Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

FLAGSTAFF MEDICAL CENTER

Flagstaff, AZ · CCN 030023 · Rates published

Your selected procedure

You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $25,981 across 22 payers · range $19,446-$71,931

Source: https://www.nahealth.com/wp-content/uploads/2026/03/860110232_FLAGSTAFFMEDICALCENTER_standardcharges.zip · observed 2026-08-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

4,645 distinct procedures filed
43 distinct payers
750,966 rate rows
2026-08-01 last MRF observed
Data quality

733,038 of 750,966 rate rows are consumer-grade (97.6%)

17,928 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 9,938
placeholder amount (≤ $0.02) — excluded from medians 3,480
template filing: same amount across many unrelated codes — excluded 2,787
exceeds 10× this hospital's gross charge — excluded from medians 1,287
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 329
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 68
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 35
per-diem day rate — not a per-procedure price 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.nahealth.com/wp-content/uploads/2026/03/860110232_FLAGSTAFFMEDICALCENTER_standardcharges.zip
Found on page https://www.nahealth.com/billing-insurance/committed-price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-12
Content fingerprint ecb5d7a4eefbe29a… · 17,835,912 bytes · first seen 2026-05-18

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 22 $193,069.00 $1,443,405.30 $707,303.32 nat. median
$370,165
1.9× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 13 $508,817.63 $562,443.01 $508,817.63 nat. median
$165,646
outlier · 3.1×
7
MS_DRG 		Lung Transplant 21 $249,031.99 $1,012,082.78 $495,955.28 nat. median
$122,690
outlier · 4.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $364,029.06 $769,293.52 $376,988.54 nat. median
$261,939
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $277,168.48 $586,099.78 $287,223.61 nat. median
$205,166
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 $12,332.28 $1,701,450.28 $285,538.18 nat. median
$199,832
1.4× median
5834
APR_DRG 		Neonate With Ecmo 13 $253,439.85 $280,150.43 $253,439.85 nat. median
$311,018
0.8× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 13 $253,029.98 $279,697.35 $253,029.98 nat. median
$83,517
outlier · 3.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $8,301.43 $432,418.84 $216,209.42 nat. median
$132,706
1.6× median
5833
APR_DRG 		Neonate With Ecmo 13 $203,600.51 $225,058.41 $203,600.51 nat. median
$250,089
0.8× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 13 $202,121.97 $223,424.05 $202,121.97 nat. median
$64,013
outlier · 3.2×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 13 $200,754.96 $221,912.96 $200,754.96 nat. median
$254,667
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 $21,694.12 $447,880.06 $165,063.72 nat. median
$108,240
1.5× median
24
APR_DRG 		Heart And/or Lung Transplant 13 $164,328.62 $181,647.56 $164,328.62 nat. median
$243,231
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $6,550.72 $329,907.44 $161,689.37 nat. median
$114,305
1.4× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 21 $123,971.86 $307,707.80 $153,853.90 nat. median
$60,294
outlier · 2.6×
8634
APR_DRG 		Neonatal Aftercare 13 $152,692.82 $168,785.44 $152,692.82 nat. median
$72,289
outlier · 2.1×
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 22 $13,356.82 $298,508.58 $146,303.92 nat. median
$100,978
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 13 $144,834.75 $160,099.20 $144,834.75 nat. median
$209,486
0.7× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 $140,712.54 $155,542.54 $140,712.54 nat. median
$84,380
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $9,801.76 $322,195.66 $138,722.85 nat. median
$99,646
1.4× median
5832
APR_DRG 		Neonate With Ecmo 13 $138,146.04 $152,705.55 $138,146.04 nat. median
$169,230
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 13 $137,065.00 $151,510.58 $137,065.00 nat. median
$168,361
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 $134,268.46 $148,419.31 $134,268.46 nat. median
$168,174
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 22 $30,630.31 $424,157.74 $133,967.87 nat. median
$98,002
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 $13,279.52 $278,255.40 $131,624.69 nat. median
$92,900
1.4× median
8411
APR_DRG 		Chemotherapy For Acute Leukemia 13 $131,348.34 $145,191.42 $131,348.34 nat. median
$31,876
outlier · 4.1×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 13 $131,348.34 $145,191.42 $131,348.34 nat. median
$33,878
outlier · 3.9×
8434
APR_DRG 		Extensive Third Degree Burns Without Skin Graft 13 $125,936.97 $139,209.74 $125,936.97 nat. median
$20,256
outlier · 6.2×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 13 $124,631.70 $137,766.90 $124,631.70 nat. median
$175,480
0.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 13 $122,372.29 $135,269.37 $122,372.29 nat. median
$180,995
0.7× median
6
MS_DRG 		Liver Transplant Without Mcc 21 $48,303.21 $241,580.14 $120,790.07 nat. median
$46,106
outlier · 2.6×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 13 $119,708.50 $132,324.84 $119,708.50 nat. median
$147,677
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 22 $19,368.90 $273,655.62 $119,230.78 nat. median
$83,623
1.4× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 21 $37,748.71 $259,240.09 $117,281.03 nat. median
$53,073
outlier · 2.2×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 $115,292.45 $127,443.37 $115,292.45 nat. median
$160,171
0.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 13 $113,792.75 $125,785.62 $113,792.75 nat. median
$156,285
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 22 $108,994.69 $326,961.97 $113,426.61 nat. median
$79,040
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $11,545.19 $230,684.58 $113,070.16 nat. median
$80,459
1.4× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 13 $112,614.79 $124,483.50 $112,614.79 nat. median
$165,599
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 23 $24,642.95 $380,364.63 $112,077.46 nat. median
$62,218
1.8× median
5831
APR_DRG 		Neonate With Ecmo 13 $109,152.05 $120,655.83 $109,152.05 nat. median
$154,685
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 $104,925.90 $214,063.64 $107,031.82 nat. median
$65,792
1.6× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 $106,600.59 $117,835.46 $106,600.59 nat. median
$109,499
1.0× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 13 $106,495.95 $117,719.79 $106,495.95 nat. median
$137,901
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 $11,035.52 $309,459.64 $105,879.17 nat. median
$77,385
1.4× median
570
MS_DRG 		Skin Debridement With Mcc 22 $45,995.57 $211,563.98 $103,701.07 nat. median
$29,069
outlier · 3.6×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 $15,834.21 $370,314.09 $103,316.72 nat. median
$74,472
1.4× median
8423
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 13 $103,024.03 $113,881.96 $103,024.03 nat. median
$34,331
outlier · 3.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 $16,137.17 $320,589.16 $102,871.48 nat. median
$73,475
1.4× median

Other procedures at this hospital

Browse this hospital's 4,645 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 22 — — $193,069.00 $1,443,405.30 $707,303.32 2026-08-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 13 13 — — $508,817.63 $562,443.01 $508,817.63 2026-08-01
7 MS_DRG Lung Transplant 23 21 — — $249,031.99 $1,012,082.78 $495,955.28 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 20 — — $364,029.06 $769,293.52 $376,988.54 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 21 — — $277,168.48 $586,099.78 $287,223.61 2026-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 23 — — $12,332.28 $1,701,450.28 $285,538.18 2026-08-01
5834 APR_DRG Neonate With Ecmo 13 13 — — $253,439.85 $280,150.43 $253,439.85 2026-08-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 13 13 — — $253,029.98 $279,697.35 $253,029.98 2026-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 22 — — $8,301.43 $432,418.84 $216,209.42 2026-08-01
5833 APR_DRG Neonate With Ecmo 13 13 — — $203,600.51 $225,058.41 $203,600.51 2026-08-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 13 13 — — $202,121.97 $223,424.05 $202,121.97 2026-08-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 13 — — $200,754.96 $221,912.96 $200,754.96 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 21 — — $21,694.12 $447,880.06 $165,063.72 2026-08-01
24 APR_DRG Heart And/or Lung Transplant 13 13 — — $164,328.62 $181,647.56 $164,328.62 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 23 21 — — $6,550.72 $329,907.44 $161,689.37 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 21 — — $123,971.86 $307,707.80 $153,853.90 2026-08-01
8634 APR_DRG Neonatal Aftercare 13 13 — — $152,692.82 $168,785.44 $152,692.82 2026-08-01
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 24 22 — — $13,356.82 $298,508.58 $146,303.92 2026-08-01
1614 APR_DRG Implantable Heart Assist Systems 13 13 — — $144,834.75 $160,099.20 $144,834.75 2026-08-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 13 — — $140,712.54 $155,542.54 $140,712.54 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 21 — — $9,801.76 $322,195.66 $138,722.85 2026-08-01
5832 APR_DRG Neonate With Ecmo 13 13 — — $138,146.04 $152,705.55 $138,146.04 2026-08-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 13 — — $137,065.00 $151,510.58 $137,065.00 2026-08-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 13 — — $134,268.46 $148,419.31 $134,268.46 2026-08-01
215 MS_DRG Other Heart Assist System Implant 24 22 — — $30,630.31 $424,157.74 $133,967.87 2026-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 23 — — $13,279.52 $278,255.40 $131,624.69 2026-08-01
8411 APR_DRG Chemotherapy For Acute Leukemia 13 13 — — $131,348.34 $145,191.42 $131,348.34 2026-08-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 13 13 — — $131,348.34 $145,191.42 $131,348.34 2026-08-01
8434 APR_DRG Extensive Third Degree Burns Without Skin Graft 13 13 — — $125,936.97 $139,209.74 $125,936.97 2026-08-01
74 APR_DRG Allogeneic Bone Marrow Transplant 13 13 — — $124,631.70 $137,766.90 $124,631.70 2026-08-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 13 — — $122,372.29 $135,269.37 $122,372.29 2026-08-01
6 MS_DRG Liver Transplant Without Mcc 23 21 — — $48,303.21 $241,580.14 $120,790.07 2026-08-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 13 13 — — $119,708.50 $132,324.84 $119,708.50 2026-08-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 23 22 — — $19,368.90 $273,655.62 $119,230.78 2026-08-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 21 — — $37,748.71 $259,240.09 $117,281.03 2026-08-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 13 — — $115,292.45 $127,443.37 $115,292.45 2026-08-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 13 13 — — $113,792.75 $125,785.62 $113,792.75 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 22 — — $108,994.69 $326,961.97 $113,426.61 2026-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 22 — — $11,545.19 $230,684.58 $113,070.16 2026-08-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 13 13 — — $112,614.79 $124,483.50 $112,614.79 2026-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 23 — — $24,642.95 $380,364.63 $112,077.46 2026-08-01
5831 APR_DRG Neonate With Ecmo 13 13 — — $109,152.05 $120,655.83 $109,152.05 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 21 — — $104,925.90 $214,063.64 $107,031.82 2026-08-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 13 — — $106,600.59 $117,835.46 $106,600.59 2026-08-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 13 13 — — $106,495.95 $117,719.79 $106,495.95 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 22 — — $11,035.52 $309,459.64 $105,879.17 2026-08-01
570 MS_DRG Skin Debridement With Mcc 26 22 — — $45,995.57 $211,563.98 $103,701.07 2026-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 24 — — $15,834.21 $370,314.09 $103,316.72 2026-08-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 13 13 — — $103,024.03 $113,881.96 $103,024.03 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 23 — — $16,137.17 $320,589.16 $102,871.48 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 24 — — $83,357.42 $358,355.26 $102,531.18 2026-08-01
1613 APR_DRG Implantable Heart Assist Systems 13 13 — — $100,975.94 $111,618.01 $100,975.94 2026-08-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 13 — — $98,875.01 $109,295.66 $98,875.01 2026-08-01
2324 APR_DRG Gastric Fundoplication 13 13 — — $98,052.30 $108,386.25 $98,052.30 2026-08-01
10 MS_DRG Pancreas Transplant 23 21 — — $26,378.42 $199,803.69 $96,556.18 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 23 21 — — $92,631.05 $196,900.20 $96,515.82 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 22 — — $5,709.07 $307,428.97 $96,003.33 2026-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 22 — — $17,980.22 $300,518.79 $95,946.83 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 23 — — $8,777.65 $228,699.75 $93,006.42 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 23 — — $86,883.21 $375,211.37 $90,575.79 2026-08-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 23 22 — — $16,332.54 $182,065.50 $89,246.82 2026-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 22 — — $14,558.27 $226,729.73 $88,480.10 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 22 — — $16,134.28 $205,146.51 $88,480.10 2026-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 22 — — $8,652.82 $179,844.70 $88,158.62 2026-08-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 13 — — $88,058.22 $97,338.87 $88,058.22 2026-08-01
64 APR_DRG Pancreas Transplant 13 13 — — $88,017.03 $97,293.34 $88,017.03 2026-08-01
23 APR_DRG Heart And/or Lung Transplant 13 13 — — $86,379.17 $95,482.86 $86,379.17 2026-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 21 — — $84,639.05 $172,661.90 $86,330.95 2026-08-01
Q2043 HCPCS Sipuleucel-t >/ 50 Million Cells / 250mL Lr 62 40 $253,329.13 $126,664.57 50% off $53,533.64 $253,329.13 $85,135.68 2026-08-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 13 13 — — $84,654.45 $93,576.37 $84,654.45 2026-08-01
163 MS_DRG Major Chest Procedures With Mcc 26 24 — — $28,775.20 $212,475.82 $83,821.46 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 23 — — $35,632.47 $262,719.83 $82,468.78 2026-08-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 24 23 — — $34,607.75 $167,900.60 $82,306.01 2026-08-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 13 13 — — $81,659.82 $90,266.12 $81,659.82 2026-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 22 — — $15,548.86 $203,273.57 $81,583.70 2026-08-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 13 — — $81,458.31 $90,043.38 $81,458.31 2026-08-01
28 MS_DRG Spinal Procedures With Mcc 24 22 — — $9,409.83 $166,090.70 $80,853.30 2026-08-01
276 MS_DRG Non-maligant Breast Disorders 24 22 — — $25,126.13 $181,463.63 $80,830.43 2026-08-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 22 — — $18,886.27 $163,695.06 $80,245.30 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 23 — — $4,154.19 $414,384.17 $79,981.66 2026-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 23 21 — — $6,118.79 $229,272.99 $79,796.05 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 22 — — $16,891.75 $184,095.61 $78,974.17 2026-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 22 — — $8,394.53 $160,996.60 $78,923.05 2026-08-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 13 13 — — $78,804.05 $87,109.38 $78,804.05 2026-08-01
653 MS_DRG Major Bladder Procedures With Mcc 24 22 — — $21,358.06 $156,786.88 $78,393.44 2026-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 22 — — $9,991.92 $205,405.47 $77,113.88 2026-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 22 — — $7,722.84 $156,458.90 $76,699.58 2026-08-01
278 MS_DRG Cellulitis Age >17 Without Cc 24 22 — — $4,069.39 $152,799.64 $74,906.54 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 21 — — $71,158.66 $170,398.47 $74,325.46 2026-08-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 13 13 — — $74,236.20 $82,060.11 $74,236.20 2026-08-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 24 22 — — $6,740.27 $150,705.10 $73,880.22 2026-08-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 13 — — $73,691.59 $81,458.11 $73,691.59 2026-08-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 22 — — $8,997.54 $150,172.54 $73,619.26 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 23 — — $16,001.23 $225,141.98 $73,514.35 2026-08-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 13 — — $73,411.12 $81,148.08 $73,411.12 2026-08-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 22 — — $10,951.37 $149,722.34 $73,398.67 2026-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 23 21 — — $6,730.22 $156,987.21 $73,105.44 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 24 — — $67,947.62 $208,680.49 $72,420.75 2026-08-01
22 APR_DRG Heart And/or Lung Transplant 13 13 — — $72,417.38 $80,049.60 $72,417.38 2026-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 22 — — $17,958.97 $184,519.49 $71,767.04 2026-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 22 — — $9,168.12 $269,092.76 $71,452.87 2026-08-01
1611 APR_DRG Implantable Heart Assist Systems 13 13 — — $70,723.06 $78,176.71 $70,723.06 2026-08-01
1612 APR_DRG Implantable Heart Assist Systems 13 13 — — $70,723.06 $78,176.71 $70,723.06 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 22 — — $13,164.92 $142,895.20 $70,053.37 2026-08-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 23 — — $11,502.02 $146,779.66 $68,549.56 2026-08-01
8444 APR_DRG Partial Thickness Burns Without Skin Graft 13 13 — — $68,538.29 $75,761.68 $68,538.29 2026-08-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 13 13 — — $68,450.86 $75,665.04 $68,450.86 2026-08-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 13 13 — — $68,263.94 $75,458.43 $68,263.94 2026-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 22 — — $23,401.73 $174,982.26 $67,831.24 2026-08-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 23 — — $63,552.14 $266,158.63 $67,785.59 2026-08-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 13 — — $67,609.72 $74,735.26 $67,609.72 2026-08-01
471 MS_DRG Cervical Spinal Fusion With Mcc 26 23 — — $22,148.54 $134,831.72 $67,415.86 2026-08-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 22 — — $13,851.61 $215,674.43 $66,582.96 2026-08-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 22 — — $6,906.96 $135,107.24 $66,237.27 2026-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 22 — — $5,853.85 $134,544.50 $65,961.52 2026-08-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 13 13 — — $65,029.68 $71,883.30 $65,029.68 2026-08-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 13 — — $64,893.48 $71,732.75 $64,893.48 2026-08-01
73 APR_DRG Allogeneic Bone Marrow Transplant 13 13 — — $64,150.04 $70,910.95 $64,150.04 2026-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 23 — — $50,965.49 $241,866.07 $64,072.98 2026-08-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 22 — — $9,701.09 $155,572.64 $63,273.97 2026-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 26 — — $7,656.50 $329,187.62 $63,144.84 2026-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 22 — — $10,309.36 $147,188.75 $62,956.54 2026-08-01
277 MS_DRG Cellulitis Age >17 W Cc 24 22 — — $5,682.85 $156,592.90 $62,158.87 2026-08-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 24 23 — — $44,579.63 $146,158.35 $61,985.36 2026-08-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 23 — — $7,197.63 $178,209.49 $61,862.96 2026-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 22 — — $5,628.26 $125,858.90 $61,705.58 2026-08-01
245 MS_DRG Aicd Generator Procedures 24 22 — — $16,230.88 $125,243.96 $61,404.26 2026-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 22 — — $7,762.99 $124,867.90 $61,219.99 2026-08-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 23 — — $12,545.56 $194,874.89 $61,193.10 2026-08-01
799 MS_DRG Splenectomy With Mcc 24 22 — — $58,219.50 $124,324.34 $60,953.65 2026-08-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 22 — — $7,128.46 $140,411.65 $60,302.62 2026-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 22 — — $9,650.56 $177,121.36 $60,065.87 2026-08-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 13 — — $60,035.67 $66,362.96 $60,035.67 2026-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 21 — — $56,448.04 $401,650.95 $59,836.65 2026-08-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 13 13 — — $59,722.36 $66,016.62 $59,722.36 2026-08-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 13 13 — — $59,167.03 $65,402.77 $59,167.03 2026-08-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 13 — — $59,077.17 $65,303.44 $59,077.17 2026-08-01
8633 APR_DRG Neonatal Aftercare 13 13 — — $58,634.43 $64,814.04 $58,634.43 2026-08-01
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 24 22 — — $5,859.88 $118,792.92 $58,243.25 2026-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 29 25 — — $54,119.48 $286,469.68 $57,838.59 2026-08-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 22 — — $8,356.42 $117,845.84 $57,779.18 2026-08-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 13 — — $57,564.54 $63,631.39 $57,564.54 2026-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 26 23 — — $9,234.10 $117,088.20 $57,407.94 2026-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 24 22 — — $33,802.76 $225,191.94 $57,160.09 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 21 — — $54,240.53 $115,932.48 $56,841.64 2026-08-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 22 — — $8,688.18 $261,882.69 $56,744.78 2026-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 25 — — $6,719.85 $115,339.54 $56,551.09 2026-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 24 22 — — $7,404.95 $115,202.30 $56,483.85 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 23 — — $15,525.68 $133,669.06 $56,378.92 2026-08-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 13 13 — — $56,222.71 $62,148.14 $56,222.71 2026-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 22 — — $25,656.64 $148,593.46 $56,161.01 2026-08-01
793 MS_DRG Full Term Neonate With Major Problems 30 26 — — $4,154.19 $120,319.60 $56,120.66 2026-08-01
21 APR_DRG Heart And/or Lung Transplant 13 13 — — $55,982.29 $61,882.39 $55,982.29 2026-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 22 — — $11,686.81 $114,005.40 $55,897.37 2026-08-01
8422 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 13 13 — — $55,851.51 $61,737.82 $55,851.51 2026-08-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 22 — — $15,894.29 $113,250.48 $55,527.46 2026-08-01
791 MS_DRG Prematurity With Major Problems 27 23 — — $4,154.19 $204,829.37 $54,632.96 2026-08-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 13 — — $53,806.78 $59,477.59 $53,806.78 2026-08-01
5881 APR_DRG Female Reproductive System Reconstructive Procedures 13 13 — — $53,706.52 $59,366.77 $53,706.52 2026-08-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 13 — — $53,695.13 $59,354.18 $53,695.13 2026-08-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 22 — — $7,216.45 $109,368.88 $53,625.47 2026-08-01
72 APR_DRG Allogeneic Bone Marrow Transplant 13 13 — — $53,276.84 $58,891.80 $53,276.84 2026-08-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 13 — — $53,131.47 $58,731.11 $53,131.47 2026-08-01
63 APR_DRG Pancreas Transplant 13 13 — — $52,959.67 $58,541.20 $52,959.67 2026-08-01
4404 APR_DRG Kidney Transplant 13 13 — — $52,802.99 $58,368.01 $52,802.99 2026-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 22 — — $16,653.60 $145,719.97 $52,654.29 2026-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 21 — — $49,958.28 $106,900.98 $52,416.20 2026-08-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 38 32 — — $12,122.71 $99,793.41 $52,396.71 2026-08-01
654 MS_DRG Major Bladder Procedures With Cc 38 32 — — $10,751.60 $99,635.69 $52,317.85 2026-08-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 38 32 — — $7,622.04 $99,607.18 $52,303.59 2026-08-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 13 13 — — $52,302.68 $57,814.97 $52,302.68 2026-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 38 32 — — $8,077.76 $99,530.30 $52,265.15 2026-08-01
332 MS_DRG Rectal Resection With Mcc 38 32 — — $8,973.09 $99,393.04 $52,196.52 2026-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 22 — — $12,742.49 $107,028.89 $52,100.09 2026-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 38 32 — — $7,014.82 $99,148.74 $52,074.37 2026-08-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 22 — — $8,497.79 $105,995.10 $51,972.32 2026-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 23 — — $9,621.01 $363,122.85 $51,677.73 2026-08-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 38 32 — — $13,806.29 $98,352.64 $51,676.32 2026-08-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 27 24 — — $48,250.59 $702,997.54 $51,649.69 2026-08-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 38 32 — — $6,606.54 $104,652.18 $51,512.99 2026-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 38 32 — — $8,359.45 $97,798.14 $51,399.07 2026-08-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 13 — — $51,392.14 $56,808.47 $51,392.14 2026-08-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 38 32 — — $5,178.17 $145,302.58 $51,352.41 2026-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 38 32 — — $15,568.94 $97,625.18 $51,312.59 2026-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 38 32 — — $23,960.40 $96,809.90 $50,904.95 2026-08-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 38 32 — — $5,933.46 $96,612.24 $50,806.12 2026-08-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 22 — — $8,961.71 $102,849.18 $50,430.82 2026-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 29 25 — — $47,060.94 $130,674.07 $50,395.17 2026-08-01
252 MS_DRG Other Vascular Procedures With Mcc 38 32 — — $9,248.11 $197,766.28 $50,379.27 2026-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 38 32 — — $6,968.27 $95,733.80 $50,366.90 2026-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 24 — — $13,927.12 $104,150.47 $50,311.10 2026-08-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 25 23 — — $33,553.56 $102,593.90 $50,305.73 2026-08-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 13 13 — — $50,197.76 $55,488.21 $50,197.76 2026-08-01
1784 APR_DRG External Heart Assist Systems 13 13 — — $50,180.00 $55,468.58 $50,180.00 2026-08-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 21 — — $47,779.42 $102,305.64 $50,164.48 2026-08-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 38 32 — — $6,959.96 $95,322.99 $50,161.50 2026-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 38 32 — — $7,223.39 $95,294.56 $50,147.28 2026-08-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 13 13 — — $50,115.05 $55,396.78 $50,115.05 2026-08-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 13 — — $50,000.00 $50,000.00 $50,000.00 2026-08-01
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 13 — — $50,000.00 $50,000.00 $50,000.00 2026-08-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 37 31 — — $44,236.48 $94,833.40 $49,916.70 2026-08-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 22 — — $11,216.40 $127,719.99 $49,882.01 2026-08-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 13 13 — — $49,842.53 $55,095.54 $49,842.53 2026-08-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 13 13 — — $49,680.77 $54,916.74 $49,680.77 2026-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 25 22 — — $8,236.16 $297,124.94 $49,442.16 2026-08-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 25 24 — — $27,268.51 $118,088.38 $49,237.70 2026-08-01
J2507 HCPCS Pegloticase (Krystexxa) 8mg/mL Inj 62 40 $222,406.13 $111,203.07 50% off $29,668.06 $222,406.13 $48,994.51 2026-08-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 13 13 — — $48,809.36 $53,953.49 $48,809.36 2026-08-01
265 MS_DRG Aicd Lead Procedures 24 22 — — $12,667.44 $109,389.79 $48,703.68 2026-08-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 13 13 — — $48,567.01 $53,685.60 $48,567.01 2026-08-01
279 MS_DRG Cellulitis Age 0-17 24 22 — — $3,534.28 $99,000.50 $48,544.96 2026-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 38 32 — — $6,546.85 $91,703.92 $48,351.96 2026-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 22 — — $10,478.61 $110,010.82 $48,115.88 2026-08-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 13 13 — — $48,080.97 $53,148.33 $48,080.97 2026-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 22 — — $6,017.05 $121,110.47 $47,996.15 2026-08-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 38 32 — — $12,189.69 $93,592.98 $47,962.12 2026-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 38 32 — — $11,348.36 $90,645.56 $47,822.78 2026-08-01
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 24 22 — — $9,140.79 $140,548.80 $47,768.54 2026-08-01
J0202 HCPCS Alemtuzumab 10mg/mL Inj 1.2mL Dns 62 40 $218,168.08 $109,084.04 50% off $28,895.38 $218,168.08 $47,718.49 2026-08-01
37 MS_DRG Extracranial Procedures With Mcc 38 32 — — $14,480.50 $90,372.54 $47,686.27 2026-08-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 37 31 — — $42,116.18 $90,361.58 $47,680.79 2026-08-01
61 APR_DRG Pancreas Transplant 13 13 — — $47,473.27 $52,476.59 $47,473.27 2026-08-01
62 APR_DRG Pancreas Transplant 13 13 — — $47,473.27 $52,476.59 $47,473.27 2026-08-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 13 — — $47,357.83 $52,348.97 $47,357.83 2026-08-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 38 32 — — $9,379.37 $89,293.70 $47,146.85 2026-08-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 13 — — $47,092.50 $52,055.68 $47,092.50 2026-08-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 38 32 — — $8,291.37 $181,652.11 $47,066.21 2026-08-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 38 32 — — $5,750.71 $88,901.16 $46,950.58 2026-08-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 38 32 — — $22,615.53 $88,821.90 $46,910.95 2026-08-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 38 32 — — $6,533.40 $88,802.32 $46,901.16 2026-08-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 38 32 — — $7,414.48 $88,588.22 $46,794.11 2026-08-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 38 32 — — $18,634.06 $88,129.76 $46,564.88 2026-08-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 38 32 — — $9,467.96 $95,352.56 $46,394.95 2026-08-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 38 32 — — $10,629.87 $87,688.28 $46,344.14 2026-08-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 13 13 — — $46,314.34 $51,195.51 $46,314.34 2026-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 38 32 — — $10,987.28 $87,399.58 $46,199.79 2026-08-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 23 — — $3,847.64 $118,141.73 $46,150.66 2026-08-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 13 — — $46,150.04 $51,013.90 $46,150.04 2026-08-01
164 MS_DRG Major Chest Procedures With Cc 38 32 — — $11,327.27 $86,909.53 $45,954.76 2026-08-01
500 MS_DRG Soft Tissue Procedures With Mcc 38 32 — — $10,319.74 $86,877.98 $45,938.99 2026-08-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 22 — — $10,528.71 $111,238.09 $45,924.68 2026-08-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 13 13 — — $45,895.74 $50,732.79 $45,895.74 2026-08-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 38 32 — — $8,730.00 $86,746.22 $45,873.11 2026-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 22 — — $8,614.71 $105,742.48 $45,864.15 2026-08-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 13 13 — — $45,850.64 $50,682.93 $45,850.64 2026-08-01
324 MS_DRG Urinary Stones Without Cc 38 32 — — $11,713.81 $97,980.92 $45,749.58 2026-08-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 38 32 — — $9,196.78 $89,649.94 $45,678.03 2026-08-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 38 32 — — $9,379.37 $86,254.84 $45,627.42 2026-08-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 13 — — $45,614.03 $50,421.39 $45,614.03 2026-08-01
665 MS_DRG Prostatectomy With Mcc 38 32 — — $7,024.71 $85,681.12 $45,340.56 2026-08-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 13 13 — — $45,320.33 $50,096.74 $45,320.33 2026-08-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 32 — — $9,663.36 $205,671.85 $45,251.34 2026-08-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 13 13 — — $45,153.71 $49,912.56 $45,153.71 2026-08-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 38 32 — — $27,911.45 $84,819.72 $44,909.86 2026-08-01
71 APR_DRG Allogeneic Bone Marrow Transplant 13 13 — — $44,842.33 $49,568.36 $44,842.33 2026-08-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 38 32 — — $7,917.15 $91,527.82 $44,840.37 2026-08-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 38 32 — — $13,723.67 $90,571.63 $44,742.86 2026-08-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 38 32 — — $6,795.80 $84,450.06 $44,725.03 2026-08-01
662 MS_DRG Minor Bladder Procedures With Mcc 37 31 — — $39,119.91 $84,042.28 $44,521.14 2026-08-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 13 13 — — $44,489.35 $49,178.17 $44,489.35 2026-08-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 23 21 — — $42,267.16 $109,552.44 $44,467.92 2026-08-01
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 13 13 — — $44,344.89 $49,018.49 $44,344.89 2026-08-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 13 13 — — $44,228.00 $48,889.28 $44,228.00 2026-08-01
974 MS_DRG HIV With Major Related Condition With Mcc 37 31 — — $36,835.60 $83,267.15 $44,133.57 2026-08-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 38 32 — — $10,319.74 $94,181.10 $43,958.39 2026-08-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 38 32 — — $8,223.79 $82,905.80 $43,952.90 2026-08-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 38 32 — — $12,599.78 $82,815.20 $43,907.60 2026-08-01
6904 APR_DRG Acute Leukemia 13 13 — — $43,867.06 $48,490.30 $43,867.06 2026-08-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 38 32 — — $6,192.11 $82,611.62 $43,805.81 2026-08-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 38 32 — — $12,560.86 $86,638.45 $43,721.51 2026-08-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 38 32 — — $8,057.59 $83,194.83 $43,680.12 2026-08-01
652 MS_DRG Kidney Transplant 23 21 — — $15,762.25 $110,099.53 $43,475.23 2026-08-01
2344 APR_DRG Appendectomy Without Complex Principal Diagnosis 13 13 — — $43,312.28 $47,877.05 $43,312.28 2026-08-01
347 MS_DRG Anal And Stomal Procedures With Mcc 38 32 — — $8,042.76 $81,447.86 $43,223.93 2026-08-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 13 13 — — $43,038.61 $47,574.55 $43,038.61 2026-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 25 23 — — $12,587.41 $109,611.58 $42,981.57 2026-08-01
472 MS_DRG Cervical Spinal Fusion With Cc 38 32 — — $27,399.96 $80,874.40 $42,937.20 2026-08-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 38 32 — — $18,325.35 $85,716.76 $42,934.64 2026-08-01
4234 APR_DRG Inborn Errors Of Metabolism 13 13 — — $42,859.27 $47,376.30 $42,859.27 2026-08-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 38 32 — — $4,866.13 $82,659.56 $42,821.43 2026-08-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 13 13 — — $42,609.80 $47,100.54 $42,609.80 2026-08-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 13 13 — — $42,608.53 $47,099.14 $42,608.53 2026-08-01
263 MS_DRG Vein Ligation And Stripping 38 32 — — $11,004.91 $83,929.70 $42,591.57 2026-08-01
668 MS_DRG Transurethral Procedures With Mcc 38 32 — — $6,851.60 $80,157.92 $42,578.96 2026-08-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 38 32 — — $11,544.90 $84,671.86 $42,533.82 2026-08-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 38 32 — — $7,846.06 $85,116.72 $42,492.29 2026-08-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 38 32 — — $11,827.28 $79,925.42 $42,462.71 2026-08-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 38 32 — — $14,047.85 $84,686.64 $42,399.88 2026-08-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 24 22 — — $18,626.53 $170,206.25 $42,399.14 2026-08-01
12 APR_DRG Liver Transplant And/or Intestinal Transplant 13 13 — — $42,357.33 $46,821.46 $42,357.33 2026-08-01
11 APR_DRG Liver Transplant And/or Intestinal Transplant 13 13 — — $42,357.33 $46,821.46 $42,357.33 2026-08-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 38 32 — — $10,234.25 $79,663.76 $42,331.88 2026-08-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 38 32 — — $9,036.30 $79,373.40 $42,186.70 2026-08-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 38 32 — — $16,708.46 $80,447.87 $42,121.14 2026-08-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 13 13 — — $41,952.63 $46,374.10 $41,952.63 2026-08-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 22 — — $39,740.77 $145,281.31 $41,857.05 2026-08-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 13 13 — — $41,726.17 $46,123.78 $41,726.17 2026-08-01
7594 APR_DRG Eating Disorders 13 13 — — $41,623.33 $46,010.10 $41,623.33 2026-08-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 38 32 — — $5,693.71 $78,013.05 $41,506.53 2026-08-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 38 32 — — $7,503.11 $77,963.76 $41,481.88 2026-08-01
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