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

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You selected 93306 (CPT)

CID TTE COMPLETE/BUBBLE STUDY

This hospital’s price: $648 across 19 payers · range $100-$5,614

Source: https://www.commonspirit.org/content/dam/commonspiritorg/en/stlum/soet/finance/price-transparency/750755367-1396746129_memorial-health-system-of-east-texas_standardcharges.json · observed 2026-02-28

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.

29,714 distinct procedures filed
41 distinct payers
942,386 rate rows
2026-07-31 last MRF observed
Data quality

926,510 of 942,386 rate rows are consumer-grade (98.3%)

15,876 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 11,973
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,554
placeholder amount (≤ $0.02) — excluded from medians 880
per-diem day rate — not a per-procedure price 272
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 100
template filing: same amount across many unrelated codes — excluded 82
exceeds 10× this hospital's gross charge — excluded from medians 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/stlum/soet/finance/price-transparency/750755367-1396746129_memorial-health-system-of-east-texas_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/stlukes-memorial-price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint 960c81240077c0fb… · 101,945,430 bytes · first seen 2026-07-07

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 6 $667,568.00 $700,946.40 $667,568.00 nat. median
$307,273
outlier · 2.2×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $649,410.00 $681,880.50 $649,410.00 nat. median
$170,172
outlier · 3.8×
5833
APR_DRG 		Neonate With Ecmo 6 $565,272.00 $593,535.60 $565,272.00 nat. median
$244,017
outlier · 2.3×
24
APR_DRG 		Heart And/or Lung Transplant 6 $543,775.00 $570,963.75 $543,775.00 nat. median
$241,915
outlier · 2.2×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $422,559.00 $443,686.95 $422,559.00 nat. median
$247,214
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $410,334.00 $430,850.70 $410,334.00 nat. median
$202,993
outlier · 2.0×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $384,418.00 $403,638.90 $384,418.00 nat. median
$163,587
outlier · 2.3×
5884
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $332,055.91 $348,658.71 $332,055.91 nat. median
$243,175
1.4× median
5834
OTHER 		Neonate With Ecmo 5 $329,212.57 $345,673.20 $329,212.57 nat. median
$372,748
0.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $314,412.00 $330,132.60 $314,412.00 nat. median
$154,011
outlier · 2.0×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $311,626.00 $327,207.30 $311,626.00 nat. median
$165,000
1.9× median
1614
OTHER 		Implantable Heart Assist Systems 5 $288,810.76 $303,251.30 $288,810.76 nat. median
$188,156
1.5× median
6304
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $285,122.78 $299,378.92 $285,122.78 nat. median
$177,388
1.6× median
J1932
HCPCS 		Lanreotide Syrg 120 Mg/0.5 Ml120 Mg 8 $61,943.41 $398,207.59 $283,169.84 nat. median
$115
outlier · 2469.6×
5832
APR_DRG 		Neonate With Ecmo 6 $281,662.00 $295,745.10 $281,662.00 nat. median
$159,249
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $200,029.00 $774,123.09 $260,621.45 nat. median
$359,358
0.7× median
5914
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $255,832.37 $268,623.99 $255,832.37 nat. median
$157,493
1.6× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 6 $248,541.00 $260,968.05 $248,541.00 nat. median
$28,699
outlier · 8.7×
5831
APR_DRG 		Neonate With Ecmo 6 $248,009.00 $260,409.45 $248,009.00 nat. median
$146,591
1.7× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $229,152.00 $240,609.60 $229,152.00 nat. median
$89,273
outlier · 2.6×
6303
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $228,707.73 $240,143.12 $228,707.73 nat. median
$89,787
outlier · 2.5×
5891
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $228,061.09 $239,464.14 $228,061.09 nat. median
$81,201
outlier · 2.8×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $226,732.00 $238,068.60 $226,732.00 nat. median
$175,429
1.3× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $225,695.00 $236,979.75 $225,695.00 nat. median
$145,061
1.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $225,112.00 $236,367.60 $225,112.00 nat. median
$122,016
1.8× median
5934
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $224,176.13 $235,384.94 $224,176.13 nat. median
$151,840
1.5× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $224,144.00 $235,351.20 $224,144.00 nat. median
$156,153
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $221,905.00 $233,000.25 $221,905.00 nat. median
$133,164
1.7× median
5833
OTHER 		Neonate With Ecmo 5 $221,412.20 $232,482.81 $221,412.20 nat. median
$241,478
0.9× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 6 $216,059.00 $226,861.95 $216,059.00 nat. median
$66,842
outlier · 3.2×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $214,124.00 $224,830.20 $214,124.00 nat. median
$162,514
1.3× median
1613
APR_DRG 		Implantable Heart Assist Systems 6 $213,872.00 $224,565.60 $213,872.00 nat. median
$120,517
1.8× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $212,741.00 $223,378.05 $212,741.00 nat. median
$120,505
1.8× median
18
OTHER 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 6 $200,700.71 $331,220.22 $211,263.91 nat. median
$380,401
0.6× median
8414
OTHER 		Extensive Third Degree Burns With Skin Graft 5 $202,692.78 $212,827.42 $202,692.78 nat. median
$140,709
1.4× median
5883
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $200,415.64 $210,436.42 $200,415.64 nat. median
$168,056
1.2× median
5892
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $199,227.56 $209,188.94 $199,227.56 nat. median
$70,935
outlier · 2.8×
6314
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $195,644.77 $205,427.01 $195,644.77 nat. median
$156,971
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $149,405.00 $579,444.54 $195,079.67 nat. median
$249,124
0.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $194,790.00 $204,529.50 $194,790.00 nat. median
$136,728
1.4× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 $194,009.00 $203,709.45 $194,009.00 nat. median
$78,130
outlier · 2.5×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 $190,562.00 $200,090.10 $190,562.00 nat. median
$68,108
outlier · 2.8×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 6 $190,456.00 $199,978.80 $190,456.00 nat. median
$98,624
1.9× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $188,864.00 $198,307.20 $188,864.00 nat. median
$78,898
outlier · 2.4×
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 6 $184,689.00 $193,923.45 $184,689.00 nat. median
$20,493
outlier · 9.0×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $183,736.00 $192,922.80 $183,736.00 nat. median
$107,657
1.7× median
64
APR_DRG 		Pancreas Transplant 6 $178,310.00 $187,225.50 $178,310.00 nat. median
$91,239
2.0× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 $178,296.00 $187,210.80 $178,296.00 nat. median
$93,998
1.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $177,763.00 $186,651.15 $177,763.00 nat. median
$151,838
1.2× median
6094
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $173,564.29 $182,242.50 $173,564.29 nat. median
$163,006
1.1× median

Other procedures at this hospital

Browse this hospital's 29,714 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 14 6 — — $667,568.00 $700,946.40 $667,568.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 14 6 — — $649,410.00 $681,880.50 $649,410.00 2026-02-28
5833 APR_DRG Neonate With Ecmo 14 6 — — $565,272.00 $593,535.60 $565,272.00 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 14 6 — — $543,775.00 $570,963.75 $543,775.00 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 6 — — $422,559.00 $443,686.95 $422,559.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 14 6 — — $410,334.00 $430,850.70 $410,334.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 6 — — $384,418.00 $403,638.90 $384,418.00 2026-02-28
5884 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $332,055.91 $348,658.71 $332,055.91 2026-07-31
5834 OTHER Neonate With Ecmo 5 5 — — $329,212.57 $345,673.20 $329,212.57 2026-07-31
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 6 — — $314,412.00 $330,132.60 $314,412.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 6 — — $311,626.00 $327,207.30 $311,626.00 2026-02-28
1614 OTHER Implantable Heart Assist Systems 5 5 — — $288,810.76 $303,251.30 $288,810.76 2026-07-31
6304 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $285,122.78 $299,378.92 $285,122.78 2026-07-31
J1932 HCPCS Lanreotide Syrg 120 Mg/0.5 Ml120 Mg 18 8 $442,452.87 $66,367.93 85% off $61,943.41 $398,207.59 $283,169.84 2026-02-28
5832 APR_DRG Neonate With Ecmo 14 6 — — $281,662.00 $295,745.10 $281,662.00 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 13 — — $200,029.00 $774,123.09 $260,621.45 2026-02-28
5914 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $255,832.37 $268,623.99 $255,832.37 2026-07-31
2004 APR_DRG Cardiac Structural And Valvular Disorders 14 6 — — $248,541.00 $260,968.05 $248,541.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 14 6 — — $248,009.00 $260,409.45 $248,009.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 14 6 — — $229,152.00 $240,609.60 $229,152.00 2026-02-28
6303 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $228,707.73 $240,143.12 $228,707.73 2026-07-31
5891 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $228,061.09 $239,464.14 $228,061.09 2026-07-31
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 6 — — $226,732.00 $238,068.60 $226,732.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 6 — — $225,695.00 $236,979.75 $225,695.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 6 — — $225,112.00 $236,367.60 $225,112.00 2026-02-28
5934 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $224,176.13 $235,384.94 $224,176.13 2026-07-31
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 28 6 — — $224,144.00 $235,351.20 $224,144.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 6 — — $221,905.00 $233,000.25 $221,905.00 2026-02-28
5833 OTHER Neonate With Ecmo 5 5 — — $221,412.20 $232,482.81 $221,412.20 2026-07-31
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 28 6 — — $216,059.00 $226,861.95 $216,059.00 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 6 — — $214,124.00 $224,830.20 $214,124.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 14 6 — — $213,872.00 $224,565.60 $213,872.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 6 — — $212,741.00 $223,378.05 $212,741.00 2026-02-28
18 OTHER Chimeric Antigen Receptor (car) T-cell Immunotherapy 6 6 — — $200,700.71 $331,220.22 $211,263.91 2026-07-31
8414 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $202,692.78 $212,827.42 $202,692.78 2026-07-31
5883 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $200,415.64 $210,436.42 $200,415.64 2026-07-31
5892 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $199,227.56 $209,188.94 $199,227.56 2026-07-31
6314 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $195,644.77 $205,427.01 $195,644.77 2026-07-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 13 — — $149,405.00 $579,444.54 $195,079.67 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 14 6 — — $194,790.00 $204,529.50 $194,790.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 14 6 — — $194,009.00 $203,709.45 $194,009.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 14 6 — — $190,562.00 $200,090.10 $190,562.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 6 — — $190,456.00 $199,978.80 $190,456.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 6 — — $188,864.00 $198,307.20 $188,864.00 2026-02-28
2464 APR_DRG Gastrointestinal Vascular Insufficiency 14 6 — — $184,689.00 $193,923.45 $184,689.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 6 — — $183,736.00 $192,922.80 $183,736.00 2026-02-28
64 APR_DRG Pancreas Transplant 14 6 — — $178,310.00 $187,225.50 $178,310.00 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 14 6 — — $178,296.00 $187,210.80 $178,296.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 6 — — $177,763.00 $186,651.15 $177,763.00 2026-02-28
6094 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $173,564.29 $182,242.50 $173,564.29 2026-07-31
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 14 6 — — $172,806.00 $181,446.30 $172,806.00 2026-02-28
5832 OTHER Neonate With Ecmo 5 5 — — $171,436.69 $180,008.52 $171,436.69 2026-07-31
44 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $169,755.64 $178,243.42 $169,755.64 2026-07-31
6024 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $167,114.44 $175,470.16 $167,114.44 2026-07-31
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 6 — — $166,141.00 $174,448.05 $166,141.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 13 — — $125,826.00 $488,769.96 $164,552.56 2026-02-28
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 6 6 — — $156,082.29 $257,008.22 $164,297.15 2026-07-31
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 6 — — $163,414.00 $171,584.70 $163,414.00 2026-02-28
8634 OTHER Neonatal Aftercare 5 5 — — $163,033.53 $171,185.21 $163,033.53 2026-07-31
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 14 6 — — $162,088.00 $170,192.40 $162,088.00 2026-02-28
3034 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $158,448.30 $166,370.72 $158,448.30 2026-07-31
1604 OTHER Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $156,600.18 $164,430.19 $156,600.18 2026-07-31
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 14 6 — — $155,180.00 $162,939.00 $155,180.00 2026-02-28
5831 OTHER Neonate With Ecmo 5 5 — — $154,292.09 $162,006.69 $154,292.09 2026-07-31
72 APR_DRG Allogeneic Bone Marrow Transplant 14 6 — — $153,965.00 $161,663.25 $153,965.00 2026-02-28
J2506 HCPCS Pegfilgrastim Syrg 6 Mg/0.6 Ml6 Mg 18 8 $240,269.61 $36,040.45 85% off $33,637.75 $216,242.65 $153,772.55 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 14 6 — — $153,740.00 $161,427.00 $153,740.00 2026-02-28
1624 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $153,446.41 $161,118.73 $153,446.41 2026-07-31
8634 APR_DRG Neonatal Aftercare 28 6 — — $149,625.00 $157,106.25 $149,625.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 17 13 — — $113,673.00 $442,036.50 $148,818.96 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 6 — — $148,188.00 $155,597.40 $148,188.00 2026-02-28
5933 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $147,898.96 $155,293.91 $147,898.96 2026-07-31
1611 APR_DRG Implantable Heart Assist Systems 14 6 — — $145,809.00 $153,099.45 $145,809.00 2026-02-28
6034 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $145,696.07 $152,980.87 $145,696.07 2026-07-31
4404 APR_DRG Kidney Transplant 14 6 — — $145,449.00 $152,721.45 $145,449.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 6 — — $144,784.00 $152,023.20 $144,784.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 6 — — $144,735.00 $151,971.75 $144,735.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 14 6 — — $141,000.00 $148,050.00 $141,000.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 6 — — $141,000.00 $148,050.00 $141,000.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 14 6 — — $140,600.00 $147,630.00 $140,600.00 2026-02-28
4414 APR_DRG Major Bladder Procedures 14 6 — — $137,647.00 $144,529.35 $137,647.00 2026-02-28
4404 OTHER Kidney Transplant 5 5 — — $137,093.87 $143,948.56 $137,093.87 2026-07-31
23 APR_DRG Heart And/or Lung Transplant 14 6 — — $133,932.00 $140,628.60 $133,932.00 2026-02-28
9124 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $133,421.35 $140,092.42 $133,421.35 2026-07-31
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 14 6 — — $131,136.00 $137,692.80 $131,136.00 2026-02-28
4474 OTHER Other Kidney, Urinary Tract And Related Procedures 5 5 — — $130,777.06 $137,315.91 $130,777.06 2026-07-31
1784 APR_DRG External Heart Assist Systems 14 6 — — $128,922.00 $135,368.10 $128,922.00 2026-02-28
1634 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $128,706.17 $135,141.48 $128,706.17 2026-07-31
5882 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $128,365.84 $134,784.13 $128,365.84 2026-07-31
3404 OTHER Fracture Of Femur 5 5 — — $127,564.51 $133,942.74 $127,564.51 2026-07-31
8504 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $127,346.90 $133,714.24 $127,346.90 2026-07-31
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 6 — — $126,962.00 $133,310.10 $126,962.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 14 6 — — $126,816.00 $133,156.80 $126,816.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 14 6 — — $126,255.00 $132,567.75 $126,255.00 2026-02-28
6904 APR_DRG Acute Leukemia 14 6 — — $125,121.00 $131,377.05 $125,121.00 2026-02-28
43 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $124,497.37 $130,722.24 $124,497.37 2026-07-31
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 14 6 — — $124,355.00 $130,572.75 $124,355.00 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 6 — — $124,215.00 $130,425.75 $124,215.00 2026-02-28
924 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 5 5 — — $123,901.27 $130,096.33 $123,901.27 2026-07-31
6084 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $122,576.03 $128,704.83 $122,576.03 2026-07-31
9114 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $120,869.20 $126,912.66 $120,869.20 2026-07-31
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 6 — — $120,464.00 $126,487.20 $120,464.00 2026-02-28
6074 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $120,457.71 $126,480.60 $120,457.71 2026-07-31
927 OTHER Extensive Burns Or Full Thickness Burns With Mechanical Ventilation >96 Hours Wi… 6 6 — — $113,756.16 $186,607.18 $119,743.33 2026-07-31
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 14 6 — — $117,931.00 $123,827.55 $117,931.00 2026-02-28
8424 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $117,897.98 $123,792.88 $117,897.98 2026-07-31
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 6 — — $117,212.00 $123,072.60 $117,212.00 2026-02-28
3623 OTHER Mastectomy Procedures 5 5 — — $116,492.30 $122,316.92 $116,492.30 2026-07-31
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 6 — — $116,418.00 $122,238.90 $116,418.00 2026-02-28
4054 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 5 5 — — $115,959.11 $121,757.07 $115,959.11 2026-07-31
5881 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $115,529.05 $121,305.50 $115,529.05 2026-07-31
6023 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $115,357.85 $121,125.74 $115,357.85 2026-07-31
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 6 — — $115,279.00 $121,042.95 $115,279.00 2026-02-28
63 APR_DRG Pancreas Transplant 14 6 — — $115,231.00 $120,992.55 $115,231.00 2026-02-28
1674 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $114,991.73 $120,741.32 $114,991.73 2026-07-31
5913 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $114,918.51 $120,664.44 $114,918.51 2026-07-31
214 OTHER Open Craniotomy Except Trauma 5 5 — — $114,134.71 $119,841.45 $114,134.71 2026-07-31
14 OTHER Allogeneic Bone Marrow Transplant 11 11 — — $69,734.14 $203,866.57 $113,386.29 2026-07-31
6344 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 5 5 — — $113,117.83 $118,773.72 $113,117.83 2026-07-31
3044 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $109,851.66 $115,344.24 $109,851.66 2026-07-31
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 14 6 — — $109,850.00 $115,342.50 $109,850.00 2026-02-28
6093 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $109,451.50 $114,924.08 $109,451.50 2026-07-31
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 14 6 — — $109,252.00 $114,714.60 $109,252.00 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 14 6 — — $108,996.00 $114,445.80 $108,996.00 2026-02-28
5932 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $108,368.62 $113,787.05 $108,368.62 2026-07-31
3 OTHER Ecmo Or Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosi… 10 10 — — $102,874.55 $172,490.98 $108,289.00 2026-07-31
22 APR_DRG Heart And/or Lung Transplant 14 6 — — $107,592.00 $112,971.60 $107,592.00 2026-02-28
234 APR_DRG Spinal Procedures 14 6 — — $107,381.00 $112,750.05 $107,381.00 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 28 6 — — $106,993.00 $112,342.65 $106,993.00 2026-02-28
Q5127 HCPCS Pegfilgrastim-fpgk Syrg 6 Mg/0.6 Ml0 Mg 18 8 $165,817.64 $24,872.65 85% off $23,214.47 $149,235.88 $106,123.29 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 6 — — $105,614.00 $110,894.70 $105,614.00 2026-02-28
9104 OTHER Craniotomy For Multiple Significant Trauma 5 5 — — $105,495.38 $110,770.15 $105,495.38 2026-07-31
6814 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $104,943.62 $110,190.80 $104,943.62 2026-07-31
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 6 — — $104,297.00 $109,511.85 $104,297.00 2026-02-28
1694 OTHER Major Abdominal Vascular Procedures 5 5 — — $104,280.49 $109,494.51 $104,280.49 2026-07-31
62 APR_DRG Pancreas Transplant 14 6 — — $104,225.00 $109,436.25 $104,225.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 28 6 — — $103,816.00 $109,006.80 $103,816.00 2026-02-28
61 APR_DRG Pancreas Transplant 14 6 — — $102,880.00 $108,024.00 $102,880.00 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 14 6 — — $101,099.00 $106,153.95 $101,099.00 2026-02-28
404 OTHER Spinal Disorders And Injuries 5 5 — — $100,829.70 $105,871.18 $100,829.70 2026-07-31
6302 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $100,599.72 $105,629.71 $100,599.72 2026-07-31
13 APR_DRG Liver Transplant And/or Intestinal Transplant 14 6 — — $100,360.00 $105,378.00 $100,360.00 2026-02-28
1613 OTHER Implantable Heart Assist Systems 5 5 — — $100,287.23 $105,301.59 $100,287.23 2026-07-31
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 6 — — $100,242.00 $105,254.10 $100,242.00 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 14 6 — — $100,181.00 $105,190.05 $100,181.00 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 6 — — $99,749.00 $104,736.45 $99,749.00 2026-02-28
4034 OTHER Procedures For Obesity 5 5 — — $99,436.39 $104,408.21 $99,436.39 2026-07-31
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 6 — — $99,157.00 $104,114.85 $99,157.00 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 14 6 — — $99,077.00 $104,030.85 $99,077.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 14 6 — — $99,018.00 $103,968.90 $99,018.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 17 13 — — $74,946.00 $293,106.21 $98,679.10 2026-02-28
8413 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $98,143.12 $103,050.28 $98,143.12 2026-07-31
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 28 6 — — $97,398.00 $102,267.90 $97,398.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 14 6 — — $97,374.00 $102,242.70 $97,374.00 2026-02-28
4834 OTHER Penis, Testes And Scrotal Procedures 5 5 — — $97,335.60 $102,202.38 $97,335.60 2026-07-31
2054 APR_DRG Cardiomyopathy 14 6 — — $97,099.00 $101,953.95 $97,099.00 2026-02-28
5912 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $96,999.40 $101,849.37 $96,999.40 2026-07-31
6954 APR_DRG Chemotherapy For Acute Leukemia 14 6 — — $96,974.00 $101,822.70 $96,974.00 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 28 6 — — $96,875.00 $101,718.75 $96,875.00 2026-02-28
2604 OTHER Major Pancreas, Liver And Shunt Procedures 5 5 — — $96,683.81 $101,518.00 $96,683.81 2026-07-31
6033 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $96,578.62 $101,407.55 $96,578.62 2026-07-31
3614 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $96,519.83 $101,345.82 $96,519.83 2026-07-31
9504 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $96,104.21 $100,909.42 $96,104.21 2026-07-31
6114 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $96,026.86 $100,828.20 $96,026.86 2026-07-31
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 6 — — $95,247.00 $100,009.35 $95,247.00 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 14 6 — — $94,928.00 $99,674.40 $94,928.00 2026-02-28
6334 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $94,868.70 $99,612.14 $94,868.70 2026-07-31
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 6 — — $94,632.00 $99,363.60 $94,632.00 2026-02-28
6124 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $94,377.79 $99,096.68 $94,377.79 2026-07-31
2644 OTHER Other Hepatobiliary, Pancreas And Abdominal Procedures 5 5 — — $94,265.38 $98,978.65 $94,265.38 2026-07-31
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 14 6 — — $93,637.00 $98,318.85 $93,637.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 6 — — $93,478.00 $98,151.90 $93,478.00 2026-02-28
6313 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $93,414.54 $98,085.27 $93,414.54 2026-07-31
214 APR_DRG Open Craniotomy Except Trauma 14 6 — — $93,257.00 $97,919.85 $93,257.00 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 14 6 — — $92,920.00 $97,566.00 $92,920.00 2026-02-28
6804 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $92,838.04 $97,479.94 $92,838.04 2026-07-31
224 APR_DRG Ventricular Shunt Procedures 14 6 — — $92,554.00 $97,181.70 $92,554.00 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 14 6 — — $92,047.00 $96,649.35 $92,047.00 2026-02-28
3033 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $91,703.59 $96,288.77 $91,703.59 2026-07-31
14 MS_DRG Allogeneic Bone Marrow Transplant 17 13 — — $69,492.00 $272,134.08 $91,618.48 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 28 6 — — $91,481.00 $96,055.05 $91,481.00 2026-02-28
6073 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $91,393.16 $95,962.82 $91,393.16 2026-07-31
7 MS_DRG Lung Transplant 17 13 — — $69,317.00 $271,460.97 $91,391.86 2026-02-28
3214 OTHER Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 5 5 — — $91,376.66 $95,945.49 $91,376.66 2026-07-31
5104 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 5 5 — — $91,206.49 $95,766.81 $91,206.49 2026-07-31
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 6 — — $86,550.01 $141,355.76 $91,105.27 2026-07-31
1204 OTHER Major Respiratory And Chest Procedures 5 5 — — $90,829.03 $95,370.48 $90,829.03 2026-07-31
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 28 6 — — $90,645.00 $95,177.25 $90,645.00 2026-02-28
1654 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $90,438.16 $94,960.07 $90,438.16 2026-07-31
625034252 OTHER Impella Cp Pump Set 4 4 $131,239.00 $45,933.65 65% off $88,455.09 $101,054.03 $90,226.82 2026-07-31
4403 OTHER Kidney Transplant 5 5 — — $90,021.51 $94,522.59 $90,021.51 2026-07-31
2304 OTHER Major Small Bowel Procedures 5 5 — — $89,685.30 $94,169.56 $89,685.30 2026-07-31
2314 OTHER Major Large Bowel Procedures 5 5 — — $89,685.30 $94,169.56 $89,685.30 2026-07-31
2324 OTHER Gastric Fundoplication 5 5 — — $89,685.30 $94,169.56 $89,685.30 2026-07-31
4403 APR_DRG Kidney Transplant 14 6 — — $89,021.00 $93,472.05 $89,021.00 2026-02-28
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 14 6 — — $89,015.00 $93,465.75 $89,015.00 2026-02-28
3024 OTHER No Active Code Description 5 5 — — $88,830.34 $93,271.86 $88,830.34 2026-07-31
1694 APR_DRG Major Abdominal Vascular Procedures 14 6 — — $88,713.00 $93,148.65 $88,713.00 2026-02-28
5114 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 5 5 — — $88,393.06 $92,812.71 $88,393.06 2026-07-31
1204 APR_DRG Major Respiratory And Chest Procedures 14 6 — — $88,352.00 $92,769.60 $88,352.00 2026-02-28
8412 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $88,328.09 $92,744.49 $88,328.09 2026-07-31
6022 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $88,287.87 $92,702.26 $88,287.87 2026-07-31
4834 APR_DRG Penis Testes And Scrotal Procedures 14 6 — — $88,017.00 $92,417.85 $88,017.00 2026-02-28
6904 OTHER Acute Leukemia 5 5 — — $87,877.41 $92,271.28 $87,877.41 2026-07-31
894 APR_DRG Major Cranial Or Facial Bone Procedures 14 6 — — $87,073.00 $91,426.65 $87,073.00 2026-02-28
6364 OTHER Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 5 5 — — $86,980.16 $91,329.17 $86,980.16 2026-07-31
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 28 6 — — $86,957.00 $91,304.85 $86,957.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 6 — — $86,935.00 $91,281.75 $86,935.00 2026-02-28
1664 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $86,794.52 $91,134.25 $86,794.52 2026-07-31
3154 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 5 5 — — $86,720.27 $91,056.28 $86,720.27 2026-07-31
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 14 6 — — $85,641.00 $89,923.05 $85,641.00 2026-02-28
7104 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 5 5 — — $85,499.19 $89,774.15 $85,499.19 2026-07-31
4234 OTHER Inborn Errors Of Metabolism 5 5 — — $84,131.67 $88,338.25 $84,131.67 2026-07-31
2294 OTHER Other Digestive System And Abdominal Procedures 5 5 — — $83,998.63 $88,198.56 $83,998.63 2026-07-31
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 6 — — $83,938.00 $88,134.90 $83,938.00 2026-02-28
4424 OTHER Kidney And Urinary Tract Procedures For Malignancy 5 5 — — $83,673.76 $87,857.45 $83,673.76 2026-07-31
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 14 6 — — $83,480.00 $87,654.00 $83,480.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 14 6 — — $83,337.00 $87,503.85 $83,337.00 2026-02-28
6144 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $82,533.13 $86,659.79 $82,533.13 2026-07-31
1783 APR_DRG External Heart Assist Systems 14 6 — — $82,503.00 $86,628.15 $82,503.00 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 14 6 — — $82,455.00 $86,577.75 $82,455.00 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 6 — — $82,154.00 $86,261.70 $82,154.00 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 14 6 — — $81,490.00 $85,564.50 $81,490.00 2026-02-28
6514 OTHER Other Procedures Of Blood And Blood-forming Organs 5 5 — — $81,319.27 $85,385.23 $81,319.27 2026-07-31
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 6 — — $81,256.00 $85,318.80 $81,256.00 2026-02-28
1714 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 5 5 — — $80,808.77 $84,849.21 $80,808.77 2026-07-31
C1824 HCPCS Optimizer Smart Mini Imp Ipg 40 10 $273,000.00 $40,950.00 85% off $40,950.00 $245,700.00 $80,535.00 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 6 — — $80,485.00 $84,509.25 $80,485.00 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 14 6 — — $80,357.00 $84,374.85 $80,357.00 2026-02-28
8444 OTHER Partial Thickness Burns Without Skin Graft 5 5 — — $80,115.72 $84,121.51 $80,115.72 2026-07-31
1214 OTHER Other Respiratory And Chest Procedures 5 5 — — $80,054.87 $84,057.61 $80,054.87 2026-07-31
8434 OTHER Extensive Third Degree Burns Without Skin Graft 5 5 — — $79,987.84 $83,987.23 $79,987.84 2026-07-31
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 6 — — $79,797.00 $83,786.85 $79,797.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 14 6 — — $79,573.00 $83,551.65 $79,573.00 2026-02-28
8411 OTHER Extensive Third Degree Burns With Skin Graft 5 5 — — $79,494.87 $83,469.61 $79,494.87 2026-07-31
914 APR_DRG Other Major Head And Neck Procedures 14 6 — — $79,145.00 $83,102.25 $79,145.00 2026-02-28
2204 OTHER Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $78,975.09 $82,923.84 $78,975.09 2026-07-31
9103 OTHER Craniotomy For Multiple Significant Trauma 5 5 — — $78,876.08 $82,819.88 $78,876.08 2026-07-31
204 APR_DRG Open Craniotomy For Trauma 14 6 — — $78,338.00 $82,254.90 $78,338.00 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 6 — — $77,805.00 $81,695.25 $77,805.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 6 — — $77,656.00 $81,538.80 $77,656.00 2026-02-28
51 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $77,601.37 $81,481.44 $77,601.37 2026-07-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 13 — — $58,448.00 $229,665.63 $77,320.77 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 14 6 — — $77,086.00 $80,940.30 $77,086.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 14 6 — — $77,054.00 $80,906.70 $77,054.00 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 14 6 — — $76,819.00 $80,659.95 $76,819.00 2026-02-28
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 14 6 — — $76,567.00 $80,395.35 $76,567.00 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 14 6 — — $76,551.00 $80,378.55 $76,551.00 2026-02-28
4014 OTHER Adrenal Procedures 5 5 — — $76,516.43 $80,342.25 $76,516.43 2026-07-31
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 28 6 — — $76,465.00 $80,288.25 $76,465.00 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 13 — — $57,781.00 $227,099.70 $76,456.90 2026-02-28
3134 OTHER Knee And Lower Leg Procedures Except Foot 5 5 — — $75,856.39 $79,649.21 $75,856.39 2026-07-31
9514 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $75,244.82 $79,007.06 $75,244.82 2026-07-31
6214 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $74,791.04 $78,530.59 $74,791.04 2026-07-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 13 — — $56,484.00 $222,112.65 $74,777.93 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 14 6 — — $74,515.00 $78,240.75 $74,515.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 17 13 — — $56,195.00 $220,998.96 $74,402.99 2026-02-28
C1605 HCPCS Pacer Sys Aveir Dual Chamber 40 10 $252,000.00 $37,800.00 85% off $37,800.00 $226,800.00 $74,340.00 2026-02-28
6032 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $74,215.56 $77,926.34 $74,215.56 2026-07-31
11 APR_DRG Liver Transplant And/or Intestinal Transplant 14 6 — — $74,192.00 $77,901.60 $74,192.00 2026-02-28
1304 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $74,162.96 $77,871.11 $74,162.96 2026-07-31
7234 OTHER Viral Illness 5 5 — — $74,047.46 $77,749.83 $74,047.46 2026-07-31
3032 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $74,044.36 $77,746.58 $74,044.36 2026-07-31
7114 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 5 5 — — $74,041.27 $77,743.33 $74,041.27 2026-07-31
1623 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $73,925.76 $77,622.05 $73,925.76 2026-07-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 13 — — $55,562.00 $218,563.56 $73,583.07 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 14 6 — — $73,333.00 $76,999.65 $73,333.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 6 — — $73,071.00 $76,724.55 $73,071.00 2026-02-28
2224 OTHER Other Stomach, Esophageal And Duodenal Procedures 5 5 — — $72,863.51 $76,506.69 $72,863.51 2026-07-31
4414 OTHER Major Bladder Procedures 5 5 — — $72,847.01 $76,489.36 $72,847.01 2026-07-31
1833 APR_DRG Percutaneous Structural Cardiac Procedures 14 6 — — $72,685.00 $76,319.25 $72,685.00 2026-02-28
6083 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $72,624.24 $76,255.45 $72,624.24 2026-07-31
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 28 6 — — $72,400.00 $76,020.00 $72,400.00 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 6 — — $71,943.00 $75,540.15 $71,943.00 2026-02-28
4402 OTHER Kidney Transplant 5 5 — — $71,691.93 $75,276.53 $71,691.93 2026-07-31
2244 OTHER Peritoneal Adhesiolysis 5 5 — — $71,498.04 $75,072.94 $71,498.04 2026-07-31
215 OTHER Other Heart Assist System Implant 10 10 — — $61,087.22 $126,116.06 $71,453.71 2026-07-31
1603 OTHER Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $71,360.88 $74,928.92 $71,360.88 2026-07-31
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 14 6 — — $71,216.00 $74,776.80 $71,216.00 2026-02-28
3014 OTHER No Active Code Description 5 5 — — $71,110.27 $74,665.78 $71,110.27 2026-07-31
1782 APR_DRG External Heart Assist Systems 14 6 — — $70,809.00 $74,349.45 $70,809.00 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 14 6 — — $70,689.00 $74,223.45 $70,689.00 2026-02-28
1653 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $70,525.51 $74,051.79 $70,525.51 2026-07-31
6224 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $70,208.90 $73,719.34 $70,208.90 2026-07-31
3814 OTHER Major Skin Disorders 5 5 — — $70,100.61 $73,605.64 $70,100.61 2026-07-31
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 6 — — $70,069.00 $73,572.45 $70,069.00 2026-02-28
3124 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $69,874.75 $73,368.49 $69,874.75 2026-07-31
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 6 — — $69,801.00 $73,291.05 $69,801.00 2026-02-28
C1882 HCPCS Crtd Cobalt Hf MRI Is1 Df1 1,247 19 $236,418.00 $38,370.63 84% off $1,281.55 $379,164.24 $69,375.29 2026-07-31
2234 APR_DRG Other Small And Large Bowel Procedures 14 6 — — $68,996.00 $72,445.80 $68,996.00 2026-02-28
5464 OTHER No Active Code Description 5 5 — — $68,918.21 $72,364.12 $68,918.21 2026-07-31
6254 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 5 — — $68,656.77 $72,089.61 $68,656.77 2026-07-31
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 14 6 — — $68,572.00 $72,000.60 $68,572.00 2026-02-28
3043 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $68,517.54 $71,943.42 $68,517.54 2026-07-31
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 14 6 — — $68,263.00 $71,676.15 $68,263.00 2026-02-28
4 OTHER Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosis Except… 10 10 — — $64,843.34 $108,305.88 $68,256.15 2026-07-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 13 — — $51,189.00 $201,750.36 $67,922.63 2026-02-28
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 14 6 — — $67,877.00 $71,270.85 $67,877.00 2026-02-28
1612 OTHER Implantable Heart Assist Systems 5 5 — — $67,792.53 $71,182.16 $67,792.53 2026-07-31
7234 APR_DRG Viral Illness 14 6 — — $67,785.00 $71,174.25 $67,785.00 2026-02-28
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