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

BELOIT HEALTH SYSTEM

Beloit, WI · CCN 520100 · Rates published

13,004 distinct procedures filed
21 distinct payers
460,543 rate rows
2026-04-02 last MRF observed
Data quality

372,038 of 460,543 rate rows are consumer-grade (80.8%)

88,505 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
professional (physician) fee — not the facility price 86,526
per-diem day rate — not a per-procedure price 1,401
exceeds 10× this hospital's gross charge — excluded from medians 548
placeholder amount (≤ $0.02) — excluded from medians 19
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.healthcare/beloit-memorial-hospital/charges/export
Found on page https://pricetransparency.healthcare/beloit-memorial-hospital/charges/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint cd106b495758df0a… · 186,327,485 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo 9 $430,395.83 $484,536.81 $463,970.70 nat. median
$309,665
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $331,209.14 $1,019,011.76 $331,209.14 nat. median
$370,174
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $263,642.76 $296,807.29 $284,209.34 nat. median
$246,434
1.2× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $246,430.04 $277,429.33 $265,653.87 nat. median
$117,173
outlier · 2.3×
24
APR_DRG 		Heart And/or Lung Transplant 9 $246,274.27 $277,253.96 $265,485.95 nat. median
$234,738
1.1× median
5833
APR_DRG 		Neonate With Ecmo 9 $245,105.98 $275,938.72 $264,226.53 nat. median
$244,017
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $215,119.31 $749,593.52 $215,119.31 nat. median
$265,286
0.8× median
5832
APR_DRG 		Neonate With Ecmo 9 $188,249.50 $211,930.05 $202,934.70 nat. median
$156,126
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 9 $183,810.02 $206,932.12 $198,148.90 nat. median
$207,730
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $183,654.24 $206,756.75 $197,980.98 nat. median
$162,982
1.2× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $183,420.59 $206,493.70 $197,729.10 nat. median
$60,845
outlier · 3.2×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $180,149.39 $202,811.01 $194,202.72 nat. median
$164,834
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $176,644.54 $198,865.27 $190,424.46 nat. median
$122,924
1.5× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $175,554.14 $197,637.71 $189,249.00 nat. median
$182,736
1.0× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $172,828.15 $194,568.80 $186,310.35 nat. median
$164,279
1.1× median
5831
APR_DRG 		Neonate With Ecmo 9 $168,933.87 $190,184.64 $182,112.28 nat. median
$145,122
1.3× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $163,481.87 $184,046.83 $176,234.98 nat. median
$160,267
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $160,210.68 $180,364.14 $172,708.60 nat. median
$150,721
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $164,013.10 $729,135.68 $164,013.10 nat. median
$206,368
0.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $151,954.81 $171,069.73 $163,808.69 nat. median
$151,838
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $163,053.53 $589,826.64 $163,053.53 nat. median
$202,986
0.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $150,474.98 $169,403.75 $162,213.42 nat. median
$145,336
1.1× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $145,801.84 $164,142.76 $157,175.74 nat. median
$58,674
outlier · 2.7×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $145,022.99 $163,265.93 $156,336.13 nat. median
$187,294
0.8× median
1613
APR_DRG 		Implantable Heart Assist Systems 9 $143,932.59 $162,038.37 $155,160.67 nat. median
$119,796
1.3× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $138,480.60 $155,900.55 $149,283.37 nat. median
$105,658
1.4× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 9 $137,078.66 $154,322.26 $147,772.06 nat. median
$129,535
1.1× median
23
APR_DRG 		Heart And/or Lung Transplant 9 $134,119.00 $150,990.30 $144,581.53 nat. median
$93,528
1.5× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $130,380.49 $146,781.51 $140,551.38 nat. median
$102,636
1.4× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $128,978.55 $145,203.21 $139,040.08 nat. median
$124,573
1.1× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 9 $122,903.48 $138,363.93 $132,491.09 nat. median
$69,788
1.9× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 9 $122,903.48 $138,363.93 $132,491.09 nat. median
$89,790
1.5× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 9 $122,903.48 $138,363.93 $132,491.09 nat. median
$93,260
1.4× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $121,112.11 $136,347.22 $130,559.98 nat. median
$79,160
1.6× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $114,491.83 $128,894.16 $123,423.26 nat. median
$118,620
1.0× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $111,843.72 $125,912.93 $120,568.57 nat. median
$81,294
1.5× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $111,142.75 $125,123.78 $119,812.92 nat. median
$108,996
1.1× median
1612
APR_DRG 		Implantable Heart Assist Systems 9 $105,924.42 $119,249.02 $114,187.50 nat. median
$85,406
1.3× median
1611
APR_DRG 		Implantable Heart Assist Systems 9 $105,924.42 $119,249.02 $114,187.50 nat. median
$76,806
1.5× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 9 $105,534.99 $118,810.60 $113,767.70 nat. median
$97,957
1.2× median
22
APR_DRG 		Heart And/or Lung Transplant 9 $101,562.82 $114,338.76 $109,485.67 nat. median
$78,029
1.4× median
33990
CPT 		Insertion Lvad-impella 15 $1,147.49 $157,152.49 $106,761.20 nat. median
$4,850
outlier · 22.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $106,583.52 $406,779.36 $106,583.52 nat. median
$133,176
0.8× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 $96,422.37 $108,551.68 $103,944.21 nat. median
$68,217
1.5× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $95,487.75 $107,499.48 $102,936.68 nat. median
$69,926
1.5× median
7
MS_DRG 		Lung Transplant 14 $99,681.95 $339,491.36 $99,681.95 nat. median
$122,708
0.8× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $92,216.55 $103,816.79 $99,410.30 nat. median
$89,273
1.1× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 9 $91,515.58 $103,027.64 $98,654.65 nat. median
$80,494
1.2× median
21
APR_DRG 		Heart And/or Lung Transplant 9 $89,802.10 $101,098.61 $96,807.49 nat. median
$65,130
1.5× median
64
APR_DRG 		Pancreas Transplant 9 $89,568.44 $100,835.57 $96,555.61 nat. median
$91,748
1.1× median

Other procedures at this hospital

Browse this hospital's 13,004 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Neonate With Ecmo 9 9 — — $430,395.83 $484,536.81 $463,970.70 2026-04-02
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 14 — — $331,209.14 $1,019,011.76 $331,209.14 2026-04-02
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $263,642.76 $296,807.29 $284,209.34 2026-04-02
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $246,430.04 $277,429.33 $265,653.87 2026-04-02
24 APR_DRG Heart And/or Lung Transplant 9 9 — — $246,274.27 $277,253.96 $265,485.95 2026-04-02
5833 APR_DRG Neonate With Ecmo 9 9 — — $245,105.98 $275,938.72 $264,226.53 2026-04-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 14 — — $215,119.31 $749,593.52 $215,119.31 2026-04-02
5832 APR_DRG Neonate With Ecmo 9 9 — — $188,249.50 $211,930.05 $202,934.70 2026-04-02
1614 APR_DRG Implantable Heart Assist Systems 9 9 — — $183,810.02 $206,932.12 $198,148.90 2026-04-02
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $183,654.24 $206,756.75 $197,980.98 2026-04-02
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $183,420.59 $206,493.70 $197,729.10 2026-04-02
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $180,149.39 $202,811.01 $194,202.72 2026-04-02
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $176,644.54 $198,865.27 $190,424.46 2026-04-02
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $175,554.14 $197,637.71 $189,249.00 2026-04-02
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $172,828.15 $194,568.80 $186,310.35 2026-04-02
5831 APR_DRG Neonate With Ecmo 9 9 — — $168,933.87 $190,184.64 $182,112.28 2026-04-02
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $163,481.87 $184,046.83 $176,234.98 2026-04-02
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $160,210.68 $180,364.14 $172,708.60 2026-04-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 14 — — $164,013.10 $729,135.68 $164,013.10 2026-04-02
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $151,954.81 $171,069.73 $163,808.69 2026-04-02
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 14 — — $163,053.53 $589,826.64 $163,053.53 2026-04-02
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $150,474.98 $169,403.75 $162,213.42 2026-04-02
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $145,801.84 $164,142.76 $157,175.74 2026-04-02
74 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $145,022.99 $163,265.93 $156,336.13 2026-04-02
1613 APR_DRG Implantable Heart Assist Systems 9 9 — — $143,932.59 $162,038.37 $155,160.67 2026-04-02
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $138,480.60 $155,900.55 $149,283.37 2026-04-02
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $137,078.66 $154,322.26 $147,772.06 2026-04-02
23 APR_DRG Heart And/or Lung Transplant 9 9 — — $134,119.00 $150,990.30 $144,581.53 2026-04-02
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $130,380.49 $146,781.51 $140,551.38 2026-04-02
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $128,978.55 $145,203.21 $139,040.08 2026-04-02
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $122,903.48 $138,363.93 $132,491.09 2026-04-02
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $122,903.48 $138,363.93 $132,491.09 2026-04-02
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $122,903.48 $138,363.93 $132,491.09 2026-04-02
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $121,112.11 $136,347.22 $130,559.98 2026-04-02
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $114,491.83 $128,894.16 $123,423.26 2026-04-02
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $111,843.72 $125,912.93 $120,568.57 2026-04-02
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $111,142.75 $125,123.78 $119,812.92 2026-04-02
1611 APR_DRG Implantable Heart Assist Systems 9 9 — — $105,924.42 $119,249.02 $114,187.50 2026-04-02
1612 APR_DRG Implantable Heart Assist Systems 9 9 — — $105,924.42 $119,249.02 $114,187.50 2026-04-02
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $105,534.99 $118,810.60 $113,767.70 2026-04-02
22 APR_DRG Heart And/or Lung Transplant 9 9 — — $101,562.82 $114,338.76 $109,485.67 2026-04-02
33990 CPT Insertion Lvad-impella 22 15 $164,248.00 $49,274.40 70% off $1,147.49 $157,152.49 $106,761.20 2026-04-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 14 — — $106,583.52 $406,779.36 $106,583.52 2026-04-02
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $96,422.37 $108,551.68 $103,944.21 2026-04-02
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $95,487.75 $107,499.48 $102,936.68 2026-04-02
7 MS_DRG Lung Transplant 19 14 — — $99,681.95 $339,491.36 $99,681.95 2026-04-02
73 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $92,216.55 $103,816.79 $99,410.30 2026-04-02
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 9 — — $91,515.58 $103,027.64 $98,654.65 2026-04-02
21 APR_DRG Heart And/or Lung Transplant 9 9 — — $89,802.10 $101,098.61 $96,807.49 2026-04-02
64 APR_DRG Pancreas Transplant 9 9 — — $89,568.44 $100,835.57 $96,555.61 2026-04-02
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $89,412.67 $100,660.20 $96,387.69 2026-04-02
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $88,478.04 $99,608.00 $95,380.15 2026-04-02
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $88,322.27 $99,432.64 $95,212.23 2026-04-02
14 MS_DRG Allogeneic Bone Marrow Transplant 19 14 — — $92,542.22 $317,219.76 $92,542.22 2026-04-02
8514 APR_DRG Gender Related Procedures 9 9 — — $84,427.99 $95,048.48 $91,014.16 2026-04-02
8513 APR_DRG Gender Related Procedures 9 9 — — $84,427.99 $95,048.48 $91,014.16 2026-04-02
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $83,727.02 $94,259.33 $90,258.51 2026-04-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 14 — — $87,287.93 $338,875.68 $87,287.93 2026-04-02
209 MS_DRG Complex Aortic Arch Procedures 18 13 — — $87,188.38 $246,967.16 $87,188.38 2026-04-02
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $79,521.20 $89,524.45 $85,724.59 2026-04-02
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 13 — — $84,909.28 $240,473.77 $84,909.28 2026-04-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 14 — — $83,782.77 $298,136.80 $83,782.77 2026-04-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 14 — — $79,466.61 $286,504.40 $79,466.61 2026-04-02
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 9 — — $73,601.89 $82,860.53 $79,343.52 2026-04-02
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 9 — — $72,900.92 $82,071.38 $78,587.87 2026-04-02
8634 APR_DRG Neonatal Aftercare 9 9 — — $71,966.29 $81,019.18 $77,580.33 2026-04-02
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $71,810.52 $80,843.82 $77,412.41 2026-04-02
215 MS_DRG Other Heart Assist System Implant 21 14 — — $76,759.45 $282,766.64 $76,759.45 2026-04-02
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $71,187.44 $80,142.35 $76,740.72 2026-04-02
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $70,875.90 $79,791.62 $76,404.87 2026-04-02
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $70,564.35 $79,440.89 $76,069.03 2026-04-02
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $70,019.15 $78,827.11 $75,481.30 2026-04-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 14 — — $75,425.39 $268,678.80 $75,425.39 2026-04-02
4404 APR_DRG Kidney Transplant 9 9 — — $69,396.07 $78,125.64 $74,809.61 2026-04-02
63 APR_DRG Pancreas Transplant 9 9 — — $69,006.64 $77,687.23 $74,389.80 2026-04-02
2965001 CDM Generator Single Pin 8cc 22 15 $113,821.00 $34,146.30 70% off $33,144.68 $108,903.93 $73,983.65 2026-04-02
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $68,072.01 $76,635.03 $73,382.26 2026-04-02
72 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $64,956.59 $73,127.71 $70,023.81 2026-04-02
84 APR_DRG Autologous Bone Marrow Transplant 9 9 — — $64,489.28 $72,601.61 $69,520.04 2026-04-02
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 13 — — $69,504.08 $196,582.26 $69,504.08 2026-04-02
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $63,710.42 $71,724.78 $68,680.43 2026-04-02
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $63,554.65 $71,549.41 $68,512.50 2026-04-02
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 9 — — $62,074.82 $69,883.43 $66,917.24 2026-04-02
850 MS_DRG Acute Leukemia With Other Procedures 18 13 — — $66,822.94 $188,943.36 $66,822.94 2026-04-02
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $60,984.42 $68,655.87 $65,741.78 2026-04-02
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $60,750.77 $68,392.82 $65,489.89 2026-04-02
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $60,750.77 $68,392.82 $65,489.89 2026-04-02
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $60,672.88 $68,305.13 $65,405.93 2026-04-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 14 — — $65,064.62 $224,713.84 $65,064.62 2026-04-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 14 — — $64,861.67 $233,400.96 $64,861.67 2026-04-02
62 APR_DRG Pancreas Transplant 9 9 — — $59,504.60 $66,989.89 $64,146.51 2026-04-02
1784 APR_DRG External Heart Assist Devices 9 9 — — $58,959.40 $66,376.11 $63,558.78 2026-04-02
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $57,946.89 $65,236.23 $62,467.28 2026-04-02
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 9 9 — — $57,869.00 $65,148.54 $62,383.32 2026-04-02
71 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $57,323.80 $64,534.76 $61,795.59 2026-04-02
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 9 — — $56,856.49 $64,008.66 $61,291.82 2026-04-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 14 — — $60,767.60 $234,037.44 $60,767.60 2026-04-02
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 9 — — $55,766.09 $62,781.10 $60,116.36 2026-04-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 14 — — $59,308.71 $213,543.20 $59,308.71 2026-04-02
12 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $54,987.23 $61,904.27 $59,276.75 2026-04-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 14 — — $59,055.22 $215,987.20 $59,055.22 2026-04-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 14 — — $58,861.46 $200,307.12 $58,861.46 2026-04-02
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 9 9 — — $54,597.81 $61,465.85 $58,856.94 2026-04-02
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $53,195.86 $59,887.56 $57,345.64 2026-04-02
1834 APR_DRG Percutaneous Structural Cardiac Procedures 9 9 — — $53,117.98 $59,799.87 $57,261.67 2026-04-02
9104 APR_DRG Craniotomy For Multiple Significant Trauma 9 9 — — $52,962.21 $59,624.51 $57,093.75 2026-04-02
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $51,949.70 $58,484.63 $56,002.25 2026-04-02
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $51,871.81 $58,396.94 $55,918.29 2026-04-02
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 13 — — $55,788.24 $157,504.08 $55,788.24 2026-04-02
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 9 — — $51,482.38 $57,958.53 $55,498.49 2026-04-02
10 MS_DRG Pancreas Transplant 19 14 — — $48,778.01 $133,426.80 $55,459.71 2026-04-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 14 — — $55,436.73 $191,658.48 $55,436.73 2026-04-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 14 — — $55,144.95 $221,348.40 $55,144.95 2026-04-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 14 — — $55,112.78 $194,868.96 $55,112.78 2026-04-02
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $50,469.87 $56,818.65 $54,406.99 2026-04-02
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 9 9 — — $50,391.98 $56,730.97 $54,323.03 2026-04-02
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 9 9 — — $50,391.98 $56,730.97 $54,323.03 2026-04-02
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 9 — — $49,768.90 $56,029.50 $53,651.33 2026-04-02
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 9 9 — — $49,691.01 $55,941.82 $53,567.37 2026-04-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 14 — — $53,438.70 $192,908.56 $53,438.70 2026-04-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 14 — — $53,179.09 $189,861.36 $53,179.09 2026-04-02
1794 APR_DRG Defibrillator Implants 9 9 — — $49,067.93 $55,240.35 $52,895.68 2026-04-02
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $48,990.04 $55,152.67 $52,811.72 2026-04-02
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $48,912.16 $55,064.99 $52,727.76 2026-04-02
914 APR_DRG Other Major Head And Neck Procedures 9 9 — — $48,756.39 $54,889.62 $52,559.84 2026-04-02
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 9 9 — — $48,678.50 $54,801.94 $52,475.88 2026-04-02
11 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $48,289.07 $54,363.52 $52,056.07 2026-04-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 14 — — $52,054.87 $168,723.36 $52,054.87 2026-04-02
214 APR_DRG Open Craniotomy Except Trauma 9 9 — — $47,977.53 $54,012.79 $51,720.22 2026-04-02
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 9 — — $47,977.53 $54,012.79 $51,720.22 2026-04-02
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 13 — — $51,713.31 $145,894.08 $51,713.31 2026-04-02
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 13 — — $51,675.79 $145,787.17 $51,675.79 2026-04-02
1783 APR_DRG External Heart Assist Devices 9 9 — — $47,588.10 $53,574.37 $51,300.42 2026-04-02
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $47,510.22 $53,486.69 $51,216.45 2026-04-02
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $47,432.33 $53,399.01 $51,132.49 2026-04-02
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $47,354.44 $53,311.32 $51,048.53 2026-04-02
4403 APR_DRG Kidney Transplant 9 9 — — $47,198.67 $53,135.96 $50,880.61 2026-04-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 14 — — $50,861.72 $157,843.92 $50,861.72 2026-04-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 14 — — $50,861.72 $176,329.92 $50,861.72 2026-04-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 14 — — $50,678.69 $172,260.40 $50,678.69 2026-04-02
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 9 9 — — $46,809.25 $52,697.54 $50,460.80 2026-04-02
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $46,653.47 $52,522.18 $50,292.88 2026-04-02
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $46,341.93 $52,171.44 $49,957.03 2026-04-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 14 — — $49,784.99 $191,335.04 $49,784.99 2026-04-02
6904 APR_DRG Acute Leukemia 9 9 — — $46,030.39 $51,820.71 $49,621.19 2026-04-02
83 APR_DRG Autologous Bone Marrow Transplant 9 9 — — $45,407.30 $51,119.25 $48,949.50 2026-04-02
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $45,329.42 $51,031.56 $48,865.53 2026-04-02
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 9 9 — — $44,706.33 $50,330.10 $48,193.84 2026-04-02
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 9 — — $44,628.45 $50,242.42 $48,109.88 2026-04-02
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $44,472.68 $50,067.05 $47,941.96 2026-04-02
1694 APR_DRG Major Abdominal Vascular Procedures 9 9 — — $44,316.91 $49,891.68 $47,774.04 2026-04-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 14 — — $47,439.27 $173,034.16 $47,439.27 2026-04-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 14 — — $47,384.91 $190,356.40 $47,384.91 2026-04-02
234 APR_DRG Spinal Procedures 9 9 — — $43,693.82 $49,190.22 $47,102.35 2026-04-02
2965263 CDM Graft Alloderm 16 X 20cm 102320 22 15 $72,429.00 $21,728.70 70% off $21,091.32 $69,300.07 $47,078.85 2026-04-02
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 9 9 — — $43,615.94 $49,102.54 $47,018.38 2026-04-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 14 — — $46,935.36 $164,808.80 $46,935.36 2026-04-02
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $43,538.05 $49,014.85 $46,934.42 2026-04-02
28 MS_DRG Spinal Procedures With Mcc 21 14 — — $46,519.52 $166,951.20 $46,519.52 2026-04-02
1204 APR_DRG Major Respiratory And Chest Procedures 9 9 — — $43,148.62 $48,576.44 $46,514.62 2026-04-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 14 — — $46,506.50 $172,042.00 $46,506.50 2026-04-02
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 9 — — $43,070.74 $48,488.75 $46,430.65 2026-04-02
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 9 9 — — $42,992.85 $48,401.07 $46,346.69 2026-04-02
C1767 HCPCS Neurostimulator Implantable Interstim Ii (recharge Free) 3058 22 15 $71,120.00 $21,336.00 70% off $20,710.14 $68,047.62 $46,228.00 2026-04-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 14 — — $46,173.37 $168,311.52 $46,173.37 2026-04-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 14 — — $46,023.28 $166,232.56 $46,023.28 2026-04-02
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 9 9 — — $42,603.42 $47,962.66 $45,926.89 2026-04-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 14 — — $45,917.59 $171,123.68 $45,917.59 2026-04-02
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 9 9 — — $42,447.65 $47,787.29 $45,758.96 2026-04-02
6954 APR_DRG Chemotherapy For Acute Leukemia 9 9 — — $42,369.77 $47,699.61 $45,675.00 2026-04-02
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $42,214.00 $47,524.24 $45,507.08 2026-04-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 14 — — $45,449.68 $162,928.48 $45,449.68 2026-04-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 14 — — $45,420.58 $167,521.12 $45,420.58 2026-04-02
204 APR_DRG Open Craniotomy For Trauma 9 9 — — $41,902.45 $47,173.51 $45,171.23 2026-04-02
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 9 9 — — $41,824.57 $47,085.82 $45,087.27 2026-04-02
894 APR_DRG Major Cranial Or Facial Bone Procedures 9 9 — — $41,824.57 $47,085.82 $45,087.27 2026-04-02
4284 APR_DRG Genetic Disorders 9 9 — — $41,746.68 $46,998.14 $45,003.31 2026-04-02
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $41,590.91 $46,822.78 $44,835.39 2026-04-02
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 9 9 — — $41,590.91 $46,822.78 $44,835.39 2026-04-02
2614 APR_DRG Major Biliary Tract Procedures 9 9 — — $41,590.91 $46,822.78 $44,835.39 2026-04-02
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 13 — — $44,672.38 $125,833.51 $44,672.38 2026-04-02
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 9 — — $41,435.14 $46,647.41 $44,667.46 2026-04-02
61 APR_DRG Pancreas Transplant 9 9 — — $41,357.25 $46,559.73 $44,583.50 2026-04-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 14 — — $44,390.54 $157,072.24 $44,390.54 2026-04-02
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 13 — — $44,211.36 $124,519.99 $44,211.36 2026-04-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 14 — — $44,154.67 $156,930.80 $44,154.67 2026-04-02
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 9 9 — — $40,656.28 $45,770.58 $43,827.85 2026-04-02
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 13 — — $43,561.16 $122,667.54 $43,561.16 2026-04-02
274 APR_DRG Other Open Craniotomy 9 9 — — $40,344.74 $45,419.85 $43,492.01 2026-04-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 14 — — $43,427.91 $145,816.32 $43,427.91 2026-04-02
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $40,266.86 $45,332.16 $43,408.04 2026-04-02
4402 APR_DRG Kidney Transplant 9 9 — — $40,188.97 $45,244.48 $43,324.08 2026-04-02
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $40,188.97 $45,244.48 $43,324.08 2026-04-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 14 — — $43,133.83 $123,660.16 $43,133.83 2026-04-02
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 9 9 — — $39,877.43 $44,893.75 $42,988.24 2026-04-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 14 — — $42,802.99 $188,860.88 $42,802.99 2026-04-02
4014 APR_DRG Adrenal Procedures 9 9 — — $39,565.88 $44,543.01 $42,652.39 2026-04-02
834 MS_DRG Acute Leukemia With Mcc 21 14 — — $42,549.51 $155,142.00 $42,549.51 2026-04-02
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 9 — — $39,410.11 $44,367.65 $42,484.47 2026-04-02
5204 APR_DRG Other GYN Procedures For Malignancy 9 9 — — $39,410.11 $44,367.65 $42,484.47 2026-04-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 14 — — $42,400.95 $152,548.24 $42,400.95 2026-04-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 14 — — $42,341.22 $144,052.48 $42,341.22 2026-04-02
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 9 — — $39,254.34 $44,192.28 $42,316.55 2026-04-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 14 — — $42,275.34 $142,902.24 $42,275.34 2026-04-02
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $39,176.46 $44,104.60 $42,232.58 2026-04-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 14 — — $42,160.01 $170,138.80 $42,160.01 2026-04-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 14 — — $42,108.39 $171,123.68 $42,108.39 2026-04-02
4414 APR_DRG Major Bladder Procedures 9 9 — — $39,020.69 $43,929.23 $42,064.66 2026-04-02
1782 APR_DRG External Heart Assist Devices 9 9 — — $38,787.03 $43,666.18 $41,812.78 2026-04-02
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $38,709.14 $43,578.50 $41,728.82 2026-04-02
1833 APR_DRG Percutaneous Structural Cardiac Procedures 9 9 — — $38,553.37 $43,403.13 $41,560.89 2026-04-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 14 — — $41,346.42 $145,343.12 $41,346.42 2026-04-02
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 13 — — $41,321.90 $116,287.61 $41,321.90 2026-04-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 14 — — $40,913.72 $140,153.52 $40,913.72 2026-04-02
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 9 9 — — $37,774.52 $42,526.30 $40,721.28 2026-04-02
4401 APR_DRG Kidney Transplant 9 9 — — $37,618.74 $42,350.94 $40,553.36 2026-04-02
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $37,618.74 $42,350.94 $40,553.36 2026-04-02
224 APR_DRG Ventricular Shunt Procedures 9 9 — — $37,462.97 $42,175.57 $40,385.43 2026-04-02
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 9 9 — — $37,462.97 $42,175.57 $40,385.43 2026-04-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 14 — — $40,370.76 $143,739.44 $40,370.76 2026-04-02
653 MS_DRG Major Bladder Procedures With Mcc 21 14 — — $40,301.82 $150,015.84 $40,301.82 2026-04-02
1793 APR_DRG Defibrillator Implants 9 9 — — $37,385.09 $42,087.89 $40,301.47 2026-04-02
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 9 9 — — $37,385.09 $42,087.89 $40,301.47 2026-04-02
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 9 9 — — $36,995.66 $41,649.47 $39,881.67 2026-04-02
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 9 — — $36,995.66 $41,649.47 $39,881.67 2026-04-02
8633 APR_DRG Neonatal Aftercare 9 9 — — $36,839.89 $41,474.11 $39,713.74 2026-04-02
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 9 — — $36,684.12 $41,298.74 $39,545.82 2026-04-02
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 9 9 — — $36,606.23 $41,211.06 $39,461.86 2026-04-02
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $36,606.23 $41,211.06 $39,461.86 2026-04-02
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 9 9 — — $36,528.35 $41,123.37 $39,377.90 2026-04-02
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 9 9 — — $36,450.46 $41,035.69 $39,293.94 2026-04-02
1814 APR_DRG Lower Extremity Vascular Procedures 9 9 — — $36,450.46 $41,035.69 $39,293.94 2026-04-02
2965107 CDM Valve Pericardial Tissue Hrt 22 15 $60,404.00 $18,121.20 70% off $17,589.64 $57,794.55 $39,262.60 2026-04-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 14 — — $39,105.61 $128,864.32 $39,105.61 2026-04-02
1214 APR_DRG Other Respiratory And Chest Procedures 9 9 — — $36,138.92 $40,684.96 $38,958.09 2026-04-02
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 9 9 — — $36,138.92 $40,684.96 $38,958.09 2026-04-02
2304 APR_DRG Major Small Bowel Procedures 9 9 — — $35,905.26 $40,421.91 $38,706.21 2026-04-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 14 — — $38,701.27 $140,765.04 $38,701.27 2026-04-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 14 — — $38,394.95 $139,650.16 $38,394.95 2026-04-02
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $35,593.72 $40,071.18 $38,370.36 2026-04-02
82 APR_DRG Autologous Bone Marrow Transplant 9 9 — — $35,593.72 $40,071.18 $38,370.36 2026-04-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 14 — — $38,327.56 $138,561.28 $38,327.56 2026-04-02
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 9 9 — — $35,515.83 $39,983.49 $38,286.40 2026-04-02
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 9 9 — — $35,437.95 $39,895.81 $38,202.44 2026-04-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 14 — — $38,198.13 $133,238.56 $38,198.13 2026-04-02
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 9 9 — — $35,360.06 $39,808.13 $38,118.48 2026-04-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 14 — — $38,041.13 $157,467.44 $38,041.13 2026-04-02
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 9 9 — — $35,204.29 $39,632.76 $37,950.55 2026-04-02
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 9 9 — — $35,126.41 $39,545.08 $37,866.59 2026-04-02
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 9 9 — — $35,048.52 $39,457.39 $37,782.63 2026-04-02
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $34,970.63 $39,369.71 $37,698.67 2026-04-02
4034 APR_DRG Procedures For Obesity 9 9 — — $34,970.63 $39,369.71 $37,698.67 2026-04-02
1781 APR_DRG External Heart Assist Devices 9 9 — — $34,892.75 $39,282.03 $37,614.71 2026-04-02
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $34,814.86 $39,194.35 $37,530.75 2026-04-02
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $34,814.86 $39,194.35 $37,530.75 2026-04-02
471 MS_DRG Cervical Spinal Fusion With Mcc 21 14 — — $37,485.92 $136,340.88 $37,485.92 2026-04-02
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 9 9 — — $34,659.09 $39,018.98 $37,362.82 2026-04-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 14 — — $37,299.06 $134,267.12 $37,299.06 2026-04-02
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 9 9 — — $34,425.44 $38,755.93 $37,110.94 2026-04-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 14 — — $36,965.93 $135,267.60 $36,965.93 2026-04-02
4844 APR_DRG Other Male Reproductive System And Related Procedures 9 9 — — $34,191.78 $38,492.88 $36,859.05 2026-04-02
9103 APR_DRG Craniotomy For Multiple Significant Trauma 9 9 — — $34,191.78 $38,492.88 $36,859.05 2026-04-02
294 APR_DRG Other Percutaneous Intracranial Procedures 9 9 — — $34,191.78 $38,492.88 $36,859.05 2026-04-02
4854 APR_DRG Prostatectomy Procedures 9 9 — — $34,113.89 $38,405.20 $36,775.09 2026-04-02
264 APR_DRG Other Nervous System And Related Procedures 9 9 — — $34,036.01 $38,317.51 $36,691.13 2026-04-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 14 — — $36,590.05 $124,808.32 $36,590.05 2026-04-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 14 — — $36,511.02 $124,686.64 $36,511.02 2026-04-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 14 — — $36,437.51 $131,402.96 $36,437.51 2026-04-02
213 APR_DRG Open Craniotomy Except Trauma 9 9 — — $33,724.46 $37,966.78 $36,355.29 2026-04-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 14 — — $36,330.29 $128,286.08 $36,330.29 2026-04-02
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 9 9 — — $33,646.58 $37,879.10 $36,271.32 2026-04-02
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $33,412.92 $37,616.05 $36,019.44 2026-04-02
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 9 — — $33,412.92 $37,616.05 $36,019.44 2026-04-02
6 MS_DRG Liver Transplant Without Mcc 19 14 — — $36,017.84 $134,070.56 $36,017.84 2026-04-02
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 9 9 — — $33,335.04 $37,528.37 $35,935.48 2026-04-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 14 — — $35,876.17 $132,563.60 $35,876.17 2026-04-02
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 9 9 — — $33,179.27 $37,353.00 $35,767.56 2026-04-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 14 — — $35,707.68 $125,220.16 $35,707.68 2026-04-02
2965106 CDM Valve Heart Arotic 23mm 22 15 $54,883.00 $16,464.90 70% off $15,981.93 $52,512.05 $35,673.95 2026-04-02
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 9 9 — — $33,023.49 $37,177.63 $35,599.63 2026-04-02
J7330 HCPCS Chondrocytes Maci Autologous Cultured 81073 22 15 $54,750.00 $16,425.00 70% off $15,943.20 $52,384.80 $35,587.50 2026-04-02
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 9 — — $32,945.61 $37,089.95 $35,515.67 2026-04-02
245 MS_DRG Aicd Generator Procedures 21 14 — — $35,446.54 $125,623.68 $35,446.54 2026-04-02
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 9 9 — — $32,867.72 $37,002.27 $35,431.71 2026-04-02
6504 APR_DRG Splenic Procedures 9 9 — — $32,867.72 $37,002.27 $35,431.71 2026-04-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 14 — — $35,341.62 $122,776.16 $35,341.62 2026-04-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 14 — — $35,326.30 $122,432.96 $35,326.30 2026-04-02
799 MS_DRG Splenic Procedures With Mcc 21 14 — — $35,189.99 $137,324.72 $35,189.99 2026-04-02
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 9 9 — — $32,634.07 $36,739.22 $35,179.83 2026-04-02
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $32,634.07 $36,739.22 $35,179.83 2026-04-02
913 APR_DRG Other Major Head And Neck Procedures 9 9 — — $32,556.18 $36,651.54 $35,095.87 2026-04-02
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $32,400.41 $36,476.17 $34,927.94 2026-04-02
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 9 — — $32,400.41 $36,476.17 $34,927.94 2026-04-02
163 MS_DRG Major Chest Procedures With Mcc 21 14 — — $34,829.29 $130,661.44 $34,829.29 2026-04-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 14 — — $34,819.32 $114,154.56 $34,819.32 2026-04-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 14 — — $34,684.55 $120,937.44 $34,684.55 2026-04-02
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 9 9 — — $32,166.75 $36,213.12 $34,676.06 2026-04-02
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 9 9 — — $32,088.87 $36,125.44 $34,592.10 2026-04-02
5144 APR_DRG Female Reproductive System Reconstructive Procedures 9 9 — — $31,933.10 $35,950.07 $34,424.17 2026-04-02
2314 APR_DRG Major Large Bowel Procedures 9 9 — — $31,699.44 $35,687.02 $34,172.29 2026-04-02
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