Price Transparency 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

ST CLARE HOSPITAL

Lakewood, WA · CCN 500021 · Rates published

11,378 distinct procedures filed
19 distinct payers
273,360 rate rows
2026-02-28 last MRF observed
Data quality

254,326 of 273,360 rate rows are consumer-grade (93.0%)

19,034 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 16,329
template filing: same amount across many unrelated codes — excluded 2,128
per-diem day rate — not a per-procedure price 486
placeholder amount (≤ $0.02) — excluded from medians 61
exceeds 10× this hospital's gross charge — excluded from medians 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.vmfh.org/content/dam/vmfhorg/documents/price-transparency/911487485_st-clare-hospital_standardcharges.json
Found on page https://www.vmfh.org/billing-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 9177cf832a877084… · 58,319,587 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $320,992.32 $986,001.00 $634,098.48 nat. median
$370,174
1.7× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 4 $372,289.00 $558,433.50 $528,650.38 nat. median
$8,223
outlier · 64.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $239,914.38 $736,460.00 $488,187.19 nat. median
$265,286
1.8× median
5834
APR_DRG 		Neonate With Ecmo 7 $382,067.00 $408,811.69 $404,991.02 nat. median
$309,665
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $202,151.07 $620,233.00 $360,515.00 nat. median
$206,368
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 18 $182,687.95 $560,329.00 $349,847.43 nat. median
$202,986
1.7× median
5833
APR_DRG 		Neonate With Ecmo 7 $306,933.00 $328,418.31 $325,348.98 nat. median
$244,017
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $302,643.00 $323,828.01 $320,801.58 nat. median
$246,434
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $234,318.00 $250,720.26 $248,377.08 nat. median
$207,730
1.2× median
J1303
HCPCS 		Ravulizumab-cwvz 10 Mg/ml Intravenous Solution 18 $220.59 $359,566.39 $234,911.88 nat. median
$4,664
outlier · 50.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 18 $120,662.84 $369,429.00 $229,259.40 nat. median
$133,176
1.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $210,940.00 $225,705.80 $223,596.40 nat. median
$160,267
1.4× median
5832
APR_DRG 		Neonate With Ecmo 7 $208,258.00 $222,836.06 $220,753.48 nat. median
$156,126
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $206,628.00 $221,091.96 $219,025.68 nat. median
$164,279
1.3× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $202,413.00 $216,581.91 $214,557.78 nat. median
$162,982
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $111,928.56 $342,547.00 $214,343.20 nat. median
$117,303
1.8× median
7
MS_DRG 		Lung Transplant 18 $111,648.23 $341,684.00 $205,798.00 nat. median
$122,708
1.7× median
453
MS_DRG 		No Active Code Description 5 $171,521.00 $235,741.00 $203,631.00 nat. median
$87,411
outlier · 2.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $94,241.68 $342,985.00 $196,022.70 nat. median
$108,660
1.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $184,479.00 $197,392.53 $195,547.74 nat. median
$182,736
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $182,191.00 $194,944.37 $193,122.46 nat. median
$164,834
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $180,463.00 $193,095.41 $191,290.78 nat. median
$122,924
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 18 $90,632.27 $341,980.00 $188,515.13 nat. median
$99,019
1.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $91,096.08 $278,429.00 $184,762.54 nat. median
$100,136
1.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $173,806.00 $185,972.42 $184,234.36 nat. median
$150,721
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $93,173.04 $284,821.00 $183,711.70 nat. median
$102,358
1.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $171,545.00 $183,553.15 $181,837.70 nat. median
$151,838
1.2× median
222
MS_DRG 		No Active Code Description 3 $175,692.00 $175,692.00 $175,692.00 nat. median
$63,570
outlier · 2.8×
5831
APR_DRG 		Neonate With Ecmo 7 $164,549.00 $176,067.43 $174,421.94 nat. median
$145,122
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $163,362.00 $174,797.34 $173,163.72 nat. median
$119,796
1.4× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $160,703.00 $171,952.21 $170,345.18 nat. median
$109,499
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $89,618.00 $273,879.00 $170,274.20 nat. median
$98,905
1.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $159,963.00 $171,160.41 $169,560.78 nat. median
$105,658
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $82,615.80 $252,328.00 $167,471.90 nat. median
$93,672
1.8× median
C1877
HCPCS 		Thraflx Hbrd Antflo 30x40x150a Tha3040x150a 3 $124,223.75 $186,335.63 $157,764.17 nat. median
$1,988
outlier · 79.4×
224
MS_DRG 		No Active Code Description 3 $157,031.00 $157,031.00 $157,031.00 nat. median
$54,196
outlier · 2.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $78,884.91 $240,845.00 $149,881.33 nat. median
$83,442
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $72,615.80 $221,550.00 $147,082.90 nat. median
$79,312
1.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 18 $72,575.88 $221,427.00 $147,001.44 nat. median
$81,118
1.8× median
226
MS_DRG 		No Active Code Description 3 $143,826.00 $143,826.00 $143,826.00 nat. median
$49,935
outlier · 2.9×
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 4 $81,345.00 $244,035.00 $142,353.75 nat. median
$94
outlier · 1518.0×
454
MS_DRG 		No Active Code Description 5 $115,118.00 $166,432.00 $140,775.00 nat. median
$62,270
outlier · 2.3×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $132,750.00 $142,042.50 $140,715.00 nat. median
$118,620
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $69,109.18 $210,757.00 $139,933.09 nat. median
$77,576
1.8× median
459
MS_DRG 		No Active Code Description 5 $125,364.00 $164,275.00 $139,906.75 nat. median
$65,381
outlier · 2.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $71,483.45 $218,065.00 $135,818.56 nat. median
$82,712
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 $67,030.52 $204,360.00 $135,695.26 nat. median
$73,807
1.8× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 $127,619.00 $136,552.33 $135,276.14 nat. median
$93,260
1.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $66,360.28 $202,297.00 $134,328.64 nat. median
$74,915
1.8× median
223
MS_DRG 		No Active Code Description 3 $132,047.00 $132,047.00 $132,047.00 nat. median
$44,728
outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 11,378 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 31 18 — — $239,914.38 $736,460.00 $488,187.19 2026-02-28
10 MS_DRG Pancreas Transplant 31 18 — — $68,360.79 $208,454.00 $88,764.00 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 18 — — $46,469.03 $141,076.00 $93,772.51 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 18 — — $35,492.14 $107,291.00 $67,967.45 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $55,586.00 $59,477.02 $58,921.16 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 31 18 — — $111,928.56 $342,547.00 $214,343.20 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 30 17 — — $36,558.23 $110,572.00 $71,569.01 2026-02-28
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 30 17 — — $28,681.06 $86,328.00 $56,064.12 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 31 18 — — $51,905.65 $157,809.00 $104,857.32 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $52,532.00 $56,209.24 $55,683.92 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $110,742.00 $118,493.94 $117,386.52 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $114,418.00 $122,427.26 $121,283.08 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $114,418.00 $122,427.26 $121,283.08 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $163,362.00 $174,797.34 $173,163.72 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $234,318.00 $250,720.26 $248,377.08 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $62,666.00 $67,052.62 $66,425.96 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $96,621.00 $103,384.47 $102,418.26 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 31 18 — — $39,786.22 $120,508.00 $80,147.11 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $80,375.00 $86,001.25 $85,197.50 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $74,178.00 $79,370.46 $78,628.68 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 18 — — $33,339.57 $100,666.00 $67,002.79 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $63,925.00 $68,399.75 $67,760.50 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $77,787.00 $83,232.09 $82,454.22 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $62,545.00 $66,923.15 $66,297.70 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 31 18 — — $51,905.65 $157,809.00 $90,170.00 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 7 — — $53,629.00 $57,383.03 $56,846.74 2026-02-28
1783 APR_DRG External Heart Assist Systems 7 7 — — $56,938.00 $60,923.66 $60,354.28 2026-02-28
1784 APR_DRG External Heart Assist Systems 7 7 — — $81,182.00 $86,864.74 $86,052.92 2026-02-28
1794 APR_DRG Defibrillator Implants 7 7 — — $63,603.00 $68,055.21 $67,419.18 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 17 — — $320,992.32 $986,001.00 $634,098.48 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 7 7 — — $54,487.00 $58,301.09 $57,756.22 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $71,554.00 $76,562.78 $75,847.24 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 17 — — $67,972.58 $207,259.00 $129,657.71 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 18 — — $94,241.68 $342,985.00 $196,022.70 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 18 — — $69,109.18 $210,757.00 $139,933.09 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 7 7 — — $58,699.00 $62,807.93 $62,220.94 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 31 18 — — $55,569.43 $171,104.00 $106,415.46 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 18 — — $47,585.23 $154,795.00 $98,977.28 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 17 — — $93,173.04 $284,821.00 $183,711.70 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $65,626.00 $70,219.82 $69,563.56 2026-02-28
215 MS_DRG Other Heart Assist System Implant 31 18 — — $90,632.27 $341,980.00 $188,515.13 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 18 — — $82,615.80 $252,328.00 $167,471.90 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 18 — — $55,490.43 $168,842.00 $112,166.21 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 18 — — $51,170.01 $155,544.00 $103,357.01 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 18 — — $66,360.28 $202,297.00 $134,328.64 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 31 18 — — $30,622.11 $103,073.00 $63,693.99 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 18 — — $45,626.35 $138,482.00 $92,054.18 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 7 7 — — $58,532.00 $62,629.24 $62,043.92 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 18 — — $39,645.21 $120,074.00 $79,859.60 2026-02-28
222 MS_DRG No Active Code Description 3 3 — — $175,692.00 $175,692.00 $175,692.00 2026-02-28
223 MS_DRG No Active Code Description 3 3 — — $132,047.00 $132,047.00 $132,047.00 2026-02-28
224 MS_DRG No Active Code Description 3 3 — — $157,031.00 $157,031.00 $157,031.00 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $58,642.00 $62,746.94 $62,160.52 2026-02-28
225 MS_DRG No Active Code Description 3 3 — — $120,776.00 $120,776.00 $120,776.00 2026-02-28
226 MS_DRG No Active Code Description 3 3 — — $143,826.00 $143,826.00 $143,826.00 2026-02-28
227 MS_DRG No Active Code Description 3 3 — — $113,053.00 $113,053.00 $113,053.00 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 18 — — $42,964.10 $150,462.00 $89,365.33 2026-02-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 31 18 — — $27,019.50 $100,760.00 $56,200.56 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 18 — — $49,095.60 $149,160.00 $99,127.80 2026-02-28
230 MS_DRG No Active Code Description 3 3 — — $88,720.00 $88,720.00 $88,720.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 18 — — $72,615.80 $221,550.00 $147,082.90 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 18 — — $52,524.07 $159,712.00 $106,118.04 2026-02-28
2324 APR_DRG Gastric Fundoplication 7 7 — — $67,749.00 $72,491.43 $71,813.94 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 18 — — $67,030.52 $204,360.00 $135,695.26 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 31 18 — — $45,825.98 $139,097.00 $92,461.49 2026-02-28
234 APR_DRG Spinal Procedures 7 7 — — $59,401.00 $63,559.07 $62,965.06 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 18 — — $50,617.00 $153,842.00 $102,229.50 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 18 — — $35,563.49 $107,511.00 $71,537.24 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 18 — — $43,419.42 $131,690.00 $87,554.71 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 18 — — $32,926.73 $99,395.00 $66,160.87 2026-02-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 31 18 — — $29,446.44 $88,684.00 $59,065.22 2026-02-28
245 MS_DRG Aicd Generator Procedures 31 18 — — $42,144.36 $127,765.00 $84,954.68 2026-02-28
246 MS_DRG No Active Code Description 3 3 — — $67,016.00 $67,016.00 $67,016.00 2026-02-28
248 MS_DRG No Active Code Description 3 3 — — $63,307.00 $63,307.00 $63,307.00 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 18 — — $38,623.30 $116,928.00 $77,775.65 2026-02-28
252 MS_DRG Other Vascular Procedures With Mcc 31 18 — — $29,772.64 $89,688.00 $59,730.32 2026-02-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 31 18 — — $29,567.07 $89,055.00 $59,311.04 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 7 7 — — $68,933.00 $73,758.31 $73,068.98 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 7 7 — — $54,172.00 $57,964.04 $57,422.32 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 31 18 — — $30,322.25 $91,379.00 $57,912.00 2026-02-28
265 MS_DRG Aicd Lead Procedures 31 18 — — $30,934.72 $93,264.00 $61,214.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 18 — — $51,522.54 $178,198.00 $107,166.89 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 18 — — $40,597.47 $137,407.00 $84,442.74 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 18 — — $57,271.77 $174,324.00 $115,797.88 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 31 18 — — $35,976.34 $108,782.00 $72,379.17 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 31 18 — — $44,235.76 $134,202.00 $89,218.88 2026-02-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 31 18 — — $29,891.56 $90,054.00 $59,972.78 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 31 18 — — $33,849.26 $102,235.00 $68,042.13 2026-02-28
274 APR_DRG Other Open Craniotomy 7 7 — — $59,997.00 $64,196.79 $63,596.82 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 17 — — $60,664.57 $184,767.00 $119,444.22 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 17 — — $53,252.07 $161,953.00 $104,790.13 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 17 — — $40,148.95 $121,624.00 $78,885.86 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 17 — — $43,134.00 $130,811.00 $83,451.80 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 31 18 — — $52,276.02 $158,949.00 $105,612.51 2026-02-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 31 18 — — $29,146.58 $87,761.00 $58,453.79 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 31 18 — — $182,687.95 $560,329.00 $349,847.43 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $74,663.00 $79,889.41 $79,142.78 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $97,226.00 $104,031.82 $103,059.56 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 7 — — $53,996.00 $57,775.72 $57,235.76 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $69,629.00 $74,503.03 $73,806.74 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 18 — — $36,230.33 $109,563.00 $72,896.66 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $68,935.00 $73,760.45 $73,071.10 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 27 16 — — $53,184.11 $161,743.00 $101,049.81 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 17 — — $37,947.96 $114,850.00 $74,534.67 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 17 — — $36,814.77 $111,362.00 $72,294.34 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 31 18 — — $43,777.05 $132,790.00 $88,283.52 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 18 — — $39,639.26 $120,055.00 $79,847.13 2026-02-28
332 MS_DRG Rectal Resection With Mcc 31 18 — — $30,097.99 $101,414.00 $62,603.82 2026-02-28
33231 CPT Hc Ins Icd Gen Only Exs Mlt Ld 29 17 $19,401.69 $5,592.36 71% off $13,969.22 $159,895.47 $69,045.77 2026-02-28
33264 CPT Hc Icd Gen Remove Insert Multi 29 17 $32,288.91 $9,306.99 71% off $23,248.02 $159,895.47 $69,045.77 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 31 18 — — $31,412.12 $94,734.00 $63,073.06 2026-02-28
338 MS_DRG No Active Code Description 3 3 — — $61,292.00 $61,292.00 $61,292.00 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 31 18 — — $33,665.77 $101,670.00 $67,667.88 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 18 — — $36,868.28 $111,527.00 $74,197.64 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 7 — — $58,179.00 $62,251.53 $61,669.74 2026-02-28
37 MS_DRG Extracranial Procedures With Mcc 31 18 — — $28,842.46 $86,825.00 $57,833.73 2026-02-28
38240 CPT Transplt Allo Hct/donor 27 16 — — $11,819.00 $294,950.83 $114,912.86 2026-02-28
39503 CPT Repair Of Diaphragm Hernia 1 1 — — $57,625.53 $57,625.53 $57,625.53 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 31 18 — — $120,662.84 $369,429.00 $229,259.40 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 31 18 — — $32,675.29 $98,622.00 $65,648.65 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 27 16 — — $33,865.40 $102,284.00 $64,344.26 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 31 18 — — $46,747.65 $141,933.00 $94,340.32 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 18 — — $30,374.91 $92,195.00 $61,284.96 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $64,539.00 $69,056.73 $68,411.34 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 31 18 — — $30,396.15 $91,607.00 $61,001.57 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $76,616.00 $81,979.12 $81,212.96 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 31 18 — — $30,614.47 $92,279.00 $61,446.74 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 31 18 — — $35,183.78 $106,342.00 $70,762.89 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 16 — — $89,618.00 $273,879.00 $170,274.20 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 16 — — $60,967.83 $185,700.00 $115,838.88 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 16 — — $47,388.16 $143,905.00 $90,037.51 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 16 — — $71,483.45 $218,065.00 $135,818.56 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $109,381.00 $117,037.67 $115,943.86 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 16 — — $47,102.73 $143,026.00 $89,495.19 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $159,963.00 $171,160.41 $169,560.78 2026-02-28
4414 APR_DRG Major Bladder Procedures 7 7 — — $57,531.00 $61,558.17 $60,982.86 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 16 — — $57,586.93 $175,294.00 $109,415.17 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 27 16 — — $35,320.54 $106,763.00 $67,109.03 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 16 — — $44,381.02 $134,649.00 $84,323.94 2026-02-28
453 MS_DRG No Active Code Description 6 5 — — $171,521.00 $235,741.00 $203,631.00 2026-02-28
454 MS_DRG No Active Code Description 6 5 — — $115,118.00 $166,432.00 $140,775.00 2026-02-28
455 MS_DRG No Active Code Description 6 5 — — $89,146.00 $127,733.00 $108,439.50 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 31 18 — — $72,575.88 $221,427.00 $147,001.44 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 31 18 — — $49,386.97 $150,479.00 $99,932.99 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 31 18 — — $37,312.56 $113,350.00 $75,331.28 2026-02-28
459 MS_DRG No Active Code Description 6 5 — — $125,364.00 $164,275.00 $139,906.75 2026-02-28
460 MS_DRG No Active Code Description 6 5 — — $70,802.00 $90,603.00 $80,702.50 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 31 18 — — $52,761.92 $168,887.00 $101,039.08 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 18 — — $46,512.35 $141,209.00 $93,860.68 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 31 18 — — $43,909.56 $133,198.00 $88,553.78 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 31 18 — — $29,728.46 $89,552.00 $59,640.23 2026-02-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 31 18 — — $28,399.04 $85,460.00 $56,929.52 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 31 18 — — $41,893.77 $126,994.00 $84,443.88 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 31 18 — — $38,728.63 $117,252.00 $74,165.33 2026-02-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 31 18 — — $29,845.69 $89,913.00 $58,644.00 2026-02-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 31 18 — — $27,979.40 $84,169.00 $56,074.20 2026-02-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 31 18 — — $30,798.80 $92,846.00 $61,822.40 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 31 18 — — $30,538.86 $92,046.00 $59,470.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 31 18 — — $91,096.08 $278,429.00 $184,762.54 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 31 18 — — $31,077.43 $93,704.00 $59,513.28 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $58,045.00 $62,108.15 $61,527.70 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $73,796.00 $78,961.72 $78,223.76 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $104,986.00 $112,335.02 $111,285.16 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 18 — — $52,944.56 $161,006.00 $93,586.00 2026-02-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 31 18 — — $30,065.71 $90,590.00 $57,575.84 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 18 — — $46,463.93 $141,060.00 $88,978.43 2026-02-28
5831 APR_DRG Neonate With Ecmo 7 7 — — $164,549.00 $176,067.43 $174,421.94 2026-02-28
5832 APR_DRG Neonate With Ecmo 7 7 — — $208,258.00 $222,836.06 $220,753.48 2026-02-28
5833 APR_DRG Neonate With Ecmo 7 7 — — $306,933.00 $328,418.31 $325,348.98 2026-02-28
5834 APR_DRG Neonate With Ecmo 7 7 — — $382,067.00 $408,811.69 $404,991.02 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $89,061.00 $95,295.27 $94,404.66 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $89,061.00 $95,295.27 $94,404.66 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $184,479.00 $197,392.53 $195,547.74 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $302,643.00 $323,828.01 $320,801.58 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 7 — — $127,619.00 $136,552.33 $135,276.14 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 7 — — $123,104.00 $131,721.28 $130,490.24 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 7 7 — — $111,913.00 $119,746.91 $118,627.78 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $80,097.00 $85,703.79 $84,902.82 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $111,092.00 $118,868.44 $117,757.52 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $122,801.00 $131,397.07 $130,169.06 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $206,628.00 $221,091.96 $219,025.68 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $102,910.00 $110,113.70 $109,084.60 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $118,799.00 $127,114.93 $125,926.94 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $171,545.00 $183,553.15 $181,837.70 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 31 18 — — $41,824.96 $126,782.00 $84,303.48 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $81,115.00 $86,793.05 $85,981.90 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $90,505.00 $96,840.35 $95,935.30 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $132,750.00 $142,042.50 $140,715.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $77,475.00 $82,898.25 $82,123.50 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $160,703.00 $171,952.21 $170,345.18 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $56,968.00 $60,955.76 $60,386.08 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $70,993.00 $75,962.51 $75,252.58 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $110,669.00 $118,415.83 $117,309.14 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $60,375.00 $64,601.25 $63,997.50 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $98,034.00 $104,896.38 $103,916.04 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $54,874.00 $58,715.18 $58,166.44 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $54,874.00 $58,715.18 $58,166.44 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $80,947.00 $86,613.29 $85,803.82 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $202,413.00 $216,581.91 $214,557.78 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $89,196.00 $95,439.72 $94,547.76 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $73,216.00 $78,341.12 $77,608.96 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 7 — — $73,581.00 $78,731.67 $77,995.86 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 7 — — $57,374.00 $61,390.18 $60,816.44 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 31 18 — — $33,464.45 $101,050.00 $67,257.23 2026-02-28
61886 CPT Implant Neurostim Arrays 28 17 — — $6,630.00 $151,975.96 $65,971.38 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $69,189.00 $74,032.23 $73,340.34 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 31 18 — — $32,419.59 $97,835.00 $65,127.29 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $53,424.00 $57,163.68 $56,629.44 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 7 7 — — $62,253.00 $66,610.71 $65,988.18 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 7 7 — — $75,549.00 $80,837.43 $80,081.94 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 31 18 — — $34,149.97 $103,160.00 $65,397.20 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $86,780.00 $92,854.60 $91,986.80 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $173,806.00 $185,972.42 $184,234.36 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $60,141.00 $64,350.87 $63,749.46 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $180,463.00 $193,095.41 $191,290.78 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $68,071.00 $72,835.97 $72,155.26 2026-02-28
64568 CPT Inc For Vagus N Elect Impl 27 16 — — $34,539.99 $151,975.96 $66,316.78 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 17 — — $39,770.08 $120,458.00 $78,136.88 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 17 — — $30,130.27 $90,789.00 $59,079.55 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 7 7 — — $67,872.00 $72,623.04 $71,944.32 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 31 18 — — $47,987.03 $145,748.00 $96,867.51 2026-02-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 31 18 — — $28,308.15 $85,180.00 $56,744.07 2026-02-28
665 MS_DRG Prostatectomy With Mcc 31 18 — — $29,799.82 $89,771.00 $57,840.00 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 31 18 — — $36,221.84 $109,537.00 $68,821.50 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 7 — — $74,929.00 $80,174.03 $79,424.74 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 7 7 — — $66,243.00 $70,880.01 $70,217.58 2026-02-28
6904 APR_DRG Acute Leukemia 7 7 — — $70,970.00 $75,937.90 $75,228.20 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $64,764.00 $69,297.48 $68,649.84 2026-02-28
69930 CPT Implant Cochlear Device 30 18 — — $12,267.00 $158,629.94 $70,301.90 2026-02-28
7 MS_DRG Lung Transplant 31 18 — — $111,648.23 $341,684.00 $205,798.00 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 31 18 — — $34,081.16 $102,949.00 $68,515.08 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 31 18 — — $34,448.99 $104,081.00 $67,538.00 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 30 17 — — $51,131.78 $155,427.00 $100,598.38 2026-02-28
791 MS_DRG Prematurity With Major Problems 30 17 — — $35,120.07 $106,146.00 $68,943.99 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 31 18 — — $41,023.06 $124,314.00 $82,668.53 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 31 18 — — $46,852.99 $142,258.00 $94,555.49 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 31 18 — — $31,084.22 $93,725.00 $61,047.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 18 — — $50,091.18 $152,224.00 $100,503.00 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 31 18 — — $40,383.40 $122,346.00 $81,364.70 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 18 — — $41,198.90 $124,855.00 $83,026.95 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 31 18 — — $47,585.23 $144,511.00 $96,048.12 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 18 — — $43,167.13 $130,913.00 $87,040.07 2026-02-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $54,453.00 $58,264.71 $57,720.18 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $54,453.00 $58,264.71 $57,720.18 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $83,794.00 $89,659.58 $88,821.64 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $210,940.00 $225,705.80 $223,596.40 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $104,899.00 $112,241.93 $111,192.94 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 27 16 — — $78,884.91 $240,845.00 $149,881.33 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 18 — — $43,117.01 $130,759.00 $86,938.01 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 18 — — $38,957.14 $117,956.00 $78,456.57 2026-02-28
8634 APR_DRG Neonatal Aftercare 7 7 — — $105,503.00 $112,888.21 $111,833.18 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 18 — — $59,725.90 $181,878.00 $114,375.10 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 29 17 — — $34,013.21 $102,739.00 $63,606.00 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 7 7 — — $62,247.00 $66,604.29 $65,981.82 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 31 18 — — $38,268.22 $115,835.00 $77,051.61 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 31 18 — — $33,431.32 $100,948.00 $63,519.51 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 31 18 — — $34,472.77 $104,154.00 $69,313.38 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $73,321.00 $78,453.47 $77,720.26 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $71,976.00 $77,014.32 $76,294.56 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $67,506.00 $72,231.42 $71,556.36 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $62,581.00 $66,961.67 $66,335.86 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 18 — — $202,151.07 $620,233.00 $360,515.00 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 31 18 — — $57,367.76 $174,620.00 $115,993.88 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $80,636.00 $86,280.52 $85,474.16 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 31 18 — — $37,388.16 $113,127.00 $71,037.51 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $182,191.00 $194,944.37 $193,122.46 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 31 18 — — $31,627.04 $95,395.00 $63,511.02 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $58,055.00 $62,118.85 $61,538.30 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 18 — — $58,636.88 $161,790.00 $110,213.44 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 31 18 — — $33,102.57 $96,613.00 $64,857.79 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 18 — — $64,038.67 $176,857.00 $120,447.84 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 31 18 — — $35,543.96 $97,635.00 $66,589.48 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 18 — — $54,355.53 $170,227.00 $104,090.84 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 31 18 — — $31,082.52 $93,719.00 $59,908.00 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 18 — — $41,015.41 $124,291.00 $82,653.21 2026-02-28
984 MS_DRG No Active Code Description 3 3 — — $69,800.00 $69,800.00 $69,800.00 2026-02-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 18 — — $30,386.81 $91,578.00 $60,982.40 2026-02-28
C1605 HCPCS Pacer Sys Aveir Dual Chamber Dr-system-aveir 4 4 $170,364.00 $49,105.87 71% off $85,182.00 $127,773.00 $120,958.44 2026-02-28
C1767 HCPCS DRG Ipg Proclaim W/controller 3664ctrlsysxx 56 3 $122,371.04 $35,272.33 71% off $32,049.73 $185,233.59 $67,446.04 2026-02-28
C1787 HCPCS Kt Pulse Gen 16 Wavewriter Alp M365sc12160 23 3 $106,477.50 $30,691.17 71% off $3,531.51 $90,505.88 $60,337.25 2026-02-28
C1820 HCPCS Kt Imp Vercise Gevia Genrtr M365db1200s0 36 3 $115,875.91 $33,400.17 71% off $3,385.99 $117,125.25 $70,452.61 2026-02-28
C1822 HCPCS Ipg W/kit Nipg1500 16 3 $129,547.62 $37,340.92 71% off $56,788.00 $138,420.75 $86,033.82 2026-02-28
C1824 HCPCS Optimizer Smart Ipg 10-b411-3-xx 4 3 $163,265.50 $47,059.79 71% off $81,632.75 $122,449.13 $103,673.60 2026-02-28
C1826 HCPCS Neurostimulator Rechrg 977119 4 3 $156,167.00 $45,013.71 71% off $78,083.50 $117,125.25 $99,166.05 2026-02-28
C1877 HCPCS Thraflx Hbrd Antflo 30x40x150a Tha3040x150a 4 3 $248,447.50 $71,612.72 71% off $124,223.75 $186,335.63 $157,764.17 2026-02-28
C1882 HCPCS Acticor 7 Hf-t 429523 68 4 $103,680.69 $29,885.01 71% off $29,636.24 $150,559.19 $65,586.60 2026-02-28
C2616 HCPCS Therasphere Y-90 1-20gbq Y90thera 43 18 $125,998.38 $36,317.88 71% off $19,818.31 $102,724.17 $60,328.50 2026-02-28
C2624 HCPCS Sys Del Pa Sens Cardiomems Cm2000 4 3 $149,068.50 $42,967.63 71% off $74,534.25 $111,801.38 $94,658.50 2026-02-28
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 5 4 $744,578.00 $214,617.78 71% off $372,289.00 $558,433.50 $528,650.38 2026-02-28
J1303 HCPCS Ravulizumab-cwvz 10 Mg/ml Intravenous Solution 74 18 $399,514.00 $115,156.25 71% off $220.59 $359,566.39 $234,911.88 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 10 4 $244,035.00 $70,340.86 71% off $81,345.00 $244,035.00 $142,353.75 2026-02-28
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 10 4 $130,690.00 $37,670.20 71% off $32,672.50 $147,026.25 $73,513.12 2026-02-28
J9019 HCPCS Asparaginase (erwinia Chrysanthemi) 10000 Unit Solution For Injection 11 8 $102,476.00 $29,537.77 71% off $1,281.55 $76,857.00 $61,485.60 2026-02-28
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 10 4 $130,226.23 $37,536.52 71% off $19,402.00 $166,236.34 $69,963.61 2026-02-28
J9249 HCPCS Melphalan Hcl 50 Mg Intravenous Powder For Solution 10 4 $101,032.38 $29,121.66 71% off $41,601.58 $89,146.20 $61,154.32 2026-02-28
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg Intravenous Solution 10 4 $105,733.45 $30,476.70 71% off $18,356.50 $131,065.43 $57,455.85 2026-02-28
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 10 4 $128,148.00 $36,937.49 71% off $42,716.00 $128,148.00 $74,753.00 2026-02-28
J9332 HCPCS Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution 5 4 $91,868.00 $26,480.11 71% off $45,934.00 $68,901.00 $65,226.28 2026-02-28
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 10 4 $131,768.00 $37,980.92 71% off $10,136.00 $182,448.00 $68,418.00 2026-02-28
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 10 4 $177,979.70 $51,301.02 71% off $73,303.00 $157,015.05 $107,755.41 2026-02-28
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