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 LITITZ

Lititz, PA · CCN 390068 · Rates published

10,116 distinct procedures filed
21 distinct payers
323,216 rate rows
2026-03-06 last MRF observed
Data quality

317,261 of 323,216 rate rows are consumer-grade (98.2%)

5,955 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5,440
template filing: same amount across many unrelated codes — excluded 168
exceeds 10× this hospital's gross charge — excluded from medians 150
per-diem day rate — not a per-procedure price 144
placeholder amount (≤ $0.02) — excluded from medians 52
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/820844453_upmc-lititz_standardcharges.csv?la=en&rev=77c0f741f461453695262a958efef80e&hash=6B732611E5FE3FAB156888CCA2D7F5F9
Found on page https://www.upmc.com/locations/hospitals/lititz/patients-visitors/patient-info/cdm
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint c8995733608cc36c… · 129,527,977 bytes · first seen 2026-05-08

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $9,022.72 $1,014,795.80 $564,700.18 nat. median
$370,174
1.5× median
5834
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $452,044.82 $530,793.74 $487,933.73 nat. median
$309,665
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $31,207.78 $658,561.65 $366,467.70 nat. median
$265,286
1.4× median
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $276,868.90 $325,101.12 $298,850.18 nat. median
$246,434
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $188,897.11 $548,044.65 $283,758.23 nat. median
$206,474
1.4× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $258,826.41 $303,915.52 $279,375.25 nat. median
$117,173
outlier · 2.4×
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $257,454.08 $302,304.12 $277,893.97 nat. median
$244,017
1.1× median
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $241,733.60 $303,714.20 $275,564.14 nat. median
$234,729
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $30,053.99 $498,792.20 $228,046.55 nat. median
$202,976
1.1× median
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $197,677.56 $232,114.18 $213,371.65 nat. median
$156,126
1.4× median
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $193,020.59 $226,645.93 $208,344.95 nat. median
$207,730
1.0× median
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $192,901.89 $226,506.56 $208,216.83 nat. median
$162,982
1.3× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $192,622.00 $226,177.91 $207,914.73 nat. median
$60,831
outlier · 3.4×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 $189,222.32 $222,185.99 $204,245.13 nat. median
$164,834
1.2× median
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $185,536.89 $217,858.53 $200,267.10 nat. median
$122,924
1.6× median
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $184,394.63 $216,517.28 $199,034.16 nat. median
$182,665
1.1× median
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $181,556.92 $213,185.22 $195,971.15 nat. median
$164,289
1.2× median
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $177,439.93 $208,351.04 $191,527.32 nat. median
$144,745
1.3× median
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 $171,696.38 $201,606.92 $185,327.76 nat. median
$160,267
1.2× median
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 $168,262.99 $197,575.42 $181,621.79 nat. median
$150,721
1.2× median
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $159,623.84 $187,431.28 $172,296.76 nat. median
$151,838
1.1× median
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $158,006.06 $185,531.67 $170,550.54 nat. median
$145,336
1.2× median
7
MS_DRG 		Lung Transplant 9 $24,722.02 $304,329.70 $169,349.38 nat. median
$122,708
1.4× median
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $153,132.21 $179,808.76 $165,289.74 nat. median
$58,674
outlier · 2.8×
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $151,139.29 $177,468.67 $163,138.60 nat. median
$119,796
1.4× median
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 $142,323.32 $178,815.08 $162,241.42 nat. median
$187,061
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $11,820.69 $282,420.65 $157,157.71 nat. median
$117,357
1.3× median
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $145,419.18 $170,752.08 $156,964.35 nat. median
$105,658
1.5× median
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 $134,554.07 $169,053.79 $153,384.86 nat. median
$129,535
1.2× median
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $131,676.72 $165,438.69 $150,104.83 nat. median
$93,528
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $23,028.40 $325,507.90 $148,912.91 nat. median
$133,161
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $30,617.54 $354,962.21 $148,185.61 nat. median
$108,660
1.4× median
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $136,925.84 $160,779.14 $147,796.71 nat. median
$102,919
1.4× median
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $135,434.08 $159,027.51 $146,186.52 nat. median
$124,573
1.2× median
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $129,058.95 $151,541.79 $139,305.24 nat. median
$89,796
1.6× median
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $129,058.95 $151,541.79 $139,305.24 nat. median
$69,788
2.0× median
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 $129,058.95 $151,541.79 $139,305.24 nat. median
$93,370
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $20,807.82 $229,895.80 $139,191.44 nat. median
$93,672
1.5× median
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 $127,169.34 $149,323.00 $137,265.62 nat. median
$78,990
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 10 $10,852.77 $254,666.56 $135,141.91 nat. median
$99,019
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $15,424.44 $270,302.83 $134,830.10 nat. median
$100,136
1.3× median
6024
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 $120,249.82 $141,198.06 $129,796.73 nat. median
$118,620
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $8,981.20 $272,860.36 $129,681.91 nat. median
$102,358
1.3× median
5912
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $117,442.88 $137,902.14 $126,766.95 nat. median
$81,294
1.6× median
5933
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $116,769.54 $137,111.49 $126,040.15 nat. median
$108,996
1.2× median
1612
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $111,209.15 $130,582.46 $120,038.31 nat. median
$85,444
1.4× median
1611
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $111,209.15 $130,582.46 $120,038.31 nat. median
$76,806
1.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $11,147.40 $198,102.65 $119,942.13 nat. median
$79,312
1.5× median
1604
APR_DRG 		Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 $110,803.98 $130,106.69 $119,600.96 nat. median
$97,957
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $21,475.18 $197,479.90 $119,565.09 nat. median
$81,118
1.5× median

Other procedures at this hospital

Browse this hospital's 10,116 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 9 — — $9,022.72 $1,014,795.80 $564,700.18 2026-03-06
5834 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $452,044.82 $530,793.74 $487,933.73 2026-03-06
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 9 — — $31,207.78 $658,561.65 $366,467.70 2026-03-06
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $276,868.90 $325,101.12 $298,850.18 2026-03-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 9 — — $188,897.11 $548,044.65 $283,758.23 2026-03-06
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $258,826.41 $303,915.52 $279,375.25 2026-03-06
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $257,454.08 $302,304.12 $277,893.97 2026-03-06
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $241,733.60 $303,714.20 $275,564.14 2026-03-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 10 — — $30,053.99 $498,792.20 $228,046.55 2026-03-06
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $197,677.56 $232,114.18 $213,371.65 2026-03-06
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $193,020.59 $226,645.93 $208,344.95 2026-03-06
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $192,901.89 $226,506.56 $208,216.83 2026-03-06
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $192,622.00 $226,177.91 $207,914.73 2026-03-06
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $189,222.32 $222,185.99 $204,245.13 2026-03-06
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $185,536.89 $217,858.53 $200,267.10 2026-03-06
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $184,394.63 $216,517.28 $199,034.16 2026-03-06
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $181,556.92 $213,185.22 $195,971.15 2026-03-06
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 6 — — $177,439.93 $208,351.04 $191,527.32 2026-03-06
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 6 — — $171,696.38 $201,606.92 $185,327.76 2026-03-06
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 6 — — $168,262.99 $197,575.42 $181,621.79 2026-03-06
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $159,623.84 $187,431.28 $172,296.76 2026-03-06
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $158,006.06 $185,531.67 $170,550.54 2026-03-06
7 MS_DRG Lung Transplant 16 9 — — $24,722.02 $304,329.70 $169,349.38 2026-03-06
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $153,132.21 $179,808.76 $165,289.74 2026-03-06
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $151,139.29 $177,468.67 $163,138.60 2026-03-06
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $142,323.32 $178,815.08 $162,241.42 2026-03-06
14 MS_DRG Allogeneic Bone Marrow Transplant 16 9 — — $11,820.69 $282,420.65 $157,157.71 2026-03-06
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $145,419.18 $170,752.08 $156,964.35 2026-03-06
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $134,554.07 $169,053.79 $153,384.86 2026-03-06
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $131,676.72 $165,438.69 $150,104.83 2026-03-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 10 — — $23,028.40 $325,507.90 $148,912.91 2026-03-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 9 — — $30,617.54 $354,962.21 $148,185.61 2026-03-06
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $136,925.84 $160,779.14 $147,796.71 2026-03-06
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $135,434.08 $159,027.51 $146,186.52 2026-03-06
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 6 — — $129,058.95 $151,541.79 $139,305.24 2026-03-06
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 6 — — $129,058.95 $151,541.79 $139,305.24 2026-03-06
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 6 — — $129,058.95 $151,541.79 $139,305.24 2026-03-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 10 — — $20,807.82 $229,895.80 $139,191.44 2026-03-06
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $127,169.34 $149,323.00 $137,265.62 2026-03-06
215 MS_DRG Other Heart Assist System Implant 19 10 — — $10,852.77 $254,666.56 $135,141.91 2026-03-06
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 9 — — $15,424.44 $270,302.83 $134,830.10 2026-03-06
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $120,249.82 $141,198.06 $129,796.73 2026-03-06
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 10 — — $8,981.20 $272,860.36 $129,681.91 2026-03-06
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $117,442.88 $137,902.14 $126,766.95 2026-03-06
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $116,769.54 $137,111.49 $126,040.15 2026-03-06
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $111,209.15 $130,582.46 $120,038.31 2026-03-06
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 6 — — $111,209.15 $130,582.46 $120,038.31 2026-03-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 10 — — $11,147.40 $198,102.65 $119,942.13 2026-03-06
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $110,803.98 $130,106.69 $119,600.96 2026-03-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 10 — — $21,475.18 $197,479.90 $119,565.09 2026-03-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 10 — — $5,892.55 $258,998.20 $117,955.22 2026-03-06
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $99,710.21 $125,275.95 $113,664.61 2026-03-06
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 10 — — $20,592.29 $206,034.04 $111,958.70 2026-03-06
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $101,304.65 $118,952.53 $109,347.47 2026-03-06
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 10 — — $9,028.65 $180,440.05 $109,248.23 2026-03-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 9 — — $67,730.01 $179,067.65 $108,939.98 2026-03-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 10 — — $18,835.40 $179,662.20 $108,777.28 2026-03-06
209 MS_DRG Complex Aortic Arch Procedures 15 10 — — $22,910.75 $265,991.80 $108,482.14 2026-03-06
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $100,277.42 $117,746.35 $108,238.68 2026-03-06
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $96,125.26 $112,870.86 $103,756.88 2026-03-06
850 MS_DRG Acute Leukemia With Other Procedures 15 9 — — $76,904.08 $232,671.43 $103,271.12 2026-03-06
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $90,519.40 $113,728.61 $103,187.55 2026-03-06
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $94,042.96 $110,425.81 $101,509.26 2026-03-06
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $93,921.33 $110,282.99 $101,377.97 2026-03-06
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 6 — — $88,128.23 $110,724.34 $100,461.74 2026-03-06
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $92,953.45 $109,146.50 $100,333.24 2026-03-06
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 6 — — $92,750.49 $108,908.19 $100,114.17 2026-03-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 9 — — $61,481.32 $162,427.30 $98,853.04 2026-03-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 10 — — $8,261.44 $161,630.65 $97,860.00 2026-03-06
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 10 — — $9,164.10 $211,725.60 $96,952.01 2026-03-06
A9543 HCPCS Hc Y90 Ibritumomab Tiux/sdto40mci 43 15 $205,976.00 $123,585.60 40% off $27,600.78 $459,809.29 $96,396.77 2026-03-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 9 — — $59,886.69 $158,180.85 $96,278.94 2026-03-06
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 6 6 — — $88,700.18 $104,152.29 $95,742.30 2026-03-06
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 6 6 — — $88,700.18 $104,152.29 $95,742.30 2026-03-06
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 6 — — $87,952.11 $103,273.89 $94,934.83 2026-03-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 9 — — $58,300.93 $153,957.90 $93,719.11 2026-03-06
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 10 — — $29,743.54 $154,519.55 $93,554.55 2026-03-06
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 10 — — $13,869.25 $154,519.55 $93,554.55 2026-03-06
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $83,491.49 $98,036.21 $90,120.08 2026-03-06
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 45 15 $238,702.00 $143,221.20 40% off $4,953.60 $202,896.70 $88,558.44 2026-03-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 9 — — $54,505.45 $166,893.94 $87,592.29 2026-03-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 10 — — $7,274.73 $144,017.40 $87,195.98 2026-03-06
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 9 — — $5,857.95 $171,782.40 $86,663.70 2026-03-06
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 10 — — $11,429.18 $142,471.10 $86,259.76 2026-03-06
28 MS_DRG Spinal Procedures With Mcc 19 10 — — $12,032.27 $141,195.05 $85,487.17 2026-03-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 10 — — $5,073.92 $167,564.40 $85,035.44 2026-03-06
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 10 — — $16,122.45 $140,132.85 $84,844.06 2026-03-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 9 — — $52,241.95 $137,822.80 $83,938.43 2026-03-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 10 — — $8,862.55 $137,912.10 $83,499.50 2026-03-06
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $77,310.52 $90,778.47 $83,448.38 2026-03-06
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 6 6 — — $76,599.81 $89,943.96 $82,681.25 2026-03-06
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 6 6 — — $75,612.88 $88,785.09 $81,615.96 2026-03-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 10 — — $7,913.42 $134,662.05 $81,531.74 2026-03-06
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $75,417.98 $88,556.24 $81,405.59 2026-03-06
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 10 — — $7,088.86 $133,938.25 $81,093.51 2026-03-06
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $74,464.75 $87,436.96 $80,376.68 2026-03-06
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $74,105.00 $87,014.54 $79,988.37 2026-03-06
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $69,857.54 $87,769.04 $79,634.08 2026-03-06
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $73,519.58 $86,327.13 $79,356.48 2026-03-06
834 MS_DRG Acute Leukemia With Mcc 18 9 — — $48,933.61 $184,872.00 $78,597.95 2026-03-06
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $72,474.76 $85,100.30 $78,228.71 2026-03-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 10 — — $10,717.32 $128,556.75 $77,835.26 2026-03-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 10 — — $5,901.45 $169,637.10 $77,731.47 2026-03-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 10 — — $9,421.16 $128,373.45 $77,724.28 2026-03-06
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 6 6 — — $68,144.96 $85,617.36 $77,681.82 2026-03-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 10 — — $7,646.47 $128,171.35 $77,601.92 2026-03-06
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $71,477.57 $83,929.40 $77,152.35 2026-03-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 10 — — $9,325.26 $161,361.97 $76,271.58 2026-03-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 10 — — $9,517.06 $125,320.80 $75,876.04 2026-03-06
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 10 — — $14,179.69 $156,237.49 $75,321.14 2026-03-06
104 MS_DRG DRG Grouper 12 (10/1/1994): DRG 104: Cardiac Valve Procedures W Cardiac 1 1 — — $75,215.05 $75,215.05 $75,215.05 2026-03-06
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 10 — — $6,535.19 $123,993.05 $75,072.15 2026-03-06
653 MS_DRG Major Bladder Procedures With Mcc 18 9 — — $46,343.58 $138,375.21 $74,417.01 2026-03-06
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 9 — — $10,369.31 $139,347.95 $73,682.41 2026-03-06
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 9 — — $9,081.05 $137,266.65 $73,291.18 2026-03-06
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $63,744.03 $80,088.03 $72,664.98 2026-03-06
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $66,915.85 $78,572.99 $72,228.46 2026-03-06
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 6 6 — — $63,300.99 $79,531.39 $72,159.94 2026-03-06
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 10 — — $5,090.73 $157,132.75 $72,021.12 2026-03-06
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $66,714.36 $78,336.40 $72,010.97 2026-03-06
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 10 — — $4,623.08 $157,017.60 $71,968.54 2026-03-06
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 10 — — $6,067.55 $141,155.10 $71,633.27 2026-03-06
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 10 — — $4,138.63 $117,203.90 $70,961.62 2026-03-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 9 — — $44,068.60 $116,057.10 $70,744.63 2026-03-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 10 — — $8,313.84 $129,964.70 $70,392.50 2026-03-06
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 6 6 — — $65,159.59 $76,510.78 $70,332.76 2026-03-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 9 — — $43,738.58 $138,248.91 $70,211.89 2026-03-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 10 — — $10,221.00 $115,659.95 $70,026.83 2026-03-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 10 — — $9,949.12 $151,215.45 $69,318.88 2026-03-06
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $64,081.07 $75,244.37 $69,168.61 2026-03-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 10 — — $17,708.30 $118,444.70 $69,023.54 2026-03-06
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 6 6 — — $63,845.14 $74,967.35 $68,913.96 2026-03-06
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $63,826.09 $74,944.98 $68,893.40 2026-03-06
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $63,730.84 $74,833.14 $68,790.59 2026-03-06
471 MS_DRG Cervical Spinal Fusion With Mcc 19 10 — — $37,074.62 $113,474.45 $68,703.61 2026-03-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 9 — — $52,463.50 $168,558.45 $68,293.61 2026-03-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 10 — — $5,258.80 $122,326.90 $68,181.50 2026-03-06
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 10 — — $6,856.52 $115,575.35 $67,737.52 2026-03-06
10 MS_DRG Pancreas Transplant 16 9 — — $12,475.20 $103,127.47 $67,677.40 2026-03-06
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $62,481.61 $73,366.28 $67,442.17 2026-03-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 9 — — $41,975.41 $113,999.01 $67,365.70 2026-03-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 9 — — $41,890.69 $110,257.30 $67,228.95 2026-03-06
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 9 — — $41,767.15 $126,142.98 $67,029.52 2026-03-06
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 6 6 — — $61,961.40 $72,755.44 $66,880.66 2026-03-06
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 9 — — $42,883.47 $112,901.05 $66,432.87 2026-03-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 10 — — $5,783.80 $130,805.70 $66,381.17 2026-03-06
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 6 6 — — $60,900.46 $71,509.69 $65,735.49 2026-03-06
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 9 — — $40,946.47 $107,742.80 $65,704.74 2026-03-06
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 6 6 — — $60,740.73 $71,322.13 $65,563.08 2026-03-06
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 10 — — $4,242.44 $108,017.75 $65,399.83 2026-03-06
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 9 — — $40,627.89 $106,894.45 $65,190.47 2026-03-06
245 MS_DRG Aicd Generator Procedures 19 10 — — $4,758.53 $125,695.04 $64,914.65 2026-03-06
799 MS_DRG Splenic Procedures With Mcc 18 9 — — $40,453.17 $106,429.15 $64,908.43 2026-03-06
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 10 — — $5,452.59 $106,847.45 $64,691.27 2026-03-06
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $59,723.76 $70,128.00 $64,465.37 2026-03-06
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 6 — — $56,269.91 $70,697.54 $64,144.86 2026-03-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 9 — — $52,936.46 $164,822.61 $64,047.45 2026-03-06
163 MS_DRG Major Chest Procedures With Mcc 19 10 — — $7,192.67 $105,322.30 $63,767.86 2026-03-06
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 10 — — $5,467.42 $109,654.40 $63,498.94 2026-03-06
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $58,539.00 $68,736.85 $63,186.55 2026-03-06
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 10 — — $7,080.95 $103,230.80 $62,501.55 2026-03-06
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 10 — — $8,878.37 $135,526.85 $62,154.36 2026-03-06
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 — — $57,357.17 $67,349.14 $61,910.89 2026-03-06
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 9 — — $38,370.56 $100,883.15 $61,546.58 2026-03-06
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $53,986.24 $67,828.34 $61,541.60 2026-03-06
140 MS_DRG Major Head And Neck Procedures With Mcc 19 10 — — $6,187.18 $101,232.91 $60,687.46 2026-03-06
6 MS_DRG Liver Transplant Without Mcc 16 9 — — $6,267.26 $118,702.31 $60,637.91 2026-03-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 10 — — $7,435.88 $132,117.00 $60,597.20 2026-03-06
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 9 — — $37,673.40 $99,026.65 $60,421.21 2026-03-06
108 MS_DRG DRG Grouper 12 (10/1/1994): DRG 108: Other Cardiothoracic Procedures 1 1 — — $60,389.75 $60,389.75 $60,389.75 2026-03-06
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 6 — — $55,837.57 $65,564.81 $60,270.65 2026-03-06
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 6 6 — — $55,765.77 $65,480.50 $60,193.15 2026-03-06
901 MS_DRG Wound Debridements For Injuries With Mcc 18 9 — — $37,520.74 $98,620.10 $60,174.78 2026-03-06
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 10 — — $16,832.33 $99,245.20 $60,088.45 2026-03-06
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 6 6 — — $55,601.65 $65,287.79 $60,015.99 2026-03-06
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 10 — — $9,465.65 $99,076.00 $59,986.01 2026-03-06
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 10 — — $7,684.04 $98,436.80 $59,599.00 2026-03-06
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 10 — — $34,691.90 $113,190.82 $59,368.50 2026-03-06
484 MS_DRG DRG Grouper 12 (10/1/1994): DRG 484: Craniotomy For Multiple 1 1 — — $59,130.16 $59,130.16 $59,130.16 2026-03-06
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 10 — — $15,666.67 $97,595.50 $59,089.63 2026-03-06
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $54,531.92 $64,031.71 $58,861.34 2026-03-06
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $54,471.11 $63,960.30 $58,795.69 2026-03-06
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 10 — — $6,267.26 $96,949.25 $58,698.36 2026-03-06
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 6 6 — — $54,045.41 $63,460.45 $58,336.21 2026-03-06
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 10 — — $4,120.83 $125,245.60 $57,459.23 2026-03-06
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 6 6 — — $53,017.45 $62,253.41 $57,226.63 2026-03-06
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 9 — — $35,645.52 $93,626.35 $57,147.71 2026-03-06
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 6 6 — — $52,940.52 $62,163.07 $57,143.59 2026-03-06
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 6 6 — — $52,885.56 $62,098.55 $57,084.28 2026-03-06
105 MS_DRG DRG Grouper 12 (10/1/1994): DRG 105: Cardiac Valve Procedures Without 1 1 — — $57,003.51 $57,003.51 $57,003.51 2026-03-06
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $52,262.05 $61,366.41 $56,411.26 2026-03-06
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $52,187.31 $61,278.65 $56,330.58 2026-03-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 9 — — $6,124.89 $113,700.05 $56,169.58 2026-03-06
106 MS_DRG DRG Grouper 12 (10/1/1994): DRG 106: Coronary Bypass W Cardiac Cath 1 1 — — $56,041.52 $56,041.52 $56,041.52 2026-03-06
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 10 — — $9,537.82 $91,929.65 $55,659.22 2026-03-06
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 6 6 — — $51,506.64 $60,479.41 $55,595.88 2026-03-06
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $51,428.24 $60,387.35 $55,511.26 2026-03-06
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 9 — — $34,593.63 $91,062.91 $55,449.69 2026-03-06
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $51,357.91 $60,304.76 $55,435.34 2026-03-06
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 6 6 — — $51,206.24 $60,126.67 $55,271.62 2026-03-06
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 6 6 — — $51,110.26 $60,013.97 $55,168.02 2026-03-06
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 9 — — $34,367.72 $90,223.55 $55,085.02 2026-03-06
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 10 — — $8,704.37 $108,534.75 $55,079.12 2026-03-06
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 10 — — $10,739.07 $99,045.13 $55,073.02 2026-03-06
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 10 — — $17,038.96 $134,112.15 $54,957.53 2026-03-06
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 10 — — $6,170.37 $90,738.20 $54,937.85 2026-03-06
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 9 — — $37,564.87 $98,737.60 $54,864.60 2026-03-06
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 6 6 — — $50,419.33 $59,202.68 $54,422.24 2026-03-06
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 6 6 — — $50,348.26 $59,119.23 $54,345.53 2026-03-06
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $47,428.32 $59,588.97 $54,065.90 2026-03-06
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 9 — — $33,694.40 $120,187.89 $53,998.12 2026-03-06
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 6 6 — — $49,995.83 $58,705.41 $53,965.12 2026-03-06
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 6 6 — — $49,924.03 $58,621.10 $53,887.62 2026-03-06
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 9 — — $34,852.18 $89,692.45 $53,816.40 2026-03-06
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 6 — — $49,803.14 $58,479.14 $53,757.13 2026-03-06
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $49,697.63 $58,355.26 $53,643.24 2026-03-06
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 9 — — $33,374.94 $87,579.80 $53,482.44 2026-03-06
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 10 — — $7,540.69 $105,291.75 $53,433.37 2026-03-06
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 10 — — $5,110.50 $88,045.10 $53,307.30 2026-03-06
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 9 — — $33,189.65 $90,109.24 $53,183.32 2026-03-06
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 10 — — $13,312.62 $87,835.95 $53,180.67 2026-03-06
9124 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 6 6 — — $49,172.29 $57,738.40 $53,076.19 2026-03-06
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $49,022.09 $57,562.03 $52,914.07 2026-03-06
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 6 6 — — $46,330.66 $58,209.86 $52,814.62 2026-03-06
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 9 — — $32,901.08 $86,317.85 $52,717.49 2026-03-06
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 6 6 — — $48,706.30 $57,191.23 $52,573.21 2026-03-06
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 10 — — $32,482.79 $126,893.51 $52,497.44 2026-03-06
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 10 — — $32,887.83 $86,282.60 $52,240.19 2026-03-06
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 6 6 — — $48,309.92 $56,725.79 $52,145.35 2026-03-06
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 9 — — $32,507.50 $85,269.75 $52,082.16 2026-03-06
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 17 10 — — $7,139.28 $101,693.90 $51,607.53 2026-03-06
332 MS_DRG Rectal Resection With Mcc 19 10 — — $5,950.88 $100,959.18 $51,515.97 2026-03-06
265 MS_DRG Aicd Lead Procedures 19 10 — — $13,795.09 $87,728.57 $51,480.40 2026-03-06
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 10 — — $6,052.72 $84,877.30 $51,389.34 2026-03-06
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $47,599.94 $55,892.13 $51,379.01 2026-03-06
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 9 — — $32,030.96 $105,438.51 $51,312.93 2026-03-06
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 9 — — $32,104.22 $95,786.56 $51,029.21 2026-03-06
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 10 — — $13,294.82 $83,916.15 $50,807.41 2026-03-06
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 6 6 — — $44,554.40 $55,978.17 $50,789.77 2026-03-06
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 10 — — $15,409.61 $85,935.10 $50,732.00 2026-03-06
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 6 6 — — $46,976.42 $55,159.99 $50,705.99 2026-03-06
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 10 — — $6,628.13 $83,721.10 $50,689.31 2026-03-06
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 10 — — $11,214.63 $83,573.05 $50,599.68 2026-03-06
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 6 6 — — $46,843.07 $55,003.41 $50,562.06 2026-03-06
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $46,738.30 $54,880.39 $50,448.96 2026-03-06
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 6 6 — — $46,528.75 $54,634.33 $50,222.77 2026-03-06
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 9 — — $33,467.58 $87,826.55 $50,133.65 2026-03-06
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 10 — — $12,286.36 $82,705.90 $50,074.66 2026-03-06
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 9 — — $31,262.33 $81,953.90 $50,072.17 2026-03-06
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 9 — — $31,121.15 $82,221.85 $49,844.25 2026-03-06
252 MS_DRG Other Vascular Procedures With Mcc 19 10 — — $3,600.78 $81,975.05 $49,632.16 2026-03-06
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 6 6 — — $45,907.42 $53,904.77 $49,552.12 2026-03-06
7404 APR_DRG Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure 6 6 — — $45,782.13 $53,757.66 $49,416.89 2026-03-06
6083 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 6 6 — — $45,765.28 $53,737.87 $49,398.69 2026-03-06
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 9 — — $30,741.69 $80,567.40 $49,231.71 2026-03-06
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 10 — — $15,048.74 $81,183.10 $49,152.67 2026-03-06
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 19 10 — — $3,679.88 $82,875.10 $48,955.02 2026-03-06
1204 APR_DRG Apr-DRG 42.00: Major Respiratory And Chest Procedures 6 6 — — $45,289.03 $53,178.66 $48,884.64 2026-03-06
6814 APR_DRG Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 6 6 — — $45,215.77 $53,092.62 $48,805.55 2026-03-06
3124 APR_DRG Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 6 — — $45,130.77 $52,992.83 $48,713.82 2026-03-06
37231 HCPCS Hc Tib/per Revasc Stent & Ather 41 14 $110,164.00 $66,098.40 40% off $1,016.56 $93,639.40 $48,692.49 2026-03-06
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 9 — — $31,895.94 $83,641.20 $48,564.71 2026-03-06
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 10 — — $6,129.83 $80,172.60 $48,540.86 2026-03-06
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 10 — — $6,295.93 $84,419.49 $48,476.83 2026-03-06
1304 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 6 — — $44,756.37 $52,553.20 $48,309.68 2026-03-06
2204 APR_DRG Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures 6 6 — — $44,609.10 $52,380.27 $48,150.72 2026-03-06
6954 APR_DRG Apr-DRG 42.00: Chemotherapy For Acute Leukemia 6 6 — — $44,463.29 $52,209.07 $47,993.34 2026-03-06
41 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $44,335.07 $52,058.51 $47,854.94 2026-03-06
204 APR_DRG Apr-DRG 42.00: Open Craniotomy For Trauma 6 6 — — $43,985.58 $51,648.13 $47,477.70 2026-03-06
894 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 6 6 — — $43,959.20 $51,617.16 $47,449.23 2026-03-06
3614 APR_DRG Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 6 — — $43,910.11 $51,559.52 $47,396.24 2026-03-06
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 6 6 — — $43,856.63 $51,496.71 $47,338.51 2026-03-06
2614 APR_DRG Apr-DRG 42.00: Major Biliary Tract Procedures 6 6 — — $43,680.05 $51,289.37 $47,147.91 2026-03-06
9504 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $43,673.45 $51,281.63 $47,140.79 2026-03-06
6092 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $43,663.20 $51,269.59 $47,129.72 2026-03-06
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 10 — — $4,425.35 $88,864.98 $46,999.95 2026-03-06
1653 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $43,501.27 $51,079.45 $46,954.94 2026-03-06
61 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 6 — — $43,398.69 $50,959.01 $46,844.22 2026-03-06
37 MS_DRG Extracranial Procedures With Mcc 19 10 — — $7,997.46 $77,364.35 $46,840.59 2026-03-06
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 10 — — $10,958.56 $77,354.95 $46,834.90 2026-03-06
264 MS_DRG Other Circulatory System O.r. Procedures 19 10 — — $11,531.01 $78,504.10 $46,554.49 2026-03-06
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 9 — — $29,034.14 $79,089.59 $46,475.30 2026-03-06
652 MS_DRG Kidney Transplant 16 9 — — $28,986.48 $94,090.87 $46,398.37 2026-03-06
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 10 — — $5,773.91 $76,440.80 $46,281.42 2026-03-06
6234 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 6 6 — — $42,663.81 $50,096.10 $46,050.99 2026-03-06
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 10 — — $28,965.30 $82,929.14 $45,915.76 2026-03-06
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 9 — — $28,610.54 $74,892.15 $45,791.53 2026-03-06
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 10 — — $3,573.10 $99,658.80 $45,774.54 2026-03-06
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 9 — — $29,065.90 $76,104.75 $45,750.56 2026-03-06
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 9 — — $28,583.17 $74,819.30 $45,747.35 2026-03-06
274 APR_DRG Apr-DRG 42.00: Other Open Craniotomy 6 6 — — $42,374.39 $49,756.27 $45,738.60 2026-03-06
6302 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 6 — — $42,270.35 $49,634.10 $45,626.29 2026-03-06
6123 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 6 6 — — $42,172.90 $49,519.68 $45,521.11 2026-03-06
500 MS_DRG Soft Tissue Procedures With Mcc 18 9 — — $28,415.52 $74,372.80 $45,476.71 2026-03-06
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 10 — — $11,310.53 $75,030.80 $45,427.73 2026-03-06
924 APR_DRG Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 6 6 — — $41,904.01 $49,203.94 $45,230.87 2026-03-06
4402 APR_DRG Apr-DRG 42.00: Kidney Transplant 6 6 — — $39,483.09 $49,606.57 $45,008.74 2026-03-06
4014 APR_DRG Apr-DRG 42.00: Adrenal Procedures 6 6 — — $41,561.84 $48,802.16 $44,861.54 2026-03-06
665 MS_DRG Prostatectomy With Mcc 18 9 — — $28,030.76 $79,872.66 $44,855.62 2026-03-06
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 10 — — $5,896.51 $91,865.80 $44,811.65 2026-03-06
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