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 LIVINGSTON

Livingston, TX · CCN 450395 · Rates published

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You selected 29806 (CPT)

SHO ARTHRS SRG CAPSULORPAPHY

This hospital’s price: $3,994 across 17 payers · range $2,523-$20,224

Source: https://www.commonspirit.org/content/dam/commonspiritorg/en/stlum/soet/finance/price-transparency/760436439_chi-st-lukes-health-memorial-livingston_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.

29,660 distinct procedures filed
44 distinct payers
1,274,195 rate rows
2026-07-31 last MRF observed
Data quality

1,245,704 of 1,274,195 rate rows are consumer-grade (97.8%)

28,491 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 21,150
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,450
placeholder amount (≤ $0.02) — excluded from medians 1,629
template filing: same amount across many unrelated codes — excluded 778
per-diem day rate — not a per-procedure price 384
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 86
exceeds 10× this hospital's gross charge — excluded from medians 14
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/stlum/soet/finance/price-transparency/760436439_chi-st-lukes-health-memorial-livingston_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/stlukes-memorial-price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-06
Content fingerprint e0a060c28c659be7… · 102,704,180 bytes · first seen 2026-05-09

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 7 $905,532.00 $950,808.60 $905,532.00 nat. median
$309,665
outlier · 2.9×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $880,902.00 $924,947.10 $880,902.00 nat. median
$171,358
outlier · 5.1×
5833
APR_DRG 		Neonate With Ecmo 7 $766,771.00 $805,109.55 $766,771.00 nat. median
$244,017
outlier · 3.1×
24
APR_DRG 		Heart And/or Lung Transplant 7 $737,612.00 $774,492.60 $737,612.00 nat. median
$243,231
outlier · 3.0×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $573,187.00 $601,846.35 $573,187.00 nat. median
$249,123
outlier · 2.3×
1614
APR_DRG 		Implantable Heart Assist Systems 7 $556,604.00 $584,434.20 $556,604.00 nat. median
$202,660
outlier · 2.7×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $521,450.00 $547,522.50 $521,450.00 nat. median
$165,169
outlier · 3.2×
5884
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $485,623.83 $509,905.02 $485,623.83 nat. median
$243,175
2.0× median
5834
OTHER 		Neonate With Ecmo 7 $481,465.51 $505,538.79 $481,465.51 nat. median
$363,985
1.3× median
1794
OTHER 		Defibrillator Implants 1 $435,050.21 $435,050.21 $435,050.21 nat. median
$40,426
outlier · 10.8×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $426,489.00 $447,813.45 $426,489.00 nat. median
$154,211
outlier · 2.8×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $422,710.00 $443,845.50 $422,710.00 nat. median
$165,846
outlier · 2.5×
1614
OTHER 		Implantable Heart Assist Systems 7 $422,378.84 $443,497.78 $422,378.84 nat. median
$184,558
outlier · 2.3×
6304
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $416,985.25 $437,834.51 $416,985.25 nat. median
$177,388
outlier · 2.4×
5832
APR_DRG 		Neonate With Ecmo 7 $382,064.00 $401,167.20 $382,064.00 nat. median
$159,829
outlier · 2.4×
5914
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $374,148.73 $392,856.17 $374,148.73 nat. median
$154,480
outlier · 2.4×
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 7 $337,137.00 $353,993.85 $337,137.00 nat. median
$28,745
outlier · 11.7×
5831
APR_DRG 		Neonate With Ecmo 7 $336,415.00 $353,235.75 $336,415.00 nat. median
$148,245
outlier · 2.3×
6303
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $334,479.59 $351,203.57 $334,479.59 nat. median
$86,355
outlier · 3.9×
5891
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $333,533.90 $350,210.60 $333,533.90 nat. median
$83,379
outlier · 4.0×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $200,029.00 $970,224.09 $329,876.20 nat. median
$360,195
0.9× median
5934
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $327,852.23 $344,244.84 $327,852.23 nat. median
$143,243
outlier · 2.3×
5833
OTHER 		Neonate With Ecmo 7 $323,810.05 $340,000.55 $323,810.05 nat. median
$241,478
1.3× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $310,837.00 $326,378.85 $310,837.00 nat. median
$89,273
outlier · 3.5×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $307,553.00 $322,930.65 $307,553.00 nat. median
$177,531
1.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $306,148.00 $321,455.40 $306,148.00 nat. median
$145,336
outlier · 2.1×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $305,356.00 $320,623.80 $305,356.00 nat. median
$122,016
outlier · 2.5×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $304,043.00 $319,245.15 $304,043.00 nat. median
$160,390
1.9× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $301,006.00 $316,056.30 $301,006.00 nat. median
$138,094
outlier · 2.2×
8414
OTHER 		Extensive Third Degree Burns With Skin Graft 7 $296,433.35 $311,255.02 $296,433.35 nat. median
$139,129
outlier · 2.1×
5883
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $293,103.08 $307,758.23 $293,103.08 nat. median
$166,169
1.8× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 7 $293,077.00 $307,730.85 $293,077.00 nat. median
$67,082
outlier · 4.4×
5892
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $291,365.55 $305,933.83 $291,365.55 nat. median
$73,904
outlier · 3.9×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $290,451.00 $304,973.55 $290,451.00 nat. median
$165,334
1.8× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $290,109.00 $304,614.45 $290,109.00 nat. median
$121,888
outlier · 2.4×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $288,576.00 $303,004.80 $288,576.00 nat. median
$122,978
outlier · 2.3×
6314
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $286,125.80 $300,432.09 $286,125.80 nat. median
$156,971
1.8× median
14
OTHER 		Liver Transplant And/or Intestinal Transplant 13 $80,765.50 $298,150.00 $283,952.38 nat. median
$109,099
outlier · 2.6×
J1932
HCPCS 		Lanreotide Syrg 120 Mg/0.5 Ml120 Mg 9 $61,943.41 $398,207.59 $269,896.26 nat. median
$112
outlier · 2405.5×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $264,225.00 $277,436.25 $264,225.00 nat. median
$137,215
1.9× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 $263,167.00 $276,325.35 $263,167.00 nat. median
$78,187
outlier · 3.4×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 $258,491.00 $271,415.55 $258,491.00 nat. median
$68,030
outlier · 3.8×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $258,346.00 $271,263.30 $258,346.00 nat. median
$99,544
outlier · 2.6×
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $256,187.00 $268,996.35 $256,187.00 nat. median
$79,816
outlier · 3.2×
6094
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $253,833.63 $266,525.31 $253,833.63 nat. median
$159,889
1.6× median
5832
OTHER 		Neonate With Ecmo 7 $250,722.06 $263,258.16 $250,722.06 nat. median
$176,224
1.4× median
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 7 $250,524.00 $263,050.20 $250,524.00 nat. median
$20,493
outlier · 12.2×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $249,232.00 $261,693.60 $249,232.00 nat. median
$107,562
outlier · 2.3×
44
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $248,263.57 $260,676.75 $248,263.57 nat. median
$57,853
outlier · 4.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $149,405.00 $727,912.26 $247,490.17 nat. median
$247,805
1.0× median

Other procedures at this hospital

Browse this hospital's 29,660 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 36 7 — — $905,532.00 $950,808.60 $905,532.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 36 7 — — $880,902.00 $924,947.10 $880,902.00 2026-02-28
5833 APR_DRG Neonate With Ecmo 36 7 — — $766,771.00 $805,109.55 $766,771.00 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 36 7 — — $737,612.00 $774,492.60 $737,612.00 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 36 7 — — $573,187.00 $601,846.35 $573,187.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 36 7 — — $556,604.00 $584,434.20 $556,604.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 36 7 — — $521,450.00 $547,522.50 $521,450.00 2026-02-28
5884 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $485,623.83 $509,905.02 $485,623.83 2026-07-31
5834 OTHER Neonate With Ecmo 7 7 — — $481,465.51 $505,538.79 $481,465.51 2026-07-31
1794 OTHER Defibrillator Implants 1 1 — — $435,050.21 $435,050.21 $435,050.21 2026-07-31
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 36 7 — — $426,489.00 $447,813.45 $426,489.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 36 7 — — $422,710.00 $443,845.50 $422,710.00 2026-02-28
1614 OTHER Implantable Heart Assist Systems 7 7 — — $422,378.84 $443,497.78 $422,378.84 2026-07-31
6304 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $416,985.25 $437,834.51 $416,985.25 2026-07-31
5832 APR_DRG Neonate With Ecmo 36 7 — — $382,064.00 $401,167.20 $382,064.00 2026-02-28
5914 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $374,148.73 $392,856.17 $374,148.73 2026-07-31
2004 APR_DRG Cardiac Structural And Valvular Disorders 36 7 — — $337,137.00 $353,993.85 $337,137.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 36 7 — — $336,415.00 $353,235.75 $336,415.00 2026-02-28
6303 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $334,479.59 $351,203.57 $334,479.59 2026-07-31
5891 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $333,533.90 $350,210.60 $333,533.90 2026-07-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 13 — — $200,029.00 $970,224.09 $329,876.20 2026-02-28
5934 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $327,852.23 $344,244.84 $327,852.23 2026-07-31
5833 OTHER Neonate With Ecmo 7 7 — — $323,810.05 $340,000.55 $323,810.05 2026-07-31
73 APR_DRG Allogeneic Bone Marrow Transplant 36 7 — — $310,837.00 $326,378.85 $310,837.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 36 7 — — $307,553.00 $322,930.65 $307,553.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 36 7 — — $306,148.00 $321,455.40 $306,148.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 36 7 — — $305,356.00 $320,623.80 $305,356.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 36 7 — — $304,043.00 $319,245.15 $304,043.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 36 7 — — $301,006.00 $316,056.30 $301,006.00 2026-02-28
8414 OTHER Extensive Third Degree Burns With Skin Graft 7 7 — — $296,433.35 $311,255.02 $296,433.35 2026-07-31
5883 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $293,103.08 $307,758.23 $293,103.08 2026-07-31
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 36 7 — — $293,077.00 $307,730.85 $293,077.00 2026-02-28
5892 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $291,365.55 $305,933.83 $291,365.55 2026-07-31
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 36 7 — — $290,451.00 $304,973.55 $290,451.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 36 7 — — $290,109.00 $304,614.45 $290,109.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 36 7 — — $288,576.00 $303,004.80 $288,576.00 2026-02-28
6314 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $286,125.80 $300,432.09 $286,125.80 2026-07-31
14 OTHER Liver Transplant And/or Intestinal Transplant 13 13 — — $80,765.50 $298,150.00 $283,952.38 2026-07-31
J1932 HCPCS Lanreotide Syrg 120 Mg/0.5 Ml120 Mg 22 9 $442,452.87 $66,367.93 85% off $61,943.41 $398,207.59 $269,896.26 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 36 7 — — $264,225.00 $277,436.25 $264,225.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 36 7 — — $263,167.00 $276,325.35 $263,167.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 36 7 — — $258,491.00 $271,415.55 $258,491.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 36 7 — — $258,346.00 $271,263.30 $258,346.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 36 7 — — $256,187.00 $268,996.35 $256,187.00 2026-02-28
6094 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $253,833.63 $266,525.31 $253,833.63 2026-07-31
5832 OTHER Neonate With Ecmo 7 7 — — $250,722.06 $263,258.16 $250,722.06 2026-07-31
2464 APR_DRG Gastrointestinal Vascular Insufficiency 36 7 — — $250,524.00 $263,050.20 $250,524.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 36 7 — — $249,232.00 $261,693.60 $249,232.00 2026-02-28
44 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $248,263.57 $260,676.75 $248,263.57 2026-07-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 13 — — $149,405.00 $727,912.26 $247,490.17 2026-02-28
18 OTHER Chimeric Antigen Receptor (car) T-cell Immunotherapy 6 6 — — $232,703.29 $331,220.22 $244,950.83 2026-07-31
6024 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $244,400.88 $256,620.92 $244,400.88 2026-07-31
64 APR_DRG Pancreas Transplant 36 7 — — $241,872.00 $253,965.60 $241,872.00 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 36 7 — — $241,853.00 $253,945.65 $241,853.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 36 7 — — $241,129.00 $253,185.45 $241,129.00 2026-02-28
8634 OTHER Neonatal Aftercare 7 7 — — $238,432.64 $250,354.27 $238,432.64 2026-07-31
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 36 7 — — $234,405.00 $246,125.25 $234,405.00 2026-02-28
3034 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $231,726.85 $243,313.19 $231,726.85 2026-07-31
1604 OTHER Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $229,024.02 $240,475.22 $229,024.02 2026-07-31
5831 OTHER Neonate With Ecmo 7 7 — — $225,648.50 $236,930.92 $225,648.50 2026-07-31
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 36 7 — — $225,364.00 $236,632.20 $225,364.00 2026-02-28
1624 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $224,411.71 $235,632.30 $224,411.71 2026-07-31
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 36 7 — — $221,665.00 $232,748.25 $221,665.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 36 7 — — $219,866.00 $230,859.30 $219,866.00 2026-02-28
5933 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $216,298.70 $227,113.64 $216,298.70 2026-07-31
6034 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $213,077.03 $223,730.88 $213,077.03 2026-07-31
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 36 7 — — $210,496.00 $221,020.80 $210,496.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 13 — — $125,826.00 $615,051.72 $209,117.59 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 36 7 — — $208,847.00 $219,289.35 $208,847.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 36 7 — — $208,543.00 $218,970.15 $208,543.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 36 7 — — $202,961.00 $213,109.05 $202,961.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 36 7 — — $201,012.00 $211,062.60 $201,012.00 2026-02-28
4404 OTHER Kidney Transplant 7 7 — — $200,496.50 $210,521.32 $200,496.50 2026-07-31
1611 APR_DRG Implantable Heart Assist Systems 36 7 — — $197,785.00 $207,674.25 $197,785.00 2026-02-28
4404 APR_DRG Kidney Transplant 36 7 — — $197,296.00 $207,160.80 $197,296.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 36 7 — — $196,394.00 $206,213.70 $196,394.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 36 7 — — $196,328.00 $206,144.40 $196,328.00 2026-02-28
9124 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $195,125.54 $204,881.82 $195,125.54 2026-07-31
1834 OTHER Percutaneous Structural Cardiac Procedures 1 1 — — $193,876.59 $193,876.59 $193,876.59 2026-07-31
1784 OTHER External Heart Assist Systems 1 1 — — $193,876.59 $193,876.59 $193,876.59 2026-07-31
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 36 7 — — $191,262.00 $200,825.10 $191,262.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 36 7 — — $191,262.00 $200,825.10 $191,262.00 2026-02-28
4474 OTHER Other Kidney, Urinary Tract And Related Procedures 7 7 — — $191,258.32 $200,821.24 $191,258.32 2026-07-31
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 36 7 — — $190,719.00 $200,254.95 $190,719.00 2026-02-28
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 6 6 — — $180,940.27 $257,008.22 $190,463.44 2026-07-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 32 13 — — $113,673.00 $556,883.67 $189,340.45 2026-02-28
1634 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $188,229.70 $197,641.19 $188,229.70 2026-07-31
5882 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $187,731.97 $197,118.57 $187,731.97 2026-07-31
4414 APR_DRG Major Bladder Procedures 36 7 — — $186,713.00 $196,048.65 $186,713.00 2026-02-28
3404 OTHER Fracture Of Femur 7 7 — — $186,560.04 $195,888.04 $186,560.04 2026-07-31
8504 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $186,241.80 $195,553.89 $186,241.80 2026-07-31
43 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $182,074.43 $191,178.15 $182,074.43 2026-07-31
23 APR_DRG Heart And/or Lung Transplant 36 7 — — $181,674.00 $190,757.70 $181,674.00 2026-02-28
924 OTHER Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 7 7 — — $181,202.65 $190,262.78 $181,202.65 2026-07-31
6084 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $179,264.52 $188,227.75 $179,264.52 2026-07-31
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 36 7 — — $177,881.00 $186,775.05 $177,881.00 2026-02-28
9114 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $176,768.32 $185,606.74 $176,768.32 2026-07-31
6074 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $176,166.52 $184,974.85 $176,166.52 2026-07-31
1784 APR_DRG External Heart Assist Systems 36 7 — — $174,878.00 $183,621.90 $174,878.00 2026-02-28
8424 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $172,422.98 $181,044.13 $172,422.98 2026-07-31
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 36 7 — — $172,219.00 $180,829.95 $172,219.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 36 7 — — $172,021.00 $180,622.05 $172,021.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 36 7 — — $171,260.00 $179,823.00 $171,260.00 2026-02-28
3623 OTHER Mastectomy Procedures 7 7 — — $170,367.20 $178,885.56 $170,367.20 2026-07-31
6904 APR_DRG Acute Leukemia 36 7 — — $169,722.00 $178,208.10 $169,722.00 2026-02-28
4054 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 7 7 — — $169,587.42 $178,066.79 $169,587.42 2026-07-31
5881 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $168,958.47 $177,406.39 $168,958.47 2026-07-31
6023 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $168,708.10 $177,143.50 $168,708.10 2026-07-31
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 36 7 — — $168,683.00 $177,117.15 $168,683.00 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 36 7 — — $168,493.00 $176,917.65 $168,493.00 2026-02-28
1674 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $168,172.66 $176,581.29 $168,172.66 2026-07-31
5913 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $168,065.57 $176,468.85 $168,065.57 2026-07-31
214 OTHER Open Craniotomy Except Trauma 7 7 — — $166,919.29 $175,265.25 $166,919.29 2026-07-31
6344 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 7 — — $165,432.13 $173,703.74 $165,432.13 2026-07-31
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 36 7 — — $163,405.00 $171,575.25 $163,405.00 2026-02-28
3044 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $160,655.42 $168,688.19 $160,655.42 2026-07-31
6093 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $160,070.21 $168,073.72 $160,070.21 2026-07-31
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 36 7 — — $159,970.00 $167,968.50 $159,970.00 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 36 7 — — $158,994.00 $166,943.70 $158,994.00 2026-02-28
5932 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $158,486.52 $166,410.85 $158,486.52 2026-07-31
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 36 7 — — $157,917.00 $165,812.85 $157,917.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 36 7 — — $156,372.00 $164,190.60 $156,372.00 2026-02-28
63 APR_DRG Pancreas Transplant 36 7 — — $156,307.00 $164,122.35 $156,307.00 2026-02-28
9104 OTHER Craniotomy For Multiple Significant Trauma 7 7 — — $154,284.47 $161,998.69 $154,284.47 2026-07-31
6814 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $153,477.54 $161,151.42 $153,477.54 2026-07-31
1694 OTHER Major Abdominal Vascular Procedures 7 7 — — $152,507.72 $160,133.11 $152,507.72 2026-07-31
1793 OTHER Defibrillator Implants 1 1 — — $151,067.71 $151,067.71 $151,067.71 2026-07-31
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 36 7 — — $149,008.00 $156,458.40 $149,008.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 36 7 — — $148,196.00 $155,605.80 $148,196.00 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 36 7 — — $147,849.00 $155,241.45 $147,849.00 2026-02-28
404 OTHER Spinal Disorders And Injuries 7 7 — — $147,461.03 $154,834.08 $147,461.03 2026-07-31
6302 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $147,124.68 $154,480.91 $147,124.68 2026-07-31
1613 OTHER Implantable Heart Assist Systems 7 7 — — $146,667.68 $154,001.06 $146,667.68 2026-07-31
J2506 HCPCS Pegfilgrastim Syrg 6 Mg/0.6 Ml6 Mg 22 9 $240,269.61 $36,040.45 85% off $33,637.75 $216,242.65 $146,564.47 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 36 7 — — $145,944.00 $153,241.20 $145,944.00 2026-02-28
234 APR_DRG Spinal Procedures 36 7 — — $145,659.00 $152,941.95 $145,659.00 2026-02-28
4034 OTHER Procedures For Obesity 7 7 — — $145,423.35 $152,694.52 $145,423.35 2026-07-31
9104 APR_DRG Craniotomy For Multiple Significant Trauma 36 7 — — $145,132.00 $152,388.60 $145,132.00 2026-02-28
8413 OTHER Extensive Third Degree Burns With Skin Graft 7 7 — — $143,531.97 $150,708.57 $143,531.97 2026-07-31
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 36 7 — — $143,261.00 $150,424.05 $143,261.00 2026-02-28
4834 OTHER Penis, Testes And Scrotal Procedures 7 7 — — $142,350.99 $149,468.54 $142,350.99 2026-07-31
5912 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $141,859.30 $148,952.26 $141,859.30 2026-07-31
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 36 7 — — $141,475.00 $148,548.75 $141,475.00 2026-02-28
2604 OTHER Major Pancreas, Liver And Shunt Procedures 7 7 — — $141,397.76 $148,467.65 $141,397.76 2026-07-31
62 APR_DRG Pancreas Transplant 36 7 — — $141,378.00 $148,446.90 $141,378.00 2026-02-28
6033 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $141,243.92 $148,306.12 $141,243.92 2026-07-31
3614 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 7 — — $141,157.95 $148,215.85 $141,157.95 2026-07-31
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 36 7 — — $140,823.00 $147,864.15 $140,823.00 2026-02-28
9504 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $140,550.11 $147,577.62 $140,550.11 2026-07-31
6114 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $140,436.99 $147,458.84 $140,436.99 2026-07-31
61 APR_DRG Pancreas Transplant 36 7 — — $139,552.00 $146,529.60 $139,552.00 2026-02-28
927 OTHER Extensive Burns Or Full Thickness Burns With Mechanical Ventilation >96 Hours Wi… 6 6 — — $131,836.61 $186,607.18 $138,775.38 2026-07-31
6334 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $138,743.20 $145,680.36 $138,743.20 2026-07-31
6124 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $138,025.26 $144,926.52 $138,025.26 2026-07-31
2644 OTHER Other Hepatobiliary, Pancreas And Abdominal Procedures 7 7 — — $137,860.86 $144,753.90 $137,860.86 2026-07-31
71 APR_DRG Allogeneic Bone Marrow Transplant 36 7 — — $137,137.00 $143,993.85 $137,137.00 2026-02-28
6313 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $136,616.53 $143,447.36 $136,616.53 2026-07-31
13 APR_DRG Liver Transplant And/or Intestinal Transplant 36 7 — — $136,135.00 $142,941.75 $136,135.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 36 7 — — $135,974.00 $142,772.70 $135,974.00 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 36 7 — — $135,892.00 $142,686.60 $135,892.00 2026-02-28
6804 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $135,773.41 $142,562.08 $135,773.41 2026-07-31
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 36 7 — — $135,306.00 $142,071.30 $135,306.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 36 7 — — $134,503.00 $141,228.15 $134,503.00 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 36 7 — — $134,395.00 $141,114.75 $134,395.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 36 7 — — $134,315.00 $141,030.75 $134,315.00 2026-02-28
3033 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $134,114.30 $140,820.01 $134,114.30 2026-07-31
6073 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $133,660.31 $140,343.33 $133,660.31 2026-07-31
3214 OTHER Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 7 7 — — $133,636.18 $140,317.99 $133,636.18 2026-07-31
5104 OTHER Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 7 7 — — $133,387.32 $140,056.69 $133,387.32 2026-07-31
1204 OTHER Major Respiratory And Chest Procedures 7 7 — — $132,835.29 $139,477.05 $132,835.29 2026-07-31
1654 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $132,263.65 $138,876.83 $132,263.65 2026-07-31
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 36 7 — — $132,116.00 $138,721.80 $132,116.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 36 7 — — $132,084.00 $138,688.20 $132,084.00 2026-02-28
2054 APR_DRG Cardiomyopathy 36 7 — — $131,711.00 $138,296.55 $131,711.00 2026-02-28
4403 OTHER Kidney Transplant 7 7 — — $131,654.31 $138,237.03 $131,654.31 2026-07-31
6954 APR_DRG Chemotherapy For Acute Leukemia 36 7 — — $131,542.00 $138,119.10 $131,542.00 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 36 7 — — $131,407.00 $137,977.35 $131,407.00 2026-02-28
2304 OTHER Major Small Bowel Procedures 7 7 — — $131,162.61 $137,720.74 $131,162.61 2026-07-31
2324 OTHER Gastric Fundoplication 7 7 — — $131,162.61 $137,720.74 $131,162.61 2026-07-31
2314 OTHER Major Large Bowel Procedures 7 7 — — $131,162.61 $137,720.74 $131,162.61 2026-07-31
3024 OTHER No Active Code Description 7 7 — — $129,912.25 $136,407.86 $129,912.25 2026-07-31
5114 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 7 7 — — $129,272.74 $135,736.38 $129,272.74 2026-07-31
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 36 7 — — $129,199.00 $135,658.95 $129,199.00 2026-02-28
8412 OTHER Extensive Third Degree Burns With Skin Graft 7 7 — — $129,177.72 $135,636.61 $129,177.72 2026-07-31
6022 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $129,118.90 $135,574.84 $129,118.90 2026-07-31
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 36 7 — — $128,766.00 $135,204.30 $128,766.00 2026-02-28
6904 OTHER Acute Leukemia 7 7 — — $128,518.60 $134,944.53 $128,518.60 2026-07-31
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 36 7 — — $128,364.00 $134,782.20 $128,364.00 2026-02-28
3 OTHER Ecmo Or Tracheostomy With Mechanical Ventilation >96 Hours Or Principal Diagnosi… 10 10 — — $107,509.45 $172,490.98 $127,369.21 2026-07-31
6364 OTHER Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 7 7 — — $127,206.41 $133,566.73 $127,206.41 2026-07-31
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 36 7 — — $127,016.00 $133,366.80 $127,016.00 2026-02-28
1664 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $126,934.92 $133,281.67 $126,934.92 2026-07-31
3154 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 7 7 — — $126,826.32 $133,167.64 $126,826.32 2026-07-31
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 36 7 — — $126,800.00 $133,140.00 $126,800.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 36 7 — — $126,500.00 $132,825.00 $126,500.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 32 13 — — $74,946.00 $371,513.64 $126,314.64 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 36 7 — — $126,043.00 $132,345.15 $126,043.00 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 36 7 — — $125,546.00 $131,823.30 $125,546.00 2026-02-28
7104 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $125,040.52 $131,292.55 $125,040.52 2026-07-31
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 36 7 — — $124,858.00 $131,100.90 $124,858.00 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 36 7 — — $124,091.00 $130,295.55 $124,091.00 2026-02-28
4234 OTHER Inborn Errors Of Metabolism 7 7 — — $123,040.55 $129,192.58 $123,040.55 2026-07-31
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 36 7 — — $122,957.00 $129,104.85 $122,957.00 2026-02-28
2294 OTHER Other Digestive System And Abdominal Procedures 7 7 — — $122,845.98 $128,988.28 $122,845.98 2026-07-31
4424 OTHER Kidney And Urinary Tract Procedures For Malignancy 7 7 — — $122,370.88 $128,489.42 $122,370.88 2026-07-31
4403 APR_DRG Kidney Transplant 36 7 — — $120,754.00 $126,791.70 $120,754.00 2026-02-28
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 36 7 — — $120,746.00 $126,783.30 $120,746.00 2026-02-28
6144 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 7 — — $120,702.72 $126,737.86 $120,702.72 2026-07-31
1694 APR_DRG Major Abdominal Vascular Procedures 36 7 — — $120,336.00 $126,352.80 $120,336.00 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 36 7 — — $119,847.00 $125,839.35 $119,847.00 2026-02-28
4834 APR_DRG Penis Testes And Scrotal Procedures 36 7 — — $119,391.00 $125,360.55 $119,391.00 2026-02-28
6514 OTHER Other Procedures Of Blood And Blood-forming Organs 7 7 — — $118,927.48 $124,873.85 $118,927.48 2026-07-31
1714 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 7 — — $118,180.89 $124,089.93 $118,180.89 2026-07-31
894 APR_DRG Major Cranial Or Facial Bone Procedures 36 7 — — $118,111.00 $124,016.55 $118,111.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 36 7 — — $117,955.00 $123,852.75 $117,955.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 36 7 — — $117,925.00 $123,821.25 $117,925.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 32 13 — — $69,492.00 $345,410.13 $117,439.45 2026-02-28
8444 OTHER Partial Thickness Burns Without Skin Graft 7 7 — — $117,167.33 $123,025.70 $117,167.33 2026-07-31
7 MS_DRG Lung Transplant 32 13 — — $69,317.00 $344,572.35 $117,154.60 2026-02-28
1214 OTHER Other Respiratory And Chest Procedures 7 7 — — $117,078.34 $122,932.26 $117,078.34 2026-07-31
8434 OTHER Extensive Third Degree Burns Without Skin Graft 7 7 — — $116,980.30 $122,829.32 $116,980.30 2026-07-31
8411 OTHER Extensive Third Degree Burns With Skin Graft 7 7 — — $116,259.35 $122,072.32 $116,259.35 2026-07-31
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 36 7 — — $116,169.00 $121,977.45 $116,169.00 2026-02-28
2204 OTHER Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $115,499.17 $121,274.13 $115,499.17 2026-07-31
9103 OTHER Craniotomy For Multiple Significant Trauma 7 7 — — $115,354.38 $121,122.10 $115,354.38 2026-07-31
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 36 7 — — $113,859.00 $119,551.95 $113,859.00 2026-02-28
51 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $113,490.15 $119,164.66 $113,490.15 2026-07-31
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 36 7 — — $113,238.00 $118,899.90 $113,238.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 36 7 — — $113,044.00 $118,696.20 $113,044.00 2026-02-28
1783 APR_DRG External Heart Assist Systems 36 7 — — $111,912.00 $117,507.60 $111,912.00 2026-02-28
4014 OTHER Adrenal Procedures 7 7 — — $111,903.45 $117,498.62 $111,903.45 2026-07-31
1214 APR_DRG Other Respiratory And Chest Procedures 36 7 — — $111,848.00 $117,440.40 $111,848.00 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 36 7 — — $111,439.00 $117,010.95 $111,439.00 2026-02-28
3134 OTHER Knee And Lower Leg Procedures Except Foot 7 7 — — $110,938.15 $116,485.06 $110,938.15 2026-07-31
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 36 7 — — $110,539.00 $116,065.95 $110,539.00 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 36 7 — — $110,220.00 $115,731.00 $110,220.00 2026-02-28
9514 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $110,043.74 $115,545.93 $110,043.74 2026-07-31
6214 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $109,380.10 $114,849.11 $109,380.10 2026-07-31
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 36 7 — — $109,175.00 $114,633.75 $109,175.00 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 36 7 — — $109,001.00 $114,451.05 $109,001.00 2026-02-28
6032 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $108,538.49 $113,965.41 $108,538.49 2026-07-31
1304 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $108,461.56 $113,884.64 $108,461.56 2026-07-31
7234 OTHER Viral Illness 7 7 — — $108,292.64 $113,707.27 $108,292.64 2026-07-31
3032 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $108,288.11 $113,702.52 $108,288.11 2026-07-31
7114 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 7 — — $108,283.59 $113,697.77 $108,283.59 2026-07-31
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 36 7 — — $108,241.00 $113,653.05 $108,241.00 2026-02-28
1623 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $108,114.66 $113,520.39 $108,114.66 2026-07-31
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 36 7 — — $107,939.00 $113,335.95 $107,939.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 36 7 — — $107,358.00 $112,725.90 $107,358.00 2026-02-28
2224 OTHER Other Stomach, Esophageal And Duodenal Procedures 7 7 — — $106,561.14 $111,889.20 $106,561.14 2026-07-31
4414 OTHER Major Bladder Procedures 7 7 — — $106,537.00 $111,863.85 $106,537.00 2026-07-31
204 APR_DRG Open Craniotomy For Trauma 36 7 — — $106,262.00 $111,575.10 $106,262.00 2026-02-28
6083 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $106,211.22 $111,521.78 $106,211.22 2026-07-31
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 6 — — $100,274.04 $141,355.76 $105,551.62 2026-07-31
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 36 7 — — $105,540.00 $110,817.00 $105,540.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 36 7 — — $105,337.00 $110,603.85 $105,337.00 2026-02-28
4402 OTHER Kidney Transplant 7 7 — — $104,847.74 $110,090.13 $104,847.74 2026-07-31
2244 OTHER Peritoneal Adhesiolysis 7 7 — — $104,564.18 $109,792.39 $104,564.18 2026-07-31
12 APR_DRG Liver Transplant And/or Intestinal Transplant 36 7 — — $104,564.00 $109,792.20 $104,564.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 36 7 — — $104,522.00 $109,748.10 $104,522.00 2026-02-28
1603 OTHER Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $104,363.58 $109,581.76 $104,363.58 2026-07-31
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 36 7 — — $104,202.00 $109,412.10 $104,202.00 2026-02-28
3014 OTHER No Active Code Description 7 7 — — $103,997.07 $109,196.92 $103,997.07 2026-07-31
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 36 7 — — $103,860.00 $109,053.00 $103,860.00 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 36 7 — — $103,838.00 $109,029.90 $103,838.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 36 7 — — $103,722.00 $108,908.10 $103,722.00 2026-02-28
1653 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $103,141.88 $108,298.97 $103,141.88 2026-07-31
6224 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $102,678.84 $107,812.78 $102,678.84 2026-07-31
3814 OTHER Major Skin Disorders 7 7 — — $102,520.47 $107,646.49 $102,520.47 2026-07-31
3124 OTHER Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $102,190.16 $107,299.67 $102,190.16 2026-07-31
1792 OTHER Defibrillator Implants 1 1 — — $102,119.30 $102,119.30 $102,119.30 2026-07-31
Q5127 HCPCS Pegfilgrastim-fpgk Syrg 6 Mg/0.6 Ml0 Mg 22 9 $165,817.64 $24,872.65 85% off $23,214.47 $149,235.88 $101,148.77 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 36 7 — — $101,077.00 $106,130.85 $101,077.00 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 36 7 — — $100,638.00 $105,669.90 $100,638.00 2026-02-28
6254 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 7 7 — — $100,408.88 $105,429.32 $100,408.88 2026-07-31
3043 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $100,205.27 $105,215.53 $100,205.27 2026-07-31
2614 APR_DRG Major Biliary Tract Procedures 36 7 — — $99,473.00 $104,446.65 $99,473.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 13 — — $58,448.00 $292,550.64 $99,467.22 2026-02-28
1833 OTHER Percutaneous Structural Cardiac Procedures 1 1 — — $99,223.53 $99,223.53 $99,223.53 2026-07-31
1783 OTHER External Heart Assist Systems 1 1 — — $99,223.53 $99,223.53 $99,223.53 2026-07-31
1612 OTHER Implantable Heart Assist Systems 7 7 — — $99,144.95 $104,102.20 $99,144.95 2026-07-31
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 36 7 — — $99,118.00 $104,073.90 $99,118.00 2026-02-28
2284 OTHER Inguinal, Femoral And Umbilical Hernia Procedures 7 7 — — $99,072.55 $104,026.18 $99,072.55 2026-07-31
1782 OTHER External Heart Assist Systems 1 1 — — $98,925.26 $98,925.26 $98,925.26 2026-07-31
1832 OTHER Percutaneous Structural Cardiac Procedures 1 1 — — $98,925.26 $98,925.26 $98,925.26 2026-07-31
984 OTHER Other Ear, Nose, Mouth And Throat Procedures 7 7 — — $98,612.53 $103,543.16 $98,612.53 2026-07-31
1833 APR_DRG Percutaneous Structural Cardiac Procedures 36 7 — — $98,595.00 $103,524.75 $98,595.00 2026-02-28
1774 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 7 7 — — $98,559.74 $103,487.73 $98,559.74 2026-07-31
2614 OTHER Major Biliary Tract Procedures 7 7 — — $98,472.26 $103,395.87 $98,472.26 2026-07-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 13 — — $57,781.00 $289,356.87 $98,381.34 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 36 7 — — $98,209.00 $103,119.45 $98,209.00 2026-02-28
213 OTHER Open Craniotomy Except Trauma 7 7 — — $97,852.36 $102,744.98 $97,852.36 2026-07-31
9123 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $97,801.08 $102,691.13 $97,801.08 2026-07-31
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 36 7 — — $97,589.00 $102,468.45 $97,589.00 2026-02-28
1622 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $97,303.35 $102,168.52 $97,303.35 2026-07-31
3094 OTHER Other Significant Hip And Femur Surgery 7 7 — — $97,200.78 $102,060.82 $97,200.78 2026-07-31
5464 OTHER No Active Code Description 6 6 — — $96,940.98 $101,788.03 $96,940.98 2026-07-31
5893 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $96,775.45 $101,614.22 $96,775.45 2026-07-31
9524 OTHER Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $96,712.10 $101,547.71 $96,712.10 2026-07-31
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 36 7 — — $96,603.00 $101,433.15 $96,603.00 2026-02-28
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