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

CHI ST LUKES HEALTH MEMORIAL LUFKIN

Lufkin, TX · CCN 450211 · Rates published

13,891 distinct procedures filed
21 distinct payers
519,419 rate rows
2026-02-28 last MRF observed
Data quality

516,594 of 519,419 rate rows are consumer-grade (99.5%)

2,825 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,544
per-diem day rate — not a per-procedure price 180
template filing: same amount across many unrelated codes — excluded 82
placeholder amount (≤ $0.02) — excluded from medians 11
exceeds 10× this hospital's gross charge — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/stlum/soet/finance/price-transparency/750755367_chi-st-lukes-health-memorial-lufkin_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/stlukes-memorial-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 5f1aa4c3cbf3a90f… · 101,945,431 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo 11 $667,568.00 $700,946.40 $680,919.36 nat. median
$309,665
outlier · 2.2×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 11 $649,410.00 $681,880.50 $662,398.20 nat. median
$187,061
outlier · 3.5×
5833
APR_DRG 		Neonate With Ecmo 11 $565,272.00 $593,535.60 $576,577.44 nat. median
$244,017
outlier · 2.4×
24
APR_DRG 		Heart And/or Lung Transplant 11 $543,775.00 $570,963.75 $554,650.50 nat. median
$234,729
outlier · 2.4×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $422,559.00 $443,686.95 $431,010.18 nat. median
$246,434
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 11 $410,334.00 $430,850.70 $418,540.68 nat. median
$207,730
outlier · 2.0×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 11 $384,418.00 $403,638.90 $392,106.36 nat. median
$164,834
outlier · 2.4×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 $314,412.00 $330,132.60 $320,700.24 nat. median
$150,721
outlier · 2.1×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 $311,626.00 $327,207.30 $317,858.52 nat. median
$162,982
2.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $200,029.00 $774,123.09 $299,327.60 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $149,405.00 $579,444.54 $289,722.27 nat. median
$265,286
1.1× median
5832
APR_DRG 		Neonate With Ecmo 11 $281,662.00 $295,745.10 $287,295.24 nat. median
$156,126
1.8× median
J1932
HCPCS 		Lanreotide Syrg 120 Mg/0.5 Ml120 Mg 8 $61,943.41 $398,207.59 $283,169.84 nat. median
$80
outlier · 3518.1×
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 11 $248,541.00 $260,968.05 $253,511.82 nat. median
$32,541
outlier · 7.8×
5831
APR_DRG 		Neonate With Ecmo 11 $248,009.00 $260,409.45 $252,969.18 nat. median
$144,745
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $125,826.00 $488,769.96 $244,384.98 nat. median
$206,474
1.2× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 11 $229,152.00 $240,609.60 $233,735.04 nat. median
$89,273
outlier · 2.6×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $226,732.00 $238,068.60 $231,266.64 nat. median
$182,665
1.3× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $225,695.00 $236,979.75 $230,208.90 nat. median
$145,336
1.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 11 $225,112.00 $236,367.60 $229,614.24 nat. median
$105,658
outlier · 2.2×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 11 $224,144.00 $235,351.20 $228,626.88 nat. median
$160,267
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 $221,905.00 $233,000.25 $226,343.10 nat. median
$122,924
1.8× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 11 $216,059.00 $226,861.95 $220,380.18 nat. median
$73,845
outlier · 3.0×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 11 $214,124.00 $224,830.20 $218,406.48 nat. median
$164,289
1.3× median
1613
APR_DRG 		Implantable Heart Assist Systems 11 $213,872.00 $224,565.60 $218,149.44 nat. median
$119,796
1.8× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $212,741.00 $223,378.05 $216,995.82 nat. median
$124,573
1.7× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 11 $194,790.00 $204,529.50 $198,685.80 nat. median
$129,535
1.5× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 11 $194,009.00 $203,709.45 $197,889.18 nat. median
$79,774
outlier · 2.5×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 11 $190,562.00 $200,090.10 $194,373.24 nat. median
$73,288
outlier · 2.7×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 11 $190,456.00 $199,978.80 $194,265.12 nat. median
$97,957
2.0× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 11 $188,864.00 $198,307.20 $192,641.28 nat. median
$78,990
outlier · 2.4×
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 11 $184,689.00 $193,923.45 $188,382.78 nat. median
$22,749
outlier · 8.3×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 $183,736.00 $192,922.80 $187,410.72 nat. median
$109,499
1.7× median
64
APR_DRG 		Pancreas Transplant 11 $178,310.00 $187,225.50 $181,876.20 nat. median
$91,009
2.0× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 11 $178,296.00 $187,210.80 $181,861.92 nat. median
$93,370
1.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 11 $177,763.00 $186,651.15 $181,318.26 nat. median
$151,838
1.2× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 11 $172,806.00 $181,446.30 $176,262.12 nat. median
$89,796
2.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 18 $113,673.00 $442,036.50 $170,920.79 nat. median
$202,976
0.8× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 $166,141.00 $174,448.05 $169,463.82 nat. median
$81,781
outlier · 2.1×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 $163,414.00 $171,584.70 $166,682.28 nat. median
$118,620
1.4× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 11 $162,088.00 $170,192.40 $165,329.76 nat. median
$69,788
outlier · 2.4×
6214
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 11 $155,180.00 $162,939.00 $158,283.60 nat. median
$69,160
outlier · 2.3×
72
APR_DRG 		Allogeneic Bone Marrow Transplant 11 $153,965.00 $161,663.25 $157,044.30 nat. median
$66,666
outlier · 2.4×
1612
APR_DRG 		Implantable Heart Assist Systems 11 $153,740.00 $161,427.00 $156,814.80 nat. median
$85,444
1.8× median
J2506
HCPCS 		Pegfilgrastim Syrg 6 Mg/0.6 Ml6 Mg 8 $33,637.75 $216,242.65 $153,772.55 nat. median
$2,076
outlier · 74.1×
8634
APR_DRG 		Neonatal Aftercare 11 $149,625.00 $157,106.25 $152,617.50 nat. median
$69,502
outlier · 2.2×
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 $148,188.00 $155,597.40 $151,151.76 nat. median
$72,936
outlier · 2.1×
1611
APR_DRG 		Implantable Heart Assist Systems 11 $145,809.00 $153,099.45 $148,725.18 nat. median
$76,806
1.9× median
4404
APR_DRG 		Kidney Transplant 11 $145,449.00 $152,721.45 $148,357.98 nat. median
$79,034
1.9× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 $144,784.00 $152,023.20 $147,679.68 nat. median
$68,217
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 13,891 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
             
5834 APR_DRG Neonate With Ecmo 19 11 — — $667,568.00 $700,946.40 $680,919.36 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 19 11 — — $649,410.00 $681,880.50 $662,398.20 2026-02-28
5833 APR_DRG Neonate With Ecmo 19 11 — — $565,272.00 $593,535.60 $576,577.44 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 19 11 — — $543,775.00 $570,963.75 $554,650.50 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 19 11 — — $422,559.00 $443,686.95 $431,010.18 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 19 11 — — $410,334.00 $430,850.70 $418,540.68 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 19 11 — — $384,418.00 $403,638.90 $392,106.36 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 19 11 — — $314,412.00 $330,132.60 $320,700.24 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 19 11 — — $311,626.00 $327,207.30 $317,858.52 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 18 — — $200,029.00 $774,123.09 $299,327.60 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 19 — — $149,405.00 $579,444.54 $289,722.27 2026-02-28
5832 APR_DRG Neonate With Ecmo 19 11 — — $281,662.00 $295,745.10 $287,295.24 2026-02-28
J1932 HCPCS Lanreotide Syrg 120 Mg/0.5 Ml120 Mg 9 8 $442,452.87 $66,367.93 85% off $61,943.41 $398,207.59 $283,169.84 2026-02-28
2004 APR_DRG Cardiac Structural And Valvular Disorders 19 11 — — $248,541.00 $260,968.05 $253,511.82 2026-02-28
5831 APR_DRG Neonate With Ecmo 19 11 — — $248,009.00 $260,409.45 $252,969.18 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 19 — — $125,826.00 $488,769.96 $244,384.98 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 19 11 — — $229,152.00 $240,609.60 $233,735.04 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 19 11 — — $226,732.00 $238,068.60 $231,266.64 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 19 11 — — $225,695.00 $236,979.75 $230,208.90 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 19 11 — — $225,112.00 $236,367.60 $229,614.24 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 19 11 — — $224,144.00 $235,351.20 $228,626.88 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 19 11 — — $221,905.00 $233,000.25 $226,343.10 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 19 11 — — $216,059.00 $226,861.95 $220,380.18 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 19 11 — — $214,124.00 $224,830.20 $218,406.48 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 19 11 — — $213,872.00 $224,565.60 $218,149.44 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 19 11 — — $212,741.00 $223,378.05 $216,995.82 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 19 11 — — $194,790.00 $204,529.50 $198,685.80 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 19 11 — — $194,009.00 $203,709.45 $197,889.18 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 19 11 — — $190,562.00 $200,090.10 $194,373.24 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 19 11 — — $190,456.00 $199,978.80 $194,265.12 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 19 11 — — $188,864.00 $198,307.20 $192,641.28 2026-02-28
2464 APR_DRG Gastrointestinal Vascular Insufficiency 19 11 — — $184,689.00 $193,923.45 $188,382.78 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 19 11 — — $183,736.00 $192,922.80 $187,410.72 2026-02-28
64 APR_DRG Pancreas Transplant 19 11 — — $178,310.00 $187,225.50 $181,876.20 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 19 11 — — $178,296.00 $187,210.80 $181,861.92 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 19 11 — — $177,763.00 $186,651.15 $181,318.26 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 19 11 — — $172,806.00 $181,446.30 $176,262.12 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 22 18 — — $113,673.00 $442,036.50 $170,920.79 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 19 11 — — $166,141.00 $174,448.05 $169,463.82 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 11 — — $163,414.00 $171,584.70 $166,682.28 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 19 11 — — $162,088.00 $170,192.40 $165,329.76 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 19 11 — — $155,180.00 $162,939.00 $158,283.60 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 19 11 — — $153,965.00 $161,663.25 $157,044.30 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 19 11 — — $153,740.00 $161,427.00 $156,814.80 2026-02-28
J2506 HCPCS Pegfilgrastim Syrg 6 Mg/0.6 Ml6 Mg 9 8 $240,269.61 $36,040.45 85% off $33,637.75 $216,242.65 $153,772.55 2026-02-28
8634 APR_DRG Neonatal Aftercare 19 11 — — $149,625.00 $157,106.25 $152,617.50 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 19 11 — — $148,188.00 $155,597.40 $151,151.76 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 19 11 — — $145,809.00 $153,099.45 $148,725.18 2026-02-28
4404 APR_DRG Kidney Transplant 19 11 — — $145,449.00 $152,721.45 $148,357.98 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 19 11 — — $144,784.00 $152,023.20 $147,679.68 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 19 11 — — $144,735.00 $151,971.75 $147,629.70 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 19 11 — — $141,000.00 $148,050.00 $143,820.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 19 11 — — $141,000.00 $148,050.00 $143,820.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 19 11 — — $140,600.00 $147,630.00 $143,412.00 2026-02-28
4414 APR_DRG Major Bladder Procedures 19 11 — — $137,647.00 $144,529.35 $140,399.94 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 19 11 — — $133,932.00 $140,628.60 $136,610.64 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 26 19 — — $69,492.00 $272,134.08 $136,067.04 2026-02-28
7 MS_DRG Lung Transplant 26 19 — — $69,317.00 $271,460.97 $135,730.49 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 19 11 — — $131,136.00 $137,692.80 $133,758.72 2026-02-28
1784 APR_DRG External Heart Assist Systems 19 11 — — $128,922.00 $135,368.10 $131,500.44 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 19 11 — — $126,962.00 $133,310.10 $129,501.24 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 19 11 — — $126,816.00 $133,156.80 $129,352.32 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 19 11 — — $126,255.00 $132,567.75 $128,780.10 2026-02-28
6904 APR_DRG Acute Leukemia 19 11 — — $125,121.00 $131,377.05 $127,623.42 2026-02-28
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 19 11 — — $124,355.00 $130,572.75 $126,842.10 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 19 11 — — $124,215.00 $130,425.75 $126,699.30 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 19 11 — — $120,464.00 $126,487.20 $122,873.28 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 19 11 — — $117,931.00 $123,827.55 $120,289.62 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 19 11 — — $117,212.00 $123,072.60 $119,556.24 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 19 11 — — $116,418.00 $122,238.90 $118,746.36 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 19 11 — — $115,279.00 $121,042.95 $117,584.58 2026-02-28
63 APR_DRG Pancreas Transplant 19 11 — — $115,231.00 $120,992.55 $117,535.62 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 19 — — $58,448.00 $229,665.63 $114,832.82 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 22 18 — — $74,946.00 $293,106.21 $113,334.40 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 19 11 — — $109,850.00 $115,342.50 $112,047.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 19 11 — — $109,252.00 $114,714.60 $111,437.04 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 19 11 — — $108,996.00 $114,445.80 $111,175.92 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 19 — — $56,484.00 $222,112.65 $111,056.33 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 19 11 — — $107,592.00 $112,971.60 $109,743.84 2026-02-28
234 APR_DRG Spinal Procedures 19 11 — — $107,381.00 $112,750.05 $109,528.62 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 19 11 — — $106,993.00 $112,342.65 $109,132.86 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 11 — — $105,614.00 $110,894.70 $107,726.28 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 19 11 — — $104,297.00 $109,511.85 $106,382.94 2026-02-28
62 APR_DRG Pancreas Transplant 19 11 — — $104,225.00 $109,436.25 $106,309.50 2026-02-28
Q5127 HCPCS Pegfilgrastim-fpgk Syrg 6 Mg/0.6 Ml0 Mg 9 8 $165,817.64 $24,872.65 85% off $23,214.47 $149,235.88 $106,123.29 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 19 11 — — $103,816.00 $109,006.80 $105,892.32 2026-02-28
61 APR_DRG Pancreas Transplant 19 11 — — $102,880.00 $108,024.00 $104,937.60 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 19 11 — — $101,099.00 $106,153.95 $103,120.98 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 19 11 — — $100,360.00 $105,378.00 $102,367.20 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 19 11 — — $100,242.00 $105,254.10 $102,246.84 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 19 11 — — $100,181.00 $105,190.05 $102,184.62 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 19 11 — — $99,749.00 $104,736.45 $101,743.98 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 19 11 — — $99,157.00 $104,114.85 $101,140.14 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 19 11 — — $99,077.00 $104,030.85 $101,058.54 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 19 11 — — $99,018.00 $103,968.90 $100,998.36 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 19 11 — — $97,398.00 $102,267.90 $99,345.96 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 19 11 — — $97,374.00 $102,242.70 $99,321.48 2026-02-28
2054 APR_DRG Cardiomyopathy 19 11 — — $97,099.00 $101,953.95 $99,040.98 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 19 11 — — $96,974.00 $101,822.70 $98,913.48 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 19 11 — — $96,875.00 $101,718.75 $98,812.50 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 19 11 — — $95,247.00 $100,009.35 $97,151.94 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 19 11 — — $94,928.00 $99,674.40 $96,826.56 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 19 11 — — $94,632.00 $99,363.60 $96,524.64 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 19 11 — — $93,637.00 $98,318.85 $95,509.74 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 19 11 — — $93,478.00 $98,151.90 $95,347.56 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 19 11 — — $93,257.00 $97,919.85 $95,122.14 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 19 11 — — $92,920.00 $97,566.00 $94,778.40 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 19 11 — — $92,554.00 $97,181.70 $94,405.08 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 19 11 — — $92,047.00 $96,649.35 $93,887.94 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 19 11 — — $91,481.00 $96,055.05 $93,310.62 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 19 11 — — $90,645.00 $95,177.25 $92,457.90 2026-02-28
4403 APR_DRG Kidney Transplant 19 11 — — $89,021.00 $93,472.05 $90,801.42 2026-02-28
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 19 11 — — $89,015.00 $93,465.75 $90,795.30 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 19 11 — — $88,713.00 $93,148.65 $90,487.26 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 19 11 — — $88,352.00 $92,769.60 $90,119.04 2026-02-28
4834 APR_DRG Penis Testes And Scrotal Procedures 19 11 — — $88,017.00 $92,417.85 $89,777.34 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 19 11 — — $87,073.00 $91,426.65 $88,814.46 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 19 11 — — $86,957.00 $91,304.85 $88,696.14 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 19 11 — — $86,935.00 $91,281.75 $88,673.70 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 18 — — $57,781.00 $227,099.70 $87,811.89 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 19 11 — — $85,641.00 $89,923.05 $87,353.82 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 19 11 — — $83,938.00 $88,134.90 $85,616.76 2026-02-28
215 MS_DRG Other Heart Assist System Implant 22 18 — — $56,195.00 $220,998.96 $85,452.93 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 19 11 — — $83,480.00 $87,654.00 $85,149.60 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 19 11 — — $83,337.00 $87,503.85 $85,003.74 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 18 — — $55,562.00 $218,563.56 $84,511.24 2026-02-28
1783 APR_DRG External Heart Assist Systems 19 11 — — $82,503.00 $86,628.15 $84,153.06 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 19 11 — — $82,455.00 $86,577.75 $84,104.10 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 19 11 — — $82,154.00 $86,261.70 $83,797.08 2026-02-28
10 MS_DRG Pancreas Transplant 26 19 — — $42,289.00 $167,522.28 $83,761.14 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 19 — — $42,046.00 $166,590.12 $83,295.06 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 19 11 — — $81,490.00 $85,564.50 $83,119.80 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 19 11 — — $81,256.00 $85,318.80 $82,881.12 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 19 11 — — $80,485.00 $84,509.25 $82,094.70 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 19 11 — — $80,357.00 $84,374.85 $81,964.14 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 11 — — $79,797.00 $83,786.85 $81,392.94 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 19 11 — — $79,573.00 $83,551.65 $81,164.46 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 19 11 — — $79,145.00 $83,102.25 $80,727.90 2026-02-28
C1824 HCPCS Optimizer Smart Mini Imp Ipg 20 10 $273,000.00 $40,950.00 85% off $40,950.00 $245,700.00 $80,535.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 19 11 — — $78,338.00 $82,254.90 $79,904.76 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 19 11 — — $77,805.00 $81,695.25 $79,361.10 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 19 11 — — $77,656.00 $81,538.80 $79,209.12 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 19 11 — — $77,086.00 $80,940.30 $78,627.72 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 19 11 — — $77,054.00 $80,906.70 $78,595.08 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 19 11 — — $76,819.00 $80,659.95 $78,355.38 2026-02-28
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 19 11 — — $76,567.00 $80,395.35 $78,098.34 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 19 11 — — $76,551.00 $80,378.55 $78,082.02 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 18 — — $51,189.00 $201,750.36 $78,010.14 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 19 11 — — $76,465.00 $80,288.25 $77,994.30 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 19 11 — — $74,515.00 $78,240.75 $76,005.30 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 19 11 — — $74,192.00 $77,901.60 $75,675.84 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 19 11 — — $73,333.00 $76,999.65 $74,799.66 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 22 18 — — $48,860.00 $192,792.03 $74,546.26 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 19 11 — — $73,071.00 $76,724.55 $74,532.42 2026-02-28
C1605 HCPCS Pacer Sys Aveir Dual Chamber 20 10 $252,000.00 $37,800.00 85% off $37,800.00 $226,800.00 $74,340.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 19 11 — — $72,685.00 $76,319.25 $74,138.70 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 19 11 — — $72,400.00 $76,020.00 $73,848.00 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 19 11 — — $71,943.00 $75,540.15 $73,381.86 2026-02-28
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 19 11 — — $71,216.00 $74,776.80 $72,640.32 2026-02-28
C1882 HCPCS Crtd Cobalt Hf MRI Is1 Df1 520 10 $254,258.02 $38,138.71 85% off $2,309.58 $379,164.24 $72,503.77 2026-02-28
1782 APR_DRG External Heart Assist Systems 19 11 — — $70,809.00 $74,349.45 $72,225.18 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 19 11 — — $70,689.00 $74,223.45 $72,102.78 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 19 11 — — $70,069.00 $73,572.45 $71,470.38 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 19 11 — — $69,801.00 $73,291.05 $71,197.02 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 26 19 — — $35,425.00 $141,126.60 $70,563.30 2026-02-28
2234 APR_DRG Other Small And Large Bowel Procedures 19 11 — — $68,996.00 $72,445.80 $70,375.92 2026-02-28
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 19 11 — — $68,572.00 $72,000.60 $69,943.44 2026-02-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 19 11 — — $68,263.00 $71,676.15 $69,628.26 2026-02-28
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 19 11 — — $67,877.00 $71,270.85 $69,234.54 2026-02-28
7234 APR_DRG Viral Illness 19 11 — — $67,785.00 $71,174.25 $69,140.70 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 18 — — $44,946.00 $177,739.11 $68,725.79 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 22 18 — — $44,921.00 $177,643.23 $68,688.72 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 19 11 — — $67,056.00 $70,408.80 $68,397.12 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 18 — — $44,239.00 $175,020.18 $67,674.48 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 19 11 — — $66,315.00 $69,630.75 $67,641.30 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 19 11 — — $66,184.00 $69,493.20 $67,507.68 2026-02-28
6614 APR_DRG Coagulation And Platelet Disorders 19 11 — — $65,583.00 $68,862.15 $66,894.66 2026-02-28
1781 APR_DRG External Heart Assist Systems 19 11 — — $64,910.00 $68,155.50 $66,208.20 2026-02-28
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 19 11 — — $64,678.00 $67,911.90 $65,971.56 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 19 11 — — $64,297.00 $67,511.85 $65,582.94 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 18 — — $42,756.00 $169,319.25 $65,470.12 2026-02-28
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 19 11 — — $63,385.00 $66,554.25 $64,652.70 2026-02-28
1794 APR_DRG Defibrillator Implants 19 11 — — $63,346.00 $66,513.30 $64,612.92 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 19 11 — — $63,260.00 $66,423.00 $64,525.20 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 19 11 — — $62,953.00 $66,100.65 $64,212.06 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 26 19 — — $32,014.00 $128,011.38 $64,005.69 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 26 19 — — $32,014.00 $128,011.38 $64,005.69 2026-02-28
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 19 11 — — $62,619.00 $65,749.95 $63,871.38 2026-02-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 19 11 — — $62,463.00 $65,586.15 $63,712.26 2026-02-28
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 19 11 — — $62,362.00 $65,480.10 $63,609.24 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 18 — — $41,458.00 $164,328.12 $63,540.21 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 19 11 — — $62,134.00 $65,240.70 $63,376.68 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 19 11 — — $61,934.00 $65,030.70 $63,172.68 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 18 — — $41,040.00 $162,718.80 $62,917.94 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 19 11 — — $61,268.00 $64,331.40 $62,493.36 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 19 11 — — $61,207.00 $64,267.35 $62,431.14 2026-02-28
4013 APR_DRG Adrenal Procedures 19 11 — — $60,978.00 $64,026.90 $62,197.56 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 19 11 — — $60,971.00 $64,019.55 $62,190.42 2026-02-28
Q5130 HCPCS Pegfilgrastim-pbbk Syrg 6 Mg/0.6 Ml0 Mg 9 8 $96,400.00 $14,460.00 85% off $13,496.00 $86,760.00 $61,696.00 2026-02-28
3104 APR_DRG Intervertebral Disc Excision And Decompression 19 11 — — $60,325.00 $63,341.25 $61,531.50 2026-02-28
2334 APR_DRG Appendectomy With Complex Principal Diagnosis 19 11 — — $60,284.00 $63,298.20 $61,489.68 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 19 11 — — $60,197.00 $63,206.85 $61,400.94 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 19 11 — — $59,976.00 $62,974.80 $61,175.52 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 19 11 — — $59,722.00 $62,708.10 $60,916.44 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 18 — — $39,590.00 $157,144.32 $60,762.48 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 19 11 — — $59,365.00 $62,333.25 $60,552.30 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 19 11 — — $59,210.00 $62,170.50 $60,394.20 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 19 11 — — $59,030.00 $61,981.50 $60,210.60 2026-02-28
3464 APR_DRG Connective Tissue Disorders 19 11 — — $59,015.00 $61,965.75 $60,195.30 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 19 11 — — $58,830.00 $61,771.50 $60,006.60 2026-02-28
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 19 11 — — $58,386.00 $61,305.30 $59,553.72 2026-02-28
1804 APR_DRG Other Circulatory System Procedures 19 11 — — $58,357.00 $61,274.85 $59,524.14 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 19 11 — — $58,313.00 $61,228.65 $59,479.26 2026-02-28
734 APR_DRG Orbit And Eye Procedures 19 11 — — $58,196.00 $61,105.80 $59,359.92 2026-02-28
4684 APR_DRG Other Kidney And Urinary Tract Diagnoses Signs And Symptoms 19 11 — — $57,902.00 $60,797.10 $59,060.04 2026-02-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 19 11 — — $57,740.00 $60,627.00 $58,894.80 2026-02-28
4402 APR_DRG Kidney Transplant 19 11 — — $57,257.00 $60,119.85 $58,402.14 2026-02-28
8154 APR_DRG Other Injury Poisoning And Toxic Effect Diagnoses 19 11 — — $57,225.00 $60,086.25 $58,369.50 2026-02-28
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 19 11 — — $57,174.00 $60,032.70 $58,317.48 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 19 — — $28,860.00 $115,879.26 $57,939.63 2026-02-28
913 APR_DRG Other Major Head And Neck Procedures 19 11 — — $56,786.00 $59,625.30 $57,921.72 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 18 — — $37,673.00 $149,770.83 $57,911.39 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 19 11 — — $56,695.00 $59,529.75 $57,828.90 2026-02-28
6924 APR_DRG Radiotherapy 19 11 — — $56,656.00 $59,488.80 $57,789.12 2026-02-28
984 APR_DRG Other Ear Nose Mouth And Throat Procedures 19 11 — — $56,582.00 $59,411.10 $57,713.64 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 18 — — $37,483.00 $149,042.64 $57,629.82 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 19 11 — — $56,367.00 $59,185.35 $57,494.34 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 19 11 — — $56,307.00 $59,122.35 $57,433.14 2026-02-28
8104 APR_DRG Hemorrhage Or Hematoma Due To Complication 19 11 — — $56,285.00 $59,099.25 $57,410.70 2026-02-28
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 19 11 — — $56,126.00 $58,932.30 $57,248.52 2026-02-28
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 19 11 — — $55,923.00 $58,719.15 $57,041.46 2026-02-28
4844 APR_DRG Other Male Reproductive System And Related Procedures 19 11 — — $55,768.00 $58,556.40 $56,883.36 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 19 11 — — $55,723.00 $58,509.15 $56,837.46 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 18 — — $36,897.00 $146,788.80 $56,758.34 2026-02-28
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 19 11 — — $55,618.00 $58,398.90 $56,730.36 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 19 11 — — $55,287.00 $58,051.35 $56,392.74 2026-02-28
6903 APR_DRG Acute Leukemia 19 11 — — $55,071.00 $57,824.55 $56,172.42 2026-02-28
38240 CPT Transplt Allo Hct/donor 20 14 — — $2,561.00 $144,558.60 $56,028.17 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 19 11 — — $54,843.00 $57,585.15 $55,939.86 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 19 11 — — $54,726.00 $57,462.30 $55,820.52 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 18 — — $36,217.00 $144,173.91 $55,747.25 2026-02-28
4014 APR_DRG Adrenal Procedures 19 11 — — $54,529.00 $57,255.45 $55,619.58 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 19 11 — — $54,415.00 $57,135.75 $55,503.30 2026-02-28
5474 APR_DRG Antepartum With O.r. Procedure 19 11 — — $53,813.00 $56,503.65 $54,889.26 2026-02-28
6613 APR_DRG Coagulation And Platelet Disorders 19 11 — — $53,771.00 $56,459.55 $54,846.42 2026-02-28
274 APR_DRG Other Open Craniotomy 19 11 — — $53,707.00 $56,392.35 $54,781.14 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 18 — — $35,562.00 $141,652.83 $54,772.43 2026-02-28
4401 APR_DRG Kidney Transplant 19 11 — — $53,672.00 $56,355.60 $54,745.44 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 19 11 — — $53,491.00 $56,165.55 $54,560.82 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 18 — — $35,365.00 $140,896.11 $54,479.83 2026-02-28
213 APR_DRG Open Craniotomy Except Trauma 19 11 — — $53,373.00 $56,041.65 $54,440.46 2026-02-28
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 19 11 — — $53,034.00 $55,685.70 $54,094.68 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 19 11 — — $53,016.00 $55,666.80 $54,076.32 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 19 11 — — $52,999.00 $55,648.95 $54,058.98 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 19 11 — — $52,908.00 $55,553.40 $53,966.16 2026-02-28
1801 APR_DRG Other Circulatory System Procedures 19 11 — — $52,869.00 $55,512.45 $53,926.38 2026-02-28
3084 APR_DRG Hip And Femur Fracture Repair 19 11 — — $52,692.00 $55,326.60 $53,745.84 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 19 11 — — $52,571.00 $55,199.55 $53,622.42 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 19 11 — — $52,289.00 $54,903.45 $53,334.78 2026-02-28
233 APR_DRG Spinal Procedures 19 11 — — $52,277.00 $54,890.85 $53,322.54 2026-02-28
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 19 11 — — $52,244.00 $54,856.20 $53,288.88 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 19 11 — — $52,182.00 $54,791.10 $53,225.64 2026-02-28
4012 APR_DRG Adrenal Procedures 19 11 — — $51,962.00 $54,560.10 $53,001.24 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 18 — — $34,302.00 $136,808.58 $52,899.32 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 18 — — $34,253.00 $136,618.86 $52,825.96 2026-02-28
433 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 19 11 — — $51,753.00 $54,340.65 $52,788.06 2026-02-28
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 19 11 — — $51,607.00 $54,187.35 $52,639.14 2026-02-28
6803 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 19 11 — — $51,580.00 $54,159.00 $52,611.60 2026-02-28
404 APR_DRG Spinal Disorders And Injuries 19 11 — — $51,579.00 $54,157.95 $52,610.58 2026-02-28
C1722 HCPCS Cobalt Vr MRI Surescan 260 10 $206,750.00 $31,012.50 85% off $8,662.98 $286,431.39 $52,459.26 2026-02-28
293 APR_DRG Other Percutaneous Intracranial Procedures 19 11 — — $51,389.00 $53,958.45 $52,416.78 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 26 19 — — $25,720.00 $103,806.33 $51,903.17 2026-02-28
7923 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 19 11 — — $50,786.00 $53,325.30 $51,801.72 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 18 — — $33,544.00 $133,893.84 $51,772.29 2026-02-28
6813 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 19 11 — — $50,592.00 $53,121.60 $51,603.84 2026-02-28
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 19 11 — — $50,242.00 $52,754.10 $51,246.84 2026-02-28
2454 APR_DRG Inflammatory Bowel Disease 19 11 — — $50,170.00 $52,678.50 $51,173.40 2026-02-28
C1721 HCPCS Defib Gallant Vr Df-1 320 10 $141,473.85 $21,221.08 85% off $10,080.48 $287,458.61 $50,914.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 18 — — $32,855.00 $131,244.27 $50,747.79 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 18 — — $32,813.00 $131,081.10 $50,684.69 2026-02-28
C1784 HCPCS Gore Tag Thor Endopros 34x34x15 60 10 $213,001.95 $31,950.30 85% off $5,392.65 $196,508.97 $50,669.71 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 19 11 — — $49,668.00 $52,151.40 $50,661.36 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 18 — — $32,663.00 $130,505.91 $50,462.29 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 18 — — $32,549.00 $130,067.37 $50,292.72 2026-02-28
203 APR_DRG Open Craniotomy For Trauma 19 11 — — $49,251.00 $51,713.55 $50,236.02 2026-02-28
3224 APR_DRG Shoulder And Elbow Joint Replacement 19 11 — — $49,129.00 $51,585.45 $50,111.58 2026-02-28
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 19 11 — — $49,094.00 $51,548.70 $50,075.88 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 18 — — $32,401.00 $129,496.26 $50,071.89 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 22 18 — — $32,246.00 $128,900.67 $49,841.60 2026-02-28
2824 APR_DRG Disorders Of Pancreas Except Malignancy 19 11 — — $48,841.00 $51,283.05 $49,817.82 2026-02-28
4624 APR_DRG Nephritis And Nephrosis 19 11 — — $48,730.00 $51,166.50 $49,704.60 2026-02-28
273 APR_DRG Other Open Craniotomy 19 11 — — $48,703.00 $51,138.15 $49,677.06 2026-02-28
7594 APR_DRG Eating Disorders 19 11 — — $48,688.00 $51,122.40 $49,661.76 2026-02-28
594 APR_DRG Anoxic And Other Severe Brain Damage 19 11 — — $48,652.00 $51,084.60 $49,625.04 2026-02-28
6504 APR_DRG Splenectomy 19 11 — — $48,575.00 $51,003.75 $49,546.50 2026-02-28
1793 APR_DRG Defibrillator Implants 19 11 — — $48,573.00 $51,001.65 $49,544.46 2026-02-28
2634 APR_DRG Cholecystectomy 19 11 — — $48,548.00 $50,975.40 $49,518.96 2026-02-28
2613 APR_DRG Major Biliary Tract Procedures 19 11 — — $48,473.00 $50,896.65 $49,442.46 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 19 — — $24,437.00 $98,872.29 $49,436.15 2026-02-28
2264 APR_DRG Anal Procedures 19 11 — — $48,407.00 $50,827.35 $49,375.14 2026-02-28
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