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

CITIZENS MEDICAL CENTER

Victoria, TX · CCN 450023 · Rates published

Your selected procedure

You selected 70551 (CPT)

Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material

This hospital’s price: $374 across 44 payers · range $119-$12,411

Source: https://www.cmcvictoria.com/s/741698143_citizens-medical-center_standardcharges080725.csv · observed 2026-09-28

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.

6,244 distinct procedures filed
62 distinct payers
832,988 rate rows
2026-09-28 last MRF observed
Data quality

792,187 of 832,988 rate rows are consumer-grade (95.1%)

40,801 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 18,088
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 14,268
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,540
exceeds 10× this hospital's gross charge — excluded from medians 1,227
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 354
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 261
placeholder amount (≤ $0.02) — excluded from medians 63
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.cmcvictoria.com/files/citizens-medical-center-standardcharges.csv
Found on page https://www.cmcvictoria.com/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-22
Content fingerprint 3cf15c408a945b85… · 54,012,053 bytes · first seen 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $895.00 $1,130,999.32 $665,293.72 nat. median
$359,454
1.9× median
7
MS_DRG 		Lung Transplant 14 $895.00 $796,512.02 $468,536.48 nat. median
$117,974
outlier · 4.0×
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $299,135.33 $299,135.33 $299,135.33 nat. median
$1
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $291,278.18 $291,278.18 $291,278.18 nat. median
$297,123
1.0× median
5834
APR_DRG 		Neonate With Ecmo 9 $236,821.60 $480,747.85 $236,821.60 nat. median
$307,206
0.8× median
5833
APR_DRG 		Neonate With Ecmo 9 $200,531.83 $407,079.61 $200,531.83 nat. median
$244,017
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $895.00 $340,823.31 $200,484.30 nat. median
$249,036
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $895.00 $339,236.33 $199,550.78 nat. median
$126,695
1.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 10 $11,302.31 $389,760.00 $192,000.00 nat. median
$170,082
1.1× median
24
APR_DRG 		Heart And/or Lung Transplant 9 $19,933.20 $389,760.00 $192,000.00 nat. median
$241,437
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $895.00 $260,215.45 $153,067.91 nat. median
$198,418
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $895.00 $259,042.32 $152,377.84 nat. median
$104,013
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $895.00 $258,701.96 $152,177.62 nat. median
$190,559
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $149,904.19 $304,305.51 $149,904.19 nat. median
$247,214
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 10 $4,642.72 $295,501.53 $145,567.26 nat. median
$202,993
0.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 19 $895.00 $242,335.17 $142,550.10 nat. median
$58,251
outlier · 2.4×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 10 $13,645.64 $276,838.40 $136,373.60 nat. median
$163,587
0.8× median
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $11,646.79 $194,427.48 $133,899.71 nat. median
$204,908
0.7× median
6
MS_DRG 		Liver Transplant Without Mcc 15 $895.01 $190,465.70 $112,038.65 nat. median
$44,153
outlier · 2.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $111,538.71 $226,423.59 $111,538.71 nat. median
$154,011
0.7× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $110,550.28 $224,417.07 $110,550.28 nat. median
$165,000
0.7× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 14 $895.00 $184,750.83 $108,676.96 nat. median
$50,831
outlier · 2.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 19 $895.00 $173,834.35 $102,255.50 nat. median
$59,371
1.7× median
5832
APR_DRG 		Neonate With Ecmo 9 $99,920.43 $202,838.47 $99,920.43 nat. median
$159,249
0.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 $35,589.60 $168,348.73 $99,028.67 nat. median
$63,873
1.6× median
570
MS_DRG 		Skin Debridement With Mcc 19 $895.00 $167,112.26 $98,301.33 nat. median
$28,022
outlier · 3.5×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $90,462.87 $196,412.71 $96,755.03 nat. median
$133,164
0.7× median
266
OTHER 		Acute Leukemia Without Major O.r. Procedures Age 0-17 1 $96,723.61 $96,723.61 $96,723.61 nat. median
$60,180
1.6× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $4,777.50 $192,608.42 $94,881.00 nat. median
$123,836
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $895.00 $151,240.53 $88,965.02 nat. median
$95,038
0.9× median
4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $13,243.97 $128,187.36 $88,280.99 nat. median
$141,414
0.6× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 10 $12,001.07 $178,986.27 $88,170.58 nat. median
$28,457
outlier · 3.1×
5831
APR_DRG 		Neonate With Ecmo 9 $87,981.93 $178,603.31 $87,981.93 nat. median
$146,500
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $895.00 $147,487.20 $86,757.17 nat. median
$110,307
0.8× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 10 $11,302.31 $165,023.57 $81,292.40 nat. median
$89,273
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $80,433.68 $163,280.36 $80,433.68 nat. median
$175,204
outlier · 0.5×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $80,066.05 $162,534.09 $80,066.05 nat. median
$145,061
0.6× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 $895.00 $136,087.37 $80,051.40 nat. median
$45,429
1.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 10 $13,243.97 $162,113.81 $79,859.02 nat. median
$122,016
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $79,515.72 $161,416.90 $79,515.72 nat. median
$155,939
0.5× median
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 19 $895.00 $133,671.27 $78,630.16 nat. median
$97,323
0.8× median
955
OTHER 		Craniotomy For Multiple Significant Trauma 1 $78,115.58 $78,115.58 $78,115.58 nat. median
$61,896
1.3× median
163
MS_DRG 		Major Chest Procedures With Mcc 19 $895.00 $132,189.72 $77,758.66 nat. median
$42,680
1.8× median
215
OTHER 		Other Heart Assist System Implant 21 $5,181.82 $96,765.00 $76,735.32 nat. median
$75,018
1.0× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 $76,647.71 $155,594.84 $76,647.71 nat. median
$66,667
1.1× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $75,961.10 $154,201.04 $75,961.10 nat. median
$162,342
outlier · 0.5×
1613
APR_DRG 		Implantable Heart Assist Systems 10 $4,642.72 $154,019.37 $75,871.61 nat. median
$120,517
0.6× median
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 9 $75,470.63 $153,205.38 $75,470.63 nat. median
$120,208
0.6× median
653
MS_DRG 		Major Bladder Procedures With Mcc 18 $28,107.41 $123,495.61 $72,644.48 nat. median
$49,999
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 19 $895.00 $122,593.62 $72,113.90 nat. median
$93,901
0.8× median

Other procedures at this hospital

Browse this hospital's 6,244 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 19 — — $895.00 $1,130,999.32 $665,293.72 2026-09-28
7 MS_DRG Lung Transplant 17 14 — — $895.00 $796,512.02 $468,536.48 2026-09-28
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 3 1 — — $299,135.33 $299,135.33 $299,135.33 2026-09-28
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 1 — — $291,278.18 $291,278.18 $291,278.18 2026-09-28
5834 APR_DRG Neonate With Ecmo 14 9 — — $236,821.60 $480,747.85 $236,821.60 2026-09-28
5833 APR_DRG Neonate With Ecmo 14 9 — — $200,531.83 $407,079.61 $200,531.83 2026-09-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 14 — — $895.00 $340,823.31 $200,484.30 2026-09-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 18 — — $895.00 $339,236.33 $199,550.78 2026-09-28
24 APR_DRG Heart And/or Lung Transplant 13 9 — — $19,933.20 $389,760.00 $192,000.00 2026-09-28
74 APR_DRG Allogeneic Bone Marrow Transplant 15 10 — — $11,302.31 $389,760.00 $192,000.00 2026-09-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 17 — — $895.00 $260,215.45 $153,067.91 2026-09-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 14 — — $895.00 $259,042.32 $152,377.84 2026-09-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 18 — — $895.00 $258,701.96 $152,177.62 2026-09-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 9 — — $149,904.19 $304,305.51 $149,904.19 2026-09-28
1614 APR_DRG Implantable Heart Assist Systems 15 10 — — $4,642.72 $295,501.53 $145,567.26 2026-09-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 19 — — $895.00 $242,335.17 $142,550.10 2026-09-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 10 — — $13,645.64 $276,838.40 $136,373.60 2026-09-28
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 15 $322,515.29 $161,257.64 50% off $11,646.79 $194,427.48 $133,899.71 2026-05-08
6 MS_DRG Liver Transplant Without Mcc 18 15 — — $895.01 $190,465.70 $112,038.65 2026-09-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 9 — — $111,538.71 $226,423.59 $111,538.71 2026-09-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 9 — — $110,550.28 $224,417.07 $110,550.28 2026-09-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 14 — — $895.00 $184,750.83 $108,676.96 2026-09-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 19 — — $895.00 $173,834.35 $102,255.50 2026-09-28
5832 APR_DRG Neonate With Ecmo 14 9 — — $99,920.43 $202,838.47 $99,920.43 2026-09-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 18 — — $35,589.60 $168,348.73 $99,028.67 2026-09-28
570 MS_DRG Skin Debridement With Mcc 25 19 — — $895.00 $167,112.26 $98,301.33 2026-09-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 9 — — $90,462.87 $196,412.71 $96,755.03 2026-09-28
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 3 1 — — $96,723.61 $96,723.61 $96,723.61 2026-09-28
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 10 — — $4,777.50 $192,608.42 $94,881.00 2026-09-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 15 — — $895.00 $151,240.53 $88,965.02 2026-09-28
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 15 $305,540.40 $152,770.20 50% off $13,243.97 $128,187.36 $88,280.99 2026-05-08
2004 APR_DRG Cardiac Structural And Valvular Disorders 15 10 — — $12,001.07 $178,986.27 $88,170.58 2026-09-28
5831 APR_DRG Neonate With Ecmo 14 9 — — $87,981.93 $178,603.31 $87,981.93 2026-09-28
14 MS_DRG Allogeneic Bone Marrow Transplant 19 15 — — $895.00 $147,487.20 $86,757.17 2026-09-28
73 APR_DRG Allogeneic Bone Marrow Transplant 15 10 — — $11,302.31 $165,023.57 $81,292.40 2026-09-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 9 — — $80,433.68 $163,280.36 $80,433.68 2026-09-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 9 — — $80,066.05 $162,534.09 $80,066.05 2026-09-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 19 — — $895.00 $136,087.37 $80,051.40 2026-09-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 10 — — $13,243.97 $162,113.81 $79,859.02 2026-09-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 14 9 — — $79,515.72 $161,416.90 $79,515.72 2026-09-28
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 25 19 — — $895.00 $133,671.27 $78,630.16 2026-09-28
955 OTHER Craniotomy For Multiple Significant Trauma 3 1 — — $78,115.58 $78,115.58 $78,115.58 2026-09-28
163 MS_DRG Major Chest Procedures With Mcc 25 19 — — $895.00 $132,189.72 $77,758.66 2026-09-28
215 OTHER Other Heart Assist System Implant 26 21 $170,281.97 $85,140.98 50% off $5,181.82 $96,765.00 $76,735.32 2026-09-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 14 9 — — $76,647.71 $155,594.84 $76,647.71 2026-09-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 9 — — $75,961.10 $154,201.04 $75,961.10 2026-09-28
1613 APR_DRG Implantable Heart Assist Systems 15 10 — — $4,642.72 $154,019.37 $75,871.61 2026-09-28
5881 APR_DRG Female Reproductive System Reconstructive Procedures 14 9 — — $75,470.63 $153,205.38 $75,470.63 2026-09-28
653 MS_DRG Major Bladder Procedures With Mcc 23 18 — — $28,107.41 $123,495.61 $72,644.48 2026-09-28
215 MS_DRG Other Heart Assist System Implant 27 19 — — $895.00 $122,593.62 $72,113.90 2026-09-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 19 — — $50,389.92 $120,489.45 $70,876.15 2026-09-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 13 9 — — $17,412.73 $140,277.61 $69,102.27 2026-09-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 15 10 — — $4,724.28 $139,715.51 $68,825.38 2026-09-28
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 9 — — $67,602.47 $137,233.01 $67,602.47 2026-09-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 15 10 — — $3,093.47 $137,156.43 $67,564.74 2026-09-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 10 — — $13,645.64 $136,010.10 $67,000.05 2026-09-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 19 — — $895.00 $112,925.79 $66,426.94 2026-09-28
2464 APR_DRG Gastrointestinal Vascular Insufficiency 15 10 — — $2,749.25 $133,003.50 $65,518.96 2026-09-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 9 — — $65,180.97 $132,317.36 $65,180.97 2026-09-28
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 27 19 — — $895.00 $155,710.05 $64,329.34 2026-09-28
64 APR_DRG Pancreas Transplant 13 9 — — $2,151.11 $128,410.04 $63,256.18 2026-09-28
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 9 — — $63,251.18 $128,399.90 $63,251.18 2026-09-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 9 — — $63,061.92 $128,015.70 $63,061.92 2026-09-28
471 MS_DRG Cervical Spinal Fusion With Mcc 26 19 — — $24,172.00 $106,250.93 $62,500.55 2026-09-28
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 9 — — $61,303.32 $124,445.75 $61,303.32 2026-09-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 19 — — $42,134.12 $104,147.84 $61,263.43 2026-09-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 9 — — $57,064.76 $124,351.93 $61,257.11 2026-09-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 19 — — $30,120.00 $103,827.73 $61,075.14 2026-09-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 18 — — $26,370.17 $103,496.93 $60,880.55 2026-09-28
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 21 $165,557.03 $82,778.51 50% off $8,321.90 $87,554.78 $60,297.85 2026-09-28
10 MS_DRG Pancreas Transplant 18 15 — — $895.00 $102,494.17 $60,290.69 2026-09-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 20 — — $895.00 $102,059.54 $60,035.02 2026-09-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 10 — — $2,356.84 $119,645.93 $58,938.88 2026-09-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 19 — — $895.00 $99,807.28 $58,710.16 2026-09-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 9 — — $57,971.65 $117,682.46 $57,971.65 2026-09-28
850 OTHER Acute Leukemia With Other Procedures 14 13 $43,011.20 $21,505.60 50% off $24,391.64 $83,570.36 $57,553.83 2026-05-08
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 14 9 — — $57,501.14 $116,727.31 $57,501.14 2026-09-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 19 — — $40,036.55 $95,069.25 $55,923.09 2026-09-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 19 — — $40,495.52 $94,669.41 $55,813.31 2026-09-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 19 — — $895.00 $94,363.85 $55,508.15 2026-09-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 14 9 — — $55,050.63 $111,752.79 $55,050.63 2026-09-28
72 APR_DRG Allogeneic Bone Marrow Transplant 15 10 — — $11,302.31 $110,877.40 $54,619.41 2026-09-28
1612 APR_DRG Implantable Heart Assist Systems 15 10 — — $4,642.72 $110,715.99 $54,539.89 2026-09-28
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 10 — — $4,777.50 $109,450.05 $53,916.28 2026-09-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 25 19 — — $895.00 $90,384.25 $53,167.20 2026-09-28
8634 APR_DRG Neonatal Aftercare 14 9 — — $53,080.01 $107,752.43 $53,080.01 2026-09-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 9 — — $52,570.20 $106,717.52 $52,570.20 2026-09-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 17 — — $895.00 $88,962.15 $52,330.68 2026-09-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 17 — — $895.00 $88,501.90 $52,059.94 2026-09-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 18 — — $36,529.87 $88,451.17 $52,030.10 2026-09-28
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 21 $120,341.67 $60,170.84 50% off $3,207.06 $76,832.58 $52,003.56 2026-09-28
1611 APR_DRG Implantable Heart Assist Systems 15 10 — — $4,642.72 $105,004.07 $51,726.14 2026-09-28
4404 APR_DRG Kidney Transplant 13 9 — — $7,372.91 $104,744.55 $51,598.30 2026-09-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 10 — — $6,609.01 $104,266.02 $51,362.57 2026-09-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 10 — — $13,243.97 $104,230.57 $51,345.11 2026-09-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 19 — — $895.00 $85,810.71 $50,476.89 2026-09-28
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 14 9 — — $50,020.24 $101,541.09 $50,020.24 2026-09-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 9 — — $50,020.24 $101,541.09 $50,020.24 2026-09-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 14 9 — — $49,878.36 $101,253.08 $49,878.36 2026-09-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 19 — — $895.00 $83,628.05 $49,192.97 2026-09-28
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 21 $164,920.85 $82,460.42 50% off $8,295.68 $70,910.38 $48,835.07 2026-09-28
4414 APR_DRG Major Bladder Procedures 15 10 — — $3,517.39 $99,126.30 $48,830.69 2026-09-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 19 — — $895.00 $82,901.84 $48,765.79 2026-09-28
459 MS_DRG Spinal Fusion Except Cervical With Mcc 26 18 — — $895.00 $100,698.14 $48,490.97 2026-09-28
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 21 $157,940.33 $78,970.16 50% off $3,976.00 $70,311.00 $48,342.12 2026-09-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 19 — — $33,048.64 $81,746.15 $48,085.97 2026-09-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 18 — — $29,577.27 $81,746.15 $48,085.97 2026-09-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 18 — — $32,284.38 $81,457.45 $47,916.15 2026-09-28
23 APR_DRG Heart And/or Lung Transplant 13 9 — — $19,933.20 $96,450.73 $47,512.68 2026-09-28
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 1 — — $46,855.49 $46,855.49 $46,855.49 2026-09-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 14 9 — — $43,360.20 $94,930.12 $46,763.61 2026-09-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 15 10 — — $4,724.28 $94,437.27 $46,520.82 2026-09-28
1784 APR_DRG External Heart Assist Systems 15 10 — — $2,351.28 $92,842.80 $45,735.37 2026-09-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 9 — — $45,040.04 $91,431.28 $45,040.04 2026-09-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 14 9 — — $44,988.28 $91,326.21 $44,988.28 2026-09-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 19 — — $32,429.75 $76,348.06 $44,910.63 2026-09-28
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 26 18 — — $895.00 $76,201.89 $44,824.64 2026-09-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 15 10 — — $2,686.50 $90,922.37 $44,789.35 2026-09-28
613 OTHER Neonate, Birth Weight <750 Grams, Died 3 1 — — $44,547.67 $44,547.67 $44,547.67 2026-09-28
2324 APR_DRG Gastric Fundoplication 15 10 — — $2,800.89 $90,403.45 $44,533.72 2026-09-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 19 — — $30,885.13 $75,553.25 $44,443.09 2026-09-28
6904 APR_DRG Acute Leukemia 14 9 — — $44,387.12 $90,105.85 $44,387.12 2026-09-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 14 9 — — $41,836.53 $89,879.71 $44,275.72 2026-09-28
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 15 10 — — $1,529.13 $89,553.89 $44,115.22 2026-09-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 10 — — $13,645.64 $89,453.25 $44,065.64 2026-09-28
28 MS_DRG Spinal Procedures With Mcc 25 19 — — $895.00 $74,897.36 $44,057.27 2026-09-28
276 MS_DRG Non-maligant Breast Disorders 23 18 — — $32,243.36 $74,876.83 $44,045.20 2026-09-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 19 — — $20,461.00 $74,351.40 $43,736.11 2026-09-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 17 — — $895.00 $74,114.66 $43,596.86 2026-09-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 15 — — $895.00 $73,947.94 $43,498.79 2026-09-28
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 21 16 $119,555.32 $59,777.66 50% off $8,154.38 $63,109.37 $43,462.54 2026-09-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 19 — — $30,532.08 $73,209.94 $43,064.67 2026-09-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 19 — — $895.00 $73,164.02 $43,037.66 2026-09-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 10 — — $13,645.64 $86,751.73 $42,734.84 2026-09-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 19 — — $895.00 $71,539.40 $42,082.00 2026-09-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 19 — — $895.00 $71,167.35 $41,863.15 2026-09-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 10 — — $9,880.41 $84,410.38 $41,581.47 2026-09-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 9 — — $41,299.59 $83,838.18 $41,299.59 2026-09-28
278 MS_DRG Cellulitis Age >17 Without Cc 25 19 — — $895.00 $69,557.25 $40,916.03 2026-09-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 9 — — $40,895.49 $83,017.85 $40,895.49 2026-09-28
63 APR_DRG Pancreas Transplant 13 9 — — $2,151.11 $82,983.67 $40,878.65 2026-09-28
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 21 16 $106,153.01 $53,076.50 50% off $3,641.57 $58,670.44 $40,405.58 2026-09-28
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 25 19 — — $895.00 $68,635.63 $40,373.90 2026-09-28
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 21 $185,518.40 $92,759.20 50% off $11,318.19 $58,586.07 $40,347.47 2026-09-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 14 9 — — $37,604.32 $81,769.00 $40,280.29 2026-09-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 18 — — $28,583.00 $68,401.29 $40,236.05 2026-09-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 19 — — $26,987.50 $68,307.06 $40,180.63 2026-09-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 19 — — $895.00 $68,203.17 $40,119.51 2026-09-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 15 — — $895.00 $67,939.88 $39,964.63 2026-09-28
213 OTHER Splenic Procedures Age 0-17 3 1 — — $39,928.61 $39,928.61 $39,928.61 2026-09-28
969 OTHER HIV With Extensive O.r. Procedures With Mcc 21 16 $141,580.57 $70,790.28 50% off $15,184.01 $57,374.05 $39,512.77 2026-09-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 19 — — $27,229.96 $66,738.03 $39,257.66 2026-09-28
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 15 10 — — $3,514.48 $79,108.61 $38,969.76 2026-09-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 18 — — $26,255.42 $66,055.53 $38,856.19 2026-09-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 14 9 — — $38,757.43 $78,677.58 $38,757.43 2026-09-28
33264 CPT Icd Gen Replacement Multi 159 60 $54,345.18 $27,172.59 50% off $319.40 $68,128.99 $38,739.17 2026-09-28
33231 CPT Insert Icd Gen Multi Lead 159 60 $54,345.00 $27,172.50 50% off $317.31 $68,437.14 $38,739.17 2026-09-28
33249 CPT Insert Or Replac Icd System 159 60 $54,345.18 $27,172.59 50% off $720.99 $68,399.08 $38,739.17 2026-09-28
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 15 10 — — $2,063.99 $78,493.38 $38,666.69 2026-09-28
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 16 $24,496.36 $12,248.18 50% off $8,032.12 $55,867.19 $38,474.96 2026-09-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 20 — — $895.00 $65,199.14 $38,352.44 2026-09-28
22 APR_DRG Heart And/or Lung Transplant 13 9 — — $19,933.20 $77,481.89 $38,168.42 2026-09-28
234 APR_DRG Spinal Procedures 15 10 — — $3,750.40 $77,330.61 $38,093.89 2026-09-28
347 MS_DRG Anal And Stomal Procedures With Mcc 23 18 — — $13,234.93 $64,626.60 $38,015.65 2026-09-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 14 9 — — $37,956.08 $77,050.84 $37,956.08 2026-09-28
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 10 — — $4,777.50 $76,060.86 $37,468.41 2026-09-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 9 — — $37,466.85 $76,057.71 $37,466.85 2026-09-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 25 19 — — $895.00 $63,656.11 $37,444.77 2026-09-28
481 OTHER Hip And Femur Procedures Except Major Joint With Cc 42 27 $39,871.00 $19,935.50 50% off $9,380.18 $69,092.74 $37,279.39 2026-09-28
71 APR_DRG Allogeneic Bone Marrow Transplant 15 10 — — $11,302.31 $75,621.78 $37,252.11 2026-09-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 18 — — $24,135.53 $63,203.71 $37,178.65 2026-09-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 10 — — $6,609.01 $75,109.52 $36,999.76 2026-09-28
62 APR_DRG Pancreas Transplant 13 9 — — $2,151.11 $75,057.60 $36,974.19 2026-09-28
271 APR_DRG Other Open Craniotomy 15 10 — — $9,724.46 $74,939.60 $36,916.06 2026-09-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 9 — — $36,829.20 $74,763.28 $36,829.20 2026-09-28
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 26 21 $153,930.71 $76,965.36 50% off $3,566.64 $53,381.46 $36,763.13 2026-09-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 19 — — $895.00 $78,852.00 $36,519.28 2026-09-28
61 APR_DRG Pancreas Transplant 13 9 — — $2,151.11 $74,088.54 $36,496.82 2026-09-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 19 — — $895.00 $61,976.48 $36,456.75 2026-09-28
197 MS_DRG Interstitial Lung Disease With Cc 25 19 — — $895.00 $61,927.32 $36,427.83 2026-09-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 19 — — $895.00 $61,772.35 $36,336.67 2026-09-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 19 — — $895.00 $61,524.73 $36,191.02 2026-09-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 14 9 — — $33,780.97 $73,417.12 $36,166.07 2026-09-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 13 9 — — $17,412.73 $72,274.44 $35,603.17 2026-09-28
264 APR_DRG Other Nervous System And Related Procedures 15 10 — — $2,558.61 $72,145.32 $35,539.56 2026-09-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 9 — — $35,386.16 $71,833.90 $35,386.16 2026-09-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 19 — — $25,338.00 $59,828.84 $35,193.44 2026-09-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 10 — — $9,880.41 $71,407.91 $35,176.31 2026-09-28
1824 APR_DRG Other Peripheral Vascular And Related Procedures 15 10 — — $2,988.09 $71,350.30 $35,147.93 2026-09-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 15 10 — — $4,674.76 $71,307.90 $35,127.04 2026-09-28
974 APR_DRG Tonsil And Adenoid Procedures 15 10 — — $2,634.07 $71,176.88 $35,062.50 2026-09-28
23615 CPT Open Treatment Of Proximal Humeral (surgical Or Anatomical Neck) Fracture, Inclu… 33 29 $46,609.71 $23,304.86 50% off $3,793.00 $34,778.19 $34,778.19 2026-05-08
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 17 — — $895.00 $59,111.38 $34,771.40 2026-09-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 18 — — $895.00 $58,995.37 $34,703.16 2026-09-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 19 — — $895.00 $58,826.27 $34,603.69 2026-09-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 14 9 — — $34,552.07 $70,140.70 $34,552.07 2026-09-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 15 10 — — $8,609.19 $70,123.61 $34,543.65 2026-09-28
2054 APR_DRG Cardiomyopathy 15 10 — — $5,591.71 $69,925.50 $34,446.06 2026-09-28
6954 APR_DRG Chemotherapy For Acute Leukemia 14 9 — — $34,401.77 $69,835.60 $34,401.77 2026-09-28
428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 14 $52,940.63 $26,470.32 50% off $3,760.46 $49,933.20 $34,388.35 2026-09-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 14 9 — — $34,366.54 $69,764.08 $34,366.54 2026-09-28
277 MS_DRG Cellulitis Age >17 W Cc 23 18 — — $24,830.22 $58,109.99 $34,182.35 2026-09-28
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 26 18 — — $895.00 $83,164.10 $34,090.71 2026-09-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 18 — — $23,451.23 $57,844.25 $34,026.03 2026-09-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 19 — — $895.00 $57,702.92 $33,942.90 2026-09-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 10 — — $6,609.01 $68,591.82 $33,789.07 2026-09-28
245 MS_DRG Aicd Generator Procedures 25 19 — — $895.00 $57,432.37 $33,783.74 2026-09-28
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 16 $60,312.95 $30,156.48 50% off $3,712.01 $48,997.87 $33,744.21 2026-09-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 19 — — $895.00 $57,266.88 $33,686.40 2026-09-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 14 9 — — $33,675.89 $68,362.05 $33,675.89 2026-09-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 19 — — $895.00 $57,242.72 $33,672.19 2026-09-28
052 OTHER Spinal Disorders And Injuries With Cc/mcc 3 1 — — $33,623.72 $33,623.72 $33,623.72 2026-09-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 10 — — $13,243.97 $68,148.74 $33,570.81 2026-09-28
799 MS_DRG Splenectomy With Mcc 23 18 — — $25,724.28 $57,027.71 $33,545.71 2026-09-28
8154 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses 14 9 — — $30,952.30 $67,808.11 $33,403.01 2026-09-28
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 21 $153,267.84 $76,633.92 50% off $4,831.51 $48,264.85 $33,239.39 2026-09-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 14 9 — — $33,218.15 $67,432.85 $33,218.15 2026-09-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 19 — — $895.00 $56,443.11 $33,201.83 2026-09-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 10 — — $2,356.84 $67,318.28 $33,161.71 2026-09-28
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 21 $152,089.75 $76,044.88 50% off $3,514.48 $48,051.66 $33,092.56 2026-09-28
214 APR_DRG Open Craniotomy Except Trauma 15 10 — — $2,590.91 $67,158.77 $33,083.14 2026-09-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 19 — — $895.00 $56,230.51 $33,076.77 2026-09-28
2304 APR_DRG Major Small Bowel Procedures 15 10 — — $4,762.93 $66,916.35 $32,963.72 2026-09-28
224 APR_DRG Ventricular Shunt Procedures 15 10 — — $3,605.56 $66,652.39 $32,833.69 2026-09-28
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 1 — — $32,787.04 $32,787.04 $32,787.04 2026-09-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 15 10 — — $9,989.24 $66,287.18 $32,653.79 2026-09-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 14 9 — — $32,453.29 $65,880.18 $32,453.29 2026-09-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 14 9 — — $32,156.76 $65,278.21 $32,156.76 2026-09-28
849 MS_DRG Radiotherapy 25 19 — — $895.00 $54,659.43 $32,152.60 2026-09-28
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 25 19 — — $895.00 $54,593.80 $32,114.00 2026-09-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 19 — — $895.00 $54,177.08 $31,868.87 2026-09-28
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 21 16 $76,066.81 $38,033.40 50% off $2,197.18 $46,076.69 $31,732.42 2026-09-28
140 MS_DRG Major Head And Neck Procedures With Mcc 24 19 — — $924.00 $53,843.70 $31,672.77 2026-09-28
4403 APR_DRG Kidney Transplant 13 9 — — $7,372.91 $64,108.48 $31,580.53 2026-09-28
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 15 10 — — $9,081.30 $64,104.06 $31,578.36 2026-09-28
55866 CPT Laparoscopy, Surgical Prostatectomy, Retropubic Radical, Including Nerve Sparing… 35 31 $41,616.35 $20,808.18 50% off $4,481.00 $31,502.01 $31,502.01 2026-05-08
1694 APR_DRG Major Abdominal Vascular Procedures 15 10 — — $3,589.68 $63,886.32 $31,471.09 2026-09-28
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 16 $44,719.63 $22,359.82 50% off $6,395.33 $45,694.76 $31,469.39 2026-09-28
L8688 HCPCS Stimulator Proclaim 3664 129 38 $43,900.00 $21,950.00 50% off $1.38 $44,900.00 $31,430.00 2026-09-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 18 — — $21,591.45 $53,335.17 $31,373.63 2026-09-28
1204 APR_DRG Major Respiratory And Chest Procedures 15 10 — — $8,231.60 $63,626.80 $31,343.25 2026-09-28
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 19 — — $895.00 $53,248.22 $31,322.48 2026-09-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 19 — — $895.00 $53,222.83 $31,307.55 2026-09-28
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 16 $81,229.46 $40,614.73 50% off $11,679.53 $45,371.79 $31,246.97 2026-09-28
4834 APR_DRG Penis, Testes And Scrotal Procedures 15 10 — — $31,224.14 $63,385.01 $31,224.14 2026-09-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 19 — — $895.00 $53,074.28 $31,220.16 2026-09-28
901 MS_DRG Wound Debridements For Injuries With Mcc 25 19 — — $895.00 $53,013.87 $31,184.63 2026-09-28
228 OTHER Other Cardiothoracic Procedures With Mcc 26 21 $211,728.07 $105,864.04 50% off $3,971.76 $78,852.00 $31,134.51 2026-09-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 19 — — $20,981.91 $52,919.65 $31,129.21 2026-09-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 19 — — $19,059.00 $52,723.97 $31,014.10 2026-09-28
793 MS_DRG Full Term Neonate With Major Problems 21 17 — — $895.00 $52,687.75 $30,992.79 2026-09-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 15 10 — — $4,811.13 $62,705.19 $30,889.26 2026-09-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 18 — — $20,305.39 $52,487.23 $30,874.84 2026-09-28
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 3 1 — — $30,851.78 $30,851.78 $30,851.78 2026-09-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 14 9 — — $30,848.41 $62,622.27 $30,848.41 2026-09-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 15 10 — — $4,919.69 $62,606.45 $30,840.61 2026-09-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 9 — — $28,405.47 $62,431.35 $30,754.36 2026-09-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 23 18 — — $20,233.22 $52,155.04 $30,679.44 2026-09-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 15 10 — — $4,194.44 $61,674.08 $30,381.32 2026-09-28
791 MS_DRG Prematurity With Major Problems 21 17 — — $895.00 $51,351.83 $30,206.96 2026-09-28
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 3 1 — — $30,159.70 $30,159.70 $30,159.70 2026-09-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 9 — — $29,144.38 $60,563.21 $29,834.09 2026-09-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 9 — — $29,777.36 $60,448.03 $29,777.36 2026-09-28
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 16 $51,031.27 $25,515.64 50% off $7,088.71 $43,127.38 $29,701.27 2026-09-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 19 — — $895.00 $50,447.06 $29,674.74 2026-09-28
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 15 10 — — $2,932.48 $60,118.24 $29,614.90 2026-09-28
21 APR_DRG Heart And/or Lung Transplant 13 9 — — $19,933.20 $60,015.07 $29,564.07 2026-09-28
1783 APR_DRG External Heart Assist Systems 15 10 — — $2,351.28 $59,414.39 $29,268.17 2026-09-28
1214 APR_DRG Other Respiratory And Chest Procedures 15 10 — — $8,335.93 $59,380.21 $29,251.33 2026-09-28
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 16 $28,028.05 $14,014.02 50% off $5,230.66 $42,452.42 $29,236.39 2026-09-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 19 — — $895.00 $49,574.98 $29,161.75 2026-09-28
27446 CPT Arthroplasty, Knee, Condyle And Plateau; Medial Or Lateral Compartment 32 28 $33,265.95 $16,632.98 50% off $11,859.00 $29,136.97 $29,136.97 2026-05-08
277 OTHER Cardiac Defibrillator Implant Without Mcc 20 15 $82,942.33 $41,471.16 50% off $3,835.66 $42,202.04 $29,063.97 2026-09-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 17 — — $895.00 $49,361.18 $29,035.99 2026-09-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 19 — — $895.00 $49,077.34 $28,869.02 2026-09-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 17 — — $528.00 $49,007.29 $28,827.82 2026-09-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 9 — — $28,825.72 $58,516.21 $28,825.72 2026-09-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 19 — — $895.00 $48,962.59 $28,801.52 2026-09-28
163 OTHER Major Chest Procedures With Mcc 21 16 $70,034.72 $35,017.36 50% off $4,674.76 $41,814.66 $28,797.22 2026-09-28
329 OTHER Major Small And Large Bowel Procedures With Mcc 21 16 $71,078.54 $35,539.27 50% off $1,120.83 $41,657.72 $28,689.14 2026-09-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 19 — — $895.00 $48,698.04 $28,645.91 2026-09-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 15 10 — — $3,093.47 $57,961.09 $28,552.26 2026-09-28
27828 CPT Open Treatment Of Fracture Of Weight Bearing Articular Surface/portion Of Distal… 33 29 $37,960.50 $18,980.25 50% off $3,793.00 $28,507.51 $28,507.51 2026-05-08
2244 APR_DRG Peritoneal Adhesiolysis 15 10 — — $2,874.76 $57,868.68 $28,506.74 2026-09-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 9 — — $28,308.12 $57,465.47 $28,308.12 2026-09-28
57425 CPT Laparoscopy, Surgical, Colpopexy (suspension Of Vaginal Apex) 35 31 $37,618.63 $18,809.31 50% off $3,793.00 $28,259.65 $28,259.65 2026-05-08
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 15 10 — — $3,850.22 $57,304.70 $28,228.92 2026-09-28
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 16 $72,640.27 $36,320.14 50% off $7,168.02 $40,929.24 $28,187.44 2026-09-28
24515 CPT Open Treatment Of Humeral Shaft Fracture With Plate/screws, With Or Without Cerc… 33 29 $37,489.00 $18,744.50 50% off $3,793.00 $28,165.67 $28,165.67 2026-05-08
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 19 — — $895.00 $47,776.45 $28,103.79 2026-09-28
914 APR_DRG Other Major Head And Neck Procedures 15 10 — — $2,645.72 $56,996.44 $28,077.06 2026-09-28
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 15 $43,276.36 $21,638.18 50% off $7,803.07 $40,685.20 $28,019.35 2026-09-28
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 18 — — $17,266.52 $47,578.34 $27,987.26 2026-09-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 18 — — $21,068.10 $47,470.82 $27,924.01 2026-09-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 19 — — $8,459.00 $47,466.00 $27,921.18 2026-09-28
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 19 — — $895.00 $47,339.17 $27,846.57 2026-09-28
28297 CPT Correction, Hallux Valgus With Bunionectomy, With Sesamoidectomy When Performed;… 33 29 $37,597.30 $18,798.65 50% off $2,987.00 $27,841.19 $27,841.19 2026-05-08
50544 CPT Laparoscopy, Surgical; Pyeloplasty 35 31 $37,023.73 $18,511.86 50% off $3,793.00 $27,828.35 $27,828.35 2026-05-08
204 APR_DRG Open Craniotomy For Trauma 15 10 — — $7,416.34 $56,414.74 $27,790.51 2026-09-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 17 — — $895.00 $47,085.51 $27,697.36 2026-09-28
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