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

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Hospital

MERCY GILBERT MEDICAL CENTER

Gilbert, AZ · CCN 030119 · Rates published

10,693 distinct procedures filed
11 distinct payers
429,281 rate rows
2026-02-28 last MRF observed
Data quality

420,739 of 429,281 rate rows are consumer-grade (98.0%)

8,542 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 7,600
template filing: same amount across many unrelated codes — excluded 606
per-diem day rate — not a per-procedure price 204
exceeds 10× this hospital's gross charge — excluded from medians 100
placeholder amount (≤ $0.02) — excluded from medians 32
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dignityhealth.org/content/dam/dignity-health/documents/mrf-json/southwest/json/941196203_mercy-gilbert-medical-center_standardcharges.json?target=%22_blank%22
Found on page https://www.dignityhealth.org/arizona/locations/mercygilbert/patients-and-visitors/for-patients/billing-and-payment/hospital-pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 0feb732e71311a19… · 53,779,284 bytes · first seen 2026-05-15

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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $182,840.00 $676,140.00 $429,490.00 nat. median
$265,286
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $153,985.00 $590,840.00 $364,762.00 nat. median
$206,474
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 11 $139,113.00 $617,443.00 $329,532.00 nat. median
$202,976
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $127,103.00 $824,326.00 $293,371.47 nat. median
$370,174
0.8× median
5834
APR_DRG 		Neonate With Ecmo 5 $223,653.00 $223,653.00 $223,653.00 nat. median
$309,665
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 11 $91,718.00 $364,842.00 $217,263.00 nat. median
$133,161
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $85,044.00 $338,693.00 $201,453.00 nat. median
$117,357
1.7× median
7
MS_DRG 		Lung Transplant 11 $84,830.00 $330,897.00 $200,946.00 nat. median
$122,708
1.6× median
5833
APR_DRG 		Neonate With Ecmo 5 $179,671.00 $179,671.00 $179,671.00 nat. median
$244,017
0.7× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $177,160.00 $177,160.00 $177,160.00 nat. median
$246,434
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $71,529.00 $476,086.00 $175,676.00 nat. median
$108,660
1.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $69,125.00 $342,486.00 $169,687.00 nat. median
$100,136
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 11 $68,771.00 $450,870.00 $168,902.00 nat. median
$99,019
1.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $67,996.00 $262,248.00 $161,070.00 nat. median
$98,894
1.6× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $155,626.00 $155,626.00 $155,626.00 nat. median
$234,729
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $70,712.00 $238,119.00 $154,415.50 nat. median
$102,358
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $62,645.00 $295,779.00 $148,395.00 nat. median
$93,672
1.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $137,164.00 $137,164.00 $137,164.00 nat. median
$207,730
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $59,794.00 $201,354.00 $130,574.00 nat. median
$83,470
1.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $55,004.00 $254,609.00 $130,295.00 nat. median
$79,312
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 11 $54,974.00 $218,391.00 $130,222.00 nat. median
$81,118
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $52,325.00 $356,360.00 $128,510.00 nat. median
$77,570
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $54,139.00 $232,112.00 $128,245.00 nat. median
$82,711
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $51,456.00 $326,790.00 $126,377.00 nat. median
$71,271
1.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $123,480.00 $123,480.00 $123,480.00 nat. median
$160,267
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $50,224.00 $255,526.00 $123,351.00 nat. median
$74,915
1.6× median
10
MS_DRG 		Pancreas Transplant 11 $51,753.00 $212,387.00 $122,593.00 nat. median
$68,884
1.8× median
5832
APR_DRG 		Neonate With Ecmo 5 $121,910.00 $121,910.00 $121,910.00 nat. median
$156,126
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $120,956.00 $120,956.00 $120,956.00 nat. median
$164,289
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $50,736.00 $242,266.00 $120,185.00 nat. median
$73,807
1.6× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $118,488.00 $118,488.00 $118,488.00 nat. median
$162,982
0.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $118,031.00 $118,031.00 $118,031.00 nat. median
$187,061
0.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $48,450.00 $187,055.00 $114,770.00 nat. median
$72,135
1.6× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $46,104.00 $242,669.00 $113,231.00 nat. median
$68,090
1.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $45,872.00 $319,444.00 $112,662.00 nat. median
$68,886
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $45,155.00 $229,231.00 $110,901.00 nat. median
$66,526
1.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $44,322.00 $232,579.00 $108,857.00 nat. median
$64,732
1.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $107,990.00 $107,990.00 $107,990.00 nat. median
$182,665
0.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $106,651.00 $106,651.00 $106,651.00 nat. median
$164,834
0.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $105,639.00 $105,639.00 $105,639.00 nat. median
$122,924
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 $43,520.00 $165,438.00 $103,091.00 nat. median
$63,724
1.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $41,918.00 $241,008.00 $102,952.00 nat. median
$64,508
1.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 $43,353.00 $189,261.00 $102,695.00 nat. median
$64,023
1.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $43,279.00 $177,211.00 $102,521.00 nat. median
$65,950
1.6× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $101,742.00 $101,742.00 $101,742.00 nat. median
$150,721
0.7× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 5 $100,856.00 $100,856.00 $100,856.00 nat. median
$129,535
0.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $100,419.00 $100,419.00 $100,419.00 nat. median
$151,838
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $41,979.00 $201,788.00 $99,977.00 nat. median
$62,134
1.6× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 11 $39,652.00 $216,075.00 $97,385.00 nat. median
$59,898
1.6× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $41,051.00 $164,726.00 $97,242.00 nat. median
$60,185
1.6× median

Other procedures at this hospital

Browse this hospital's 10,693 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 54 11 — — $182,840.00 $676,140.00 $429,490.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 54 11 — — $153,985.00 $590,840.00 $364,762.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 54 11 — — $139,113.00 $617,443.00 $329,532.00 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 54 11 — — $127,103.00 $824,326.00 $293,371.47 2026-02-28
5834 APR_DRG Neonate With Ecmo 10 5 — — $223,653.00 $223,653.00 $223,653.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 54 11 — — $91,718.00 $364,842.00 $217,263.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 54 11 — — $85,044.00 $338,693.00 $201,453.00 2026-02-28
7 MS_DRG Lung Transplant 54 11 — — $84,830.00 $330,897.00 $200,946.00 2026-02-28
5833 APR_DRG Neonate With Ecmo 10 5 — — $179,671.00 $179,671.00 $179,671.00 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $177,160.00 $177,160.00 $177,160.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 11 — — $71,529.00 $476,086.00 $175,676.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 54 11 — — $69,125.00 $342,486.00 $169,687.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 54 11 — — $68,771.00 $450,870.00 $168,902.00 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 11 — — $67,996.00 $262,248.00 $161,070.00 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 10 5 — — $155,626.00 $155,626.00 $155,626.00 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 54 11 — — $70,712.00 $238,119.00 $154,415.50 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 11 — — $62,645.00 $295,779.00 $148,395.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 10 5 — — $137,164.00 $137,164.00 $137,164.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 54 11 — — $59,794.00 $201,354.00 $130,574.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 11 — — $55,004.00 $254,609.00 $130,295.00 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 54 11 — — $54,974.00 $218,391.00 $130,222.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 54 11 — — $52,325.00 $356,360.00 $128,510.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 54 11 — — $54,139.00 $232,112.00 $128,245.00 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 54 11 — — $51,456.00 $326,790.00 $126,377.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 10 5 — — $123,480.00 $123,480.00 $123,480.00 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 11 — — $50,224.00 $255,526.00 $123,351.00 2026-02-28
10 MS_DRG Pancreas Transplant 54 11 — — $51,753.00 $212,387.00 $122,593.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 10 5 — — $121,910.00 $121,910.00 $121,910.00 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $120,956.00 $120,956.00 $120,956.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 54 11 — — $50,736.00 $242,266.00 $120,185.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $118,488.00 $118,488.00 $118,488.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 10 5 — — $118,031.00 $118,031.00 $118,031.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 54 11 — — $48,450.00 $187,055.00 $114,770.00 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 11 — — $46,104.00 $242,669.00 $113,231.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 54 11 — — $45,872.00 $319,444.00 $112,662.00 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 11 — — $45,155.00 $229,231.00 $110,901.00 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 54 11 — — $44,322.00 $232,579.00 $108,857.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $107,990.00 $107,990.00 $107,990.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 5 — — $106,651.00 $106,651.00 $106,651.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 5 — — $105,639.00 $105,639.00 $105,639.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 54 11 — — $43,520.00 $165,438.00 $103,091.00 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 11 — — $41,918.00 $241,008.00 $102,952.00 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 54 11 — — $43,353.00 $189,261.00 $102,695.00 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 54 11 — — $43,279.00 $177,211.00 $102,521.00 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 5 — — $101,742.00 $101,742.00 $101,742.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 5 — — $100,856.00 $100,856.00 $100,856.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $100,419.00 $100,419.00 $100,419.00 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 11 — — $41,979.00 $201,788.00 $99,977.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 54 11 — — $39,652.00 $216,075.00 $97,385.00 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 54 11 — — $41,051.00 $164,726.00 $97,242.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 10 5 — — $96,323.00 $96,323.00 $96,323.00 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 54 11 — — $39,179.00 $243,712.00 $96,224.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 10 5 — — $95,628.00 $95,628.00 $95,628.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 54 11 — — $40,208.00 $192,892.00 $95,570.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 54 11 — — $38,886.00 $279,265.00 $95,505.00 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 11 — — $38,617.00 $218,066.00 $94,844.00 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 54 11 — — $39,833.00 $181,130.00 $94,358.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 5 — — $94,072.00 $94,072.00 $94,072.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 54 11 — — $38,194.00 $189,989.00 $93,806.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $93,639.00 $93,639.00 $93,639.00 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 54 11 — — $39,462.00 $176,551.00 $93,478.00 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 48 11 — — $38,588.00 $206,152.00 $92,914.00 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 54 11 — — $39,179.00 $166,874.00 $92,808.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 11 — — $37,032.00 $186,919.00 $90,951.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 54 11 — — $37,793.00 $169,782.00 $89,524.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 54 11 — — $37,254.00 $176,372.00 $88,249.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 54 11 — — $35,878.00 $309,878.00 $88,116.00 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 11 — — $35,727.00 $210,265.00 $87,746.00 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 54 11 — — $40,156.00 $135,222.00 $87,689.00 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 54 11 — — $39,973.00 $134,606.00 $87,289.50 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 54 11 — — $35,509.00 $210,265.00 $87,211.00 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 54 11 — — $35,318.00 $275,566.00 $86,742.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 54 11 — — $36,185.00 $151,953.00 $85,715.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 54 11 — — $35,878.00 $159,078.00 $84,988.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 54 11 — — $34,533.00 $184,870.00 $84,815.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 11 — — $34,381.00 $196,140.00 $84,440.00 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 54 11 — — $35,238.00 $157,658.00 $83,472.00 2026-02-28
64 APR_DRG Pancreas Transplant 10 5 — — $83,356.00 $83,356.00 $83,356.00 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 54 11 — — $35,025.00 $130,786.00 $82,905.50 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 10 5 — — $81,805.00 $81,805.00 $81,805.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 54 11 — — $32,463.00 $166,758.00 $79,731.00 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 11 — — $32,347.00 $229,257.00 $79,444.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 54 11 — — $33,429.00 $157,035.00 $79,188.00 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 54 11 — — $33,318.00 $133,594.00 $78,925.00 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 54 11 — — $33,069.00 $130,068.00 $78,335.00 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 54 11 — — $32,968.00 $156,023.00 $78,095.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $77,709.00 $77,709.00 $77,709.00 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 54 11 — — $31,476.00 $234,182.00 $77,306.00 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 54 11 — — $32,502.00 $137,136.00 $76,991.00 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 11 — — $35,058.00 $118,055.00 $76,556.50 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 54 11 — — $35,021.00 $117,930.00 $76,475.50 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 54 11 — — $30,998.00 $156,458.00 $76,131.00 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 54 11 — — $30,538.00 $257,098.00 $75,002.00 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 5 — — $74,705.00 $74,705.00 $74,705.00 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 54 11 — — $30,195.00 $166,455.00 $74,161.00 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 54 11 — — $31,529.00 $119,854.00 $74,027.00 2026-02-28
245 MS_DRG Aicd Generator Procedures 54 11 — — $31,720.00 $116,279.00 $73,999.50 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 54 11 — — $29,906.00 $165,370.00 $73,450.00 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 11 — — $29,811.00 $186,002.00 $73,215.00 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 11 — — $30,858.00 $122,351.00 $73,096.00 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 54 11 — — $32,695.00 $111,878.00 $72,286.50 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 5 — — $72,062.00 $72,062.00 $72,062.00 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 54 11 — — $30,375.00 $115,959.00 $71,952.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $71,885.00 $71,885.00 $71,885.00 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 54 11 — — $29,030.00 $207,147.00 $71,297.00 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 11 — — $32,476.00 $109,362.00 $70,919.00 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 54 11 — — $29,918.00 $133,086.00 $70,871.00 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 54 11 — — $28,514.00 $188,276.00 $70,030.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $69,542.00 $69,542.00 $69,542.00 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 54 11 — — $29,285.00 $110,039.00 $69,370.00 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 54 11 — — $30,863.00 $107,252.00 $69,057.50 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 54 11 — — $29,806.00 $139,337.00 $69,035.00 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 54 11 — — $28,028.00 $159,549.00 $68,838.00 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 10 5 — — $68,582.00 $68,582.00 $68,582.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 10 5 — — $66,978.00 $66,978.00 $66,978.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 10 5 — — $66,978.00 $66,978.00 $66,978.00 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 54 11 — — $28,086.00 $105,717.00 $66,530.00 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 54 11 — — $26,692.00 $137,948.00 $65,555.00 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 54 11 — — $26,677.00 $144,539.00 $65,518.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 10 5 — — $65,511.00 $65,511.00 $65,511.00 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 54 11 — — $27,648.00 $105,140.00 $65,493.00 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 54 11 — — $27,689.00 $102,976.00 $65,332.50 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $65,031.00 $65,031.00 $65,031.00 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 54 11 — — $27,452.00 $105,140.00 $65,028.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $64,826.00 $64,826.00 $64,826.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $64,783.00 $64,783.00 $64,783.00 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 54 11 — — $27,201.00 $128,670.00 $64,435.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $64,029.00 $64,029.00 $64,029.00 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 54 11 — — $27,007.00 $116,033.00 $63,975.00 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 54 11 — — $29,110.00 $98,027.00 $63,568.50 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 54 11 — — $26,637.00 $102,379.00 $63,098.00 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 54 11 — — $28,758.00 $96,842.00 $62,800.00 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 54 11 — — $26,506.00 $112,486.00 $62,788.00 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 54 11 — — $26,401.00 $121,120.00 $62,540.00 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 54 11 — — $25,394.00 $180,228.00 $62,368.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 10 5 — — $61,759.00 $61,759.00 $61,759.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $61,457.00 $61,457.00 $61,457.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 10 5 — — $61,405.00 $61,405.00 $61,405.00 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 54 11 — — $24,811.00 $144,099.00 $60,937.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 10 5 — — $60,753.00 $60,753.00 $60,753.00 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 11 — — $24,677.00 $154,897.00 $60,607.00 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 54 11 — — $25,559.00 $116,939.00 $60,545.00 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $60,241.00 $60,241.00 $60,241.00 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 54 11 — — $25,382.00 $112,538.00 $60,125.00 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 54 11 — — $25,242.00 $113,769.00 $59,793.00 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 54 11 — — $27,195.00 $91,576.00 $59,385.50 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 54 11 — — $25,858.00 $92,875.00 $59,366.50 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 54 11 — — $25,088.00 $93,363.00 $59,225.50 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 54 11 — — $24,992.00 $110,710.00 $59,202.00 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 54 11 — — $24,485.00 $98,109.00 $58,000.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 5 — — $57,387.00 $57,387.00 $57,387.00 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $56,913.00 $56,913.00 $56,913.00 2026-02-28
265 MS_DRG Aicd Lead Procedures 54 11 — — $23,155.00 $116,279.00 $56,868.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $56,560.00 $56,560.00 $56,560.00 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 54 11 — — $25,840.00 $87,015.00 $56,427.50 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 54 11 — — $22,916.00 $259,319.00 $56,282.00 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 54 11 — — $23,684.00 $90,032.00 $56,102.00 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 54 11 — — $25,612.00 $86,245.00 $55,928.50 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 54 11 — — $22,727.00 $128,738.00 $55,818.00 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 54 11 — — $23,519.00 $101,337.00 $55,713.00 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 54 11 — — $25,507.00 $85,893.00 $55,700.00 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 54 11 — — $22,910.00 $112,402.00 $55,690.00 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 54 11 — — $22,540.00 $135,763.00 $55,359.00 2026-02-28
332 MS_DRG Rectal Resection With Mcc 54 11 — — $22,515.00 $114,524.00 $55,298.00 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 54 11 — — $23,269.00 $88,249.00 $55,120.00 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 54 11 — — $25,062.00 $84,396.00 $54,729.00 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 54 11 — — $24,289.00 $84,435.00 $54,362.00 2026-02-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 54 11 — — $22,017.00 $116,515.00 $54,075.00 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 54 11 — — $22,743.00 $96,391.00 $53,874.00 2026-02-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 54 11 — — $21,788.00 $118,244.00 $53,513.00 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 54 11 — — $23,268.00 $88,450.00 $53,385.00 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 54 11 — — $23,264.00 $88,435.00 $53,377.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 5 — — $53,245.00 $53,245.00 $53,245.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 10 5 — — $53,018.00 $53,018.00 $53,018.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $52,980.00 $52,980.00 $52,980.00 2026-02-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 54 11 — — $22,358.00 $93,399.00 $52,961.00 2026-02-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 54 11 — — $22,323.00 $87,977.00 $52,878.00 2026-02-28
252 MS_DRG Other Vascular Procedures With Mcc 54 11 — — $22,267.00 $97,632.00 $52,746.00 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 54 11 — — $22,233.00 $101,106.00 $52,666.00 2026-02-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 54 11 — — $23,051.00 $82,229.00 $52,640.00 2026-02-28
4800126 CDM Defib Imp Gen Replc Mult 16 5 $127,716.00 $31,418.14 75% off $17,880.24 $98,341.32 $52,363.56 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 5 — — $52,213.00 $52,213.00 $52,213.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $52,134.00 $52,134.00 $52,134.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $52,134.00 $52,134.00 $52,134.00 2026-02-28
4800125 CDM Defib Imp Gen Replc Dual 16 5 $125,162.00 $30,789.86 75% off $17,522.68 $96,374.74 $51,316.42 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 54 11 — — $22,852.00 $79,688.00 $51,270.00 2026-02-28
37 MS_DRG Extracranial Procedures With Mcc 54 11 — — $21,556.00 $83,413.00 $51,062.00 2026-02-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 11 — — $22,736.00 $79,154.00 $50,945.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 5 — — $50,799.00 $50,799.00 $50,799.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 10 5 — — $50,455.00 $50,455.00 $50,455.00 2026-02-28
4801200 CDM Endvas Ven Art W Stnt 6 3 $93,260.00 $22,941.96 75% off $13,056.40 $71,810.20 $50,360.40 2026-02-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 54 11 — — $21,217.00 $96,354.00 $50,260.00 2026-02-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 54 11 — — $20,644.00 $101,326.00 $50,203.00 2026-02-28
63 APR_DRG Pancreas Transplant 10 5 — — $50,155.00 $50,155.00 $50,155.00 2026-02-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 54 11 — — $21,148.00 $92,634.00 $50,095.00 2026-02-28
4404 APR_DRG Kidney Transplant 10 5 — — $50,007.00 $50,007.00 $50,007.00 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 54 11 — — $22,687.00 $76,396.00 $49,541.50 2026-02-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 54 11 — — $20,163.00 $180,925.00 $49,521.00 2026-02-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 54 11 — — $20,896.00 $86,683.00 $49,500.00 2026-02-28
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 54 11 — — $21,433.00 $77,551.00 $49,492.00 2026-02-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 54 11 — — $22,491.00 $75,916.00 $49,203.50 2026-02-28
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 54 11 — — $20,031.00 $112,486.00 $49,197.00 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 10 5 — — $49,051.00 $49,051.00 $49,051.00 2026-02-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 54 11 — — $20,700.00 $78,845.00 $49,034.00 2026-02-28
652 MS_DRG Kidney Transplant 54 11 — — $19,936.00 $117,033.00 $48,964.00 2026-02-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 54 11 — — $19,853.00 $154,431.00 $48,760.00 2026-02-28
665 MS_DRG Prostatectomy With Mcc 54 11 — — $22,287.00 $75,052.00 $48,669.50 2026-02-28
500 MS_DRG Soft Tissue Procedures With Mcc 54 11 — — $20,568.00 $76,325.00 $48,446.50 2026-02-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 54 11 — — $22,110.00 $74,453.00 $48,281.50 2026-02-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 54 11 — — $20,602.00 $75,801.00 $48,201.50 2026-02-28
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 54 11 — — $20,739.00 $75,481.00 $48,110.00 2026-02-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 54 11 — — $20,258.00 $78,986.00 $47,988.00 2026-02-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 54 11 — — $20,073.00 $93,211.00 $47,549.00 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 10 5 — — $47,539.00 $47,539.00 $47,539.00 2026-02-28
579 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Mcc 54 11 — — $21,157.00 $73,894.00 $47,525.50 2026-02-28
1784 APR_DRG External Heart Assist Systems 10 5 — — $47,523.00 $47,523.00 $47,523.00 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $47,483.00 $47,483.00 $47,483.00 2026-02-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 54 11 — — $20,017.00 $76,309.00 $47,417.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $47,384.00 $47,384.00 $47,384.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 10 5 — — $47,203.00 $47,203.00 $47,203.00 2026-02-28
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 54 11 — — $19,918.00 $89,768.00 $47,183.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 5 — — $47,050.00 $47,050.00 $47,050.00 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $46,887.00 $46,887.00 $46,887.00 2026-02-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 54 11 — — $18,919.00 $96,354.00 $46,466.00 2026-02-28
570 MS_DRG Skin Debridement With Mcc 54 11 — — $19,539.00 $72,898.00 $46,218.50 2026-02-28
974 MS_DRG HIV With Major Related Condition With Mcc 54 11 — — $19,383.00 $88,511.00 $45,916.00 2026-02-28
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 54 11 — — $18,589.00 $146,399.00 $45,655.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 5 — — $45,535.00 $45,535.00 $45,535.00 2026-02-28
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 11 — — $20,800.00 $70,042.00 $45,421.00 2026-02-28
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 54 11 — — $18,479.00 $123,457.00 $45,384.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 5 — — $45,352.00 $45,352.00 $45,352.00 2026-02-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 11 — — $19,139.00 $84,728.00 $45,338.00 2026-02-28
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 54 11 — — $19,090.00 $87,547.00 $45,221.00 2026-02-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 54 11 — — $19,038.00 $71,295.00 $45,098.00 2026-02-28
654 MS_DRG Major Bladder Procedures With Cc 54 11 — — $18,318.00 $105,910.00 $44,990.00 2026-02-28
61 APR_DRG Pancreas Transplant 10 5 — — $44,959.00 $44,959.00 $44,959.00 2026-02-28
62 APR_DRG Pancreas Transplant 10 5 — — $44,959.00 $44,959.00 $44,959.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $44,850.00 $44,850.00 $44,850.00 2026-02-28
800 MS_DRG Splenic Procedures With Cc 54 11 — — $18,913.00 $74,962.00 $44,803.00 2026-02-28
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 54 11 — — $18,903.00 $85,022.00 $44,778.00 2026-02-28
406 MS_DRG Pancreas Liver And Shunt Procedures With Cc 54 11 — — $18,229.00 $106,078.00 $44,772.00 2026-02-28
472 MS_DRG Cervical Spinal Fusion With Cc 54 11 — — $18,806.00 $80,097.00 $44,547.00 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 10 5 — — $44,225.00 $44,225.00 $44,225.00 2026-02-28
662 MS_DRG Minor Bladder Procedures With Mcc 54 11 — — $20,249.00 $68,188.00 $44,218.50 2026-02-28
791 MS_DRG Prematurity With Major Problems 48 11 — — $26,353.00 $88,741.00 $44,029.50 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 10 5 — — $43,862.00 $43,862.00 $43,862.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $43,706.00 $43,706.00 $43,706.00 2026-02-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 54 11 — — $17,762.00 $116,452.00 $43,624.00 2026-02-28
619 MS_DRG O.r. Procedures For Obesity With Mcc 54 11 — — $17,698.00 $94,416.00 $43,466.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $43,422.00 $43,422.00 $43,422.00 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $43,198.00 $43,198.00 $43,198.00 2026-02-28
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 54 11 — — $18,578.00 $67,795.00 $43,186.50 2026-02-28
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 54 11 — — $18,211.00 $82,198.00 $43,137.00 2026-02-28
61 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 54 11 — — $17,548.00 $94,746.00 $43,098.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 5 — — $43,073.00 $43,073.00 $43,073.00 2026-02-28
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 54 11 — — $17,490.00 $87,814.00 $42,956.00 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 10 5 — — $42,920.00 $42,920.00 $42,920.00 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $42,859.00 $42,859.00 $42,859.00 2026-02-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 54 11 — — $17,223.00 $118,107.00 $42,299.00 2026-02-28
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 54 11 — — $17,162.00 $119,370.00 $42,149.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 10 5 — — $42,133.00 $42,133.00 $42,133.00 2026-02-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 54 11 — — $17,730.00 $71,725.00 $42,000.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 10 5 — — $41,886.00 $41,886.00 $41,886.00 2026-02-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 54 11 — — $17,028.00 $90,161.00 $41,821.00 2026-02-28
13 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 54 11 — — $17,201.00 $84,372.00 $41,803.00 2026-02-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 54 11 — — $17,634.00 $79,599.00 $41,772.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $41,558.00 $41,558.00 $41,558.00 2026-02-28
6904 APR_DRG Acute Leukemia 10 5 — — $41,544.00 $41,544.00 $41,544.00 2026-02-28
668 MS_DRG Transurethral Procedures With Mcc 54 11 — — $18,930.00 $63,744.00 $41,337.00 2026-02-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 54 11 — — $17,421.00 $75,429.00 $41,266.00 2026-02-28
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 54 11 — — $16,775.00 $82,874.00 $41,060.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 5 — — $40,759.00 $40,759.00 $40,759.00 2026-02-28
625 MS_DRG Thyroid Parathyroid And Thyroglossal Procedures With Mcc 54 11 — — $18,610.00 $62,669.00 $40,639.50 2026-02-28
510 MS_DRG Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Mcc 54 11 — — $18,552.00 $62,472.00 $40,512.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 5 — — $40,502.00 $40,502.00 $40,502.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 10 5 — — $40,353.00 $40,353.00 $40,353.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 10 5 — — $40,352.00 $40,352.00 $40,352.00 2026-02-28
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 54 11 — — $16,984.00 $70,734.00 $40,231.00 2026-02-28
164 MS_DRG Major Chest Procedures With Cc 54 11 — — $16,338.00 $92,383.00 $40,126.00 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 10 5 — — $40,114.00 $40,114.00 $40,114.00 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 10 5 — — $40,114.00 $40,114.00 $40,114.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 10 5 — — $39,847.00 $39,847.00 $39,847.00 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 10 5 — — $39,731.00 $39,731.00 $39,731.00 2026-02-28
2324 APR_DRG Gastric Fundoplication 10 5 — — $39,659.00 $39,659.00 $39,659.00 2026-02-28
253 MS_DRG Other Vascular Procedures With Cc 54 11 — — $16,572.00 $79,824.00 $39,550.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 5 — — $39,516.00 $39,516.00 $39,516.00 2026-02-28
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 54 11 — — $16,018.00 $113,733.00 $39,342.00 2026-02-28
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 54 11 — — $16,540.00 $75,308.00 $39,181.00 2026-02-28
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 54 11 — — $15,892.00 $91,712.00 $39,031.00 2026-02-28
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 54 11 — — $16,455.00 $65,364.00 $38,980.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 10 5 — — $38,777.00 $38,777.00 $38,777.00 2026-02-28
327 MS_DRG Stomach Esophageal And Duodenal Procedures With Cc 54 11 — — $15,761.00 $99,487.00 $38,709.00 2026-02-28
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 54 11 — — $16,242.00 $66,894.00 $38,474.00 2026-02-28
545 MS_DRG Connective Tissue Disorders With Mcc 54 11 — — $16,402.00 $60,539.00 $38,470.50 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 10 5 — — $38,416.00 $38,416.00 $38,416.00 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 10 5 — — $38,281.00 $38,281.00 $38,281.00 2026-02-28
397 MS_DRG Appendix Procedures With Mcc 54 11 — — $16,083.00 $66,344.00 $38,099.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 10 5 — — $37,911.00 $37,911.00 $37,911.00 2026-02-28
849 MS_DRG Radiotherapy 54 11 — — $17,338.00 $58,385.00 $37,861.50 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $37,780.00 $37,780.00 $37,780.00 2026-02-28
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