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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

CARILION FRANKLIN MEMORIAL HOSPITAL

Rocky Mount, VA · CCN 490089 · Rates published

7,786 distinct procedures filed
33 distinct payers
355,453 rate rows
2026-04-17 last MRF observed
Data quality

337,806 of 355,453 rate rows are consumer-grade (95.0%)

17,647 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 17,499
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 66
placeholder amount (≤ $0.02) — excluded from medians 59
exceeds 3× this hospital's gross charge for a DRG stay — excluded 23
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.carilionclinic.org/540480606_carilion-franklin-memorial-hospital_standardcharges.csv
Found on page https://www.carilionclinic.org/pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint f2a3fe75fb0c9c09… · 37,376,526 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
5891
APR_DRG 		Neonate Birth Weight Less Than 500 Grams Or Birth Weight 500-999 Grams And Gesta… 6 $433,871.46 $454,532.00 $454,532.00 nat. median
$99,483
outlier · 4.6×
5892
APR_DRG 		Neonate Birth Weight Less Than 500 Grams Or Birth Weight 500-999 Grams And Gesta… 6 $418,520.97 $438,450.54 $438,450.54 nat. median
$96,548
outlier · 4.5×
5884
APR_DRG 		Neonate Birth Weight Less Than 1500 Grams With Major Procedure 6 $334,692.27 $350,629.99 $350,629.99 nat. median
$286,698
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $280,056.65 $293,392.68 $293,392.68 nat. median
$198,578
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $247,485.51 $259,270.54 $259,270.54 nat. median
$171,497
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $224,955.18 $891,103.97 $246,493.44 nat. median
$186,516
1.3× median
6314
APR_DRG 		Neonate Birth Weight Greater Than 2499 Grams With Other Major Procedure 6 $234,003.93 $245,146.98 $245,146.98 nat. median
$181,762
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $216,044.65 $226,332.49 $226,332.49 nat. median
$168,439
1.3× median
11654696
LOCAL 		Hb Hmiii Lvad Implant Kit 19 $161,076.51 $305,434.50 $225,057.00 nat. median
$225,057
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $196,068.48 $205,405.08 $205,405.08 nat. median
$152,792
1.3× median
5893
APR_DRG 		Neonate Birth Weight Less Than 500 Grams Or Birth Weight 500-999 Grams And Gesta… 6 $194,508.31 $203,770.61 $203,770.61 nat. median
$77,096
outlier · 2.6×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $193,272.16 $202,475.59 $202,475.59 nat. median
$115,963
1.7× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 $188,162.98 $197,123.12 $197,123.12 nat. median
$135,630
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except… 9 $170,380.23 $617,504.74 $186,693.23 nat. median
$145,435
1.3× median
J9029
HCPCS 		Adstiladrin 3x10exp11 Vp-ml Intravesical Suspension 28 $58,008.00 $285,000.00 $176,755.67 nat. median
$66,211
outlier · 2.7×
7924
APR_DRG 		Extensive O.r. Procedures For Other Complications Of Treatment 6 $161,119.46 $168,791.81 $168,791.81 nat. median
$39,158
outlier · 4.3×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $148,960.77 $156,054.14 $156,054.14 nat. median
$114,205
1.4× median
6804
APR_DRG 		Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 $148,317.81 $155,380.57 $155,380.57 nat. median
$52,992
outlier · 2.9×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 $146,409.38 $153,381.25 $153,381.25 nat. median
$47,145
outlier · 3.3×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $145,756.21 $152,696.98 $152,696.98 nat. median
$124,731
1.2× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $145,321.20 $152,241.25 $152,241.25 nat. median
$120,079
1.3× median
54
APR_DRG 		Tracheostomy With Mv Greater Than 96 Hours Without Extensive Procedure 6 $137,149.08 $143,679.99 $143,679.99 nat. median
$91,350
1.6× median
6093
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $135,298.03 $141,740.80 $141,740.80 nat. median
$78,775
1.8× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $131,843.45 $138,121.71 $138,121.71 nat. median
$95,757
1.4× median
5883
APR_DRG 		Neonate Birth Weight Less Than 1500 Grams With Major Procedure 6 $123,407.25 $129,283.78 $129,283.78 nat. median
$173,134
0.7× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $119,996.04 $125,710.13 $125,710.13 nat. median
$85,835
1.5× median
5882
APR_DRG 		Neonate Birth Weight Less Than 1500 Grams With Major Procedure 6 $118,252.16 $123,883.21 $123,883.21 nat. median
$152,383
0.8× median
5881
APR_DRG 		Neonate Birth Weight Less Than 1500 Grams With Major Procedure 6 $118,252.16 $123,883.21 $123,883.21 nat. median
$130,862
0.9× median
4
MS_DRG 		Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except Face Mo… 9 $111,188.81 $402,978.78 $121,834.55 nat. median
$97,418
1.3× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 $114,323.00 $119,766.96 $119,766.96 nat. median
$100,752
1.2× median
6134
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 $108,317.01 $113,474.97 $113,474.97 nat. median
$69,517
1.6× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 $106,929.05 $112,020.91 $112,020.91 nat. median
$71,851
1.6× median
11653789
LOCAL 		Hb Implant Heart Valve Transcath 19 $76,935.06 $145,884.85 $107,494.10 nat. median
$107,494
1.0× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $100,948.58 $105,755.65 $105,755.65 nat. median
$91,110
1.2× median
43
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 $100,504.64 $105,290.57 $105,290.57 nat. median
$85,032
1.2× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 6 $100,476.57 $105,261.17 $105,261.17 nat. median
$50,461
outlier · 2.1×
6313
APR_DRG 		Neonate Birth Weight Greater Than 2499 Grams With Other Major Procedure 6 $100,269.91 $105,044.67 $105,044.67 nat. median
$60,408
1.7× median
6022
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $99,504.49 $104,242.80 $104,242.80 nat. median
$73,858
1.4× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Proc For Curvature Of Back 6 $99,064.37 $103,781.72 $103,781.72 nat. median
$75,821
1.4× median
6033
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $96,528.29 $101,124.87 $101,124.87 nat. median
$53,823
1.9× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $94,948.97 $99,470.35 $99,470.35 nat. median
$73,618
1.4× median
6904
APR_DRG 		Acute Leukemia 6 $93,807.22 $98,274.23 $98,274.23 nat. median
$48,234
outlier · 2.0×
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 $93,689.85 $98,151.27 $98,151.27 nat. median
$77,606
1.3× median
11660405
LOCAL 		Hb Implant Sys Valve Evoque 19 $70,014.75 $132,762.50 $97,825.00 nat. median
$97,825
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $46,902.36 $320,639.77 $96,470.01 nat. median
$2,736
outlier · 35.3×
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 $91,766.10 $96,135.92 $96,135.92 nat. median
$85,322
1.1× median
9104
APR_DRG 		Craniotomy For Multiple Significant Trauma 6 $91,465.04 $95,820.52 $95,820.52 nat. median
$56,989
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $87,289.25 $316,360.19 $95,646.73 nat. median
$74,509
1.3× median
11653714
LOCAL 		Hb Aortic Transcath Impella 19 $66,758.25 $126,587.50 $93,275.00 nat. median
$93,275
1.0× median
3124
APR_DRG 		Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 $88,945.53 $93,181.03 $93,181.03 nat. median
$45,174
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 7,786 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
             
0795T OTHER Hb Transcath Ins Dual Chamber 29 28 $67,583.00 $23,654.05 65% off $16,849.95 $70,109.07 $41,901.46 2026-04-17
0823T OTHER Hb Transcath Ins 1chmbr Ldls Pm Ra 29 28 $67,583.00 $23,654.05 65% off $16,849.95 $70,109.07 $41,901.46 2026-04-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 9 $766,468.17 $268,263.86 65% off $224,955.18 $891,103.97 $246,493.44 2026-04-17
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 9 9 $220,895.88 $77,313.56 65% off $43,781.49 $158,676.13 $47,973.33 2026-04-17
11624905 LOCAL Hb Mitraclip Sys Msk0101 Msk0102 Msk0103 19 19 $97,500.00 $34,125.00 65% off $48,847.50 $92,625.00 $68,250.00 2026-04-17
11630902 LOCAL Hb Implant Heart Valve Transcath Mt 19 19 $97,500.00 $34,125.00 65% off $48,847.50 $92,625.00 $68,250.00 2026-04-17
11652393 LOCAL Hb Cath Intracardiac Assist Impella 19 19 $91,000.00 $31,850.00 65% off $45,591.00 $86,450.00 $63,700.00 2026-04-17
11652641 LOCAL Hb Implant Stent Graft 38 19 $65,877.00 $23,056.95 65% off $33,004.38 $62,583.15 $46,113.90 2026-04-17
11653441 LOCAL Hb Sys Pacing Diaphragm 38 19 $112,613.00 $39,414.55 65% off $56,419.11 $106,982.35 $78,829.10 2026-04-17
11653706 LOCAL Hb Graft Endopros Thor Gore Tag 38 19 $104,000.00 $36,400.00 65% off $52,104.00 $98,800.00 $72,800.00 2026-04-17
11653714 LOCAL Hb Aortic Transcath Impella 38 19 $133,250.00 $46,637.50 65% off $66,758.25 $126,587.50 $93,275.00 2026-04-17
11653789 LOCAL Hb Implant Heart Valve Transcath 19 19 $153,563.00 $53,747.05 65% off $76,935.06 $145,884.85 $107,494.10 2026-04-17
11654100 LOCAL Hb Implant Heart Valve Transcath Eds 19 19 $110,500.00 $38,675.00 65% off $55,360.50 $104,975.00 $77,350.00 2026-04-17
11654696 LOCAL Hb Hmiii Lvad Implant Kit 19 19 $321,510.00 $112,528.50 65% off $161,076.51 $305,434.50 $225,057.00 2026-04-17
11655271 LOCAL Hb Implant Aortic Comp 38 19 $113,750.00 $39,812.50 65% off $56,988.75 $108,062.50 $79,625.00 2026-04-17
11655404 LOCAL Hb Implant Sys Valve Sapien M3 19 19 $113,750.00 $39,812.50 65% off $56,988.75 $108,062.50 $79,625.00 2026-04-17
11655842 LOCAL Hb System Contour Mitral 19 19 $73,125.00 $25,593.75 65% off $36,635.63 $69,468.75 $51,187.50 2026-04-17
11655859 LOCAL Hb Implant Sys Bioventrix 19 19 $81,250.00 $28,437.50 65% off $40,706.25 $77,187.50 $56,875.00 2026-04-17
11656188 LOCAL Hb Implant Valve Tavr 19 19 $92,625.00 $32,418.75 65% off $46,405.13 $87,993.75 $64,837.50 2026-04-17
11658598 LOCAL Hb Implant Heart Valve Navitor 19 19 $78,000.00 $27,300.00 65% off $39,078.00 $74,100.00 $54,600.00 2026-04-17
11658762 LOCAL Hb Implant Sys Valve Pascal 38 19 $99,450.00 $34,807.50 65% off $49,824.45 $94,477.50 $69,615.00 2026-04-17
11660405 LOCAL Hb Implant Sys Valve Evoque 19 19 $139,750.00 $48,912.50 65% off $70,014.75 $132,762.50 $97,825.00 2026-04-17
11660412 LOCAL Hb Sys Triclip Transcath 19 19 $126,750.00 $44,362.50 65% off $63,501.75 $120,412.50 $88,725.00 2026-04-17
11660430 LOCAL Hb Implant Heart Valve Transcath 19 19 $78,812.00 $27,584.20 65% off $39,484.81 $74,871.40 $55,168.40 2026-04-17
1204 APR_DRG Major Respiratory And Chest Procedures 6 6 $138,060.83 $48,321.29 65% off $69,927.42 $73,257.29 $73,257.29 2026-04-17
1214 APR_DRG Other Respiratory And Chest Procedures 6 6 $130,623.61 $45,718.27 65% off $63,089.67 $66,093.94 $66,093.94 2026-04-17
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 6 6 $204,418.58 $71,546.51 65% off $49,610.64 $51,973.05 $51,973.05 2026-04-17
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 6 6 $204,418.58 $71,546.51 65% off $71,064.06 $74,448.07 $74,448.07 2026-04-17
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 $464,456.69 $162,559.84 65% off $45,368.95 $47,529.37 $47,529.37 2026-04-17
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 $464,456.69 $162,559.84 65% off $47,953.51 $50,237.01 $50,237.01 2026-04-17
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 $464,456.69 $162,559.84 65% off $74,317.10 $77,856.01 $77,856.01 2026-04-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 $464,456.69 $162,559.84 65% off $93,689.85 $98,151.27 $98,151.27 2026-04-17
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 $326,978.90 $114,442.62 65% off $55,755.68 $58,410.72 $58,410.72 2026-04-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 $326,978.90 $114,442.62 65% off $82,461.15 $86,387.87 $86,387.87 2026-04-17
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 $319,925.33 $111,973.87 65% off $42,938.74 $44,983.44 $44,983.44 2026-04-17
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 $319,925.33 $111,973.87 65% off $64,370.47 $67,435.73 $67,435.73 2026-04-17
1664 APR_DRG Coronary Bypass W-o Ami Or Complex Pdx 6 6 $263,193.38 $92,117.69 65% off $47,549.11 $49,813.36 $49,813.36 2026-04-17
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 $309,811.57 $108,434.05 65% off $55,413.79 $58,052.54 $58,052.54 2026-04-17
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 $309,811.57 $108,434.05 65% off $72,032.32 $75,462.43 $75,462.43 2026-04-17
1694 APR_DRG Major Abdominal Vascular Procedures 6 6 $193,178.34 $67,612.42 65% off $73,364.15 $76,857.68 $76,857.68 2026-04-17
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 6 6 $120,079.50 $42,027.83 65% off $51,137.66 $53,572.78 $53,572.78 2026-04-17
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 6 6 $108,480.48 $37,968.17 65% off $40,050.56 $41,957.73 $41,957.73 2026-04-17
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 6 $127,153.73 $44,503.81 65% off $57,098.99 $59,817.99 $59,817.99 2026-04-17
1773 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 6 6 $105,508.22 $36,927.88 65% off $55,413.79 $58,052.54 $58,052.54 2026-04-17
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 6 6 $105,508.22 $36,927.88 65% off $77,487.21 $81,177.07 $81,177.07 2026-04-17
1781 APR_DRG External Heart Assist Devices 6 6 $366,908.01 $128,417.81 65% off $51,599.46 $54,056.57 $54,056.57 2026-04-17
1782 APR_DRG External Heart Assist Devices 6 6 $366,908.01 $128,417.81 65% off $64,292.66 $67,354.21 $67,354.21 2026-04-17
1783 APR_DRG External Heart Assist Devices 6 6 $366,908.01 $128,417.81 65% off $66,102.88 $69,250.63 $69,250.63 2026-04-17
1784 APR_DRG External Heart Assist Devices 6 6 $366,908.01 $128,417.81 65% off $69,687.59 $73,006.04 $73,006.04 2026-04-17
1792 APR_DRG Defibrillator Implants 6 6 $208,659.99 $73,031.00 65% off $43,915.92 $46,007.16 $46,007.16 2026-04-17
1793 APR_DRG Defibrillator Implants 6 6 $208,659.99 $73,031.00 65% off $48,831.18 $51,156.48 $51,156.48 2026-04-17
1794 APR_DRG Defibrillator Implants 6 6 $208,659.99 $73,031.00 65% off $62,402.07 $65,373.59 $65,373.59 2026-04-17
1804 APR_DRG Other Peripheral Vascular And Circulatory Procedures 6 6 $136,745.46 $47,860.91 65% off $50,497.25 $52,901.88 $52,901.88 2026-04-17
1814 APR_DRG Lower Vascular Procedures 6 6 $154,645.14 $54,125.80 65% off $58,703.82 $61,499.24 $61,499.24 2026-04-17
1824 APR_DRG Other Peripheral Vascular Procedures 6 6 $133,781.12 $46,823.39 65% off $43,303.59 $45,365.66 $45,365.66 2026-04-17
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 $190,469.82 $66,664.44 65% off $47,982.85 $50,267.75 $50,267.75 2026-04-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 $190,469.82 $66,664.44 65% off $74,599.02 $78,151.36 $78,151.36 2026-04-17
18837302 LOCAL Hb Graft Valnt Captiva Distl Mn Med 19 19 $59,979.00 $20,992.65 65% off $30,049.48 $56,980.05 $41,985.30 2026-04-17
18873976 LOCAL Hb Implant Aortic Valve Transcath 23-31cm 19 19 $113,750.00 $39,812.50 65% off $56,988.75 $108,062.50 $79,625.00 2026-04-17
18885079 LOCAL Hb Implant Limb Length Sys Tibia 19 19 $68,751.00 $24,062.85 65% off $34,444.25 $65,313.45 $48,125.70 2026-04-17
18885582 LOCAL Hb Implant Heart Valve Transcath Eds 19 19 $108,388.00 $37,935.80 65% off $54,302.39 $102,968.60 $75,871.60 2026-04-17
18887513 LOCAL Hb Implant Heart Valve Transcath Mt 19 19 $97,500.00 $34,125.00 65% off $48,847.50 $92,625.00 $68,250.00 2026-04-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 9 $351,042.04 $122,864.72 65% off $63,164.92 $228,927.00 $69,212.62 2026-04-17
2004 APR_DRG Cardiac Structural And Valvular Disorders 6 6 $44,951.35 $15,732.98 65% off $50,309.72 $52,705.42 $52,705.42 2026-04-17
204 APR_DRG Open Craniotomy For Trauma 6 6 $220,700.02 $77,245.01 65% off $86,366.07 $90,478.74 $90,478.74 2026-04-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support Greater Than 96 Hours 10 10 $207,077.67 $72,477.19 65% off $51,653.02 $161,337.23 $56,598.52 2026-04-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 9 $194,603.17 $68,111.11 65% off $42,494.72 $154,012.52 $46,563.36 2026-04-17
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 10 $399,342.25 $139,769.79 65% off $87,289.25 $316,360.19 $95,646.73 2026-04-17
213 APR_DRG Open Craniotomy Except Trauma 6 6 $205,387.41 $71,885.60 65% off $46,380.57 $48,589.17 $48,589.17 2026-04-17
214 APR_DRG Open Craniotomy Except Trauma 6 6 $205,387.41 $71,885.60 65% off $68,027.90 $71,267.33 $71,267.33 2026-04-17
215 MS_DRG Other Heart Assist System Implant 10 10 $388,690.81 $136,041.78 65% off $66,879.29 $315,537.33 $87,154.93 2026-04-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 $379,912.56 $132,969.40 65% off $78,529.09 $310,016.93 $86,047.84 2026-04-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 $315,305.88 $110,357.06 65% off $52,781.65 $208,371.26 $57,835.22 2026-04-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 $395,690.11 $138,491.54 65% off $61,635.72 $243,325.33 $67,537.02 2026-04-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 $259,773.00 $90,920.55 65% off $42,807.78 $168,996.43 $46,906.40 2026-04-17
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 12 6 $113,079.01 $39,577.65 65% off $55,836.05 $58,494.91 $58,494.91 2026-04-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 $258,288.18 $90,400.86 65% off $40,459.00 $159,723.94 $44,117.53 2026-04-17
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 12 6 $62,897.38 $22,014.08 65% off $46,580.86 $48,798.99 $48,798.99 2026-04-17
2234 APR_DRG Other Small And Large Bowel Procedures 12 6 $78,295.03 $27,403.26 65% off $48,745.71 $51,066.94 $51,066.94 2026-04-17
224 APR_DRG Ventricular Shunt Procedures 6 6 $94,061.48 $32,921.52 65% off $63,843.61 $66,883.78 $66,883.78 2026-04-17
2244 APR_DRG Peritoneal Adhesiolysis 12 6 $94,622.93 $33,118.03 65% off $52,054.88 $54,533.69 $54,533.69 2026-04-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 10 $207,043.56 $72,465.25 65% off $39,714.07 $156,783.11 $43,516.49 2026-04-17
2294 APR_DRG Other Digestive System And Abdominal Procedures 12 6 $103,355.41 $36,174.40 65% off $60,047.13 $62,906.51 $62,906.51 2026-04-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 9 $203,499.90 $71,224.97 65% off $45,998.62 $166,711.62 $50,402.74 2026-04-17
2304 APR_DRG Major Small Bowel Procedures 12 6 $127,424.35 $44,598.53 65% off $69,507.71 $72,817.60 $72,817.60 2026-04-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 10 $404,807.17 $141,682.51 65% off $67,669.01 $267,143.53 $74,147.96 2026-04-17
2314 APR_DRG Major Large Bowel Procedures 12 6 $113,821.80 $39,837.63 65% off $52,946.60 $55,467.86 $55,467.86 2026-04-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 10 $295,588.50 $103,455.98 65% off $48,666.08 $192,123.79 $53,325.59 2026-04-17
2324 APR_DRG Gastric Fundoplication 6 6 $72,808.00 $25,482.81 65% off $60,894.19 $63,793.92 $63,793.92 2026-04-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 10 $339,574.01 $118,850.91 65% off $61,370.02 $242,276.39 $67,245.87 2026-04-17
234 APR_DRG Spinal Procedures 6 6 $203,250.68 $71,137.74 65% off $70,288.44 $73,635.51 $73,635.51 2026-04-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 10 $248,424.42 $86,948.55 65% off $43,850.52 $173,112.96 $48,048.98 2026-04-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 10 $282,165.24 $98,757.84 65% off $47,108.79 $185,975.93 $51,619.20 2026-04-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 10 $169,671.73 $59,385.11 65% off $39,507.77 $155,968.67 $43,290.43 2026-04-17
244 APR_DRG Open Extracranial Vascular Procedures 6 6 $84,707.07 $29,647.48 65% off $46,580.86 $48,798.99 $48,798.99 2026-04-17
2524 APR_DRG Malfunction Reaction And Complication Of Gastrointestinal Device Or Procedure 12 6 $35,958.93 $12,585.62 65% off $40,925.68 $42,874.52 $42,874.52 2026-04-17
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 6 6 $209,010.71 $73,153.75 65% off $56,419.04 $59,105.66 $59,105.66 2026-04-17
2614 APR_DRG Major Biliary Tract Procedures 6 6 $119,181.67 $41,713.59 65% off $61,370.03 $64,292.42 $64,292.42 2026-04-17
2634 APR_DRG Cholecystectomy 12 6 $75,668.76 $26,484.07 65% off $56,563.20 $59,256.68 $59,256.68 2026-04-17
264 APR_DRG Other Nervous System And Related Procedures 6 6 $152,231.42 $53,281.00 65% off $61,729.77 $64,669.29 $64,669.29 2026-04-17
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 12 6 $68,180.57 $23,863.20 65% off $40,099.03 $42,008.51 $42,008.51 2026-04-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 10 $214,460.98 $75,061.35 65% off $49,194.27 $194,209.00 $53,904.36 2026-04-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 10 $236,053.19 $82,618.62 65% off $46,033.80 $217,960.65 $60,203.16 2026-04-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 10 $232,401.51 $81,340.53 65% off $12,159.87 $167,205.95 $46,184.15 2026-04-17
273 APR_DRG Other Open Craniotomy 6 6 $162,537.16 $56,888.01 65% off $41,256.10 $43,220.67 $43,220.67 2026-04-17
274 APR_DRG Other Open Craniotomy 6 6 $162,537.16 $56,888.01 65% off $68,783.12 $72,058.50 $72,058.50 2026-04-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 10 $242,830.35 $84,990.63 65% off $57,237.59 $207,444.73 $62,717.78 2026-04-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 10 $207,984.64 $72,794.63 65% off $25,188.30 $174,750.01 $52,576.56 2026-04-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 10 $167,541.00 $58,639.35 65% off $38,216.73 $161,937.46 $48,721.68 2026-04-17
28 MS_DRG Spinal Procedures With Mcc 9 9 $263,756.88 $92,314.91 65% off $48,230.20 $174,799.47 $52,847.98 2026-04-17
28811461 LOCAL Hb Implant Stent Graft 19 19 $63,876.00 $22,356.60 65% off $32,001.88 $60,682.20 $44,713.20 2026-04-17
28816122 LOCAL Hb Implant Cochlear 38 19 $60,671.00 $21,234.85 65% off $30,396.17 $57,637.45 $42,469.70 2026-04-17
28820389 LOCAL Hb Sys Vns Therapy 38 19 $97,494.00 $34,122.90 65% off $48,844.49 $92,619.30 $68,245.80 2026-04-17
28821510 LOCAL Hb Sys Vns Therapy 38 19 $95,875.00 $33,556.25 65% off $48,033.38 $91,081.25 $67,112.50 2026-04-17
28822450 LOCAL Hb Implant Prosthesis Cranial 38 19 $61,884.00 $21,659.40 65% off $31,003.88 $58,789.80 $43,318.80 2026-04-17
28851061 LOCAL Hb Implant Distractor Mandible 38 19 $64,006.00 $22,402.10 65% off $32,067.01 $60,805.70 $44,804.20 2026-04-17
28851962 LOCAL Hb Endoprosthesis Aaa Excluder Gore 38 19 $94,250.00 $32,987.50 65% off $47,219.25 $89,537.50 $65,975.00 2026-04-17
294 APR_DRG Other Percutaneous Intracranial Procedures 6 6 $125,434.90 $43,902.22 65% off $54,789.98 $57,399.02 $57,399.02 2026-04-17
3 MS_DRG Ecmo Or Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except… 9 9 $821,883.24 $287,659.14 65% off $170,380.23 $617,504.74 $186,693.23 2026-04-17
3031 APR_DRG Dorsal And Lumbar Fusion Proc For Curvature Of Back 6 6 $317,667.78 $111,183.73 65% off $47,818.28 $50,095.34 $50,095.34 2026-04-17
3032 APR_DRG Dorsal And Lumbar Fusion Proc For Curvature Of Back 6 6 $317,667.78 $111,183.73 65% off $50,767.70 $53,185.21 $53,185.21 2026-04-17
3033 APR_DRG Dorsal And Lumbar Fusion Proc For Curvature Of Back 6 6 $317,667.78 $111,183.73 65% off $52,949.15 $55,470.54 $55,470.54 2026-04-17
3034 APR_DRG Dorsal And Lumbar Fusion Proc For Curvature Of Back 6 6 $317,667.78 $111,183.73 65% off $99,064.37 $103,781.72 $103,781.72 2026-04-17
304 APR_DRG Percutaneous Intra And Extracranial Vascular Procedures 6 6 $125,771.00 $44,019.85 65% off $50,438.57 $52,840.40 $52,840.40 2026-04-17
3043 APR_DRG Dorsal And Lumbar Fusion Proc Except For Curvature Of Back 6 6 $192,388.36 $67,335.93 65% off $44,771.92 $46,903.91 $46,903.91 2026-04-17
3044 APR_DRG Dorsal And Lumbar Fusion Proc Except For Curvature Of Back 6 6 $192,388.36 $67,335.93 65% off $87,035.81 $91,180.38 $91,180.38 2026-04-17
3054 APR_DRG Amputation Of Lower Limb Except Toes 6 6 $114,128.29 $39,944.90 65% off $45,769.51 $47,949.01 $47,949.01 2026-04-17
3084 APR_DRG Hip And Femur Fracture Repair 6 6 $91,349.44 $31,972.31 65% off $44,061.35 $46,159.51 $46,159.51 2026-04-17
3094 APR_DRG Other Significant Hip And Femur Surgery 6 6 $120,542.28 $42,189.80 65% off $45,707.00 $47,883.53 $47,883.53 2026-04-17
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 6 $106,046.78 $37,116.38 65% off $88,945.53 $93,181.03 $93,181.03 2026-04-17
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 6 6 $107,904.72 $37,766.65 65% off $48,843.94 $51,169.84 $51,169.84 2026-04-17
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 6 6 $93,236.71 $32,632.85 65% off $48,403.83 $50,708.78 $50,708.78 2026-04-17
3244 APR_DRG Elective Hip Joint Replacement 6 6 $106,640.38 $37,324.14 65% off $40,130.93 $42,041.92 $42,041.92 2026-04-17
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 6 6 $192,779.65 $67,472.88 65% off $52,178.63 $54,663.32 $54,663.32 2026-04-17
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 10 10 $194,545.79 $68,091.03 65% off $40,035.16 $145,098.43 $43,868.32 2026-04-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 10 $167,135.76 $58,497.52 65% off $36,897.31 $133,725.97 $42,315.33 2026-04-17
33231 CPT Hb Insert Defib Gen Only Exist Mltpl Leads 35 33 $113,618.00 $39,766.30 65% off $353.28 $114,249.78 $62,489.90 2026-04-17
33249 CPT Hb Insert/replc Defib Sngl/dual 35 33 $113,618.00 $39,766.30 65% off $801.16 $114,249.78 $62,489.90 2026-04-17
33262 CPT Hb Remove/replc Defib Gen Sngl 35 33 $79,544.00 $27,840.40 65% off $327.93 $80,962.58 $43,749.20 2026-04-17
33263 CPT Hb Remove/replc Defib Gen Dual 35 33 $79,544.00 $27,840.40 65% off $340.76 $80,962.58 $43,749.20 2026-04-17
33270 CPT Hb Insert Subq/replc Defib 35 33 $113,618.00 $39,766.30 65% off $492.33 $114,249.78 $62,489.90 2026-04-17
33289 CPT Hb Implant Of Cardiomems With Rhc 35 33 $100,743.00 $35,260.05 65% off $292.12 $104,402.23 $55,408.65 2026-04-17
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 6 $74,275.46 $25,996.41 65% off $79,823.01 $83,624.10 $83,624.10 2026-04-17
3634 APR_DRG Breast Procedures Except Mastectomy 6 6 $207,993.52 $72,797.73 65% off $45,795.03 $47,975.74 $47,975.74 2026-04-17
3644 APR_DRG Other Skin Subcutaneous Tissue And Related Procedures 12 6 $47,777.29 $16,722.06 65% off $43,165.82 $45,221.33 $45,221.33 2026-04-17
4 MS_DRG Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except Face Mo… 9 9 $428,841.83 $150,094.64 65% off $111,188.81 $402,978.78 $121,834.55 2026-04-17
4014 APR_DRG Adrenal Procedures 12 6 $96,063.46 $33,622.21 65% off $69,641.66 $72,957.93 $72,957.93 2026-04-17
4034 APR_DRG Procedures For Obesity 6 6 $72,894.54 $25,513.09 65% off $48,536.50 $50,847.76 $50,847.76 2026-04-17
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 12 6 $64,696.19 $22,643.67 65% off $63,781.11 $66,818.30 $66,818.30 2026-04-17
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 10 10 $283,619.86 $99,266.95 65% off $43,913.13 $159,153.26 $48,117.58 2026-04-17
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 12 6 $102,710.43 $35,948.65 65% off $63,617.81 $66,647.23 $66,647.23 2026-04-17
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 6 $871,394.95 $304,988.23 65% off $67,030.31 $70,222.23 $70,222.23 2026-04-17
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 6 $871,394.95 $304,988.23 65% off $86,630.13 $90,755.38 $90,755.38 2026-04-17
4214 APR_DRG Malnutrition Failure To Thrive And Other Nutritional Disorders 12 6 $33,789.99 $11,826.50 65% off $43,258.94 $45,318.89 $45,318.89 2026-04-17
4234 APR_DRG Inborn Errors Of Metabolism 6 6 $61,555.65 $21,544.48 65% off $41,499.75 $43,475.93 $43,475.93 2026-04-17
424 APR_DRG Degenerative Nervous System Disorders Exc Mult Sclerosis 12 6 $59,054.89 $20,669.22 65% off $48,709.99 $51,029.52 $51,029.52 2026-04-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 10 $347,938.23 $121,778.38 65% off $46,902.36 $320,639.77 $96,470.01 2026-04-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 10 $234,149.38 $81,952.29 65% off $27,793.99 $210,010.73 $63,185.35 2026-04-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 10 $181,380.34 $63,483.12 65% off $14,765.56 $163,560.85 $49,210.10 2026-04-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 10 $305,449.78 $106,907.42 65% off $72,322.42 $262,116.29 $79,246.90 2026-04-17
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 6 $871,394.95 $304,988.23 65% off $100,504.64 $105,290.57 $105,290.57 2026-04-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 10 $250,201.42 $87,570.50 65% off $24,319.74 $167,782.24 $50,480.18 2026-04-17
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 12 6 $77,606.39 $27,162.24 65% off $42,922.15 $44,966.06 $44,966.06 2026-04-17
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 6 $871,394.95 $304,988.23 65% off $188,162.98 $197,123.12 $197,123.12 2026-04-17
4414 APR_DRG Major Bladder Procedures 6 6 $149,288.38 $52,250.93 65% off $75,563.45 $79,161.71 $79,161.71 2026-04-17
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 6 6 $117,757.74 $41,215.21 65% off $53,729.88 $56,288.44 $56,288.44 2026-04-17
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 6 6 $105,610.39 $36,963.64 65% off $42,642.78 $44,673.39 $44,673.39 2026-04-17
4464 APR_DRG Urethral And Transurethral Procedures 6 6 $69,743.03 $24,410.06 65% off $41,174.45 $43,135.14 $43,135.14 2026-04-17
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 10 $224,389.40 $78,536.29 65% off $53,634.95 $211,739.90 $58,770.21 2026-04-17
4474 APR_DRG Other Kidney Urinary Tract And Related Non-percutaneous Procedures 6 6 $183,956.00 $64,384.60 65% off $60,718.15 $63,609.49 $63,609.49 2026-04-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 10 $223,943.26 $78,380.15 65% off $42,782.09 $168,895.02 $46,878.25 2026-04-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 10 10 $306,695.51 $107,343.43 65% off $67,456.29 $266,303.75 $73,914.87 2026-04-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 10 10 $249,973.26 $87,490.64 65% off $39,085.30 $188,970.64 $52,195.79 2026-04-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 10 $211,269.00 $73,944.15 65% off $43,030.94 $169,877.41 $47,150.92 2026-04-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 10 $218,490.74 $76,471.76 65% off $45,751.38 $180,617.16 $50,131.83 2026-04-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 10 $236,065.41 $82,622.90 65% off $41,785.11 $164,959.13 $45,785.81 2026-04-17
471 MS_DRG Cervical Spinal Fusion With Mcc 10 10 $201,625.02 $70,568.76 65% off $38,761.24 $153,021.50 $42,472.42 2026-04-17
4834 APR_DRG Penis Testes And Scrotal Procedures 6 6 $62,274.14 $21,795.95 65% off $44,953.06 $47,093.68 $47,093.68 2026-04-17
4844 APR_DRG Other Male Reproductive System And Related Procedures 6 6 $100,679.11 $35,237.69 65% off $43,679.92 $45,759.91 $45,759.91 2026-04-17
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 12 6 $94,105.13 $32,936.80 65% off $52,361.04 $54,854.43 $54,854.43 2026-04-17
50320 CPT Hb Donor Nephrectomy Open Living Donor 25 24 $69,196.00 $24,218.60 65% off $1,371.08 $65,736.20 $42,901.52 2026-04-17
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 6 6 $106,412.92 $37,244.52 65% off $41,895.22 $43,890.23 $43,890.23 2026-04-17
51 APR_DRG Tracheostomy With Mv Greater Than 96 Hours Without Extensive Procedure 6 6 $466,532.11 $163,286.24 65% off $45,064.05 $47,209.95 $47,209.95 2026-04-17
5114 APR_DRG Gynecologic Procedures For Malignancy 6 6 $141,749.81 $49,612.44 65% off $55,404.87 $58,043.19 $58,043.19 2026-04-17
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malig 6 6 $133,875.68 $46,856.49 65% off $47,385.82 $49,642.29 $49,642.29 2026-04-17
5144 APR_DRG Female Reproductive System Reconstructive Procedures 6 6 $186,529.20 $65,285.22 65% off $49,147.56 $51,487.92 $51,487.92 2026-04-17
5184 APR_DRG Other Female Reproductive System And Related Procedures 12 6 $69,991.65 $24,497.08 65% off $51,364.73 $53,810.67 $53,810.67 2026-04-17
5194 APR_DRG Gynecologic Procedures For Leiomyoma 6 6 $103,866.74 $36,353.36 65% off $43,866.18 $45,955.04 $45,955.04 2026-04-17
52 APR_DRG Tracheostomy With Mv Greater Than 96 Hours Without Extensive Procedure 6 6 $466,532.11 $163,286.24 65% off $66,284.02 $69,440.40 $69,440.40 2026-04-17
53 APR_DRG Tracheostomy With Mv Greater Than 96 Hours Without Extensive Procedure 6 6 $466,532.11 $163,286.24 65% off $78,650.64 $82,395.91 $82,395.91 2026-04-17
54 APR_DRG Tracheostomy With Mv Greater Than 96 Hours Without Extensive Procedure 6 6 $466,532.11 $163,286.24 65% off $137,149.08 $143,679.99 $143,679.99 2026-04-17
5881 APR_DRG Neonate Birth Weight Less Than 1500 Grams With Major Procedure 6 6 $1,354,589.06 $474,106.17 65% off $118,252.16 $123,883.21 $123,883.21 2026-04-17
5882 APR_DRG Neonate Birth Weight Less Than 1500 Grams With Major Procedure 6 6 $1,354,589.06 $474,106.17 65% off $118,252.16 $123,883.21 $123,883.21 2026-04-17
5883 APR_DRG Neonate Birth Weight Less Than 1500 Grams With Major Procedure 6 6 $1,354,589.06 $474,106.17 65% off $123,407.25 $129,283.78 $129,283.78 2026-04-17
5884 APR_DRG Neonate Birth Weight Less Than 1500 Grams With Major Procedure 6 6 $1,354,589.06 $474,106.17 65% off $334,692.27 $350,629.99 $350,629.99 2026-04-17
5891 APR_DRG Neonate Birth Weight Less Than 500 Grams Or Birth Weight 500-999 Grams And Gesta… 6 6 $333,681.14 $116,788.40 65% off $433,871.46 $454,532.00 $454,532.00 2026-04-17
5892 APR_DRG Neonate Birth Weight Less Than 500 Grams Or Birth Weight 500-999 Grams And Gesta… 6 6 $333,681.14 $116,788.40 65% off $418,520.97 $438,450.54 $438,450.54 2026-04-17
5893 APR_DRG Neonate Birth Weight Less Than 500 Grams Or Birth Weight 500-999 Grams And Gesta… 6 6 $333,681.14 $116,788.40 65% off $194,508.31 $203,770.61 $203,770.61 2026-04-17
5894 APR_DRG Neonate Birth Weight Less Than 500 Grams Or Birth Weight 500-999 Grams And Gesta… 6 6 $333,681.14 $116,788.40 65% off $54,192.95 $56,773.56 $56,773.56 2026-04-17
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 $935,224.28 $327,328.50 65% off $86,516.60 $90,636.44 $90,636.44 2026-04-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 $935,224.28 $327,328.50 65% off $119,996.04 $125,710.13 $125,710.13 2026-04-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 $935,224.28 $327,328.50 65% off $145,321.20 $152,241.25 $152,241.25 2026-04-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 $935,224.28 $327,328.50 65% off $247,485.51 $259,270.54 $259,270.54 2026-04-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 $990,148.16 $346,551.86 65% off $100,948.58 $105,755.65 $105,755.65 2026-04-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 $990,148.16 $346,551.86 65% off $148,960.77 $156,054.14 $156,054.14 2026-04-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 $990,148.16 $346,551.86 65% off $216,044.65 $226,332.49 $226,332.49 2026-04-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 $674,311.89 $236,009.16 65% off $99,504.49 $104,242.80 $104,242.80 2026-04-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 $674,311.89 $236,009.16 65% off $131,843.45 $138,121.71 $138,121.71 2026-04-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 $674,311.89 $236,009.16 65% off $145,756.21 $152,696.98 $152,696.98 2026-04-17
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 $231,448.75 $81,007.07 65% off $56,147.32 $58,821.00 $58,821.00 2026-04-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 $231,448.75 $81,007.07 65% off $96,528.29 $101,124.87 $101,124.87 2026-04-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 $231,448.75 $81,007.07 65% off $193,272.16 $202,475.59 $202,475.59 2026-04-17
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 $450,102.19 $157,535.77 65% off $44,375.17 $46,488.28 $46,488.28 2026-04-17
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 $450,102.19 $157,535.77 65% off $62,611.29 $65,592.78 $65,592.78 2026-04-17
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 $450,102.19 $157,535.77 65% off $85,138.84 $89,193.07 $89,193.07 2026-04-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 $450,102.19 $157,535.77 65% off $114,323.00 $119,766.96 $119,766.96 2026-04-17
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 $190,097.34 $66,534.07 65% off $44,079.21 $46,178.22 $46,178.22 2026-04-17
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 $190,097.34 $66,534.07 65% off $62,589.60 $65,570.05 $65,570.05 2026-04-17
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 $190,097.34 $66,534.07 65% off $81,947.05 $85,849.29 $85,849.29 2026-04-17
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 $927,032.00 $324,461.20 65% off $54,301.38 $56,887.16 $56,887.16 2026-04-17
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 $927,032.00 $324,461.20 65% off $54,301.38 $56,887.16 $56,887.16 2026-04-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 $927,032.00 $324,461.20 65% off $135,298.03 $141,740.80 $141,740.80 2026-04-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 $927,032.00 $324,461.20 65% off $280,056.65 $293,392.68 $293,392.68 2026-04-17
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 $368,765.17 $129,067.81 65% off $63,070.54 $66,073.90 $66,073.90 2026-04-17
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 $368,765.17 $129,067.81 65% off $91,766.10 $96,135.92 $96,135.92 2026-04-17
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 $271,946.42 $95,181.25 65% off $42,522.86 $44,547.76 $44,547.76 2026-04-17
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 $271,946.42 $95,181.25 65% off $69,987.37 $73,320.10 $73,320.10 2026-04-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 $271,946.42 $95,181.25 65% off $106,929.05 $112,020.91 $112,020.91 2026-04-17
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 $225,781.50 $79,023.53 65% off $58,215.22 $60,987.38 $60,987.38 2026-04-17
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 $225,781.50 $79,023.53 65% off $108,317.01 $113,474.97 $113,474.97 2026-04-17
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 6 $97,986.52 $34,295.28 65% off $46,180.29 $48,379.35 $48,379.35 2026-04-17
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 6 $97,986.52 $34,295.28 65% off $71,733.81 $75,149.70 $75,149.70 2026-04-17
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 $255,803.31 $89,531.16 65% off $48,276.26 $50,575.13 $50,575.13 2026-04-17
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 $255,803.31 $89,531.16 65% off $78,904.51 $82,661.87 $82,661.87 2026-04-17
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 6 $143,773.37 $50,320.68 65% off $40,881.04 $42,827.75 $42,827.75 2026-04-17
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 6 $52,501.79 $18,375.63 65% off $49,530.27 $51,888.86 $51,888.86 2026-04-17
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 6 $52,501.79 $18,375.63 65% off $60,397.95 $63,274.05 $63,274.05 2026-04-17
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 $87,124.27 $30,493.50 65% off $43,255.11 $45,314.87 $45,314.87 2026-04-17
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 $87,124.27 $30,493.50 65% off $86,607.17 $90,731.32 $90,731.32 2026-04-17
6312 APR_DRG Neonate Birth Weight Greater Than 2499 Grams With Other Major Procedure 6 6 $373,006.95 $130,552.43 65% off $49,360.61 $51,711.11 $51,711.11 2026-04-17
6313 APR_DRG Neonate Birth Weight Greater Than 2499 Grams With Other Major Procedure 6 6 $373,006.95 $130,552.43 65% off $100,269.91 $105,044.67 $105,044.67 2026-04-17
6314 APR_DRG Neonate Birth Weight Greater Than 2499 Grams With Other Major Procedure 6 6 $373,006.95 $130,552.43 65% off $234,003.93 $245,146.98 $245,146.98 2026-04-17
6334 APR_DRG Neonate Birth Weight Greater Than 2499 Grams With Major Anomaly 6 6 $109,394.01 $38,287.91 65% off $83,207.44 $87,169.70 $87,169.70 2026-04-17
6344 APR_DRG Neonate Birth Weight Greater Than 2499 Grams With Respiratory Distress Syndrome … 6 6 $92,688.35 $32,440.93 65% off $50,299.52 $52,694.73 $52,694.73 2026-04-17
6364 APR_DRG Neonate Birth Weight Greater Than 2499 Grams With Congenital Or Perinatal Infect… 6 6 $50,392.10 $17,637.24 65% off $40,400.09 $42,323.91 $42,323.91 2026-04-17
63655 CPT Hb Laminect Impl Ns Electrodes Epi 35 33 $75,993.00 $26,597.55 65% off $763.86 $72,193.35 $41,796.15 2026-04-17
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 6 $108,419.25 $37,946.74 65% off $76,971.83 $80,637.15 $80,637.15 2026-04-17
653 MS_DRG Major Bladder Procedures With Mcc 10 10 $138,704.19 $48,546.47 65% off $41,712.86 $151,178.87 $45,706.65 2026-04-17
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 12 6 $47,532.18 $16,636.26 65% off $51,456.57 $53,906.89 $53,906.89 2026-04-17
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 6 $138,304.43 $48,406.55 65% off $148,317.81 $155,380.57 $155,380.57 2026-04-17
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 6 $143,706.11 $50,297.14 65% off $146,409.38 $153,381.25 $153,381.25 2026-04-17
6903 APR_DRG Acute Leukemia 6 6 $157,475.81 $55,116.54 65% off $48,764.86 $51,086.99 $51,086.99 2026-04-17
6904 APR_DRG Acute Leukemia 6 6 $157,475.81 $55,116.54 65% off $93,807.22 $98,274.23 $98,274.23 2026-04-17
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 6 6 $102,978.24 $36,042.39 65% off $44,839.53 $46,974.74 $46,974.74 2026-04-17
6954 APR_DRG Chemotherapy For Acute Leukemia 6 6 $161,938.69 $56,678.55 65% off $56,609.12 $59,304.80 $59,304.80 2026-04-17
7104 APR_DRG Infectious And Parasitic Diseases Including HIV W O.r. Procedure 12 6 $134,284.71 $46,999.65 65% off $57,037.75 $59,753.84 $59,753.84 2026-04-17
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 12 6 $111,316.78 $38,960.88 65% off $49,264.93 $51,610.88 $51,610.88 2026-04-17
734 APR_DRG Orbit And Eye Procedures 6 6 $65,446.43 $22,906.25 65% off $49,395.05 $51,747.19 $51,747.19 2026-04-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 10 10 $402,763.77 $140,967.32 65% off $35,611.05 $130,412.28 $52,024.24 2026-04-17
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 6 $147,810.43 $51,733.65 65% off $161,119.46 $168,791.81 $168,791.81 2026-04-17
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 6 6 $83,594.73 $29,258.16 65% off $41,922.01 $43,918.29 $43,918.29 2026-04-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 10 $218,196.86 $76,368.90 65% off $47,078.28 $170,624.63 $51,585.78 2026-04-17
834 MS_DRG Acute Leukemia With Mcc 10 10 $92,725.98 $32,454.09 65% off $44,068.86 $205,849.25 $48,288.22 2026-04-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 10 $183,222.63 $64,127.92 65% off $38,565.37 $125,072.95 $42,257.80 2026-04-17
850 MS_DRG Acute Leukemia With Other Procedures 10 10 $552,931.17 $193,525.91 65% off $69,512.07 $217,119.64 $76,167.48 2026-04-17
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 12 6 $118,479.15 $41,467.71 65% off $46,630.61 $48,851.11 $48,851.11 2026-04-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 12 6 $118,479.15 $41,467.71 65% off $100,476.57 $105,261.17 $105,261.17 2026-04-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 10 $149,029.54 $52,160.34 65% off $39,643.43 $143,678.69 $45,464.70 2026-04-17
8614 APR_DRG Signs Symptoms And Other Factors Influencing Health Status 12 6 $33,892.17 $11,862.26 65% off $47,172.78 $49,419.11 $49,419.11 2026-04-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv Greater Than 96 Hours 10 10 $271,200.76 $94,920.27 65% off $55,482.83 $173,299.56 $60,795.01 2026-04-17
8903 APR_DRG HIV With Multiple Major HIV Related Conditions 12 6 $67,727.49 $23,704.62 65% off $42,086.57 $44,090.70 $44,090.70 2026-04-17
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 7 6 $106,527.77 $37,284.72 65% off $86,283.15 $90,391.87 $90,391.87 2026-04-17
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 6 $176,271.20 $61,694.92 65% off $64,938.16 $68,030.46 $68,030.46 2026-04-17
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 $810,490.78 $283,671.77 65% off $58,832.67 $61,634.22 $61,634.22 2026-04-17
9103 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 $459,825.00 $160,938.75 65% off $48,296.67 $50,596.51 $50,596.51 2026-04-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 $459,825.00 $160,938.75 65% off $91,465.04 $95,820.52 $95,820.52 2026-04-17
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 6 $333,866.83 $116,853.39 65% off $72,615.31 $76,073.18 $76,073.18 2026-04-17
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 6 $254,009.71 $88,903.40 65% off $68,388.93 $71,645.54 $71,645.54 2026-04-17
914 APR_DRG Other Major Head And Neck Procedures 6 6 $202,462.78 $70,861.98 65% off $69,400.55 $72,705.34 $72,705.34 2026-04-17
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 $810,490.78 $283,671.77 65% off $58,832.67 $61,634.22 $61,634.22 2026-04-17
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 6 $124,542.09 $43,589.73 65% off $66,451.14 $69,615.48 $69,615.48 2026-04-17
92930 CPT Hb Prq Tcat Plmt Ntrac St 2+les 28 27 $90,107.00 $31,537.45 65% off $16,094.16 $85,601.65 $57,848.69 2026-04-17
92933 CPT Hb Prq Trlml C Athrc Stent Angio 1 Maj Art&/brnch 35 33 $88,800.00 $31,080.00 65% off $576.07 $84,360.00 $48,840.00 2026-04-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 $810,490.78 $283,671.77 65% off $94,948.97 $99,470.35 $99,470.35 2026-04-17
9304 APR_DRG Multiple Significant Trauma W-o O.r. Procedure 6 6 $72,270.21 $25,294.57 65% off $45,069.15 $47,215.30 $47,215.30 2026-04-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 $810,490.78 $283,671.77 65% off $196,068.48 $205,405.08 $205,405.08 2026-04-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 12 6 $140,251.24 $49,087.93 65% off $78,724.63 $82,473.42 $82,473.42 2026-04-17
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 12 6 $128,231.49 $44,881.03 65% off $57,967.74 $60,728.11 $60,728.11 2026-04-17
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 12 6 $80,442.68 $28,154.94 65% off $51,700.24 $54,162.15 $54,162.15 2026-04-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 10 $545,612.92 $190,964.52 65% off $54,032.30 $195,827.89 $59,205.61 2026-04-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 10 $333,055.90 $116,569.57 65% off $61,166.93 $221,685.75 $67,023.34 2026-04-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 10 $292,561.33 $102,396.47 65% off $49,137.28 $178,086.98 $53,841.91 2026-04-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 10 $157,549.16 $55,142.21 65% off $37,662.31 $136,498.54 $43,192.66 2026-04-17
C1767 HCPCS Hb Kit Neurostimulator 893 19 $59,344.00 $20,770.40 65% off $14,654.25 $100,314.30 $42,763.29 2026-04-17
C1820 HCPCS Hb Implant Generatr Neuro 152 19 $65,784.50 $23,024.57 65% off $30,407.19 $84,206.10 $47,946.30 2026-04-17
C1826 HCPCS Hb System Spinal Stimulation 38 19 $79,625.00 $27,868.75 65% off $39,892.13 $75,643.75 $55,737.50 2026-04-17
J9029 HCPCS Adstiladrin 3x10exp11 Vp-ml Intravesical Suspension 58 28 $300,000.00 $105,000.00 65% off $58,008.00 $285,000.00 $176,755.67 2026-04-17
J9600 HCPCS Photofrin 75 Mg Intravenous Solution 42 21 $116,615.00 $40,815.25 65% off $58,424.12 $110,784.25 $78,598.51 2026-04-17
L8614 HCPCS Hb Implant Cochlear 95 19 $65,162.00 $22,806.70 65% off $29,109.10 $63,496.10 $43,919.19 2026-04-17
L8699 HCPCS Hb Implant Glenoid Baseplate 38 19 $90,983.00 $31,844.05 65% off $45,582.48 $86,433.85 $63,688.10 2026-04-17
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