2026-03-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 11 — — $6,498.82 $118,461.63 $37,813.21 2026-03-06
1652 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $33,405.73 $42,946.68 $37,773.47 2026-03-06
6091 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $33,402.94 $42,943.09 $37,770.32 2026-03-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 12 — — $6,535.02 $140,012.19 $37,704.50 2026-03-06
4474 APR_DRG Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Non-percutaneous Procedur… 7 7 — — $33,322.00 $42,839.03 $37,678.79 2026-03-06
4424 APR_DRG Apr-DRG 42.00: Kidney And Urinary Tract Procedures For Malignancy 7 7 — — $33,217.33 $42,704.46 $37,560.43 2026-03-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 11 — — $7,490.69 $136,541.47 $37,529.86 2026-03-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 12 — — $6,166.13 $115,659.95 $37,510.70 2026-03-06
471 MS_DRG Cervical Spinal Fusion With Mcc 22 12 — — $6,679.16 $121,748.87 $37,421.90 2026-03-06
4484 APR_DRG Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Percutaneous Procedures 7 7 — — $33,042.18 $42,479.29 $37,362.39 2026-03-06
1632 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 7 7 — — $32,925.65 $42,329.47 $37,230.62 2026-03-06
6504 APR_DRG Apr-DRG 42.00: Splenic Procedures 7 7 — — $32,910.29 $42,309.74 $37,213.26 2026-03-06
6143 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 7 7 — — $32,875.40 $42,264.88 $37,173.81 2026-03-06
1621 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $32,680.02 $42,013.70 $36,952.88 2026-03-06
9514 APR_DRG Apr-DRG 42.00: Moderately Extensive O.r. Procedure Unrelated To Principal Diagno… 7 7 — — $32,613.73 $41,928.47 $36,877.92 2026-03-06
913 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 7 7 — — $32,585.82 $41,892.59 $36,846.36 2026-03-06
652 MS_DRG Kidney Transplant 19 10 — — $4,090.90 $176,276.01 $36,836.43 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 $36,795.70 2026-03-06
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