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

ST CLAIR HOSPITAL

Pittsburgh, PA · CCN 390228 · Rates published

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You selected 45378 (CPT)

DIAGNOSTIC COLONOSCOPY

This hospital’s price: $2,027 across 12 payers · range $414-$2,973

Source: https://www.stclair.org/wp-content/uploads/2026/03/251010303_st.-clair-hospital_standardcharges.csv · observed 2026-09-21

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

10,703 distinct procedures filed
13 distinct payers
1,722,915 rate rows
2026-09-21 last MRF observed
Data quality

1,717,282 of 1,722,915 rate rows are consumer-grade (99.7%)

5,633 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
per-diem day rate — not a per-procedure price 3,125
exceeds 10× this hospital's gross charge — excluded from medians 2,037
placeholder amount (≤ $0.02) — excluded from medians 327
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 92
exceeds 3× this hospital's gross charge for a DRG stay — excluded 52
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.stclair.org/wp-content/uploads/2022/05/4-1-22-Machine-Readable-File-SCH.csv
Found on page https://www.stclair.org/billing-insurance/cms-charge-disclosure/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21

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
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $435,970.41 $1,311,336.35 $513,769.84 nat. median
$513,770
1.0× median
5834
APR_DRG 		Neonate With Ecmo 8 $463,063.21 $495,477.64 $467,416.01 nat. median
$390,362
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $275,177.97 $686,787.54 $466,633.34 nat. median
$168,055
outlier · 2.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $178,579.43 $445,697.48 $302,826.26 nat. median
$186,516
1.6× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $283,768.61 $303,632.41 $286,436.03 nat. median
$286,698
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $135,255.41 $337,569.65 $271,173.16 nat. median
$145,435
1.9× median
5833
APR_DRG 		Neonate With Ecmo 8 $263,694.27 $282,152.87 $266,173.00 nat. median
$268,208
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $117,444.56 $446,613.52 $235,464.24 nat. median
$131,925
1.8× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $231,611.29 $247,824.08 $233,788.43 nat. median
$135,803
1.7× median
24
APR_DRG 		Heart And/or Lung Transplant 8 $230,469.41 $246,602.27 $232,635.82 nat. median
$225,531
1.0× median
5832
APR_DRG 		Neonate With Ecmo 8 $202,441.91 $216,612.84 $204,344.86 nat. median
$201,678
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 $198,577.92 $212,478.38 $200,444.55 nat. median
$198,578
1.0× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 $192,110.41 $205,558.14 $193,916.25 nat. median
$181,762
1.1× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $188,964.67 $202,192.19 $190,740.93 nat. median
$173,134
1.1× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $186,279.64 $199,319.22 $188,030.67 nat. median
$171,497
1.1× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 8 $183,098.98 $195,915.91 $184,820.11 nat. median
$173,018
1.1× median
5831
APR_DRG 		Neonate With Ecmo 8 $181,692.30 $194,410.76 $183,400.21 nat. median
$173,909
1.1× median
1614
APR_DRG 		Implantable Heart Assist Systems 8 $179,363.54 $191,918.99 $181,049.56 nat. median
$202,242
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $88,266.63 $220,295.32 $176,965.49 nat. median
$97,418
1.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 $174,132.64 $186,321.93 $175,769.49 nat. median
$187,567
0.9× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $172,341.87 $184,405.80 $173,961.88 nat. median
$68,335
outlier · 2.5×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 8 $169,222.64 $181,068.23 $170,813.33 nat. median
$152,792
1.1× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $163,863.18 $175,333.60 $165,403.49 nat. median
$168,439
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $161,900.52 $173,233.56 $163,422.39 nat. median
$152,383
1.1× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $140,468.92 $150,301.74 $141,789.32 nat. median
$120,079
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 8 $140,424.90 $150,254.65 $141,744.90 nat. median
$155,539
0.9× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 8 $138,753.71 $148,466.47 $140,058.00 nat. median
$130,862
1.1× median
7
MS_DRG 		Lung Transplant 11 $82,523.82 $205,962.47 $139,939.86 nat. median
$70,649
2.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $69,294.09 $222,359.85 $138,927.50 nat. median
$74,509
1.9× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $136,988.84 $146,578.06 $138,276.54 nat. median
$63,564
outlier · 2.2×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $136,023.95 $145,545.63 $137,302.58 nat. median
$149,836
0.9× median
38240
CPT 		Transplt Allo Hct/donor 12 $1,889.86 $201,055.61 $137,090.29 nat. median
$28,331
outlier · 4.8×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 8 $132,328.00 $141,590.96 $133,571.89 nat. median
$77,096
1.7× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 8 $132,310.39 $141,572.12 $133,554.11 nat. median
$96,548
1.4× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 8 $132,292.78 $141,553.27 $133,536.33 nat. median
$99,483
1.3× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 8 $129,652.29 $138,727.95 $130,871.02 nat. median
$135,630
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $76,582.84 $191,134.99 $129,865.43 nat. median
$72,715
1.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 8 $128,205.58 $137,179.97 $129,410.71 nat. median
$136,566
0.9× median
23
APR_DRG 		Heart And/or Lung Transplant 8 $125,521.67 $134,308.19 $126,701.58 nat. median
$117,894
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $62,339.89 $155,587.53 $124,985.05 nat. median
$69,822
1.8× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 $123,509.09 $132,154.73 $124,670.08 nat. median
$124,731
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $72,210.73 $180,223.12 $122,451.43 nat. median
$65,418
1.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $72,127.89 $180,016.37 $122,310.95 nat. median
$2,110
outlier · 58.0×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 8 $120,465.79 $128,898.39 $121,598.17 nat. median
$85,835
1.4× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 8 $119,854.80 $128,244.64 $120,981.44 nat. median
$114,205
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $57,412.75 $171,679.42 $115,106.65 nat. median
$2,596
outlier · 44.3×
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 8 $113,710.94 $121,670.70 $114,779.82 nat. median
$73,618
1.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $65,702.60 $163,980.17 $111,415.26 nat. median
$69,922
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $55,181.78 $189,609.01 $110,633.77 nat. median
$2,633
outlier · 42.0×
215
MS_DRG 		Other Heart Assist System Implant 11 $63,449.96 $158,358.04 $110,130.09 nat. median
$73,023
1.5× median

Other procedures at this hospital

Browse this hospital's 10,703 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Q2053 HCPCS Brexucabtagene Car Pos T 68 12 $1,236,076.22 $306,670.51 75% off $435,970.41 $1,311,336.35 $513,769.84 2026-09-21
5834 APR_DRG Neonate With Ecmo 10 8 — — $463,063.21 $495,477.64 $467,416.01 2026-09-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 51 11 — $316,154.67 $275,177.97 $686,787.54 $466,633.34 2026-09-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 51 11 — $205,171.66 $178,579.43 $445,697.48 $302,826.26 2026-09-21
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 8 — — $283,768.61 $303,632.41 $286,436.03 2026-09-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 67 11 $522,495.05 $155,396.27 70% off $135,255.41 $337,569.65 $271,173.16 2026-09-21
5833 APR_DRG Neonate With Ecmo 10 8 — — $263,694.27 $282,152.87 $266,173.00 2026-09-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 67 11 — $134,933.21 $117,444.56 $446,613.52 $235,464.24 2026-09-21
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 8 — — $231,611.29 $247,824.08 $233,788.43 2026-09-21
24 APR_DRG Heart And/or Lung Transplant 10 8 — — $230,469.41 $246,602.27 $232,635.82 2026-09-21
5832 APR_DRG Neonate With Ecmo 10 8 — — $202,441.91 $216,612.84 $204,344.86 2026-09-21
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 8 — — $198,577.92 $212,478.38 $200,444.55 2026-09-21
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 8 — — $192,110.41 $205,558.14 $193,916.25 2026-09-21
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 8 — — $188,964.67 $202,192.19 $190,740.93 2026-09-21
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 8 — — $186,279.64 $199,319.22 $188,030.67 2026-09-21
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 8 — — $183,098.98 $195,915.91 $184,820.11 2026-09-21
5831 APR_DRG Neonate With Ecmo 10 8 — — $181,692.30 $194,410.76 $183,400.21 2026-09-21
1614 APR_DRG Implantable Heart Assist Systems 10 8 — — $179,363.54 $191,918.99 $181,049.56 2026-09-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 67 11 — $101,410.39 $88,266.63 $220,295.32 $176,965.49 2026-09-21
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 8 — — $174,132.64 $186,321.93 $175,769.49 2026-09-21
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 8 — — $172,341.87 $184,405.80 $173,961.88 2026-09-21
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 8 $526,444.25 — $169,222.64 $181,068.23 $170,813.33 2026-09-21
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 8 — — $163,863.18 $175,333.60 $165,403.49 2026-09-21
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 8 — — $161,900.52 $173,233.56 $163,422.39 2026-09-21
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 8 — — $140,468.92 $150,301.74 $141,789.32 2026-09-21
1613 APR_DRG Implantable Heart Assist Systems 10 8 — — $140,424.90 $150,254.65 $141,744.90 2026-09-21
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 8 — — $138,753.71 $148,466.47 $140,058.00 2026-09-21
7 MS_DRG Lung Transplant 51 11 — $94,812.43 $82,523.82 $205,962.47 $139,939.86 2026-09-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 67 11 — $79,612.66 $69,294.09 $222,359.85 $138,927.50 2026-09-21
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 8 — — $136,988.84 $146,578.06 $138,276.54 2026-09-21
74 APR_DRG Allogeneic Bone Marrow Transplant 10 8 — — $136,023.95 $145,545.63 $137,302.58 2026-09-21
38240 CPT Transplt Allo Hct/donor 68 12 $110,517.70 $27,419.44 75% off $1,889.86 $201,055.61 $137,090.29 2026-09-21
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 8 — — $132,328.00 $141,590.96 $133,571.89 2026-09-21
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 8 — — $132,310.39 $141,572.12 $133,554.11 2026-09-21
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 8 — — $132,292.78 $141,553.27 $133,536.33 2026-09-21
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 8 — — $129,652.29 $138,727.95 $130,871.02 2026-09-21
14 MS_DRG Allogeneic Bone Marrow Transplant 51 11 — $87,986.77 $76,582.84 $191,134.99 $129,865.43 2026-09-21
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 8 — — $128,205.58 $137,179.97 $129,410.71 2026-09-21
23 APR_DRG Heart And/or Lung Transplant 10 8 — — $125,521.67 $134,308.19 $126,701.58 2026-09-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 11 $477,601.19 $71,622.91 85% off $62,339.89 $155,587.53 $124,985.05 2026-09-21
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 8 — — $123,509.09 $132,154.73 $124,670.08 2026-09-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 51 11 $589,681.08 $82,963.62 86% off $72,210.73 $180,223.12 $122,451.43 2026-09-21
209 MS_DRG Complex Aortic Arch Procedures 51 11 — $82,868.44 $72,127.89 $180,016.37 $122,310.95 2026-09-21
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 8 — — $120,465.79 $128,898.39 $121,598.17 2026-09-21
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 8 — — $119,854.80 $128,244.64 $120,981.44 2026-09-21
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 67 11 — $65,962.07 $57,412.75 $171,679.42 $115,106.65 2026-09-21
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 8 $472,959.53 — $113,710.94 $121,670.70 $114,779.82 2026-09-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 51 11 — $75,486.37 $65,702.60 $163,980.17 $111,415.26 2026-09-21
850 MS_DRG Acute Leukemia With Other Procedures 67 11 — $63,398.88 $55,181.78 $189,609.01 $110,633.77 2026-09-21
215 MS_DRG Other Heart Assist System Implant 67 11 — $72,898.28 $63,449.96 $158,358.04 $110,130.09 2026-09-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 67 11 — $61,717.91 $53,718.67 $145,783.41 $107,700.40 2026-09-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 12 $203,202.00 $61,523.90 70% off $53,549.81 $140,307.79 $107,361.84 2026-09-21
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 11 — $80,689.62 $70,231.47 $175,283.28 $106,157.17 2026-09-21
1612 APR_DRG Implantable Heart Assist Systems 10 8 — — $103,295.09 $110,525.74 $104,266.06 2026-09-21
1611 APR_DRG Implantable Heart Assist Systems 10 8 — — $103,279.91 $110,509.50 $104,250.74 2026-09-21
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 8 — — $102,888.50 $110,090.69 $103,855.65 2026-09-21
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 8 — — $102,561.56 $109,740.87 $103,525.64 2026-09-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 67 11 — $57,609.92 $50,143.12 $158,134.45 $100,531.79 2026-09-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 67 11 $306,207.03 $55,972.88 82% off $48,718.25 $121,590.73 $97,675.08 2026-09-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 67 11 $188,218.11 $56,215.21 70% off $48,929.18 $122,117.16 $97,552.61 2026-09-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 67 11 — $55,787.65 $48,557.03 $121,188.35 $97,351.84 2026-09-21
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 8 — — $96,390.09 $103,137.39 $97,296.15 2026-09-21
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 8 — — $95,973.32 $102,691.46 $96,875.47 2026-09-21
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 8 — — $95,574.37 $102,264.58 $96,472.77 2026-09-21
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 68 12 $144,507.67 $35,852.35 75% off $38,226.20 $140,789.10 $95,997.41 2026-09-21
64568 CPT Opn Impltj Crnl Nrv Nea&pg 70 12 $144,507.67 $35,852.35 75% off $853.60 $140,789.10 $95,997.41 2026-09-21
33276 CPT Insj Phrnc Nrv Stim Sys 68 12 $144,507.67 $35,852.35 75% off $38,226.20 $140,789.10 $95,997.41 2026-09-21
22 APR_DRG Heart And/or Lung Transplant 10 8 — — $95,034.83 $101,687.27 $95,928.16 2026-09-21
8514 APR_DRG Gender Related Procedures 10 8 — — $94,845.12 $101,484.28 $95,736.66 2026-09-21
8513 APR_DRG Gender Related Procedures 10 8 — — $94,833.01 $101,471.32 $95,724.44 2026-09-21
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 8 — — $90,384.00 $96,710.88 $91,233.61 2026-09-21
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 8 — — $90,376.13 $96,702.45 $91,225.66 2026-09-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 67 11 $199,112.66 $52,203.87 74% off $45,437.74 $127,462.71 $91,097.99 2026-09-21
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 8 — — $89,391.28 $95,648.67 $90,231.56 2026-09-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 67 11 $144,594.82 $50,603.43 65% off $44,044.74 $109,926.59 $88,305.16 2026-09-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 67 11 $208,299.29 $50,355.24 76% off $43,828.71 $113,361.94 $87,872.05 2026-09-21
73 APR_DRG Allogeneic Bone Marrow Transplant 10 8 — — $86,499.70 $92,554.68 $87,312.80 2026-09-21
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 8 — — $85,743.07 $91,745.08 $86,549.05 2026-09-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 67 11 — $49,280.47 $42,893.24 $123,139.85 $85,996.53 2026-09-21
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 67 11 $263,318.08 $48,953.94 81% off $42,609.04 $127,339.20 $85,426.72 2026-09-21
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 67 11 $99,465.71 $48,918.06 51% off $42,577.81 $106,265.45 $85,364.12 2026-09-21
21 APR_DRG Heart And/or Lung Transplant 10 8 — — $83,983.06 $89,861.87 $84,772.50 2026-09-21
64 APR_DRG Pancreas Transplant 10 8 — — $83,949.15 $89,825.59 $84,738.27 2026-09-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 11 — $48,139.81 $41,900.43 $104,574.83 $84,006.03 2026-09-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 11 $211,137.32 $48,139.81 77% off $41,900.43 $104,574.83 $84,006.03 2026-09-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 67 11 — $47,964.83 $41,748.12 $120,546.13 $83,700.69 2026-09-21
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 11 $278,109.00 $52,849.61 81% off $45,999.79 $114,806.00 $82,875.46 2026-09-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 67 11 $145,401.23 $47,110.43 68% off $41,004.47 $116,429.11 $82,209.73 2026-09-21
8634 APR_DRG Neonatal Aftercare 10 8 — — $81,016.27 $86,687.41 $81,777.82 2026-09-21
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 8 — — $79,627.54 $85,201.47 $80,376.04 2026-09-21
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 8 — — $78,979.17 $84,507.71 $79,721.58 2026-09-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 67 11 $249,200.39 $44,867.92 82% off $39,052.60 $102,460.80 $78,296.44 2026-09-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 67 11 — $44,815.93 $39,007.36 $136,005.51 $78,205.73 2026-09-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 67 11 $252,529.00 $44,386.17 82% off $38,633.30 $98,190.75 $77,455.78 2026-09-21
28 MS_DRG Spinal Procedures With Mcc 67 11 $181,359.10 $43,988.63 76% off $38,287.28 $95,557.16 $76,762.04 2026-09-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 67 11 — $43,976.18 $38,276.44 $109,841.89 $76,740.32 2026-09-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 12 $295,376.71 $43,657.70 85% off $37,999.24 $102,040.16 $76,184.57 2026-09-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 67 11 $79,752.30 $43,514.21 45% off $37,874.34 $140,769.87 $75,934.16 2026-09-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 67 11 $232,012.00 $42,965.84 81% off $37,397.05 $93,335.34 $74,977.23 2026-09-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 67 11 — $42,938.02 $37,372.84 $97,984.90 $74,928.68 2026-09-21
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 67 11 — $42,222.73 $36,750.25 $91,721.06 $73,680.47 2026-09-21
4404 APR_DRG Kidney Transplant 10 8 — — $72,791.61 $77,887.02 $73,475.85 2026-09-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 67 11 — $41,953.30 $36,515.75 $91,135.79 $73,210.31 2026-09-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 67 11 $125,163.05 $41,727.81 67% off $36,319.48 $90,645.94 $72,816.81 2026-09-21
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 8 — — $71,895.98 $76,928.70 $72,571.80 2026-09-21
69930 CPT Implant Cochlear Device 71 12 $118,345.84 $29,361.60 75% off $853.60 $105,391.29 $71,861.33 2026-09-21
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 11 $248,255.78 $41,160.40 83% off $35,825.62 $89,413.37 $71,826.67 2026-09-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 51 11 — $48,519.79 $42,231.15 $105,400.26 $71,613.52 2026-09-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 67 11 — $40,751.88 $35,470.04 $94,608.95 $71,113.77 2026-09-21
834 MS_DRG Acute Leukemia With Mcc 67 11 $58,667.06 $40,193.26 31% off $34,983.82 $140,163.69 $70,138.96 2026-09-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 67 11 $169,930.40 $40,051.23 76% off $34,860.20 $89,195.08 $69,891.11 2026-09-21
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 8 $199,519.49 — $69,236.70 $74,083.27 $69,887.52 2026-09-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 67 11 $195,960.82 $39,994.12 80% off $34,810.50 $86,879.83 $69,791.46 2026-09-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 67 11 — $39,931.16 $34,755.69 $86,743.05 $69,681.58 2026-09-21
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 8 — — $68,875.67 $73,696.97 $69,523.11 2026-09-21
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 8 — — $68,504.39 $73,299.69 $69,148.33 2026-09-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 68 12 — $39,246.61 $34,159.87 $131,497.38 $68,487.03 2026-09-21
33270 CPT Ins/rep Subq Defibrillator 70 12 $112,400.63 $27,886.60 75% off $853.60 $100,330.61 $68,410.69 2026-09-21
33249 CPT Insj/rplcmt Defib W/lead(s) 71 12 $112,400.63 $27,886.60 75% off $643.80 $100,330.61 $68,410.69 2026-09-21
33231 CPT Insrt Pulse Gen W/mult Leads 70 12 $112,400.63 $27,886.60 75% off $853.60 $100,330.61 $68,410.69 2026-09-21
33264 CPT Remv&replc Cvd Gen Mul Le 70 12 $127,834.00 $31,715.62 75% off $853.60 $100,330.61 $68,410.69 2026-09-21
0408T OTHER Insj/rplc Cardiac Modulj Sys 68 12 $112,400.63 $27,886.60 75% off $27,241.15 $100,330.61 $68,410.69 2026-09-21
0571T OTHER Insj/rplcmt Icds Ss Eltrd 68 12 $112,400.63 $27,886.60 75% off $27,241.15 $100,330.61 $68,410.69 2026-09-21
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 68 12 $112,400.63 $27,886.60 75% off $27,241.15 $100,330.61 $68,410.69 2026-09-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 67 11 $193,992.57 $39,043.08 80% off $33,982.72 $84,813.87 $68,131.85 2026-09-21
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 8 — — $67,457.04 $72,179.03 $68,091.13 2026-09-21
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 67 11 $187,287.25 $39,019.65 79% off $33,962.33 $84,762.98 $68,090.97 2026-09-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 67 11 — $38,757.55 $33,734.20 $119,578.63 $67,633.59 2026-09-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 67 11 $206,291.13 $38,629.43 81% off $33,622.68 $83,915.29 $67,410.01 2026-09-21
61886 CPT Implant Neurostim Arrays 70 12 $101,015.41 $25,061.92 75% off $853.60 $98,632.80 $67,253.03 2026-09-21
61885 CPT Insrt/redo Neurostim 1 Array 71 12 $101,015.41 $25,061.92 75% off $410.16 $98,632.80 $67,253.03 2026-09-21
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 68 12 $101,015.41 $25,061.92 75% off $26,780.18 $98,632.80 $67,253.03 2026-09-21
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 68 12 $101,015.41 $25,061.92 75% off $26,780.18 $98,632.80 $67,253.03 2026-09-21
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 68 12 $101,015.41 $25,061.92 75% off $26,780.18 $98,632.80 $67,253.03 2026-09-21
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 63 12 $101,015.41 $25,061.92 75% off $26,780.18 $98,632.80 $67,253.03 2026-09-21
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 71 12 $101,015.41 $25,061.92 75% off $413.54 $98,632.80 $67,253.03 2026-09-21
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 63 12 $101,015.41 $25,061.92 75% off $26,780.18 $98,632.80 $67,253.03 2026-09-21
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 70 12 $101,015.41 $25,061.92 75% off $853.60 $98,632.80 $67,253.03 2026-09-21
13 APR_DRG Liver Transplant And/or Intestinal Transplant 10 8 — — $66,551.34 $71,209.93 $67,176.92 2026-09-21
653 MS_DRG Major Bladder Procedures With Mcc 67 11 $187,098.64 $38,044.46 80% off $33,113.53 $112,764.97 $66,389.21 2026-09-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 67 11 $174,149.52 $38,110.35 78% off $33,170.88 $82,787.68 $66,345.66 2026-09-21
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 8 — — $65,578.41 $70,168.90 $66,194.85 2026-09-21
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 8 — — $65,519.10 $70,105.44 $66,134.98 2026-09-21
63 APR_DRG Pancreas Transplant 10 8 — — $64,686.02 $69,214.04 $65,294.07 2026-09-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 51 11 — $43,413.17 $37,786.41 $94,307.09 $64,076.34 2026-09-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 67 11 $154,146.81 $36,514.30 76% off $31,781.70 $79,320.57 $63,719.02 2026-09-21
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 10 8 — — $62,925.92 $67,330.74 $63,517.42 2026-09-21
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 8 — — $62,758.92 $67,152.04 $63,348.85 2026-09-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 67 11 $72,177.47 $36,221.45 50% off $31,526.80 $105,457.28 $63,207.98 2026-09-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 67 11 $108,881.60 $36,157.02 67% off $31,470.72 $78,544.44 $63,095.55 2026-09-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 67 11 $127,328.00 $36,033.29 72% off $31,363.03 $78,275.66 $62,879.64 2026-09-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 67 11 $166,719.45 $35,883.20 78% off $31,232.39 $112,662.05 $62,617.73 2026-09-21
33289 CPT Tcat Impl Wrls P-art Prs Snr 68 12 $118,800.90 $29,474.50 75% off $24,893.15 $91,682.78 $62,514.14 2026-09-21
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 8 — — $61,872.25 $66,203.31 $62,453.85 2026-09-21
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 8 — — $61,644.12 $65,959.21 $62,223.58 2026-09-21
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 51 11 — $41,781.98 $36,366.64 $90,763.63 $61,668.76 2026-09-21
471 MS_DRG Cervical Spinal Fusion With Mcc 68 12 $92,307.33 $35,352.41 62% off $30,770.40 $76,796.57 $61,590.51 2026-09-21
72 APR_DRG Allogeneic Bone Marrow Transplant 10 8 — — $60,904.04 $65,167.32 $61,476.54 2026-09-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 67 11 — $35,173.77 $30,614.91 $76,408.51 $61,379.74 2026-09-21
0266T OTHER Implt/rpl Crtd Sns Dev Total 5 1 $144,507.67 $35,852.35 75% off $61,227.90 $61,227.90 $61,227.90 2026-09-21
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 8 — — $60,620.41 $64,863.84 $61,190.24 2026-09-21
84 APR_DRG Autologous Bone Marrow Transplant 10 8 — — $60,536.21 $64,773.74 $61,105.25 2026-09-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 67 11 $134,045.61 $36,900.87 72% off $32,118.16 $80,160.31 $60,911.20 2026-09-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 67 11 $204,298.78 $34,855.29 83% off $30,337.71 $82,484.35 $60,823.98 2026-09-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 51 11 — $41,033.01 $35,714.74 $89,136.63 $60,563.31 2026-09-21
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 8 — — $59,726.79 $63,907.66 $60,288.22 2026-09-21
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 10 8 — — $59,538.21 $63,705.88 $60,097.86 2026-09-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 67 11 $123,258.88 $34,350.12 72% off $29,898.01 $80,693.45 $59,942.44 2026-09-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 67 11 — $34,247.62 $29,808.80 $99,446.44 $59,763.57 2026-09-21
21243 CPT Reconstruction Of Jaw Joint 71 12 $97,026.00 $24,072.15 75% off $694.32 $86,730.53 $59,137.44 2026-09-21
27702 CPT Reconstruct Ankle Joint 68 12 $97,026.00 $24,072.15 75% off $4,404.36 $86,730.53 $59,137.44 2026-09-21
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 68 12 $97,026.00 $24,072.15 75% off $23,275.11 $86,730.53 $59,137.44 2026-09-21
22630 CPT Arthrd Pst Tq 1ntrspc Lum 68 12 $97,026.00 $24,072.15 75% off $23,275.11 $86,730.53 $59,137.44 2026-09-21
20696 CPT App Mltpln Uni Xtrnl Fix 1st 70 12 $97,026.00 $24,072.15 75% off $853.60 $86,730.53 $59,137.44 2026-09-21
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 68 12 $97,026.00 $24,072.15 75% off $9,516.73 $86,730.53 $59,137.44 2026-09-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 67 11 $184,247.70 $33,813.47 82% off $29,430.92 $84,769.29 $59,005.96 2026-09-21
C1882 HCPCS Promote Bi-v Aicd System 5 1 $61,346.00 $15,219.94 75% off $58,731.49 $58,731.49 $58,731.49 2026-09-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 67 11 $153,858.91 $33,652.40 78% off $29,290.73 $73,103.62 $58,724.88 2026-09-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 67 11 $78,847.89 $33,566.74 57% off $29,216.17 $73,776.86 $58,575.40 2026-09-21
1784 APR_DRG External Heart Assist Devices 10 8 — — $58,017.11 $62,078.30 $58,562.47 2026-09-21
245 MS_DRG Aicd Generator Procedures 67 11 — $33,402.74 $29,073.43 $99,117.08 $58,289.22 2026-09-21
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 67 11 $98,651.40 $33,287.80 66% off $28,973.38 $72,311.59 $58,088.64 2026-09-21
799 MS_DRG Splenic Procedures With Mcc 67 11 — $33,157.48 $28,859.95 $72,028.49 $57,861.23 2026-09-21
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 8 — — $57,115.67 $61,113.76 $57,652.55 2026-09-21
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 8 — — $57,062.63 $61,057.01 $57,599.02 2026-09-21
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 10 8 — — $56,838.07 $60,816.73 $57,372.35 2026-09-21
163 MS_DRG Major Chest Procedures With Mcc 67 11 $112,861.65 $32,812.65 71% off $28,559.81 $71,279.41 $57,259.48 2026-09-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 67 11 — $32,674.27 $28,439.37 $89,359.76 $57,018.01 2026-09-21
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 8 — — $56,456.53 $60,408.48 $56,987.22 2026-09-21
93653 CPT Compre Ep Eval Tx Svt 70 12 $67,418.00 $16,726.40 75% off $853.60 $83,546.42 $56,966.34 2026-09-21
93656 CPT Compre Ep Eval Abltj Atr Fib 70 12 $67,418.00 $16,726.40 75% off $853.60 $83,546.42 $56,966.34 2026-09-21
93654 CPT Compre Ep Eval Tx Vt 70 12 $67,418.00 $16,726.40 75% off $853.60 $83,546.42 $56,966.34 2026-09-21
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 8 — — $56,321.66 $60,264.18 $56,851.09 2026-09-21
31 MS_DRG Ventricular Shunt Procedures With Mcc 67 11 — $32,803.13 $28,551.53 $71,258.73 $56,711.85 2026-09-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 67 11 $68,083.40 $33,302.44 51% off $28,986.12 $72,343.40 $56,506.00 2026-09-21
62 APR_DRG Pancreas Transplant 10 8 — — $55,758.28 $59,661.36 $56,282.41 2026-09-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 68 12 $207,667.33 $32,161.05 85% off $27,992.67 $69,863.93 $56,122.41 2026-09-21
C1721 HCPCS Current Dr Rf Aicd System 5 1 $30,518.00 $7,571.52 75% off $55,941.25 $55,941.25 $55,941.25 2026-09-21
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 67 11 $205,410.80 $31,682.24 85% off $27,575.91 $80,364.08 $55,286.86 2026-09-21
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 10 8 — — $54,729.48 $58,560.54 $55,243.93 2026-09-21
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 8 — — $54,548.51 $58,366.91 $55,061.27 2026-09-21
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 8 — — $54,492.99 $58,307.50 $55,005.22 2026-09-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 67 11 $70,705.04 $31,429.65 56% off $27,356.07 $68,275.11 $54,846.09 2026-09-21
140 MS_DRG Major Head And Neck Procedures With Mcc 67 11 — $31,227.58 $27,180.19 $82,340.25 $54,493.47 2026-09-21
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 10 8 — — $53,884.73 $57,656.67 $54,391.25 2026-09-21
71 APR_DRG Allogeneic Bone Marrow Transplant 10 8 — — $53,754.69 $57,517.52 $54,259.99 2026-09-21
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 67 11 $194,386.80 $31,048.21 84% off $27,024.06 $67,446.50 $54,180.46 2026-09-21
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 10 8 $266,048.74 — $53,455.47 $57,197.35 $53,957.95 2026-09-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 67 11 $113,271.38 $30,919.36 73% off $26,911.91 $67,166.58 $53,955.60 2026-09-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 67 11 — $30,866.64 $26,866.03 $69,927.46 $53,863.62 2026-09-21
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 67 11 — $30,851.27 $26,852.65 $68,239.48 $53,836.79 2026-09-21
901 MS_DRG Wound Debridements For Injuries With Mcc 67 11 $55,307.26 $30,724.61 44% off $26,742.40 $66,743.53 $53,615.76 2026-09-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 67 11 $138,565.30 $30,667.50 78% off $26,692.70 $66,619.48 $53,516.11 2026-09-21
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 8 — — $52,874.12 $56,575.31 $53,371.14 2026-09-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 12 — $30,548.90 $26,589.47 $92,241.67 $53,309.14 2026-09-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 67 11 — $52,513.56 $45,707.30 $114,076.00 $53,235.47 2026-09-21
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 8 — — $52,725.76 $56,416.56 $53,221.38 2026-09-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 67 11 $46,791.41 $30,405.40 35% off $26,464.57 $72,068.30 $53,058.73 2026-09-21
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 8 — — $52,375.71 $56,042.01 $52,868.04 2026-09-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 67 11 $162,604.06 $30,204.06 81% off $26,289.33 $75,485.43 $52,707.39 2026-09-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 51 11 — $35,422.69 $30,831.57 $76,949.25 $52,282.67 2026-09-21
12 APR_DRG Liver Transplant And/or Intestinal Transplant 10 8 — — $51,423.31 $55,022.94 $51,906.69 2026-09-21
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 8 — — $51,173.41 $54,755.54 $51,654.44 2026-09-21
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 8 — — $51,024.30 $54,596.00 $51,503.93 2026-09-21
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 — — $51,457.92 $51,457.92 $51,457.92 2026-09-21
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 67 11 $174,253.58 $29,435.33 83% off $25,620.22 $63,942.80 $51,365.91 2026-09-21
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 8 $168,623.23 — $50,732.68 $54,283.97 $51,209.57 2026-09-21
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 8 $372,285.59 — $50,639.34 $54,184.10 $51,115.35 2026-09-21
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 67 11 $71,842.15 $29,168.83 59% off $25,388.27 $73,488.67 $50,900.86 2026-09-21
6904 APR_DRG Acute Leukemia 10 8 $58,667.06 — $50,397.35 $53,925.17 $50,871.09 2026-09-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 51 11 — $34,420.41 $29,959.19 $74,771.97 $50,803.33 2026-09-21
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 8 — — $49,888.18 $53,380.36 $50,357.13 2026-09-21
6 MS_DRG Liver Transplant Without Mcc 51 11 — $33,948.91 $29,548.81 $73,747.74 $50,107.42 2026-09-21
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 67 11 — $28,640.23 $24,928.18 $62,619.76 $49,978.43 2026-09-21
4403 APR_DRG Kidney Transplant 10 8 — — $49,483.07 $52,946.89 $49,948.21 2026-09-21
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 67 11 $122,178.85 $30,761.22 75% off $26,774.27 $66,823.05 $49,939.36 2026-09-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 67 11 $71,873.54 $28,338.59 61% off $24,665.64 $80,714.03 $49,452.06 2026-09-21
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 8 — — $48,929.08 $52,354.11 $49,389.01 2026-09-21
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 67 11 $88,672.59 $28,269.04 68% off $24,605.10 $61,409.27 $49,330.69 2026-09-21
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 8 $613,667.69 — $48,608.79 $52,011.41 $49,065.72 2026-09-21
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 67 11 $185,691.82 $28,108.71 85% off $24,465.55 $61,060.96 $49,050.90 2026-09-21
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 8 — — $48,374.50 $51,760.72 $48,829.23 2026-09-21
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 67 11 — $27,943.24 $24,321.53 $66,901.45 $48,762.16 2026-09-21
1794 APR_DRG Defibrillator Implants 10 8 — — $48,255.99 $51,633.91 $48,709.60 2026-09-21
0515T OTHER Insj Wcs Lv Compl Sys 68 12 $80,266.49 $19,914.12 75% off $19,304.32 $71,098.83 $48,478.92 2026-09-21
33262 CPT Remv&replc Cvd Gen Sing L 70 12 $92,127.00 $22,856.71 75% off $853.60 $71,098.83 $48,478.92 2026-09-21
33263 CPT Remv&replc Cvd Gen Dual L 70 12 $92,127.00 $22,856.71 75% off $853.60 $71,098.83 $48,478.92 2026-09-21
33230 CPT Insrt Pulse Gen W/dual Leads 70 12 $80,266.49 $19,914.12 75% off $853.60 $71,098.83 $48,478.92 2026-09-21
33240 CPT Insrt Pulse Gen W/singl Lead 71 12 $80,266.49 $19,914.12 75% off $853.60 $71,098.83 $48,478.92 2026-09-21
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 68 12 $80,266.49 $19,914.12 75% off $19,304.32 $71,098.83 $48,478.92 2026-09-21
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 68 12 $80,266.49 $19,914.12 75% off $19,304.32 $71,098.83 $48,478.92 2026-09-21
0409T OTHER Insj/rplc Car Modulj Pls Gn 68 12 $80,266.49 $19,914.12 75% off $19,304.32 $71,098.83 $48,478.92 2026-09-21
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 68 12 $80,266.49 $19,914.12 75% off $19,304.32 $71,098.83 $48,478.92 2026-09-21
0916T OTHER Insj Perm Ccm-d Sys Pg Only 68 12 $80,266.49 $19,914.12 75% off $19,304.32 $71,098.83 $48,478.92 2026-09-21
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 8 — — $47,682.05 $51,019.80 $48,130.26 2026-09-21
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 67 11 $67,365.15 $27,550.09 59% off $23,979.33 $97,943.73 $48,076.09 2026-09-21
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 67 11 $211,091.25 $27,430.02 87% off $23,874.82 $59,586.65 $47,866.56 2026-09-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 67 11 $91,027.63 $27,364.86 70% off $23,818.11 $59,445.10 $47,752.86 2026-09-21
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 8 — — $47,227.81 $50,533.75 $47,671.75 2026-09-21
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 8 — — $47,144.82 $50,444.96 $47,587.98 2026-09-21
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 8 — — $47,080.67 $50,376.32 $47,523.23 2026-09-21
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 8 $156,926.69 — $47,009.00 $50,299.63 $47,450.89 2026-09-21
1783 APR_DRG External Heart Assist Devices 10 8 $685,678.51 — $46,806.42 $50,082.87 $47,246.40 2026-09-21
914 APR_DRG Other Major Head And Neck Procedures 10 8 — — $46,758.50 $50,031.59 $47,198.03 2026-09-21
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 67 11 $129,501.01 $27,285.06 79% off $23,748.65 $59,271.74 $46,995.70 2026-09-21
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 67 11 — $26,891.90 $23,406.45 $60,149.55 $46,927.53 2026-09-21
6954 APR_DRG Chemotherapy For Acute Leukemia 10 8 — — $46,481.62 $49,735.33 $46,918.54 2026-09-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 67 11 $92,607.42 $26,880.92 71% off $23,396.89 $58,393.83 $46,908.36 2026-09-21
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 67 11 — $26,565.37 $23,122.24 $66,263.32 $46,357.72 2026-09-21
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 67 11 — $26,544.87 $23,104.40 $73,612.18 $46,321.94 2026-09-21
332 MS_DRG Rectal Resection With Mcc 67 11 — $26,508.27 $23,072.54 $77,379.25 $46,258.06 2026-09-21
265 MS_DRG Aicd Lead Procedures 67 11 — $26,489.96 $23,056.61 $71,491.92 $46,226.12 2026-09-21
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 67 11 — $26,443.11 $23,015.83 $63,566.67 $46,144.36 2026-09-21
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 67 11 $155,397.59 $26,403.57 83% off $22,981.41 $65,913.37 $46,075.37 2026-09-21
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 10 8 $259,288.27 — $45,261.92 $48,430.25 $45,687.38 2026-09-21
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 68 12 — $26,170.02 $22,778.13 $82,978.39 $45,667.81 2026-09-21
335 MS_DRG Peritoneal Adhesiolysis With Mcc 67 11 $117,696.84 $26,143.67 78% off $22,755.19 $56,792.28 $45,621.82 2026-09-21
11 APR_DRG Liver Transplant And/or Intestinal Transplant 10 8 — — $45,169.80 $48,331.68 $45,594.39 2026-09-21
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 67 11 $54,375.67 $26,104.86 52% off $22,721.42 $70,030.38 $45,554.11 2026-09-21
214 APR_DRG Open Craniotomy Except Trauma 10 8 — — $45,109.21 $48,266.85 $45,533.23 2026-09-21
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 67 11 — $26,082.90 $22,702.30 $63,854.86 $45,515.78 2026-09-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 67 11 $176,908.95 $26,036.77 85% off $22,662.16 $59,449.66 $45,435.29 2026-09-21
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 8 — — $44,936.04 $48,081.57 $45,358.44 2026-09-21
53447 CPT Remove/replace Ur Sphincter 71 12 $62,639.00 $15,540.74 75% off $305.97 $66,248.48 $45,171.70 2026-09-21
54410 CPT Remove/replace Penis Prosth 68 12 $62,639.00 $15,540.74 75% off $12,124.29 $66,248.48 $45,171.70 2026-09-21
53445 CPT Insert Uro/ves Nck Sphincter 71 12 $62,639.00 $15,540.74 75% off $853.60 $66,248.48 $45,171.70 2026-09-21
54411 CPT Remov/replc Penis Pros Comp 68 12 $62,639.00 $15,540.74 75% off $17,987.38 $66,248.48 $45,171.70 2026-09-21
53444 CPT Insert Tandem Cuff 70 12 $62,639.00 $15,540.74 75% off $853.60 $66,248.48 $45,171.70 2026-09-21
54401 CPT Insert Self-contd Prosthesis 69 12 $62,639.00 $15,540.74 75% off $922.67 $66,248.48 $45,171.70 2026-09-21
54416 CPT Remv/repl Penis Contain Pros 68 12 $62,639.00 $15,540.74 75% off $8,638.61 $66,248.48 $45,171.70 2026-09-21
54417 CPT Remv/replc Penis Pros Compl 68 12 $62,639.00 $15,540.74 75% off $17,987.38 $66,248.48 $45,171.70 2026-09-21
54405 CPT Insert Multi-comp Penis Pros 69 12 $62,639.00 $15,540.74 75% off $2,230.36 $66,248.48 $45,171.70 2026-09-21
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 67 11 — $25,817.14 $22,470.99 $78,058.56 $45,052.01 2026-09-21
C1722 HCPCS Icd Epic Sr Single 5 1 $31,575.00 $7,833.76 75% off $45,022.38 $45,022.38 $45,022.38 2026-09-21
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 67 11 $24,878.54 $25,766.62 $22,427.02 $58,564.50 $44,963.85 2026-09-21
252 MS_DRG Other Vascular Procedures With Mcc 67 11 $106,369.53 $25,538.93 76% off $22,228.83 $60,705.35 $44,566.52 2026-09-21
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 67 11 $58,190.94 $25,532.34 56% off $22,223.10 $55,464.28 $44,555.02 2026-09-21
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 10 8 — — $44,082.21 $47,167.96 $44,496.58 2026-09-21
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 67 11 $99,142.67 $25,415.20 74% off $22,121.14 $67,004.38 $44,350.61 2026-09-21
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 10 8 — — $43,933.29 $47,008.62 $44,346.26 2026-09-21
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