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 GREENE

Waynesburg, PA · CCN 390150 · Rates published

15,655 distinct procedures filed
11 distinct payers
541,063 rate rows
2026-03-06 last MRF observed
Data quality

503,070 of 541,063 rate rows are consumer-grade (93.0%)

37,993 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 34,853
placeholder amount (≤ $0.02) — excluded from medians 1,948
exceeds 10× this hospital's gross charge — excluded from medians 934
per-diem day rate — not a per-procedure price 258
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://whs.org/wp-content/uploads/2026/03/437884840_upmc-greene_standardcharges.csv
Found on page https://whs.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 640ae1d398b08073… · 69,322,161 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 3 $412,412.77 $424,784.79 $422,471.79 nat. median
$309,665
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $286,882.31 $584,410.51 $332,247.47 nat. median
$370,174
0.9× median
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $252,595.02 $260,172.65 $258,755.98 nat. median
$246,434
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $186,497.39 $429,946.14 $244,375.17 nat. median
$265,286
0.9× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $236,134.36 $243,218.19 $241,893.83 nat. median
$117,173
outlier · 2.1×
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 3 $235,977.95 $243,057.08 $241,733.60 nat. median
$234,729
1.0× median
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 3 $234,882.35 $241,928.62 $240,611.28 nat. median
$244,017
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $142,304.96 $418,217.18 $224,367.88 nat. median
$206,474
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $141,475.21 $338,348.00 $192,266.47 nat. median
$202,976
0.9× median
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 3 $180,346.61 $185,756.85 $184,745.38 nat. median
$156,126
1.2× median
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 3 $176,097.93 $181,380.71 $180,393.07 nat. median
$207,730
0.9× median
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $175,989.64 $181,269.17 $180,282.14 nat. median
$162,982
1.1× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $175,734.29 $181,006.16 $180,020.56 nat. median
$60,831
outlier · 3.0×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 $172,632.67 $177,811.49 $176,843.29 nat. median
$164,834
1.1× median
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $169,270.35 $174,348.31 $173,398.96 nat. median
$122,924
1.4× median
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $168,228.23 $173,274.93 $172,331.42 nat. median
$182,665
0.9× median
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $165,639.31 $170,608.34 $169,679.36 nat. median
$164,289
1.0× median
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 3 $161,883.27 $166,739.63 $165,831.71 nat. median
$144,745
1.1× median
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 3 $156,643.27 $161,342.43 $160,463.90 nat. median
$160,267
1.0× median
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 $153,510.90 $158,116.09 $157,255.13 nat. median
$150,721
1.0× median
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $145,629.17 $149,997.92 $149,181.16 nat. median
$151,838
1.0× median
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $144,153.23 $148,477.70 $147,669.22 nat. median
$145,336
1.0× median
112
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $139,706.68 $143,897.75 $143,114.21 nat. median
$58,674
outlier · 2.4×
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 $138,934.61 $143,102.53 $142,323.32 nat. median
$187,061
0.8× median
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 3 $137,888.48 $142,025.02 $141,251.67 nat. median
$119,796
1.2× median
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $132,669.87 $136,649.85 $135,905.78 nat. median
$105,658
1.3× median
14
APR_DRG 		Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 3 $131,350.35 $135,290.74 $134,554.07 nat. median
$129,535
1.0× median
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 3 $128,541.51 $132,397.64 $131,676.72 nat. median
$93,528
1.4× median
5913
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $124,921.17 $128,668.69 $127,968.07 nat. median
$102,919
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $92,644.60 $233,402.38 $127,238.96 nat. median
$133,161
1.0× median
5881
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $123,560.19 $127,266.89 $126,573.91 nat. median
$124,573
1.0× median
5892
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 $117,743.99 $121,276.20 $120,615.84 nat. median
$89,796
1.3× median
5893
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 $117,743.99 $121,276.20 $120,615.84 nat. median
$69,788
1.7× median
5891
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 3 $117,743.99 $121,276.20 $120,615.84 nat. median
$93,370
1.3× median
93
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 3 $116,020.04 $119,500.54 $118,849.85 nat. median
$78,990
1.5× median
6024
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 $109,707.17 $112,998.29 $112,383.00 nat. median
$118,620
0.9× median
5912
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $107,146.33 $110,360.63 $109,759.70 nat. median
$81,294
1.4× median
5933
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $106,532.02 $109,727.89 $109,130.41 nat. median
$108,996
1.0× median
7
MS_DRG 		Lung Transplant 6 $86,676.70 $194,824.74 $108,959.12 nat. median
$122,708
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $75,959.37 $194,471.23 $104,093.91 nat. median
$108,660
1.0× median
1612
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 3 $101,459.13 $104,502.82 $103,933.79 nat. median
$85,444
1.2× median
1611
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 3 $101,459.13 $104,502.82 $103,933.79 nat. median
$76,806
1.4× median
1604
APR_DRG 		Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 3 $101,089.48 $104,122.07 $103,555.12 nat. median
$97,957
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $80,502.84 $182,055.86 $103,354.40 nat. median
$117,357
0.9× median
22
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 3 $97,336.12 $100,256.11 $99,710.21 nat. median
$77,804
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $72,928.41 $171,114.74 $98,501.14 nat. median
$102,358
1.0× median
54
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $92,422.99 $95,195.59 $94,677.24 nat. median
$68,217
1.4× median
43
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $91,485.81 $94,230.31 $93,717.21 nat. median
$69,926
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $69,196.14 $164,445.78 $91,758.15 nat. median
$100,136
0.9× median
73
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 3 $88,364.14 $91,014.99 $90,519.40 nat. median
$89,273
1.0× median

Other procedures at this hospital

Browse this hospital's 15,655 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 7 — — $186,497.39 $429,946.14 $244,375.17 2026-03-06
10 MS_DRG Pancreas Transplant 26 6 — — $27,684.36 $82,445.86 $49,209.87 2026-03-06
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 3 — — $46,299.06 $47,687.99 $47,428.32 2026-03-06
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 41 8 — — $37,036.21 $82,114.75 $47,365.77 2026-03-06
111 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $68,805.87 $70,869.99 $70,484.09 2026-03-06
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $139,706.68 $143,897.75 $143,114.21 2026-03-06
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $175,734.29 $181,006.16 $180,020.56 2026-03-06
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $236,134.36 $243,218.19 $241,893.83 2026-03-06
12 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 3 — — $52,700.83 $54,281.81 $53,986.24 2026-03-06
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 41 8 — — $28,837.28 $63,862.66 $36,789.01 2026-03-06
1204 APR_DRG Apr-DRG 42.00: Major Respiratory And Chest Procedures 6 3 — — $41,318.42 $42,557.93 $42,326.20 2026-03-06
1214 APR_DRG Apr-DRG 42.00: Other Respiratory And Chest Procedures 6 3 — — $34,633.89 $35,672.87 $35,478.63 2026-03-06
13 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 3 — — $68,194.24 $70,240.01 $69,857.54 2026-03-06
1304 APR_DRG Apr-DRG 42.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 3 — — $40,832.45 $42,057.39 $41,828.38 2026-03-06
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 6 3 — — $131,350.35 $135,290.74 $134,554.07 2026-03-06
14 MS_DRG Allogeneic Bone Marrow Transplant 27 7 — — $80,502.84 $182,055.86 $103,354.40 2026-03-06
140 MS_DRG Major Head And Neck Procedures With Mcc 41 8 — — $29,163.74 $60,267.39 $37,667.12 2026-03-06
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 27 7 — — $40,185.71 $98,294.99 $53,474.03 2026-03-06
1602 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 3 — — $35,103.81 $36,156.89 $35,960.01 2026-03-06
1603 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 3 — — $46,855.21 $48,260.83 $47,998.04 2026-03-06
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 6 3 — — $101,089.48 $104,122.07 $103,555.12 2026-03-06
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 3 — — $101,459.13 $104,502.82 $103,933.79 2026-03-06
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 3 — — $101,459.13 $104,502.82 $103,933.79 2026-03-06
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 3 — — $137,888.48 $142,025.02 $141,251.67 2026-03-06
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 6 3 — — $176,097.93 $181,380.71 $180,393.07 2026-03-06
1622 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $37,569.73 $38,696.79 $38,486.08 2026-03-06
1623 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $49,695.47 $51,186.29 $50,907.57 2026-03-06
1624 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $67,936.22 $69,974.24 $69,593.22 2026-03-06
163 MS_DRG Major Chest Procedures With Mcc 41 8 — — $30,597.46 $75,097.04 $41,169.81 2026-03-06
1633 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 6 3 — — $42,736.21 $44,018.25 $43,778.57 2026-03-06
1634 APR_DRG Apr-DRG 42.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 6 3 — — $59,446.86 $61,230.22 $60,896.81 2026-03-06
1653 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 6 3 — — $39,687.39 $40,877.98 $40,655.39 2026-03-06
1654 APR_DRG Apr-DRG 42.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 6 3 — — $53,406.72 $55,008.88 $54,709.35 2026-03-06
1663 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 3 — — $34,930.68 $35,978.57 $35,782.66 2026-03-06
1664 APR_DRG Apr-DRG 42.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 3 — — $47,611.90 $49,040.22 $48,773.19 2026-03-06
1674 APR_DRG Apr-DRG 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 6 3 — — $52,328.51 $53,898.32 $53,604.83 2026-03-06
1694 APR_DRG Apr-DRG 42.00: Major Abdominal Vascular Procedures 6 3 — — $42,449.44 $43,722.89 $43,484.81 2026-03-06
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 27 7 — — $36,891.83 $98,294.99 $43,631.79 2026-03-06
1704 APR_DRG Apr-DRG 42.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh… 6 3 — — $35,012.90 $36,063.26 $35,866.89 2026-03-06
1764 APR_DRG Apr-DRG 42.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 6 3 — — $33,713.43 $34,724.80 $34,535.72 2026-03-06
1782 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 6 3 — — $37,138.58 $38,252.70 $38,044.41 2026-03-06
1783 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 6 3 — — $45,612.56 $46,980.90 $46,725.08 2026-03-06
1784 APR_DRG Apr-DRG 42.00: External Heart Assist Devices 6 3 — — $56,529.06 $58,224.89 $57,907.85 2026-03-06
1793 APR_DRG Apr-DRG 42.00: Defibrillator Implants 6 3 — — $35,785.63 $36,859.17 $36,658.47 2026-03-06
1794 APR_DRG Apr-DRG 42.00: Defibrillator Implants 6 3 — — $46,990.91 $48,400.59 $48,137.05 2026-03-06
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 8 — — $286,882.31 $584,410.51 $332,247.47 2026-03-06
1814 APR_DRG Apr-DRG 42.00: Lower Extremity Vascular Procedures 6 3 — — $34,935.36 $35,983.39 $35,787.46 2026-03-06
1833 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 6 3 — — $36,970.13 $38,079.20 $37,871.86 2026-03-06
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 6 3 — — $50,876.63 $52,402.88 $52,117.54 2026-03-06
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 29 7 — — $48,164.76 $127,090.30 $60,877.46 2026-03-06
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 7 — — $75,959.37 $194,471.23 $104,093.91 2026-03-06
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 41 8 — — $53,026.77 $134,364.83 $76,223.74 2026-03-06
204 APR_DRG Apr-DRG 42.00: Open Craniotomy For Trauma 6 3 — — $40,129.24 $41,333.08 $41,108.02 2026-03-06
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 41 8 — — $43,529.91 $109,882.85 $59,109.15 2026-03-06
209 MS_DRG Complex Aortic Arch Procedures 20 8 — — $75,873.27 $129,145.98 $81,119.82 2026-03-06
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 3 — — $86,029.90 $88,610.72 $88,128.23 2026-03-06
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 41 8 — — $35,974.66 $97,730.64 $55,383.15 2026-03-06
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 38 8 — — $72,928.41 $171,114.74 $98,501.14 2026-03-06
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 8 — — $38,710.28 $65,889.84 $41,387.06 2026-03-06
214 APR_DRG Apr-DRG 42.00: Open Craniotomy Except Trauma 6 3 — — $45,934.08 $47,312.07 $47,054.45 2026-03-06
215 MS_DRG Other Heart Assist System Implant 41 8 — — $55,326.70 $162,302.54 $73,768.96 2026-03-06
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 8 — — $65,701.61 $154,225.90 $88,221.29 2026-03-06
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 8 — — $44,460.98 $101,279.92 $58,471.65 2026-03-06
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 8 — — $41,609.86 $90,681.22 $52,329.89 2026-03-06
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 8 — — $49,008.08 $122,615.26 $65,344.13 2026-03-06
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 3 — — $97,336.12 $100,256.11 $99,710.21 2026-03-06
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 8 — — $36,232.94 $83,514.51 $48,091.19 2026-03-06
2204 APR_DRG Apr-DRG 42.00: Major Stomach, Esophageal And Duodenal Procedures 6 3 — — $40,698.09 $41,919.00 $41,690.75 2026-03-06
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 8 — — $29,681.10 $74,066.64 $40,800.44 2026-03-06
224 APR_DRG Apr-DRG 42.00: Ventricular Shunt Procedures 6 3 — — $35,893.92 $36,970.71 $36,769.40 2026-03-06
228 MS_DRG Other Cardiothoracic Procedures With Mcc 41 8 — — $33,680.74 $80,250.53 $45,446.82 2026-03-06
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 3 — — $128,541.51 $132,397.64 $131,676.72 2026-03-06
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 41 8 — — $38,865.24 $90,238.94 $51,675.85 2026-03-06
2304 APR_DRG Apr-DRG 42.00: Major Small Bowel Procedures 6 3 — — $34,426.00 $35,458.75 $35,265.67 2026-03-06
231 MS_DRG Coronary Bypass With Ptca With Mcc 41 8 — — $56,742.48 $129,019.52 $74,546.23 2026-03-06
232 MS_DRG Coronary Bypass With Ptca Without Mcc 41 8 — — $41,065.80 $94,674.35 $54,643.84 2026-03-06
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 41 8 — — $49,434.97 $124,016.61 $67,426.21 2026-03-06
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 41 8 — — $37,093.14 $82,774.16 $47,747.91 2026-03-06
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 6 3 — — $41,882.59 $43,139.03 $42,904.13 2026-03-06
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 41 8 — — $37,325.16 $93,596.40 $51,527.96 2026-03-06
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 41 8 — — $28,657.16 $64,438.08 $37,122.46 2026-03-06
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 41 8 — — $32,537.57 $76,574.43 $43,383.45 2026-03-06
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 6 3 — — $235,977.95 $243,057.08 $241,733.60 2026-03-06
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 41 8 — — $26,823.47 $60,436.99 $34,803.92 2026-03-06
245 MS_DRG Aicd Generator Procedures 41 8 — — $31,131.20 $72,208.77 $41,910.21 2026-03-06
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 41 8 — — $31,027.24 $70,379.46 $40,565.38 2026-03-06
2604 APR_DRG Apr-DRG 42.00: Major Pancreas, Liver And Shunt Procedures 6 3 — — $42,857.86 $44,143.56 $43,903.20 2026-03-06
2614 APR_DRG Apr-DRG 42.00: Major Biliary Tract Procedures 6 3 — — $39,850.49 $41,045.97 $40,822.47 2026-03-06
2644 APR_DRG Apr-DRG 42.00: Other Hepatobiliary, Pancreas And Abdominal Procedures 6 3 — — $33,973.46 $34,992.63 $34,802.09 2026-03-06
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 41 8 — — $41,501.52 $99,390.35 $56,295.48 2026-03-06
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 41 8 — — $32,445.04 $77,738.00 $43,732.71 2026-03-06
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 41 8 — — $46,464.85 $109,037.95 $62,024.90 2026-03-06
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 41 8 — — $28,152.29 $66,299.12 $37,536.41 2026-03-06
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 41 8 — — $34,961.54 $80,539.07 $46,452.68 2026-03-06
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 41 8 — — $28,237.99 $62,152.21 $37,203.76 2026-03-06
274 APR_DRG Apr-DRG 42.00: Other Open Craniotomy 6 3 — — $38,659.31 $39,819.06 $39,602.24 2026-03-06
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 38 8 — — $48,136.96 $111,908.77 $64,168.07 2026-03-06
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 38 8 — — $40,694.95 $98,821.26 $55,179.27 2026-03-06
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 38 8 — — $31,502.71 $76,187.63 $42,505.79 2026-03-06
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 38 8 — — $37,778.54 $71,083.28 $42,427.83 2026-03-06
28 MS_DRG Spinal Procedures With Mcc 41 8 — — $40,030.76 $95,902.90 $54,182.85 2026-03-06
2993 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 6 3 — — $45,547.05 $46,913.42 $46,657.97 2026-03-06
2994 APR_DRG Apr-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Exce… 6 3 — — $58,247.66 $59,995.04 $59,668.36 2026-03-06
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 41 8 — — $141,475.21 $338,348.00 $192,266.47 2026-03-06
3004 APR_DRG Apr-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except… 6 3 — — $44,436.08 $45,769.12 $45,519.91 2026-03-06
3032 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $34,124.53 $35,148.23 $34,956.84 2026-03-06
3033 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $46,919.38 $48,326.92 $48,063.78 2026-03-06
3034 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $67,608.00 $69,636.19 $69,257.01 2026-03-06
304 APR_DRG Apr-DRG 42.00: Percutaneous Intracranial And Extracranial Vascular Procedures 6 3 — — $35,039.64 $36,090.80 $35,894.28 2026-03-06
3043 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 3 — — $35,149.26 $36,203.71 $36,006.58 2026-03-06
3044 APR_DRG Apr-DRG 42.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 3 — — $47,680.08 $49,110.44 $48,843.03 2026-03-06
31 MS_DRG Ventricular Shunt Procedures With Mcc 41 8 — — $22,590.22 $65,633.34 $37,123.50 2026-03-06
3124 APR_DRG Apr-DRG 42.00: Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 3 — — $41,174.03 $42,409.22 $42,178.29 2026-03-06
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 8 — — $45,197.38 $85,296.22 $48,563.14 2026-03-06
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 41 8 — — $30,472.29 $69,521.84 $40,844.08 2026-03-06
3214 APR_DRG Apr-DRG 42.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc … 6 3 — — $35,917.32 $36,994.80 $36,793.36 2026-03-06
32195544 CDM Implant/valve Catergory 16 14 4 $68,588.25 $48,011.77 30% off $27,435.30 $41,152.95 $36,591.83 2026-03-06
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 38 8 — — $29,574.99 $66,004.27 $38,901.00 2026-03-06
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 41 8 — — $33,945.63 $80,889.39 $45,802.42 2026-03-06
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 41 8 — — $29,783.35 $71,977.36 $39,711.14 2026-03-06
34 MS_DRG Carotid Artery Stent Procedures With Mcc 41 8 — — $26,550.65 $62,221.97 $35,556.25 2026-03-06
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 41 8 — — $28,122.11 $68,202.96 $38,483.95 2026-03-06
3614 APR_DRG Apr-DRG 42.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 3 — — $40,060.39 $41,262.16 $41,037.49 2026-03-06
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 41 8 — — $92,644.60 $233,402.38 $127,238.96 2026-03-06
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 41 8 — — $26,487.73 $61,415.09 $34,820.30 2026-03-06
4014 APR_DRG Apr-DRG 42.00: Adrenal Procedures 6 3 — — $37,918.00 $39,055.50 $38,842.84 2026-03-06
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 41 8 — — $37,144.81 $87,645.55 $49,645.89 2026-03-06
40502580 CDM Impella 2.5 Pump Set 21 4 $90,956.20 $63,669.34 30% off $34,323.10 $54,573.72 $47,194.26 2026-03-06
40502709 CDM Impella Cp Pump Set 21 4 $90,956.20 $63,669.34 30% off $34,323.10 $54,573.72 $47,194.26 2026-03-06
40503275 CDM Impella Rp Pump Set 21 4 $85,734.90 $60,014.43 30% off $32,352.80 $51,440.94 $44,485.10 2026-03-06
40503309 CDM Sapien 3 Thv 20mm 21 4 $111,456.90 $78,019.83 30% off $42,059.20 $66,874.14 $57,831.40 2026-03-06
40503310 CDM Sapien 3 Thv 23mm 21 4 $111,456.90 $78,019.83 30% off $42,059.20 $66,874.14 $57,831.40 2026-03-06
40503311 CDM Sapien 3 Thv 26mm 21 4 $111,456.90 $78,019.83 30% off $42,059.20 $66,874.14 $57,831.40 2026-03-06
40503312 CDM Sapien 3 Thv 29mm 21 4 $111,456.90 $78,019.83 30% off $42,059.20 $66,874.14 $57,831.40 2026-03-06
40503371 CDM Sapien 3 Ultra Thv 26mm 21 4 $111,456.90 $78,019.83 30% off $42,059.20 $66,874.14 $57,831.40 2026-03-06
40503372 CDM Sapien 3 Ultra Thv 20mm 21 4 $111,456.90 $78,019.83 30% off $42,059.20 $66,874.14 $57,831.40 2026-03-06
40503373 CDM Sapien 3 Ultra Thv 23mm 21 4 $111,456.90 $78,019.83 30% off $42,059.20 $66,874.14 $57,831.40 2026-03-06
40503384 CDM Impella 5.5 Pump Set 21 4 $154,323.30 $108,026.31 30% off $58,235.20 $92,593.98 $80,073.40 2026-03-06
40503441 CDM Evolut Fx 26mm 21 4 $111,456.90 $78,019.83 30% off $42,059.20 $66,874.14 $57,831.40 2026-03-06
40503442 CDM Evolut 29mm 21 4 $111,456.90 $78,019.83 30% off $42,059.20 $66,874.14 $57,831.40 2026-03-06
40503443 CDM Mitraclip G4 System 30 6 $102,882.50 $72,017.75 30% off $29,117.70 $61,729.50 $43,210.65 2026-03-06
40503452 CDM Evolut Fx 23 Mm 21 4 $102,882.50 $72,017.75 30% off $38,823.60 $61,729.50 $53,382.45 2026-03-06
40503453 CDM Evolut Fx 34 Mm 21 4 $102,882.50 $72,017.75 30% off $38,823.60 $61,729.50 $53,382.45 2026-03-06
4054 APR_DRG Apr-DRG 42.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 6 3 — — $34,040.30 $35,061.48 $34,870.57 2026-03-06
41 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $40,448.09 $41,661.50 $41,434.65 2026-03-06
42 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $58,462.90 $60,216.73 $59,888.85 2026-03-06
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 41 8 — — $28,420.08 $62,372.56 $36,643.88 2026-03-06
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 8 — — $53,330.81 $125,791.50 $78,619.69 2026-03-06
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 8 — — $41,634.64 $82,929.42 $52,349.20 2026-03-06
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 8 — — $36,619.04 $64,932.86 $40,988.87 2026-03-06
4284 APR_DRG Apr-DRG 42.00: Genetic Disorders 6 3 — — $40,011.59 $41,211.90 $40,987.50 2026-03-06
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 8 — — $60,581.35 $114,996.84 $65,092.72 2026-03-06
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $91,485.81 $94,230.31 $93,717.21 2026-03-06
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 8 — — $38,852.79 $66,568.40 $42,021.30 2026-03-06
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $132,669.87 $136,649.85 $135,905.78 2026-03-06
4401 APR_DRG Apr-DRG 42.00: Kidney Transplant 6 3 — — $36,069.72 $37,151.78 $36,949.49 2026-03-06
4402 APR_DRG Apr-DRG 42.00: Kidney Transplant 6 3 — — $38,543.00 $39,699.26 $39,483.09 2026-03-06
4403 APR_DRG Apr-DRG 42.00: Kidney Transplant 6 3 — — $45,227.53 $46,584.32 $46,330.66 2026-03-06
4404 APR_DRG Apr-DRG 42.00: Kidney Transplant 6 3 — — $66,522.44 $68,518.05 $68,144.96 2026-03-06
4414 APR_DRG Apr-DRG 42.00: Major Bladder Procedures 6 3 — — $37,396.60 $38,518.47 $38,308.73 2026-03-06
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 8 — — $43,640.88 $76,876.46 $48,528.27 2026-03-06
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 8 — — $36,211.74 $61,637.01 $38,908.36 2026-03-06
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 15 8 — — $58,497.21 $140,848.34 $82,748.40 2025-08-06
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 15 8 — — $38,361.14 $97,332.77 $57,183.00 2025-08-06
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 15 8 — — $31,873.74 $73,385.01 $43,113.69 2025-08-06
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 8 — — $56,566.98 $134,000.24 $76,016.33 2026-03-06
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 8 — — $40,406.89 $96,682.82 $54,777.04 2026-03-06
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 8 — — $28,549.88 $72,202.43 $40,860.56 2026-03-06
459 MS_DRG Spinal Fusion Except Cervical With Mcc 15 8 — — $41,026.50 $105,512.45 $61,988.56 2025-08-06
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 41 8 — — $37,492.47 $108,464.10 $61,489.23 2026-03-06
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 41 8 — — $36,027.68 $90,158.13 $50,314.56 2026-03-06
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 41 8 — — $29,319.01 $82,595.06 $44,440.63 2026-03-06
471 MS_DRG Cervical Spinal Fusion With Mcc 41 8 — — $30,375.10 $78,353.06 $41,255.46 2026-03-06
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 41 8 — — $29,346.53 $68,584.96 $38,802.65 2026-03-06
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 6 — — $69,196.14 $164,445.78 $91,758.15 2026-03-06
5114 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 6 3 — — $36,188.04 $37,273.65 $37,070.69 2026-03-06
5124 APR_DRG Apr-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mal… 6 3 — — $34,619.85 $35,658.41 $35,464.25 2026-03-06
52 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $44,724.18 $46,065.87 $45,815.04 2026-03-06
5204 APR_DRG Apr-DRG 42.00: Other GYN Procedures For Malignancy 6 3 — — $37,778.29 $38,911.61 $38,699.73 2026-03-06
53 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $67,073.91 $69,086.07 $68,709.89 2026-03-06
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $92,422.99 $95,195.59 $94,677.24 2026-03-06
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 41 8 — — $44,302.72 $98,946.50 $59,080.53 2026-03-06
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 41 8 — — $33,374.80 $90,465.65 $51,250.20 2026-03-06
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 3 — — $161,883.27 $166,739.63 $165,831.71 2026-03-06
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 3 — — $180,346.61 $185,756.85 $184,745.38 2026-03-06
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 3 — — $234,882.35 $241,928.62 $240,611.28 2026-03-06
5834 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 6 3 — — $412,412.77 $424,784.79 $422,471.79 2026-03-06
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $123,560.19 $127,266.89 $126,573.91 2026-03-06
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $144,153.23 $148,477.70 $147,669.22 2026-03-06
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $168,228.23 $173,274.93 $172,331.42 2026-03-06
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $252,595.02 $260,172.65 $258,755.98 2026-03-06
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 3 — — $117,743.99 $121,276.20 $120,615.84 2026-03-06
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 3 — — $117,743.99 $121,276.20 $120,615.84 2026-03-06
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 3 — — $117,743.99 $121,276.20 $120,615.84 2026-03-06
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $107,146.33 $110,360.63 $109,759.70 2026-03-06
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $124,921.17 $128,668.69 $127,968.07 2026-03-06
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $165,639.31 $170,608.34 $169,679.36 2026-03-06
5931 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 3 — — $65,210.93 $67,167.20 $66,801.47 2026-03-06
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 3 — — $85,686.98 $88,257.52 $87,776.95 2026-03-06
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 3 — — $106,532.02 $109,727.89 $109,130.41 2026-03-06
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 3 — — $145,629.17 $149,997.92 $149,181.16 2026-03-06
6 MS_DRG Liver Transplant Without Mcc 26 6 — — $31,625.21 $77,051.58 $41,816.47 2026-03-06
6021 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 3 — — $45,340.50 $46,700.67 $46,446.38 2026-03-06
6022 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 3 — — $60,865.32 $62,691.23 $62,349.86 2026-03-06
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 3 — — $76,171.56 $78,456.64 $78,029.43 2026-03-06
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 3 — — $109,707.17 $112,998.29 $112,383.00 2026-03-06
6032 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 3 — — $37,073.07 $38,185.23 $37,977.31 2026-03-06
6033 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 3 — — $45,436.76 $46,799.82 $46,544.99 2026-03-06
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 3 — — $80,241.10 $82,648.26 $82,198.23 2026-03-06
6072 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 3 — — $43,426.72 $44,729.48 $44,485.92 2026-03-06
6073 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 3 — — $58,143.38 $59,887.63 $59,561.53 2026-03-06
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 3 — — $84,803.96 $87,348.00 $86,872.38 2026-03-06
6083 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 6 3 — — $41,752.91 $43,005.46 $42,771.29 2026-03-06
6084 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 6 3 — — $48,369.26 $49,820.29 $49,549.02 2026-03-06
6092 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $39,835.12 $41,030.14 $40,806.72 2026-03-06
6093 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $61,049.14 $62,880.56 $62,538.17 2026-03-06
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $175,989.64 $181,269.17 $180,282.14 2026-03-06
61 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 3 — — $39,593.81 $40,781.59 $40,559.53 2026-03-06
6113 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 3 — — $37,615.19 $38,743.61 $38,532.65 2026-03-06
6114 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 3 — — $70,532.49 $72,648.40 $72,252.82 2026-03-06
6123 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 6 3 — — $38,475.49 $39,629.72 $39,413.93 2026-03-06
6124 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 6 3 — — $55,561.14 $57,227.93 $56,916.32 2026-03-06
6133 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 6 3 — — $37,763.58 $38,896.46 $38,684.66 2026-03-06
6134 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 6 3 — — $69,884.09 $71,980.55 $71,588.61 2026-03-06
6144 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 6 3 — — $46,629.28 $48,028.11 $47,766.59 2026-03-06
62 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 3 — — $57,003.67 $58,713.73 $58,394.02 2026-03-06
6214 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 3 — — $54,487.61 $56,122.19 $55,816.60 2026-03-06
6224 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 6 3 — — $36,030.29 $37,111.16 $36,909.09 2026-03-06
6234 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 6 3 — — $38,923.35 $40,091.02 $39,872.72 2026-03-06
6254 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 6 3 — — $48,299.07 $49,748.00 $49,477.12 2026-03-06
63 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 3 — — $66,120.70 $68,104.26 $67,733.42 2026-03-06
6302 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 3 — — $38,564.39 $39,721.29 $39,505.00 2026-03-06
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 3 — — $84,618.80 $87,157.29 $86,682.70 2026-03-06
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 3 — — $153,510.90 $158,116.09 $157,255.13 2026-03-06
6313 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 3 — — $49,750.95 $51,243.44 $50,964.41 2026-03-06
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 3 — — $169,270.35 $174,348.31 $173,398.96 2026-03-06
6334 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 6 3 — — $55,415.42 $57,077.84 $56,767.04 2026-03-06
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 6 3 — — $85,797.95 $88,371.81 $87,890.62 2026-03-06
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 29 7 — — $32,051.68 $71,671.38 $40,558.46 2026-03-06
6514 APR_DRG Apr-DRG 42.00: Other Procedures Of Blood And Blood-forming Organs 6 3 — — $35,417.31 $36,479.80 $36,281.16 2026-03-06
653 MS_DRG Major Bladder Procedures With Mcc 41 8 — — $35,329.67 $86,193.52 $48,819.84 2026-03-06
6804 APR_DRG Apr-DRG 42.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 6 3 — — $49,307.10 $50,786.27 $50,509.73 2026-03-06
6814 APR_DRG Apr-DRG 42.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 6 3 — — $41,251.57 $42,489.08 $42,257.72 2026-03-06
6904 APR_DRG Apr-DRG 42.00: Acute Leukemia 6 3 — — $44,074.45 $45,396.64 $45,149.45 2026-03-06
6954 APR_DRG Apr-DRG 42.00: Chemotherapy For Acute Leukemia 6 3 — — $40,565.07 $41,781.99 $41,554.48 2026-03-06
7 MS_DRG Lung Transplant 26 6 — — $86,676.70 $194,824.74 $108,959.12 2026-03-06
71 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 3 — — $54,930.13 $56,577.98 $56,269.91 2026-03-06
7104 APR_DRG Apr-DRG 42.00: Infectious And Parasitic Diseases Including HIV With O.r. Procedu… 6 3 — — $33,851.13 $34,866.63 $34,676.78 2026-03-06
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 3 — — $62,226.29 $64,093.02 $63,744.03 2026-03-06
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 3 — — $88,364.14 $91,014.99 $90,519.40 2026-03-06
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 41 8 — — $24,589.15 $61,996.86 $35,054.77 2026-03-06
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 3 — — $138,934.61 $143,102.53 $142,323.32 2026-03-06
7404 APR_DRG Apr-DRG 42.00: Mental Illness Diagnosis With O.r. Procedure 6 3 — — $41,768.29 $43,021.30 $42,787.04 2026-03-06
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 41 8 — — $40,277.08 $95,490.75 $54,596.99 2026-03-06
7924 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedures For Other Complications Of Treatment 6 3 — — $35,786.97 $36,860.55 $36,659.84 2026-03-06
799 MS_DRG Splenic Procedures With Mcc 41 8 — — $30,909.36 $78,917.39 $41,602.48 2026-03-06
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 6 — — $38,032.84 $83,785.55 $46,738.26 2026-03-06
82 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 6 3 — — $34,137.23 $35,161.31 $34,969.86 2026-03-06
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 41 8 — — $39,755.93 $96,229.44 $53,874.05 2026-03-06
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 41 8 — — $31,279.54 $71,741.14 $41,345.73 2026-03-06
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 41 8 — — $31,895.40 $73,735.31 $42,970.27 2026-03-06
83 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 6 3 — — $43,493.56 $44,798.33 $44,554.40 2026-03-06
834 MS_DRG Acute Leukemia With Mcc 41 8 — — $37,273.27 $99,627.72 $50,491.78 2026-03-06
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 41 8 — — $27,739.91 $77,164.13 $42,895.02 2026-03-06
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 6 3 — — $61,793.80 $63,647.56 $63,300.99 2026-03-06
8413 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 3 — — $50,942.13 $52,470.35 $52,184.65 2026-03-06
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 3 — — $156,643.27 $161,342.43 $160,463.90 2026-03-06
8423 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 6 3 — — $35,423.33 $36,486.00 $36,287.33 2026-03-06
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 6 3 — — $87,697.69 $90,328.54 $89,836.69 2026-03-06
850 MS_DRG Acute Leukemia With Other Procedures 26 8 — — $58,262.93 $127,006.70 $62,601.66 2026-03-06
8504 APR_DRG Apr-DRG 42.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 6 3 — — $45,998.92 $47,378.85 $47,120.87 2026-03-06
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 6 3 — — $80,923.59 $83,351.22 $82,897.37 2026-03-06
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 6 3 — — $80,923.59 $83,351.22 $82,897.37 2026-03-06
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 41 8 — — $33,622.47 $79,625.95 $45,083.69 2026-03-06
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 41 8 — — $28,387.25 $70,576.02 $37,849.68 2026-03-06
8633 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 6 3 — — $35,288.97 $36,347.61 $36,149.69 2026-03-06
8634 APR_DRG Apr-DRG 42.00: Neonatal Aftercare 6 3 — — $68,983.68 $71,053.13 $70,666.24 2026-03-06
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 41 8 — — $46,689.35 $110,784.85 $62,809.47 2026-03-06
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 41 8 — — $26,512.24 $59,528.69 $34,853.67 2026-03-06
894 APR_DRG Apr-DRG 42.00: Major Cranial Or Facial Bone Procedures 6 3 — — $40,105.17 $41,308.29 $41,083.37 2026-03-06
901 MS_DRG Wound Debridements For Injuries With Mcc 41 8 — — $28,708.81 $68,981.28 $38,549.97 2026-03-06
91 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $42,640.62 $43,919.80 $43,680.65 2026-03-06
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 6 3 — — $50,726.89 $52,248.65 $51,964.15 2026-03-06
9114 APR_DRG Apr-DRG 42.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 6 3 — — $48,248.94 $49,696.36 $49,425.76 2026-03-06
9124 APR_DRG Apr-DRG 42.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 6 3 — — $44,861.22 $46,207.01 $45,955.41 2026-03-06
914 APR_DRG Apr-DRG 42.00: Other Major Head And Neck Procedures 6 3 — — $46,716.84 $48,118.31 $47,856.30 2026-03-06
92 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $58,230.28 $59,977.13 $59,650.55 2026-03-06
924 APR_DRG Apr-DRG 42.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 6 3 — — $38,230.16 $39,377.04 $39,162.62 2026-03-06
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 41 8 — — $142,304.96 $418,217.18 $224,367.88 2026-03-06
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 41 8 — — $22,560.05 $110,068.35 $52,022.59 2026-03-06
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $116,020.04 $119,500.54 $118,849.85 2026-03-06
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $172,632.67 $177,811.49 $176,843.29 2026-03-06
9504 APR_DRG Apr-DRG 42.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 3 — — $39,844.48 $41,039.78 $40,816.31 2026-03-06
955 MS_DRG Craniotomy For Multiple Significant Trauma 41 8 — — $45,492.72 $96,919.02 $58,757.16 2026-03-06
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 41 8 — — $25,837.44 $65,606.11 $34,973.61 2026-03-06
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 41 8 — — $51,378.51 $115,026.85 $66,437.74 2026-03-06
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 41 8 — — $28,823.37 $64,495.15 $37,155.53 2026-03-06
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 41 8 — — $41,454.51 $109,321.70 $61,977.11 2026-03-06
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 41 8 — — $31,988.11 $75,521.87 $42,748.93 2026-03-06
C2624 HCPCS Cardiomems Hf System 30 6 $111,300.00 $77,910.00 30% off $31,500.00 $66,780.00 $46,746.00 2026-03-06
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