Price Transparency 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 PINNACLE HOSPITALS

Harrisburg, PA · CCN 390067 · Rates published

11,204 distinct procedures filed
23 distinct payers
238,885 rate rows
2026-03-06 last MRF observed
Data quality

232,661 of 238,885 rate rows are consumer-grade (97.4%)

6,224 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 4,600
template filing: same amount across many unrelated codes — excluded 904
professional (physician) fee — not the facility price 258
exceeds 10× this hospital's gross charge — excluded from medians 239
per-diem day rate — not a per-procedure price 172
placeholder amount (≤ $0.02) — excluded from medians 51
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/251778644_upmc-pinnacle-hospitals_standardcharges.csv?
Found on page https://www.upmc.com/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint 2121e6c0d9d34dab… · 108,941,822 bytes · first seen 2026-05-14

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 5 $524,371.74 $715,840.97 $596,297.64 nat. median
$309,665
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $10,450.52 $841,037.95 $377,755.96 nat. median
$370,174
1.0× median
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $321,167.77 $438,439.05 $365,221.02 nat. median
$246,434
1.5× median
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 5 $300,039.61 $512,002.24 $352,308.25 nat. median
$234,729
1.5× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $300,238.49 $409,867.65 $341,420.96 nat. median
$117,173
outlier · 2.9×
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 5 $298,646.59 $407,694.48 $339,610.70 nat. median
$244,017
1.4× median
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 5 $229,305.87 $313,034.67 $260,758.80 nat. median
$156,126
1.7× median
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 5 $223,903.77 $305,660.05 $254,615.73 nat. median
$207,730
1.2× median
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $223,766.09 $305,472.09 $254,459.15 nat. median
$162,982
1.6× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $223,441.42 $305,028.87 $254,089.95 nat. median
$60,831
outlier · 4.2×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 5 $219,497.79 $299,645.27 $249,605.39 nat. median
$164,834
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $10,450.52 $652,598.06 $245,314.27 nat. median
$265,286
0.9× median
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $215,222.69 $293,809.16 $244,743.90 nat. median
$122,924
2.0× median
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $213,897.67 $292,000.31 $243,237.12 nat. median
$182,665
1.3× median
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $210,605.93 $287,506.63 $239,493.87 nat. median
$164,289
1.5× median
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 5 $205,830.23 $280,987.13 $234,063.10 nat. median
$144,745
1.6× median
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 5 $199,167.70 $271,891.85 $226,486.71 nat. median
$160,267
1.4× median
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 $195,184.98 $266,454.87 $221,957.69 nat. median
$150,721
1.5× median
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $185,163.57 $252,774.24 $210,561.69 nat. median
$151,838
1.4× median
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $183,286.95 $250,212.39 $208,427.66 nat. median
$145,336
1.4× median
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 5 $176,651.62 $301,446.96 $207,425.36 nat. median
$187,061
1.1× median
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $177,633.28 $242,494.34 $201,998.50 nat. median
$58,674
outlier · 3.4×
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 5 $175,321.50 $239,338.43 $199,369.62 nat. median
$119,796
1.7× median
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 5 $167,008.43 $284,991.34 $196,102.27 nat. median
$129,535
1.5× median
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 5 $163,437.07 $278,896.99 $191,908.75 nat. median
$93,528
outlier · 2.1×
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $168,686.17 $230,280.28 $191,824.15 nat. median
$105,658
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $177,506.58 $473,834.96 $188,264.56 nat. median
$206,474
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $10,450.52 $253,126.64 $185,379.99 nat. median
$202,976
0.9× median
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $158,833.90 $216,830.55 $180,620.49 nat. median
$102,919
1.8× median
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $157,103.46 $214,468.26 $178,652.69 nat. median
$124,573
1.4× median
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $149,708.31 $204,372.84 $170,243.18 nat. median
$93,370
1.8× median
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $149,708.31 $204,372.84 $170,243.18 nat. median
$89,796
1.9× median
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 $149,708.31 $204,372.84 $170,243.18 nat. median
$69,788
outlier · 2.4×
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 5 $147,516.36 $201,380.53 $167,750.57 nat. median
$78,990
outlier · 2.1×
6024
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 $139,489.72 $190,423.03 $158,622.95 nat. median
$118,620
1.3× median
5912
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $136,233.68 $185,978.08 $154,920.29 nat. median
$81,294
1.9× median
5933
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $135,452.60 $184,911.80 $154,032.07 nat. median
$108,996
1.4× median
1611
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 5 $129,002.56 $176,106.58 $146,697.30 nat. median
$76,806
1.9× median
1612
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 5 $129,002.56 $176,106.58 $146,697.30 nat. median
$85,444
1.7× median
1604
APR_DRG 		Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 5 $128,532.55 $175,464.96 $146,162.83 nat. median
$97,957
1.5× median
22
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 5 $123,760.25 $211,190.54 $145,320.01 nat. median
$77,804
1.9× median
54
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 $117,513.34 $160,422.19 $133,632.16 nat. median
$68,217
2.0× median
43
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $116,321.75 $158,795.50 $132,277.12 nat. median
$69,926
1.9× median
73
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 5 $112,352.62 $191,724.01 $131,925.10 nat. median
$89,273
1.5× median
21
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 5 $109,384.70 $186,659.40 $128,440.15 nat. median
$64,672
2.0× median
64
APR_DRG 		Apr-DRG 42.00: Pancreas Transplant 5 $109,089.78 $180,258.95 $128,093.86 nat. median
$91,009
1.4× median
8424
APR_DRG 		Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 5 $111,505.25 $152,220.31 $126,799.97 nat. median
$80,416
1.6× median
5932
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $108,948.70 $148,730.25 $123,892.74 nat. median
$86,338
1.4× median
6074
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 $107,825.95 $147,197.55 $122,615.99 nat. median
$95,507
1.3× median
6303
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 $107,590.52 $146,876.15 $122,348.27 nat. median
$72,936
1.7× median

Other procedures at this hospital

Browse this hospital's 11,204 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 5 5 — — $524,371.74 $715,840.97 $596,297.64 2026-03-06
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 9 — — $10,450.52 $841,037.95 $377,755.96 2026-03-06
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $321,167.77 $438,439.05 $365,221.02 2026-03-06
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 5 5 — — $300,039.61 $512,002.24 $352,308.25 2026-03-06
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $300,238.49 $409,867.65 $341,420.96 2026-03-06
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 5 5 — — $298,646.59 $407,694.48 $339,610.70 2026-03-06
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 5 5 — — $229,305.87 $313,034.67 $260,758.80 2026-03-06
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 5 5 — — $223,903.77 $305,660.05 $254,615.73 2026-03-06
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $223,766.09 $305,472.09 $254,459.15 2026-03-06
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $223,441.42 $305,028.87 $254,089.95 2026-03-06
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $219,497.79 $299,645.27 $249,605.39 2026-03-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 9 — — $10,450.52 $652,598.06 $245,314.27 2026-03-06
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $215,222.69 $293,809.16 $244,743.90 2026-03-06
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $213,897.67 $292,000.31 $243,237.12 2026-03-06
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $210,605.93 $287,506.63 $239,493.87 2026-03-06
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 5 5 — — $205,830.23 $280,987.13 $234,063.10 2026-03-06
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $199,167.70 $271,891.85 $226,486.71 2026-03-06
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $195,184.98 $266,454.87 $221,957.69 2026-03-06
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $185,163.57 $252,774.24 $210,561.69 2026-03-06
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $183,286.95 $250,212.39 $208,427.66 2026-03-06
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 5 5 — — $176,651.62 $301,446.96 $207,425.36 2026-03-06
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $177,633.28 $242,494.34 $201,998.50 2026-03-06
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 5 5 — — $175,321.50 $239,338.43 $199,369.62 2026-03-06
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 5 5 — — $167,008.43 $284,991.34 $196,102.27 2026-03-06
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 5 5 — — $163,437.07 $278,896.99 $191,908.75 2026-03-06
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $168,686.17 $230,280.28 $191,824.15 2026-03-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 9 — — $177,506.58 $473,834.96 $188,264.56 2026-03-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 10 — — $10,450.52 $253,126.64 $185,379.99 2026-03-06
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $158,833.90 $216,830.55 $180,620.49 2026-03-06
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $157,103.46 $214,468.26 $178,652.69 2026-03-06
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $149,708.31 $204,372.84 $170,243.18 2026-03-06
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $149,708.31 $204,372.84 $170,243.18 2026-03-06
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $149,708.31 $204,372.84 $170,243.18 2026-03-06
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $147,516.36 $201,380.53 $167,750.57 2026-03-06
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $139,489.72 $190,423.03 $158,622.95 2026-03-06
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $136,233.68 $185,978.08 $154,920.29 2026-03-06
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $135,452.60 $184,911.80 $154,032.07 2026-03-06
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 5 5 — — $129,002.56 $176,106.58 $146,697.30 2026-03-06
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 5 5 — — $129,002.56 $176,106.58 $146,697.30 2026-03-06
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $128,532.55 $175,464.96 $146,162.83 2026-03-06
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 5 5 — — $123,760.25 $211,190.54 $145,320.01 2026-03-06
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $117,513.34 $160,422.19 $133,632.16 2026-03-06
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $116,321.75 $158,795.50 $132,277.12 2026-03-06
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 5 5 — — $112,352.62 $191,724.01 $131,925.10 2026-03-06
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 5 5 — — $109,384.70 $186,659.40 $128,440.15 2026-03-06
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 5 5 — — $109,089.78 $180,258.95 $128,093.86 2026-03-06
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $111,505.25 $152,220.31 $126,799.97 2026-03-06
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $108,948.70 $148,730.25 $123,892.74 2026-03-06
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $107,825.95 $147,197.55 $122,615.99 2026-03-06
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $107,590.52 $146,876.15 $122,348.27 2026-03-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 10 — — $10,450.52 $165,188.47 $121,141.18 2026-03-06
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 5 5 — — $102,892.17 $140,462.24 $117,005.46 2026-03-06
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 5 5 — — $102,892.17 $140,462.24 $117,005.46 2026-03-06
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $102,024.40 $139,277.61 $116,018.66 2026-03-06
65200029 CDM Hc Pancreas Acq No Related Kidney 19 10 $208,918.00 $125,350.80 40% off $41,783.60 $177,580.30 $115,468.98 2026-03-06
7 MS_DRG Lung Transplant 13 9 — — $10,450.52 $260,773.82 $113,616.95 2026-03-06
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $96,850.08 $132,213.95 $110,134.61 2026-03-06
14 MS_DRG Allogeneic Bone Marrow Transplant 13 9 — — $10,450.52 $287,911.71 $105,471.53 2026-03-06
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $89,680.16 $122,425.99 $101,981.21 2026-03-06
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 5 5 — — $86,707.14 $147,961.30 $101,812.03 2026-03-06
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 5 5 — — $88,855.74 $121,300.54 $101,043.71 2026-03-06
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 5 5 — — $87,710.89 $119,737.67 $99,741.83 2026-03-06
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $87,484.82 $119,429.04 $99,484.74 2026-03-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 9 — — $10,450.52 $358,932.09 $99,477.14 2026-03-06
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 5 5 — — $84,581.49 $144,333.98 $99,316.08 2026-03-06
209 MS_DRG Complex Aortic Arch Procedures 11 10 — — $10,450.52 $134,985.29 $99,077.75 2026-03-06
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 5 5 — — $84,070.69 $138,917.63 $98,716.29 2026-03-06
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $86,379.07 $117,919.54 $98,227.33 2026-03-06
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $85,961.76 $117,349.86 $97,752.78 2026-03-06
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $85,282.67 $116,422.81 $96,980.54 2026-03-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $10,450.52 $131,436.19 $96,485.13 2026-03-06
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 10 — — $10,450.52 $242,666.71 $95,798.67 2026-03-06
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $82,913.95 $113,189.16 $94,286.91 2026-03-06
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 5 5 — — $79,119.05 $135,012.62 $92,902.05 2026-03-06
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 5 5 — — $78,569.15 $134,074.24 $92,256.36 2026-03-06
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 9 — — $10,450.52 $230,335.22 $90,554.15 2026-03-06
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $77,622.34 $105,965.39 $88,269.48 2026-03-06
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $77,388.62 $105,646.31 $88,003.69 2026-03-06
215 MS_DRG Other Heart Assist System Implant 14 10 — — $10,450.52 $251,392.15 $87,759.17 2026-03-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $10,450.52 $234,994.51 $86,232.09 2026-03-06
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 5 5 — — $75,585.09 $103,184.24 $85,952.78 2026-03-06
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 5 5 — — $72,478.63 $119,763.02 $85,104.83 2026-03-06
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $74,334.00 $101,476.34 $84,530.09 2026-03-06
A9543 HCPCS Hc Y90 Ibritumomab Tiux/sdto40mci 30 16 $205,976.00 $123,585.60 40% off $41,195.20 $175,079.60 $84,256.62 2026-03-06
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 5 5 — — $74,060.33 $101,102.74 $84,218.88 2026-03-06
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $74,038.23 $101,072.57 $84,193.75 2026-03-06
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $73,927.74 $100,921.74 $84,068.10 2026-03-06
65000019 CDM Hc Kidney Acquis Chge-cadaver 19 10 $150,156.00 $90,093.60 40% off $30,031.20 $127,632.60 $82,991.22 2026-03-06
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 5 5 — — $69,842.18 $119,182.10 $82,009.09 2026-03-06
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 5 5 — — $71,875.18 $98,119.71 $81,734.01 2026-03-06
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 5 5 — — $70,644.50 $96,439.65 $80,334.51 2026-03-06
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $70,459.22 $96,186.71 $80,123.82 2026-03-06
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 10 — — $10,450.52 $107,446.33 $78,960.56 2026-03-06
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $69,279.53 $94,576.27 $78,782.31 2026-03-06
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 5 5 — — $67,007.69 $114,345.20 $78,680.82 2026-03-06
65000029 CDM Hc Kidney Acquis Chge-living Donr 19 10 $141,477.00 $84,886.20 40% off $28,295.40 $120,255.45 $78,194.34 2026-03-06
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $67,905.21 $92,700.13 $77,219.48 2026-03-06
850 MS_DRG Acute Leukemia With Other Procedures 10 9 — — $72,261.01 $103,271.12 $76,020.04 2026-03-06
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 5 5 — — $66,534.29 $90,828.63 $75,660.52 2026-03-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 11 — — $39,436.78 $148,660.00 $75,355.00 2026-03-06
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 11 — — $31,180.34 $148,660.00 $75,355.00 2026-03-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 10 — — $10,450.52 $191,287.77 $74,372.27 2026-03-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 10 — — $10,450.52 $193,718.79 $74,139.99 2026-03-06
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $64,771.55 $88,422.25 $73,656.00 2026-03-06
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 5 5 — — $64,688.26 $88,308.55 $73,561.28 2026-03-06
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 5 5 — — $64,497.88 $88,048.65 $73,344.79 2026-03-06
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $63,257.00 $86,354.67 $71,933.70 2026-03-06
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $63,186.45 $86,258.37 $71,853.48 2026-03-06
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 5 5 — — $62,692.65 $85,584.26 $71,291.94 2026-03-06
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 5 5 — — $61,500.21 $83,956.41 $69,935.94 2026-03-06
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 5 5 — — $61,410.97 $83,834.59 $69,834.46 2026-03-06
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 5 5 — — $61,347.23 $83,747.57 $69,761.97 2026-03-06
652 MS_DRG Kidney Transplant 20 11 — — $27,230.42 $148,660.00 $69,623.20 2026-03-06
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 10 — — $10,450.52 $232,516.17 $69,453.57 2026-03-06
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 5 5 — — $58,868.01 $100,455.25 $69,123.16 2026-03-06
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $60,623.94 $82,760.19 $68,939.48 2026-03-06
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $60,537.25 $82,641.84 $68,840.90 2026-03-06
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 5 5 — — $59,747.68 $81,563.96 $67,943.02 2026-03-06
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $59,656.73 $81,439.81 $67,839.60 2026-03-06
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 10 — — $10,450.52 $181,484.76 $67,783.60 2026-03-06
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $59,575.14 $81,328.42 $67,746.82 2026-03-06
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 5 5 — — $59,399.21 $81,088.25 $67,546.75 2026-03-06
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 5 5 — — $57,505.59 $98,130.34 $67,523.39 2026-03-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 9 — — $63,639.68 $167,193.72 $67,496.64 2026-03-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 10 — — $10,450.52 $175,572.77 $67,493.45 2026-03-06
65200019 CDM Hc Pancreas Acq W/after Kidney 19 10 $122,033.00 $73,219.80 40% off $24,406.60 $103,728.05 $67,447.64 2026-03-06
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 5 5 — — $59,287.87 $80,936.26 $67,420.14 2026-03-06
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 5 5 — — $58,486.39 $79,842.13 $66,508.73 2026-03-06
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 5 5 — — $58,403.95 $79,729.59 $66,414.98 2026-03-06
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 5 5 — — $57,995.14 $79,171.50 $65,950.09 2026-03-06
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 5 5 — — $57,911.85 $79,057.80 $65,855.38 2026-03-06
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $57,771.61 $78,866.35 $65,695.90 2026-03-06
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $57,649.22 $78,699.28 $65,556.73 2026-03-06
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 5 5 — — $55,300.89 $94,368.15 $64,934.63 2026-03-06
9124 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 5 5 — — $57,039.83 $77,867.37 $64,863.75 2026-03-06
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $56,865.60 $77,629.52 $64,665.62 2026-03-06
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 5 5 — — $56,499.28 $77,129.44 $64,249.05 2026-03-06
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 5 5 — — $56,039.48 $76,501.74 $63,726.18 2026-03-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 9 — — $59,931.10 $146,878.04 $63,563.28 2026-03-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $10,450.52 $86,087.29 $63,357.79 2026-03-06
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 11 — — $10,450.52 $197,498.00 $63,228.17 2026-03-06
10 MS_DRG Pancreas Transplant 15 11 — — $10,450.52 $184,535.00 $63,165.73 2026-03-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 10 — — $10,450.52 $158,518.43 $62,980.59 2026-03-06
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $55,215.90 $75,377.45 $62,789.64 2026-03-06
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 5 5 — — $54,492.62 $74,390.07 $61,967.15 2026-03-06
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 5 5 — — $54,337.94 $74,178.90 $61,791.24 2026-03-06
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $54,216.40 $74,012.99 $61,653.04 2026-03-06
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 5 5 — — $53,973.32 $73,681.15 $61,376.62 2026-03-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 9 — — $57,767.47 $144,753.43 $61,268.53 2026-03-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 10 — — $10,450.52 $156,690.04 $60,767.12 2026-03-06
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 5 5 — — $53,252.59 $72,697.25 $60,557.02 2026-03-06
7404 APR_DRG Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure 5 5 — — $53,107.25 $72,498.85 $60,391.75 2026-03-06
6083 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 5 5 — — $53,087.70 $72,472.16 $60,369.52 2026-03-06
1204 APR_DRG Apr-DRG 42.00: Major Respiratory And Chest Procedures 5 5 — — $52,535.26 $71,717.99 $59,741.30 2026-03-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 9 — — $56,268.95 $141,671.27 $59,679.19 2026-03-06
6814 APR_DRG Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 5 5 — — $52,450.26 $71,601.97 $59,644.65 2026-03-06
3124 APR_DRG Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $52,351.67 $71,467.37 $59,532.53 2026-03-06
61 APR_DRG Apr-DRG 42.00: Pancreas Transplant 5 5 — — $50,342.46 $83,185.42 $59,112.41 2026-03-06
1304 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $51,917.36 $70,874.48 $59,038.65 2026-03-06
2204 APR_DRG Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $51,746.53 $70,641.27 $58,844.39 2026-03-06
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 10 — — $10,450.52 $79,741.59 $58,722.25 2026-03-06
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 10 — — $10,450.52 $79,683.16 $58,679.56 2026-03-06
6954 APR_DRG Apr-DRG 42.00: Chemotherapy For Acute Leukemia 5 5 — — $51,577.40 $70,410.38 $58,652.05 2026-03-06
41 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $51,428.66 $70,207.33 $58,482.92 2026-03-06
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $10,450.52 $115,878.44 $58,114.48 2026-03-06
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $10,450.52 $146,285.50 $58,114.48 2026-03-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 9 — — $54,778.69 $124,757.68 $58,098.61 2026-03-06
204 APR_DRG Apr-DRG 42.00: Open Craniotomy For Trauma 5 5 — — $51,023.25 $69,653.89 $58,021.89 2026-03-06
894 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 5 5 — — $50,992.65 $69,612.12 $57,987.10 2026-03-06
3614 APR_DRG Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $50,935.71 $69,534.38 $57,922.35 2026-03-06
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 5 5 — — $50,873.66 $69,449.68 $57,851.79 2026-03-06
2614 APR_DRG Apr-DRG 42.00: Major Biliary Tract Procedures 5 5 — — $50,668.83 $69,170.06 $57,618.86 2026-03-06
9504 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $50,661.18 $69,159.62 $57,610.17 2026-03-06
6092 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $50,649.28 $69,143.37 $57,596.63 2026-03-06
4402 APR_DRG Apr-DRG 42.00: Kidney Transplant 5 5 — — $49,006.39 $83,626.89 $57,543.58 2026-03-06
1653 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $50,461.45 $68,886.96 $57,383.04 2026-03-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 10 — — $10,450.52 $76,738.69 $56,528.65 2026-03-06
6234 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 5 5 — — $49,489.99 $67,560.78 $56,278.33 2026-03-06
274 APR_DRG Apr-DRG 42.00: Other Open Craniotomy 5 5 — — $49,154.27 $67,102.48 $55,896.56 2026-03-06
6302 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $49,033.58 $66,937.72 $55,759.32 2026-03-06
6123 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 5 5 — — $48,920.55 $66,783.41 $55,630.77 2026-03-06
924 APR_DRG Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 5 5 — — $48,608.62 $66,357.59 $55,276.07 2026-03-06
4014 APR_DRG Apr-DRG 42.00: Adrenal Procedures 5 5 — — $48,211.71 $65,815.75 $54,824.71 2026-03-06
5204 APR_DRG Apr-DRG 42.00: Other GYN Procedures For Malignancy 5 5 — — $48,034.08 $65,573.25 $54,622.71 2026-03-06
6133 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 5 5 — — $48,015.38 $65,547.73 $54,601.45 2026-03-06
6113 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $47,826.70 $65,290.15 $54,386.89 2026-03-06
1622 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $47,768.90 $65,211.25 $54,321.17 2026-03-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 9 — — $51,211.91 $130,392.54 $54,315.66 2026-03-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 10 — — $10,450.52 $159,902.89 $54,196.84 2026-03-06
4414 APR_DRG Apr-DRG 42.00: Major Bladder Procedures 5 5 — — $47,548.77 $64,910.75 $54,070.84 2026-03-06
4401 APR_DRG Apr-DRG 42.00: Kidney Transplant 5 5 — — $45,861.68 $78,260.62 $53,851.05 2026-03-06
1782 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 5 5 — — $47,220.71 $64,462.89 $53,697.77 2026-03-06
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 10 — — $10,450.52 $132,891.16 $53,620.04 2026-03-06
6032 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $47,137.41 $64,349.18 $53,603.06 2026-03-06
1833 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 5 5 — — $47,006.53 $64,170.50 $53,454.22 2026-03-06
28 MS_DRG Spinal Procedures With Mcc 14 10 — — $10,450.52 $131,127.02 $53,144.03 2026-03-06
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 10 — — $10,450.52 $139,917.45 $53,129.12 2026-03-06
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 10 — — $10,450.52 $146,492.78 $52,747.79 2026-03-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 9 — — $49,737.44 $70,880.75 $52,324.79 2026-03-06
5114 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 5 5 — — $46,012.12 $62,813.00 $52,323.41 2026-03-06
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 9 — — $10,450.52 $151,544.10 $52,279.56 2026-03-06
6224 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 5 5 — — $45,811.54 $62,539.17 $52,095.32 2026-03-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 9 — — $49,084.77 $128,137.23 $52,059.61 2026-03-06
3214 APR_DRG Apr-DRG 42.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc … 5 5 — — $45,667.90 $62,343.09 $51,931.98 2026-03-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 10 — — $10,450.52 $135,862.93 $51,919.38 2026-03-06
224 APR_DRG Apr-DRG 42.00: Ventricular Shunt Procedures 5 5 — — $45,638.15 $62,302.48 $51,898.15 2026-03-06
7924 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $45,502.17 $62,116.84 $51,743.51 2026-03-06
1793 APR_DRG Apr-DRG 42.00: Defibrillator Implants 5 5 — — $45,500.47 $62,114.52 $51,741.58 2026-03-06
8423 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $45,039.81 $61,485.66 $51,217.73 2026-03-06
6514 APR_DRG Apr-DRG 42.00: Other Procedures Of Blood And Blood-forming Organs 5 5 — — $45,032.16 $61,475.22 $51,209.04 2026-03-06
8633 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 5 5 — — $44,868.98 $61,252.45 $51,023.47 2026-03-06
82 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 5 5 — — $43,404.56 $74,067.67 $50,965.89 2026-03-06
3043 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $44,691.34 $61,009.95 $50,821.47 2026-03-06
1602 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $44,633.55 $60,931.05 $50,755.75 2026-03-06
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 10 — — $10,450.52 $68,777.05 $50,712.66 2026-03-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 10 — — $10,450.52 $127,573.99 $50,707.03 2026-03-06
304 APR_DRG Apr-DRG 42.00: Percutaneous Intracranial And Extracranial Vascular Procedures 5 5 — — $44,551.96 $60,819.67 $50,662.96 2026-03-06
1704 APR_DRG Apr-DRG 42.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh… 5 5 — — $44,517.96 $60,773.26 $50,624.30 2026-03-06
1814 APR_DRG Apr-DRG 42.00: Lower Extremity Vascular Procedures 5 5 — — $44,419.37 $60,638.67 $50,512.19 2026-03-06
1663 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $44,413.42 $60,630.55 $50,505.42 2026-03-06
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 10 — — $10,450.52 $120,884.69 $50,437.02 2026-03-06
27001190 CDM Hc Impella System 19 10 $91,103.00 $54,661.80 40% off $18,220.60 $77,437.55 $50,352.63 2026-03-06
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 11 10 — — $10,450.52 $68,059.12 $50,188.20 2026-03-06
1214 APR_DRG Apr-DRG 42.00: Other Respiratory And Chest Procedures 5 5 — — $44,036.06 $60,115.39 $50,076.30 2026-03-06
5124 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mal… 5 5 — — $44,018.21 $60,091.03 $50,056.00 2026-03-06
2304 APR_DRG Apr-DRG 42.00: Major Small Bowel Procedures 5 5 — — $43,771.73 $59,754.55 $49,775.72 2026-03-06
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 11 — — $10,450.52 $197,498.00 $49,771.02 2026-03-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $10,450.52 $67,046.62 $49,448.59 2026-03-06
3032 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $43,388.42 $59,231.27 $49,339.82 2026-03-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 10 — — $10,450.52 $100,493.99 $49,268.47 2026-03-06
4054 APR_DRG Apr-DRG 42.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 5 5 — — $43,281.33 $59,085.08 $49,218.05 2026-03-06
2644 APR_DRG Apr-DRG 42.00: Other Hepatobiliary, Pancreas And Abdominal Procedures 5 5 — — $43,196.33 $58,969.05 $49,121.40 2026-03-06
7104 APR_DRG Apr-DRG 42.00: Infectious And Parasitic Diseases Including HIV With O.r. Procedu… 5 5 — — $43,040.80 $58,756.73 $48,944.53 2026-03-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 10 — — $10,450.52 $136,899.33 $48,889.79 2026-03-06
834 MS_DRG Acute Leukemia With Mcc 13 9 — — $45,975.76 $136,311.28 $48,762.17 2026-03-06
1764 APR_DRG Apr-DRG 42.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 5 5 — — $42,865.72 $58,517.71 $48,745.43 2026-03-06
4044 APR_DRG Apr-DRG 42.00: Thyroid, Parathyroid And Thyroglossal Procedures 5 5 — — $42,763.72 $58,378.48 $48,629.45 2026-03-06
6344 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr… 5 5 — — $42,738.23 $58,343.67 $48,600.45 2026-03-06
4034 APR_DRG Apr-DRG 42.00: Procedures For Obesity 5 5 — — $42,643.89 $58,214.89 $48,493.17 2026-03-06
2992 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 5 5 — — $42,592.89 $58,145.27 $48,435.18 2026-03-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 10 — — $10,450.52 $129,110.56 $48,429.56 2026-03-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 10 — — $10,450.52 $119,803.23 $48,361.18 2026-03-06
1781 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 5 5 — — $42,498.55 $58,016.48 $48,327.90 2026-03-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 10 — — $10,450.52 $113,021.59 $48,285.79 2026-03-06
8412 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $42,440.76 $57,937.58 $48,262.18 2026-03-06
8411 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $42,440.76 $57,937.58 $48,262.18 2026-03-06
1673 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 5 5 — — $42,232.52 $57,653.32 $48,025.39 2026-03-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 9 — — $10,450.52 $108,826.44 $47,933.83 2026-03-06
7114 APR_DRG Apr-DRG 42.00: Post-operative, Post-trauma, Other Device Infections With O.r. Pr… 5 5 — — $41,962.25 $57,284.36 $47,718.04 2026-03-06
294 APR_DRG Apr-DRG 42.00: Other Percutaneous Intracranial Procedures 5 5 — — $41,680.93 $56,900.31 $47,398.13 2026-03-06
4844 APR_DRG Apr-DRG 42.00: Other Male Reproductive System And Related Procedures 5 5 — — $41,677.53 $56,895.67 $47,394.26 2026-03-06
9103 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 5 5 — — $41,635.03 $56,837.66 $47,345.94 2026-03-06
4854 APR_DRG Apr-DRG 42.00: Prostatectomy Procedures 5 5 — — $41,579.79 $56,762.24 $47,283.11 2026-03-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 10 — — $10,450.52 $121,662.01 $47,222.46 2026-03-06
264 APR_DRG Apr-DRG 42.00: Other Nervous System And Related Procedures 5 5 — — $41,422.55 $56,547.59 $47,104.31 2026-03-06
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 10 — — $10,450.52 $63,559.53 $46,901.28 2026-03-06
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 10 — — $10,450.52 $169,690.10 $46,880.57 2026-03-06
213 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 5 5 — — $41,101.28 $56,109.01 $46,738.97 2026-03-06
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 10 — — $10,450.52 $116,743.61 $46,727.15 2026-03-06
1754 APR_DRG Apr-DRG 42.00: Percutaneous Cardiac Intervention Without Ami 5 5 — — $40,976.34 $55,938.46 $46,596.90 2026-03-06
1652 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $40,688.22 $55,545.13 $46,269.25 2026-03-06
6091 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $40,684.82 $55,540.49 $46,265.39 2026-03-06
653 MS_DRG Major Bladder Procedures With Mcc 13 9 — — $43,541.79 $122,772.76 $46,180.69 2026-03-06
4474 APR_DRG Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Non-percutaneous Procedur… 5 5 — — $40,586.23 $55,405.90 $46,153.27 2026-03-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 10 — — $10,450.52 $120,425.08 $46,105.64 2026-03-06
4424 APR_DRG Apr-DRG 42.00: Kidney And Urinary Tract Procedures For Malignancy 5 5 — — $40,458.74 $55,231.86 $46,008.30 2026-03-06
4484 APR_DRG Apr-DRG 42.00: Other Kidney, Urinary Tract And Related Percutaneous Procedures 5 5 — — $40,245.41 $54,940.63 $45,765.71 2026-03-06
1632 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 5 5 — — $40,103.48 $54,746.87 $45,604.30 2026-03-06
6504 APR_DRG Apr-DRG 42.00: Splenic Procedures 5 5 — — $40,084.78 $54,721.34 $45,583.04 2026-03-06
6143 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 5 5 — — $40,042.28 $54,663.33 $45,534.71 2026-03-06
1621 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $39,804.30 $54,338.46 $45,264.09 2026-03-06
9514 APR_DRG Apr-DRG 42.00: Moderately Extensive O.r. Procedure Unrelated To Principal Diagno… 5 5 — — $39,723.56 $54,228.23 $45,172.28 2026-03-06
913 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 5 5 — — $39,689.56 $54,181.82 $45,133.62 2026-03-06
3003 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 5 5 — — $39,504.28 $53,928.88 $44,922.92 2026-03-06
6071 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $39,472.83 $53,885.96 $44,887.16 2026-03-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 10 — — $10,450.52 $102,565.23 $44,657.46 2026-03-06
1303 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $39,166.86 $53,468.26 $44,539.22 2026-03-06
434 APR_DRG Apr-DRG 42.00: Multiple Sclerosis, Other Demyelinating Disease And Inflammatory … 5 5 — — $39,113.32 $53,395.17 $44,478.33 2026-03-06
5144 APR_DRG Apr-DRG 42.00: Female Reproductive System Reconstructive Procedures 5 5 — — $38,914.44 $53,123.66 $44,252.17 2026-03-06
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 10 — — $10,450.52 $121,161.83 $44,194.61 2026-03-06
2314 APR_DRG Apr-DRG 42.00: Major Large Bowel Procedures 5 5 — — $38,639.91 $52,748.90 $43,939.99 2026-03-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 9 — — $41,403.86 $111,403.90 $43,913.18 2026-03-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 10 — — $10,450.52 $140,033.32 $43,843.96 2026-03-06
1824 APR_DRG Apr-DRG 42.00: Other Peripheral Vascular And Related Procedures 5 5 — — $38,429.98 $52,462.32 $43,701.26 2026-03-06
2224 APR_DRG Apr-DRG 42.00: Other Stomach, Esophageal And Duodenal Procedures 5 5 — — $38,378.99 $52,392.70 $43,643.27 2026-03-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 10 — — $10,450.52 $108,342.02 $43,618.67 2026-03-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 9 — — $41,093.69 $113,798.90 $43,584.22 2026-03-06
2294 APR_DRG Apr-DRG 42.00: Other Digestive System And Abdominal Procedures 5 5 — — $38,102.76 $52,015.62 $43,329.16 2026-03-06
5184 APR_DRG Apr-DRG 42.00: Other Female Reproductive System And Related Procedures 5 5 — — $38,041.57 $51,932.08 $43,259.57 2026-03-06
893 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 5 5 — — $38,023.72 $51,907.71 $43,239.28 2026-03-06
4444 APR_DRG Apr-DRG 42.00: Renal Dialysis Access Device Procedures 5 5 — — $38,007.57 $51,885.67 $43,220.91 2026-03-06
81 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 5 5 — — $36,661.30 $62,560.63 $43,047.91 2026-03-06
6903 APR_DRG Apr-DRG 42.00: Acute Leukemia 5 5 — — $37,854.59 $51,676.82 $43,046.94 2026-03-06
4834 APR_DRG Apr-DRG 42.00: Penis, Testes And Scrotal Procedures 5 5 — — $37,834.19 $51,648.97 $43,023.75 2026-03-06
1693 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 5 5 — — $37,727.95 $51,503.94 $42,902.93 2026-03-06
1832 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 5 5 — — $37,679.50 $51,437.81 $42,847.84 2026-03-06
471 MS_DRG Cervical Spinal Fusion With Mcc 14 10 — — $10,450.52 $113,030.60 $42,803.39 2026-03-06
3134 APR_DRG Apr-DRG 42.00: Knee And Lower Leg Procedures Except Foot 5 5 — — $37,623.41 $51,361.23 $42,784.06 2026-03-06
1792 APR_DRG Apr-DRG 42.00: Defibrillator Implants 5 5 — — $37,619.16 $51,355.43 $42,779.22 2026-03-06
3031 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $37,610.66 $51,343.83 $42,769.56 2026-03-06
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