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

BEAUFORT COUNTY MEMORIAL HOSPITAL

Beaufort, SC · CCN 420067 · Rates published

Your selected procedure

You selected 45378 (CPT)

Diagnostic colonoscopy

This hospital’s price: $892 across 29 payers · range $231-$5,857

Source: https://www.bmhsc.org/sites/default/files/Billing%20and%20Financial/2026/576000094_beaufort-memorial-hospital_standardcharges.csv.csv · observed 2026-10-03

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.

18,250 distinct procedures filed
31 distinct payers
960,218 rate rows
2026-09-21 last MRF observed
Data quality

938,849 of 960,218 rate rows are consumer-grade (97.8%)

21,369 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
template filing: same amount across many unrelated codes — excluded 12,490
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6,479
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,126
placeholder amount (≤ $0.02) — excluded from medians 657
percent-of-charges filed in the dollar field — excluded from medians 300
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 188
per-diem day rate — not a per-procedure price 125
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.bmhsc.org/sites/default/files/Billing%20and%20Financial/2026/576000094_beaufort-memorial-hospital_standardcharges.csv.csv
Found on page https://www.bmhsc.org/patients-and-visitors/for-patients/billing-insurance
Discovered viaCMS hospital list
Last fetch success · 2026-10-03
Content fingerprint 3c764c3008af9cb4… · 125,626,527 bytes · first seen 2026-10-03

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
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 14 $3,672,900.00 $3,895,500.00 $3,710,000.00 nat. median
$3,685,267
1.0× median
J1414
HCPCS 		Inj- Beqvez- Per Tx Dose 13 $3,710,000.00 $3,895,500.00 $3,710,000.00 nat. median
$3,508,750
1.1× median
C9172
HCPCS 		Inj- Beqvez- Per Tx Dose 1 $3,605,000.00 $3,605,000.00 $3,605,000.00 nat. median
$3,675,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 14 $3,296,000.00 $3,487,870.59 $3,321,781.51 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 13 $3,193,000.00 $3,352,650.00 $3,193,000.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 13 $2,968,000.00 $3,116,400.00 $2,968,000.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 18 $25,490.25 $2,523,631.69 $2,403,458.75 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj Exagamglogene Autotem 13 $2,332,000.00 $2,448,600.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 18 $508,250.00 $593,905.03 $565,623.84 nat. median
$621,313
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 14 $507,195.92 $578,884.26 $551,318.34 nat. median
$599,737
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $484,690.30 $554,728.05 $528,312.43 nat. median
$574,037
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $473,853.52 $542,310.27 $516,485.97 nat. median
$579,571
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $449,440.00 $513,993.01 $489,517.15 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 14 $449,440.00 $512,454.09 $488,051.51 nat. median
$513,770
0.9× median
5834
APR_DRG 		Neonate W Ecmo 6 $248,285.52 $260,699.70 $253,251.29 nat. median
$390,362
0.6× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $223,307.83 $234,473.14 $227,774.04 nat. median
$286,698
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 14 $223,880.05 $1,127,612.72 $223,880.05 nat. median
$168,055
1.3× median
612
MS_DRG 		Neonate- Birth Weight <750 Grams- Discharged Alive 1 $215,963.27 $215,963.27 $215,963.27 nat. median
$21,586
outlier · 10.0×
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 6 $205,974.75 $216,273.41 $210,094.29 nat. median
$202,242
1.0× median
636
MS_DRG 		Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 1 $198,174.40 $198,174.40 $198,174.40 nat. median
$9,021
outlier · 22.0×
34
APR_DRG 		Bone Marrow Transplant 6 $187,752.19 $197,139.72 $191,507.27 nat. median
$187,752
1.0× median
24
APR_DRG 		Heart /or Lung Transplant 6 $186,349.42 $195,666.82 $190,076.45 nat. median
$225,531
0.8× median
5833
APR_DRG 		Neonate W Ecmo 6 $178,561.54 $187,489.55 $182,132.82 nat. median
$268,208
0.7× median
633
MS_DRG 		Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 1 $178,047.54 $178,047.54 $178,047.54 nat. median
$8,940
outlier · 19.9×
631
MS_DRG 		Neonate- Birth Weight 750-999 Grams- Discharged Alive 1 $173,448.65 $173,448.65 $173,448.65 nat. median
$29,552
outlier · 5.9×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 6 $164,037.09 $172,238.88 $167,317.87 nat. median
$173,018
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $167,219.63 $280,853.96 $167,219.63 nat. median
$186,516
0.9× median
5832
APR_DRG 		Neonate W Ecmo 6 $162,328.21 $170,444.55 $165,574.81 nat. median
$201,678
0.8× median
14
APR_DRG 		Liver Transplant /or Intestinal Transplant 6 $158,445.60 $166,367.82 $161,614.55 nat. median
$136,566
1.2× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $147,288.41 $154,652.77 $150,234.21 nat. median
$173,134
0.9× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 $145,945.42 $153,242.64 $148,864.36 nat. median
$135,630
1.1× median
64
APR_DRG 		Pancreas Transplant 6 $144,030.40 $151,231.87 $146,911.04 nat. median
$92,994
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $140,829.15 $709,311.72 $140,829.15 nat. median
$131,925
1.1× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 6 $136,345.59 $143,162.82 $139,072.54 nat. median
$171,497
0.8× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 6 $126,211.87 $132,522.41 $128,736.14 nat. median
$168,439
0.8× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 3 $86,808.83 $264,955.86 $128,227.00 nat. median
$2,106
outlier · 60.9×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 14 $127,227.57 $640,804.84 $127,227.57 nat. median
$145,435
0.9× median
23
APR_DRG 		Heart /or Lung Transplant 6 $124,249.44 $130,461.86 $126,734.46 nat. median
$117,894
1.1× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 6 $122,789.98 $128,929.44 $125,245.81 nat. median
$198,578
0.6× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 2 $122,022.12 $249,503.54 $122,022.12 nat. median
$2,024
outlier · 60.3×
5891
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 6 $119,010.45 $124,960.93 $121,390.69 nat. median
$99,483
1.2× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 6 $115,510.23 $121,285.70 $117,820.47 nat. median
$187,567
0.6× median
359
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $111,669.31 $111,669.31 $111,669.31 nat. median
$2,222
outlier · 50.3×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 2 $111,292.18 $221,146.38 $111,292.18 nat. median
$2,024
outlier · 55.0×
3034
APR_DRG 		Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 $108,988.04 $114,437.40 $111,167.83 nat. median
$75,821
1.5× median
5892
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 6 $108,192.35 $113,601.93 $110,356.22 nat. median
$96,548
1.1× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 $107,946.02 $113,343.27 $110,104.96 nat. median
$124,731
0.9× median
33
APR_DRG 		Bone Marrow Transplant 6 $104,473.63 $109,697.27 $106,563.12 nat. median
$104,474
1.0× median
5831
APR_DRG 		Neonate W Ecmo 6 $102,800.82 $107,940.82 $104,856.86 nat. median
$173,909
0.6× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 2 $104,647.75 $179,486.71 $104,647.75 nat. median
$2,024
outlier · 51.7×

Other procedures at this hospital

Browse this hospital's 18,250 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
             
J1414 HCPCS Inj- Beqvez- Per Tx Dose 13 13 — — $3,710,000.00 $3,895,500.00 $3,710,000.00 2026-09-21
J1411 HCPCS Inj Hemgenix Per Tx Dose 15 14 — — $3,672,900.00 $3,895,500.00 $3,710,000.00 2026-09-21
C9172 HCPCS Inj- Beqvez- Per Tx Dose 1 1 — — $3,605,000.00 $3,605,000.00 $3,605,000.00 2026-09-21
J1413 HCPCS Inj Delandistrogene Mox Rokl 15 14 — — $3,296,000.00 $3,487,870.59 $3,321,781.51 2026-09-21
J3394 HCPCS Inj Lovotibeglogene Autotem 14 13 — — $3,193,000.00 $3,352,650.00 $3,193,000.00 2026-09-21
J3393 HCPCS Inj Betibeglogene Autotemce 14 13 — — $2,968,000.00 $3,116,400.00 $2,968,000.00 2026-09-21
J3399 HCPCS Inj Onase Abepar-xioi Treat 21 18 — — $25,490.25 $2,523,631.69 $2,403,458.75 2026-09-21
J3392 HCPCS Inj Exagamglogene Autotem 13 13 — — $2,332,000.00 $2,448,600.00 $2,332,000.00 2026-09-21
Q2042 HCPCS Tisagenlecleucel Car-pos T 21 18 — — $508,250.00 $593,905.03 $565,623.84 2026-09-21
Q2056 HCPCS Ciltacabtagene Car-pos T 15 14 — — $507,195.92 $578,884.26 $551,318.34 2026-09-21
Q2055 HCPCS Idecabtagene Vicleucel Car 15 14 — — $484,690.30 $554,728.05 $528,312.43 2026-09-21
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 14 — — $473,853.52 $542,310.27 $516,485.97 2026-09-21
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 14 — — $449,440.00 $513,993.01 $489,517.15 2026-09-21
Q2053 HCPCS Brexucabtagene Car Pos T 15 14 — — $449,440.00 $512,454.09 $488,051.51 2026-09-21
5834 APR_DRG Neonate W Ecmo 6 6 — — $248,285.52 $260,699.70 $253,251.29 2026-09-21
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 6 6 — — $223,307.83 $234,473.14 $227,774.04 2026-09-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 16 14 — — $223,880.05 $1,127,612.72 $223,880.05 2026-09-21
612 MS_DRG Neonate- Birth Weight <750 Grams- Discharged Alive 1 1 — — $215,963.27 $215,963.27 $215,963.27 2026-09-21
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 6 6 — — $205,974.75 $216,273.41 $210,094.29 2026-09-21
636 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 1 1 — — $198,174.40 $198,174.40 $198,174.40 2026-09-21
34 APR_DRG Bone Marrow Transplant 6 6 — — $187,752.19 $197,139.72 $191,507.27 2026-09-21
24 APR_DRG Heart /or Lung Transplant 6 6 — — $186,349.42 $195,666.82 $190,076.45 2026-09-21
5833 APR_DRG Neonate W Ecmo 6 6 — — $178,561.54 $187,489.55 $182,132.82 2026-09-21
633 MS_DRG Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 1 1 — — $178,047.54 $178,047.54 $178,047.54 2026-09-21
631 MS_DRG Neonate- Birth Weight 750-999 Grams- Discharged Alive 1 1 — — $173,448.65 $173,448.65 $173,448.65 2026-09-21
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 6 6 — — $164,037.09 $172,238.88 $167,317.87 2026-09-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 14 — — $167,219.63 $280,853.96 $167,219.63 2026-09-21
5832 APR_DRG Neonate W Ecmo 6 6 — — $162,328.21 $170,444.55 $165,574.81 2026-09-21
14 APR_DRG Liver Transplant /or Intestinal Transplant 6 6 — — $158,445.60 $166,367.82 $161,614.55 2026-09-21
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 6 6 — — $147,288.41 $154,652.77 $150,234.21 2026-09-21
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 6 — — $145,945.42 $153,242.64 $148,864.36 2026-09-21
64 APR_DRG Pancreas Transplant 6 6 — — $144,030.40 $151,231.87 $146,911.04 2026-09-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 14 — — $140,829.15 $709,311.72 $140,829.15 2026-09-21
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 6 6 — — $136,345.59 $143,162.82 $139,072.54 2026-09-21
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 6 6 — — $126,211.87 $132,522.41 $128,736.14 2026-09-21
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 4 3 — — $86,808.83 $264,955.86 $128,227.00 2026-09-21
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 16 14 — — $127,227.57 $640,804.84 $127,227.57 2026-09-21
23 APR_DRG Heart /or Lung Transplant 6 6 — — $124,249.44 $130,461.86 $126,734.46 2026-09-21
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 6 6 — — $122,789.98 $128,929.44 $125,245.81 2026-09-21
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 3 2 — — $122,022.12 $249,503.54 $122,022.12 2026-09-21
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 6 6 — — $119,010.45 $124,960.93 $121,390.69 2026-09-21
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 6 6 — — $115,510.23 $121,285.70 $117,820.47 2026-09-21
359 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $111,669.31 $111,669.31 $111,669.31 2026-09-21
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 3 2 — — $111,292.18 $221,146.38 $111,292.18 2026-09-21
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 6 — — $108,988.04 $114,437.40 $111,167.83 2026-09-21
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 6 6 — — $108,192.35 $113,601.93 $110,356.22 2026-09-21
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $107,946.02 $113,343.27 $110,104.96 2026-09-21
33 APR_DRG Bone Marrow Transplant 6 6 — — $104,473.63 $109,697.27 $106,563.12 2026-09-21
5831 APR_DRG Neonate W Ecmo 6 6 — — $102,800.82 $107,940.82 $104,856.86 2026-09-21
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 3 2 — — $104,647.75 $179,486.71 $104,647.75 2026-09-21
4404 APR_DRG Kidney Transplant 6 6 — — $102,214.36 $107,325.04 $104,258.67 2026-09-21
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $100,314.80 $105,330.50 $102,321.12 2026-09-21
681 MS_DRG Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 1 1 — — $102,193.50 $102,193.50 $102,193.50 2026-09-21
1624 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 6 6 — — $99,961.28 $104,959.30 $101,960.52 2026-09-21
22 APR_DRG Heart /or Lung Transplant 6 6 — — $99,637.64 $104,619.48 $101,630.42 2026-09-21
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 6 6 — — $99,279.99 $104,243.95 $101,265.61 2026-09-21
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 6 — — $98,860.50 $103,803.49 $100,837.73 2026-09-21
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 6 6 — — $98,357.53 $103,275.36 $100,324.70 2026-09-21
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 4 3 — — $47,520.05 $182,877.37 $100,087.05 2026-09-21
Q0480 HCPCS Driver Pneumatic Vad Rep 18 14 — — $55,266.96 $104,999.92 $99,999.92 2026-09-21
8424 APR_DRG Full Thickness Burns W Skin Graft 6 6 — — $97,969.99 $102,868.45 $99,929.41 2026-09-21
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 6 — — $95,317.00 $100,082.81 $97,223.36 2026-09-21
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 3 2 — — $95,746.13 $168,899.12 $95,746.13 2026-09-21
63 APR_DRG Pancreas Transplant 6 6 — — $93,775.09 $98,463.80 $95,650.61 2026-09-21
13 APR_DRG Liver Transplant /or Intestinal Transplant 6 6 — — $91,108.70 $95,664.10 $92,930.89 2026-09-21
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 6 6 — — $90,991.20 $95,540.72 $92,811.04 2026-09-21
1634 APR_DRG Cardiac Valve Procedures Without Cardiac Catheterization 6 6 — — $90,935.54 $95,482.28 $92,754.27 2026-09-21
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 2 — — $89,916.66 $199,962.23 $89,916.66 2026-09-21
62 APR_DRG Pancreas Transplant 6 6 — — $87,438.42 $91,810.30 $89,187.21 2026-09-21
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 6 6 — — $86,649.94 $90,982.40 $88,382.96 2026-09-21
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 6 6 — — $85,340.97 $89,607.98 $87,047.81 2026-09-21
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 4 3 — — $34,589.42 $137,707.44 $86,723.34 2026-09-21
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 6 6 — — $84,168.04 $88,376.41 $85,851.42 2026-09-21
21 APR_DRG Heart /or Lung Transplant 6 6 — — $84,106.20 $88,311.48 $85,788.35 2026-09-21
1654 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 6 6 — — $82,812.69 $86,953.29 $84,468.96 2026-09-21
635 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Died 1 1 — — $84,456.81 $84,456.81 $84,456.81 2026-09-21
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 16 14 — — $83,882.00 $422,487.00 $83,882.00 2026-09-21
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $81,947.94 $86,045.31 $83,586.92 2026-09-21
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $79,973.14 $83,971.77 $81,572.62 2026-09-21
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 6 — — $79,928.82 $83,925.23 $81,527.42 2026-09-21
131 MS_DRG Cranial/facial Procedures W Cc/mcc 1 1 — — $80,410.07 $80,410.07 $80,410.07 2026-09-21
634 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc… 1 1 — — $80,163.99 $80,163.99 $80,163.99 2026-09-21
61 APR_DRG Pancreas Transplant 6 6 — — $77,652.03 $81,534.61 $79,205.09 2026-09-21
12 APR_DRG Liver Transplant /or Intestinal Transplant 6 6 — — $77,566.49 $81,444.78 $79,117.83 2026-09-21
11 APR_DRG Liver Transplant /or Intestinal Transplant 6 6 — — $77,135.66 $80,992.41 $78,678.39 2026-09-21
14 MS_DRG Allogeneic Bone Marrow Transplant 15 14 — — $77,778.15 $122,900.58 $77,778.15 2026-09-21
7 MS_DRG Lung Transplant 15 14 — — $77,582.24 $106,040.83 $77,582.24 2026-09-21
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 2 — — $76,668.19 $156,353.08 $76,668.19 2026-09-21
613 MS_DRG Neonate- Birth Weight <750 Grams- Died 1 1 — — $76,597.81 $76,597.81 $76,597.81 2026-09-21
1674 APR_DRG Other Cardiothoracic Procedures 6 6 — — $74,831.04 $78,572.56 $76,327.68 2026-09-21
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $74,327.03 $78,043.36 $75,813.59 2026-09-21
4014 APR_DRG Pituitary Adrenal Procedures 6 6 — — $74,119.87 $77,825.83 $75,602.28 2026-09-21
904 APR_DRG Major Larynx Trachea Procedures 6 6 — — $73,635.44 $77,317.19 $75,108.17 2026-09-21
1664 APR_DRG Coronary Bypass Without Cardiac Cath Or Percutaneous Cardiac Procedure 6 6 — — $73,463.32 $77,136.46 $74,932.60 2026-09-21
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 6 6 — — $73,330.36 $76,996.85 $74,796.98 2026-09-21
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 6 — — $72,920.15 $76,566.12 $74,378.57 2026-09-21
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 3 — — $39,723.35 $198,305.77 $74,030.85 2026-09-21
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 6 6 — — $72,183.20 $75,792.34 $73,626.88 2026-09-21
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 6 6 — — $70,997.91 $74,547.78 $72,417.89 2026-09-21
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 6 — — $69,573.50 $73,052.15 $70,964.99 2026-09-21
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 6 — — $69,195.24 $72,654.97 $70,579.16 2026-09-21
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 6 6 — — $68,322.25 $71,738.33 $69,688.71 2026-09-21
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 6 6 — — $67,649.21 $71,031.64 $69,002.21 2026-09-21
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 6 — — $67,599.73 $70,979.69 $68,951.74 2026-09-21
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 6 6 — — $67,438.95 $70,810.87 $68,787.74 2026-09-21
129 MS_DRG Major Head & Neck Procedures W Cc/mcc Or Major Device 1 1 — — $68,450.07 $68,450.07 $68,450.07 2026-09-21
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 6 — — $66,908.14 $70,253.52 $68,246.32 2026-09-21
234 APR_DRG Spinal Procedures 6 6 — — $66,228.92 $69,540.34 $67,553.51 2026-09-21
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 14 13 — — $65,871.74 $70,825.29 $67,452.66 2026-09-21
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 6 6 — — $66,033.09 $69,334.72 $67,353.77 2026-09-21
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 6 6 — — $65,781.60 $69,070.65 $67,097.25 2026-09-21
1694 APR_DRG Major Thoracic Abdominal Vascular Procedures 6 6 — — $65,544.54 $68,821.74 $66,855.45 2026-09-21
1623 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 6 6 — — $65,281.72 $68,545.78 $66,587.37 2026-09-21
914 APR_DRG Other Major Head & Neck Procedures 6 6 — — $65,179.68 $68,438.64 $66,483.29 2026-09-21
214 APR_DRG Craniotomy Except For Trauma 6 6 — — $64,912.73 $68,158.34 $66,211.00 2026-09-21
32 APR_DRG Bone Marrow Transplant 6 6 — — $64,587.03 $67,816.36 $65,878.79 2026-09-21
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 6 6 — — $64,207.74 $67,418.10 $65,491.91 2026-09-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 14 — — $65,417.87 $105,848.47 $65,417.87 2026-09-21
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $63,782.07 $66,971.14 $65,057.72 2026-09-21
4414 APR_DRG Major Bladder Procedures 6 6 — — $63,738.78 $66,925.69 $65,013.57 2026-09-21
212 MS_DRG Testes Procedures Age 0-17 19 14 — — $7,147.17 $325,727.61 $64,671.06 2026-09-21
8634 APR_DRG Neonatal Aftercare 6 6 — — $63,330.62 $66,497.13 $64,597.25 2026-09-21
632 MS_DRG Neonate- Birth Weight 750-999 Grams- Died 1 1 — — $64,378.23 $64,378.23 $64,378.23 2026-09-21
4034 APR_DRG Procedures For Obesity 6 6 — — $63,027.60 $66,178.96 $64,288.17 2026-09-21
133 MS_DRG Other Ear- Nose- Mouth & Throat O.r. Procedures W Cc/mcc 1 1 — — $64,192.31 $64,192.31 $64,192.31 2026-09-21
4403 APR_DRG Kidney Transplant 6 6 — — $62,419.50 $65,540.45 $63,667.90 2026-09-21
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 6 6 — — $62,278.29 $65,392.18 $63,523.87 2026-09-21
J9029 HCPCS Instill Adstiladrin Tx Dose 24 18 — — $61,800.00 $66,572.14 $63,499.33 2026-09-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 14 — — $63,219.60 $87,007.42 $63,219.60 2026-09-21
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 6 6 — — $61,936.10 $65,032.88 $63,174.84 2026-09-21
215 MS_DRG Other Heart Assist System Implant 17 14 — — $62,895.47 $316,784.52 $62,895.47 2026-09-21
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 6 6 — — $61,436.22 $64,508.01 $62,664.96 2026-09-21
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 6 6 — — $61,367.16 $64,435.50 $62,594.52 2026-09-21
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 6 6 — — $60,984.78 $64,033.99 $62,204.49 2026-09-21
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 14 — — $11,834.06 $313,214.46 $62,186.66 2026-09-21
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $60,507.57 $63,532.92 $61,717.74 2026-09-21
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 6 6 — — $59,819.07 $62,810.00 $61,015.47 2026-09-21
204 APR_DRG Craniotomy For Trauma 6 6 — — $59,686.11 $62,670.39 $60,879.85 2026-09-21
894 APR_DRG Major Cranial/facial Bone Procedures 6 6 — — $59,384.12 $62,353.30 $60,571.82 2026-09-21
1204 APR_DRG Major Respiratory & Chest Procedures 6 6 — — $59,165.61 $62,123.87 $60,348.94 2026-09-21
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 6 6 — — $57,380.46 $60,249.46 $58,528.08 2026-09-21
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 6 — — $57,122.79 $59,978.91 $58,265.26 2026-09-21
2214 APR_DRG Major Small Large Bowel Procedures 6 6 — — $57,048.58 $59,900.99 $58,189.57 2026-09-21
38240 CPT Transplt Allo Hct/donor 25 18 — — $5,915.59 $93,968.98 $57,864.93 2026-09-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 14 — — $57,293.25 $288,567.89 $57,293.25 2026-09-21
A9543 HCPCS Y90 Ibritumomab Rx 18 14 — — $40,876.50 $76,219.01 $56,824.55 2026-09-21
1653 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 6 6 — — $54,887.23 $57,631.57 $55,984.99 2026-09-21
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 6 6 — — $54,639.86 $57,371.83 $55,732.67 2026-09-21
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 24 18 — — $52,361.56 $58,993.58 $55,536.50 2026-09-21
244 APR_DRG Extracranial Vascular Procedures 6 6 — — $54,385.28 $57,104.53 $55,473.00 2026-09-21
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 6 6 — — $54,300.77 $57,015.78 $55,386.79 2026-09-21
1734 APR_DRG Other Vascular Procedures 6 6 — — $54,154.41 $56,862.11 $55,237.51 2026-09-21
6904 APR_DRG Acute Leukemia 6 6 — — $54,114.21 $56,819.90 $55,196.51 2026-09-21
92928/C9600 OTHER Perc Des Sgl Art Lc 12 11 $55,174.00 $33,104.40 40% off $19,608.84 $55,174.00 $55,174.00 2026-09-21
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 6 6 — — $54,050.31 $56,752.80 $55,131.33 2026-09-21
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 6 — — $53,931.78 $56,628.35 $55,010.43 2026-09-21
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 6 6 — — $53,922.50 $56,618.61 $55,000.97 2026-09-21
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 6 6 — — $53,852.42 $56,545.02 $54,929.48 2026-09-21
850 MS_DRG Acute Leukemia With Other Procedures 18 13 — — $46,234.00 $275,435.81 $54,685.96 2026-09-21
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 6 6 — — $53,506.11 $56,181.39 $54,576.24 2026-09-21
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 6 6 — — $53,492.71 $56,167.32 $54,562.57 2026-09-21
1633 APR_DRG Cardiac Valve Procedures Without Cardiac Catheterization 6 6 — — $53,383.45 $56,052.61 $54,451.14 2026-09-21
224 APR_DRG Ventricular Shunt Procedures 6 6 — — $53,193.81 $55,853.48 $54,257.70 2026-09-21
6504 APR_DRG Splenectomy 6 6 — — $52,384.72 $55,003.93 $53,432.42 2026-09-21
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 6 6 — — $52,361.01 $54,979.04 $53,408.24 2026-09-21
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 6 6 — — $52,126.01 $54,732.30 $53,168.55 2026-09-21
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 3 — — $28,090.22 $109,371.21 $53,029.54 2026-09-21
1214 APR_DRG Other Respiratory & Chest Procedures 6 6 — — $51,886.90 $54,481.22 $52,924.65 2026-09-21
2614 APR_DRG Major Biliary Tract Procedures 6 6 — — $51,782.80 $54,371.92 $52,818.46 2026-09-21
4402 APR_DRG Kidney Transplant 6 6 — — $51,613.76 $54,194.43 $52,646.05 2026-09-21
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $51,548.83 $54,126.25 $52,579.82 2026-09-21
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 6 6 — — $51,417.93 $53,988.81 $52,446.30 2026-09-21
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 6 6 — — $51,167.48 $53,725.83 $52,190.84 2026-09-21
361 MS_DRG Cardiac Defibrillator Implant With Mcc 1 1 — — $52,153.99 $52,153.99 $52,153.99 2026-09-21
1622 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 6 6 — — $51,020.09 $53,571.07 $52,040.50 2026-09-21
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 6 6 — — $50,896.40 $53,441.20 $51,914.34 2026-09-21
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 6 6 — — $50,824.26 $53,365.45 $51,840.75 2026-09-21
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 6 6 — — $50,818.07 $53,358.96 $51,834.45 2026-09-21
647 MS_DRG Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 1 1 — — $51,778.60 $51,778.60 $51,778.60 2026-09-21
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 6 6 — — $50,735.62 $53,272.38 $51,750.34 2026-09-21
2234 APR_DRG Other Small & Large Bowel Procedures 6 6 — — $50,610.90 $53,141.43 $51,623.13 2026-09-21
6934 APR_DRG Chemotherapy 6 6 — — $50,589.26 $53,118.70 $51,601.06 2026-09-21
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 6 — — $50,506.80 $53,032.12 $51,516.95 2026-09-21
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 6 6 — — $50,350.14 $52,867.63 $51,357.15 2026-09-21
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 6 6 — — $50,325.40 $52,841.65 $51,331.92 2026-09-21
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 6 6 — — $50,293.45 $52,808.10 $51,299.33 2026-09-21
264 APR_DRG Other Nervous System & Related Procedures 6 6 — — $50,215.12 $52,725.86 $51,219.43 2026-09-21
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 6 6 — — $49,894.58 $52,389.28 $50,892.48 2026-09-21
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 6 6 — — $49,621.44 $52,102.50 $50,613.88 2026-09-21
8444 APR_DRG Partial Thickness Burns Without Skin Graft 6 6 — — $49,493.64 $51,968.30 $50,483.52 2026-09-21
360 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $50,439.04 $50,439.04 $50,439.04 2026-09-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 14 — — $50,304.86 $253,369.61 $50,304.86 2026-09-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 19 14 — — $47,667.25 $253,229.08 $50,276.96 2026-09-21
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $48,942.22 $51,389.31 $49,921.08 2026-09-21
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 6 6 — — $48,650.54 $51,083.04 $49,623.56 2026-09-21
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 13 — — $49,513.53 $249,383.94 $49,513.53 2026-09-21
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 6 — — $48,482.53 $50,906.64 $49,452.19 2026-09-21
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 6 6 — — $48,373.28 $50,791.93 $49,340.76 2026-09-21
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 6 6 — — $48,313.50 $50,729.16 $49,279.78 2026-09-21
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 6 6 — — $48,239.29 $50,651.24 $49,204.09 2026-09-21
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 6 6 — — $47,947.61 $50,344.97 $48,906.57 2026-09-21
2624 APR_DRG Cholecystectomy Except Laparoscopic 6 6 — — $47,784.76 $50,173.98 $48,740.46 2026-09-21
L7181 HCPCS Electronic Elbo Simultaneous 18 14 — — $28,299.22 $51,064.43 $48,632.79 2026-09-21
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 6 6 — — $47,104.50 $49,459.71 $48,046.60 2026-09-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 14 — — $47,854.30 $241,026.89 $47,854.30 2026-09-21
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 6 6 — — $46,804.57 $49,144.78 $47,740.68 2026-09-21
4804 APR_DRG Major Male Pelvic Procedures 6 6 — — $46,646.88 $48,979.20 $47,579.83 2026-09-21
132 MS_DRG Cranial/facial Procedures Without Cc/mcc 1 1 — — $47,526.05 $47,526.05 $47,526.05 2026-09-21
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 6 6 — — $46,453.11 $48,775.75 $47,382.18 2026-09-21
10 MS_DRG Pancreas Transplant 15 14 — — $41,612.75 $49,697.86 $47,331.30 2026-09-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 14 — — $47,060.00 $237,026.27 $47,060.00 2026-09-21
4401 APR_DRG Kidney Transplant 6 6 — — $46,037.74 $48,339.61 $46,958.51 2026-09-21
5184 APR_DRG Other Female Reproductive System & Related Procedures 6 6 — — $45,922.30 $48,218.40 $46,840.76 2026-09-21
3154 APR_DRG Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement 6 6 — — $45,908.90 $48,204.33 $46,827.09 2026-09-21
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 6 6 — — $45,605.88 $47,886.16 $46,518.01 2026-09-21
4834 APR_DRG Testes Scrotal Procedures 6 6 — — $45,600.73 $47,880.75 $46,512.75 2026-09-21
1621 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 6 6 — — $45,574.96 $47,853.69 $46,486.47 2026-09-21
646 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- Without… 1 1 — — $46,435.16 $46,435.16 $46,435.16 2026-09-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 19 14 — — $46,401.65 $233,710.36 $46,401.65 2026-09-21
2244 APR_DRG Peritoneal Adhesiolysis 6 6 — — $45,469.83 $47,743.31 $46,379.24 2026-09-21
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 6 6 — — $45,280.19 $47,544.18 $46,185.80 2026-09-21
1652 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 6 6 — — $45,205.98 $47,466.26 $46,110.11 2026-09-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 14 — — $45,933.26 $231,351.25 $45,933.26 2026-09-21
3024 APR_DRG Knee Joint Replacement 6 6 — — $44,801.95 $47,042.03 $45,698.00 2026-09-21
5464 APR_DRG Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses 6 6 — — $44,708.15 $46,943.54 $45,602.33 2026-09-21
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 6 6 — — $44,708.15 $46,943.54 $45,602.33 2026-09-21
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 6 6 — — $44,679.29 $46,913.24 $45,572.89 2026-09-21
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral & Umbilical 6 6 — — $44,407.19 $46,627.53 $45,295.35 2026-09-21
J9226 HCPCS Supprelin La Implant 24 18 — — $26,366.35 $47,524.89 $45,261.80 2026-09-21
2294 APR_DRG Other Digestive System & Abdominal Procedures 6 6 — — $43,877.42 $46,071.27 $44,754.98 2026-09-21
1663 APR_DRG Coronary Bypass Without Cardiac Cath Or Percutaneous Cardiac Procedure 6 6 — — $43,872.27 $46,065.86 $44,749.72 2026-09-21
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 6 — — $43,830.01 $46,021.49 $44,706.62 2026-09-21
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 6 6 — — $43,823.82 $46,015.00 $44,700.31 2026-09-21
3094 APR_DRG Other Significant Hip & Femur Surgery 6 6 — — $43,709.42 $45,894.87 $44,583.62 2026-09-21
31 APR_DRG Bone Marrow Transplant 6 6 — — $43,703.23 $45,888.38 $44,577.31 2026-09-21
3054 APR_DRG Amputation Of Lower Limb Except Toes 6 6 — — $43,448.65 $45,621.07 $44,317.64 2026-09-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 14 — — $44,310.83 $223,179.58 $44,310.83 2026-09-21
1754 APR_DRG Percutaneous Coronary Intervention Without Ami 6 6 — — $43,413.61 $45,584.27 $44,281.89 2026-09-21
1714 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 6 6 — — $43,403.30 $45,573.45 $44,271.38 2026-09-21
1632 APR_DRG Cardiac Valve Procedures Without Cardiac Catheterization 6 6 — — $43,381.66 $45,550.72 $44,249.30 2026-09-21
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 2 — — $44,173.07 $94,866.72 $44,173.07 2026-09-21
33276 CPT Insj Phrnc Nrv Stim Sys 14 13 — — $44,028.55 $46,229.98 $44,028.55 2026-09-21
0266T CPT Implt/rpl Crtd Sns Dev Total 17 13 — — $40,264.19 $90,641.69 $44,028.55 2026-09-21
3104 APR_DRG Intervertebral Disc Excision & Decompression 6 6 — — $42,939.49 $45,086.45 $43,798.29 2026-09-21
9103 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $42,904.45 $45,049.66 $43,762.55 2026-09-21
1673 APR_DRG Other Cardiothoracic Procedures 6 6 — — $42,858.07 $45,000.96 $43,715.24 2026-09-21
704 APR_DRG Orbital Procedures 6 6 — — $42,411.78 $44,532.35 $43,260.03 2026-09-21
4814 APR_DRG Penis Procedures 6 6 — — $42,405.60 $44,525.86 $43,253.72 2026-09-21
130 MS_DRG Major Head & Neck Procedures Without Cc/mcc 1 1 — — $43,223.44 $43,223.44 $43,223.44 2026-09-21
3204 APR_DRG Other Musculoskeletal System & Connective Tissue Procedures 6 6 — — $42,198.43 $44,308.33 $43,042.41 2026-09-21
4434 APR_DRG Kidney & Urinary Tract Procedures For Nonmalignancy 6 6 — — $41,992.29 $44,091.89 $42,832.15 2026-09-21
5144 APR_DRG Female Reproductive System Reconstructive Procedures 6 6 — — $41,938.69 $44,035.61 $42,777.48 2026-09-21
1744 APR_DRG Percutaneous Coronary Intervention W Ami 6 6 — — $41,917.05 $44,012.89 $42,755.40 2026-09-21
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 6 6 — — $41,800.58 $43,890.60 $42,636.60 2026-09-21
5134 APR_DRG Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma 6 6 — — $41,626.40 $43,707.70 $42,458.93 2026-09-21
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 6 6 — — $41,459.42 $43,532.38 $42,288.62 2026-09-21
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 14 — — $11,390.92 $212,370.73 $42,164.80 2026-09-21
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 6 6 — — $41,328.53 $43,394.94 $42,155.11 2026-09-21
3014 APR_DRG Hip Joint Replacement 6 6 — — $41,217.21 $43,278.06 $42,041.57 2026-09-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 14 — — $40,599.52 $211,303.30 $41,952.87 2026-09-21
1804 APR_DRG Other Circulatory System Procedures 6 6 — — $40,984.28 $43,033.48 $41,803.97 2026-09-21
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 6 6 — — $40,946.14 $42,993.43 $41,765.07 2026-09-21
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 6 6 — — $40,642.09 $42,674.18 $41,454.94 2026-09-21
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 3 2 — — $41,450.19 $87,011.99 $41,450.19 2026-09-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 14 — — $41,296.90 $207,999.35 $41,296.90 2026-09-21
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 6 6 — — $40,378.23 $42,397.13 $41,185.81 2026-09-21
6234 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 6 6 — — $40,125.71 $42,131.98 $40,928.24 2026-09-21
4444 APR_DRG Renal Dialysis Access Device Procedure Only 6 6 — — $40,020.58 $42,021.60 $40,821.01 2026-09-21
8423 APR_DRG Full Thickness Burns W Skin Graft 6 6 — — $39,906.18 $41,901.47 $40,704.31 2026-09-21
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 6 6 — — $39,813.42 $41,804.07 $40,609.69 2026-09-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 14 — — $40,535.84 $204,166.17 $40,535.84 2026-09-21
1651 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 6 6 — — $39,623.77 $41,604.94 $40,416.25 2026-09-21
3624 APR_DRG Mastectomy Procedures 6 6 — — $39,431.03 $41,402.57 $40,219.66 2026-09-21
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 6 6 — — $39,269.21 $41,232.66 $40,054.61 2026-09-21
1631 APR_DRG Cardiac Valve Procedures Without Cardiac Catheterization 6 6 — — $39,245.51 $41,207.77 $40,030.43 2026-09-21
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 13 — — $39,802.10 $200,470.53 $39,802.10 2026-09-21
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 6 6 — — $38,913.63 $40,859.29 $39,691.91 2026-09-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 14 — — $36,910.28 $199,699.11 $39,648.94 2026-09-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 14 — — $12,968.01 $199,361.24 $39,581.86 2026-09-21
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 6 6 — — $38,754.90 $40,692.63 $39,530.01 2026-09-21
213 APR_DRG Craniotomy Except For Trauma 6 6 — — $38,648.74 $40,581.16 $39,421.72 2026-09-21
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 6 6 — — $38,630.19 $40,561.68 $39,402.80 2026-09-21
L7180 HCPCS Electronic Elbow Sequential 18 14 — — $23,351.42 $41,168.84 $39,208.42 2026-09-21
504 APR_DRG Non-bacterial Infections Of Nervous System Exc Viral Meningitis 6 6 — — $38,409.62 $40,330.09 $39,177.82 2026-09-21
233 APR_DRG Spinal Procedures 6 6 — — $38,270.48 $40,183.99 $39,035.89 2026-09-21
2634 APR_DRG Laparoscopic Cholecystectomy 6 6 — — $37,853.05 $39,745.69 $38,610.12 2026-09-21
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 15 14 — — $37,701.48 $40,536.64 $38,606.32 2026-09-21
4844 APR_DRG Other Male Reproductive System & Related Procedures 6 6 — — $37,675.77 $39,559.54 $38,429.29 2026-09-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 14 — — $38,392.19 $193,369.28 $38,392.19 2026-09-21
2254 APR_DRG Appendectomy 6 6 — — $37,626.30 $39,507.60 $38,378.83 2026-09-21
3084 APR_DRG Hip & Femur Fracture Repair 6 6 — — $37,626.30 $39,507.60 $38,378.83 2026-09-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 14 — — $38,336.98 $193,091.21 $38,336.98 2026-09-21
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 6 6 — — $37,552.09 $39,429.68 $38,303.14 2026-09-21
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 2 — — $38,294.89 $92,585.35 $38,294.89 2026-09-21
9123 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 6 6 — — $37,526.32 $39,402.62 $38,276.85 2026-09-21
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 6 6 — — $37,519.10 $39,395.05 $38,269.50 2026-09-21
5424 APR_DRG Vaginal Delivery W Complicating Procedures Exc Sterilization /or Dc 6 6 — — $37,304.72 $39,169.94 $38,050.82 2026-09-21
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 6 6 — — $37,278.95 $39,142.89 $38,024.54 2026-09-21
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 6 6 — — $37,153.21 $39,010.86 $37,896.28 2026-09-21
913 APR_DRG Other Major Head & Neck Procedures 6 6 — — $37,068.69 $38,922.11 $37,810.08 2026-09-21
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