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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

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You selected 93306 (CPT)

TTE W/DOPPLER COMPLETE

This hospital’s price: $599 across 10 payers · range $206-$3,156

Source: https://www.dignityhealth.org/content/dam/dignity-health/documents/mrf-json/southwest/json/941196203_mercy-gilbert-medical-center_standardcharges.json · observed 2026-02-28

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.

10,693 distinct procedures filed
11 distinct payers
644,046 rate rows
2026-02-28 last MRF observed
Data quality

618,527 of 644,046 rate rows are consumer-grade (96.0%)

25,519 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 12,592
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 11,403
template filing: same amount across many unrelated codes — excluded 909
per-diem day rate — not a per-procedure price 306
exceeds 10× this hospital's gross charge — excluded from medians 150
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 111
placeholder amount (≤ $0.02) — excluded from medians 48
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
Found on page https://www.mrfdatasolutions.com/payers-1
Discovered viaPublic MRF directory
Last fetch not_modified · 2026-10-25
Content fingerprint d0aab5a5547b9aeb… · 53,826,470 bytes · first seen 2026-05-06

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 10 $182,840.00 $676,140.00 $419,510.00 nat. median
$249,036
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $153,985.00 $590,840.00 $353,304.00 nat. median
$198,418
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 10 $139,113.00 $617,443.00 $319,181.00 nat. median
$190,559
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $127,103.00 $824,326.00 $286,216.06 nat. median
$359,454
0.8× median
5834
APR_DRG 		Neonate With Ecmo 3 $223,653.00 $223,653.00 $223,653.00 nat. median
$307,206
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 10 $91,718.00 $364,842.00 $210,438.00 nat. median
$126,695
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $85,044.00 $338,693.00 $195,125.00 nat. median
$110,307
1.8× median
7
MS_DRG 		Lung Transplant 10 $84,830.00 $330,897.00 $194,634.00 nat. median
$117,974
1.6× median
5833
APR_DRG 		Neonate With Ecmo 3 $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 3 $177,160.00 $177,160.00 $177,160.00 nat. median
$247,214
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $71,529.00 $476,086.00 $175,026.00 nat. median
$104,013
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $69,125.00 $342,486.00 $169,144.00 nat. median
$95,038
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 10 $68,771.00 $450,870.00 $168,277.00 nat. median
$93,901
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $67,996.00 $262,248.00 $156,010.00 nat. median
$93,276
1.7× median
24
APR_DRG 		Heart And/or Lung Transplant 3 $155,626.00 $155,626.00 $155,626.00 nat. median
$241,437
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $62,645.00 $295,779.00 $146,546.00 nat. median
$90,551
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $70,712.00 $238,119.00 $144,829.00 nat. median
$97,323
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $137,164.00 $137,164.00 $137,164.00 nat. median
$202,993
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $52,325.00 $356,360.00 $128,034.00 nat. median
$74,370
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $55,004.00 $254,609.00 $126,202.00 nat. median
$77,028
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 10 $54,974.00 $218,391.00 $126,132.00 nat. median
$77,632
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $51,456.00 $326,790.00 $125,909.00 nat. median
$66,715
1.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $54,139.00 $232,112.00 $124,217.00 nat. median
$78,049
1.6× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $123,480.00 $123,480.00 $123,480.00 nat. median
$155,939
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $50,224.00 $255,526.00 $122,895.00 nat. median
$72,398
1.7× median
5832
APR_DRG 		Neonate With Ecmo 3 $121,910.00 $121,910.00 $121,910.00 nat. median
$159,249
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $120,956.00 $120,956.00 $120,956.00 nat. median
$162,342
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $50,736.00 $242,266.00 $120,032.00 nat. median
$71,748
1.7× median
10
MS_DRG 		Pancreas Transplant 10 $51,753.00 $212,387.00 $118,742.00 nat. median
$64,933
1.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $118,488.00 $118,488.00 $118,488.00 nat. median
$165,000
0.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $118,031.00 $118,031.00 $118,031.00 nat. median
$170,082
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $59,794.00 $201,354.00 $114,905.00 nat. median
$78,268
1.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $46,104.00 $242,669.00 $112,812.00 nat. median
$63,648
1.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $45,872.00 $319,444.00 $112,245.00 nat. median
$66,649
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $48,450.00 $187,055.00 $111,164.00 nat. median
$67,976
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $45,155.00 $229,231.00 $110,490.00 nat. median
$62,655
1.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $44,322.00 $232,579.00 $108,454.00 nat. median
$61,728
1.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $107,990.00 $107,990.00 $107,990.00 nat. median
$175,204
0.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $106,651.00 $106,651.00 $106,651.00 nat. median
$163,587
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $105,639.00 $105,639.00 $105,639.00 nat. median
$133,164
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $41,918.00 $241,008.00 $102,571.00 nat. median
$62,031
1.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $101,742.00 $101,742.00 $101,742.00 nat. median
$154,011
0.7× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $100,856.00 $100,856.00 $100,856.00 nat. median
$136,566
0.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $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 10 $41,979.00 $201,788.00 $99,977.00 nat. median
$59,371
1.7× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $43,520.00 $165,438.00 $99,853.00 nat. median
$60,596
1.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 $43,353.00 $189,261.00 $99,469.00 nat. median
$61,308
1.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $43,279.00 $177,211.00 $99,301.00 nat. median
$63,873
1.6× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 10 $39,652.00 $216,075.00 $97,024.00 nat. median
$57,801
1.7× median
5831
APR_DRG 		Neonate With Ecmo 3 $96,323.00 $96,323.00 $96,323.00 nat. median
$146,500
0.7× 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 75 10 — — $182,840.00 $676,140.00 $419,510.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 75 10 — — $153,985.00 $590,840.00 $353,304.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 75 10 — — $139,113.00 $617,443.00 $319,181.00 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 75 10 — — $127,103.00 $824,326.00 $286,216.06 2026-02-28
5834 APR_DRG Neonate With Ecmo 9 3 — — $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… 75 10 — — $91,718.00 $364,842.00 $210,438.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 75 10 — — $85,044.00 $338,693.00 $195,125.00 2026-02-28
7 MS_DRG Lung Transplant 75 10 — — $84,830.00 $330,897.00 $194,634.00 2026-02-28
5833 APR_DRG Neonate With Ecmo 9 3 — — $179,671.00 $179,671.00 $179,671.00 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 3 — — $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 75 10 — — $71,529.00 $476,086.00 $175,026.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 75 10 — — $69,125.00 $342,486.00 $169,144.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 75 10 — — $68,771.00 $450,870.00 $168,277.00 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 75 10 — — $67,996.00 $262,248.00 $156,010.00 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 9 3 — — $155,626.00 $155,626.00 $155,626.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 75 10 — — $62,645.00 $295,779.00 $146,546.00 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 75 10 — — $70,712.00 $238,119.00 $144,829.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 9 3 — — $137,164.00 $137,164.00 $137,164.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 75 10 — — $52,325.00 $356,360.00 $128,034.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 75 10 — — $55,004.00 $254,609.00 $126,202.00 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 75 10 — — $54,974.00 $218,391.00 $126,132.00 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 75 10 — — $51,456.00 $326,790.00 $125,909.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 75 10 — — $54,139.00 $232,112.00 $124,217.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 3 — — $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… 75 10 — — $50,224.00 $255,526.00 $122,895.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 9 3 — — $121,910.00 $121,910.00 $121,910.00 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 3 — — $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 75 10 — — $50,736.00 $242,266.00 $120,032.00 2026-02-28
10 MS_DRG Pancreas Transplant 75 10 — — $51,753.00 $212,387.00 $118,742.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 3 — — $118,488.00 $118,488.00 $118,488.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 9 3 — — $118,031.00 $118,031.00 $118,031.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 75 10 — — $59,794.00 $201,354.00 $114,905.00 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 75 10 — — $46,104.00 $242,669.00 $112,812.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 75 10 — — $45,872.00 $319,444.00 $112,245.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 75 10 — — $48,450.00 $187,055.00 $111,164.00 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 75 10 — — $45,155.00 $229,231.00 $110,490.00 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 75 10 — — $44,322.00 $232,579.00 $108,454.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 3 — — $107,990.00 $107,990.00 $107,990.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 3 — — $106,651.00 $106,651.00 $106,651.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 3 — — $105,639.00 $105,639.00 $105,639.00 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 75 10 — — $41,918.00 $241,008.00 $102,571.00 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 3 — — $101,742.00 $101,742.00 $101,742.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 3 — — $100,856.00 $100,856.00 $100,856.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 3 — — $100,419.00 $100,419.00 $100,419.00 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 75 10 — — $41,979.00 $201,788.00 $99,977.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 75 10 — — $43,520.00 $165,438.00 $99,853.00 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 75 10 — — $43,353.00 $189,261.00 $99,469.00 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 75 10 — — $43,279.00 $177,211.00 $99,301.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 75 10 — — $39,652.00 $216,075.00 $97,024.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 9 3 — — $96,323.00 $96,323.00 $96,323.00 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 75 10 — — $39,179.00 $243,712.00 $95,868.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 9 3 — — $95,628.00 $95,628.00 $95,628.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 75 10 — — $40,208.00 $192,892.00 $95,570.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 75 10 — — $38,886.00 $279,265.00 $95,152.00 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 75 10 — — $38,617.00 $218,066.00 $94,493.00 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 75 10 — — $41,051.00 $164,726.00 $94,188.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 3 — — $94,072.00 $94,072.00 $94,072.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 3 — — $93,639.00 $93,639.00 $93,639.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 75 10 — — $38,194.00 $189,989.00 $93,459.00 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 75 10 — — $39,833.00 $181,130.00 $91,394.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 75 10 — — $37,032.00 $186,919.00 $90,614.00 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 75 10 — — $39,462.00 $176,551.00 $90,542.00 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 66 10 — — $38,588.00 $206,152.00 $89,971.50 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 75 10 — — $39,179.00 $166,874.00 $89,893.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 75 10 — — $35,878.00 $309,878.00 $87,790.00 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 75 10 — — $35,727.00 $210,265.00 $87,422.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 75 10 — — $37,254.00 $176,372.00 $87,385.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 75 10 — — $35,509.00 $210,265.00 $86,888.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 75 10 — — $37,793.00 $169,782.00 $86,712.00 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 75 10 — — $35,318.00 $275,566.00 $86,421.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 75 10 — — $34,533.00 $184,870.00 $84,501.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 75 10 — — $34,381.00 $196,140.00 $84,127.00 2026-02-28
64 APR_DRG Pancreas Transplant 9 3 — — $83,356.00 $83,356.00 $83,356.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 75 10 — — $36,185.00 $151,953.00 $83,023.00 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 75 10 — — $35,878.00 $159,078.00 $82,318.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 9 3 — — $81,805.00 $81,805.00 $81,805.00 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 75 10 — — $35,238.00 $157,658.00 $80,850.00 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 75 10 — — $35,025.00 $130,786.00 $80,361.00 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 75 10 — — $40,156.00 $135,222.00 $79,821.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 75 10 — — $32,463.00 $166,758.00 $79,436.00 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 75 10 — — $32,347.00 $229,257.00 $79,150.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 75 10 — — $33,429.00 $157,035.00 $77,804.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 3 — — $77,709.00 $77,709.00 $77,709.00 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 75 10 — — $32,968.00 $156,023.00 $77,303.00 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 75 10 — — $31,476.00 $234,182.00 $77,020.00 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 75 10 — — $35,058.00 $118,055.00 $76,935.00 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 75 10 — — $33,318.00 $133,594.00 $76,446.00 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 75 10 — — $33,069.00 $130,068.00 $75,874.00 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 75 10 — — $30,998.00 $156,458.00 $75,849.00 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 75 10 — — $30,538.00 $257,098.00 $74,725.00 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 9 3 — — $74,705.00 $74,705.00 $74,705.00 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 75 10 — — $32,502.00 $137,136.00 $74,572.00 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 75 10 — — $32,695.00 $111,878.00 $73,906.00 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 75 10 — — $30,195.00 $166,455.00 $73,886.00 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 75 10 — — $29,906.00 $165,370.00 $73,178.00 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 75 10 — — $29,811.00 $186,002.00 $72,944.00 2026-02-28
245 MS_DRG Aicd Generator Procedures 75 10 — — $31,720.00 $116,279.00 $72,779.00 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 75 10 — — $31,529.00 $119,854.00 $72,340.00 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 9 3 — — $72,062.00 $72,062.00 $72,062.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 3 — — $71,885.00 $71,885.00 $71,885.00 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 75 10 — — $29,030.00 $207,147.00 $71,034.00 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 75 10 — — $30,863.00 $107,252.00 $70,813.00 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 75 10 — — $30,858.00 $122,351.00 $70,800.00 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 75 10 — — $28,514.00 $188,276.00 $69,771.00 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 75 10 — — $30,375.00 $115,959.00 $69,692.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 3 — — $69,542.00 $69,542.00 $69,542.00 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 75 10 — — $29,806.00 $139,337.00 $69,035.00 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 75 10 — — $29,918.00 $133,086.00 $68,645.00 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 75 10 — — $28,028.00 $159,549.00 $68,583.00 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 9 3 — — $68,582.00 $68,582.00 $68,582.00 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 75 10 — — $29,285.00 $110,039.00 $67,191.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 9 3 — — $66,978.00 $66,978.00 $66,978.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 9 3 — — $66,978.00 $66,978.00 $66,978.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 9 3 — — $65,511.00 $65,511.00 $65,511.00 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 75 10 — — $26,692.00 $137,948.00 $65,312.00 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 75 10 — — $26,677.00 $144,539.00 $65,276.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 3 — — $65,031.00 $65,031.00 $65,031.00 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 75 10 — — $35,021.00 $117,930.00 $64,928.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 3 — — $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… 9 3 — — $64,783.00 $64,783.00 $64,783.00 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 75 10 — — $28,086.00 $105,717.00 $64,441.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 3 — — $64,029.00 $64,029.00 $64,029.00 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 75 10 — — $27,201.00 $128,670.00 $63,750.00 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 75 10 — — $39,973.00 $134,606.00 $63,651.00 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 75 10 — — $27,689.00 $102,976.00 $63,529.00 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 75 10 — — $27,648.00 $105,140.00 $63,435.00 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 75 10 — — $27,452.00 $105,140.00 $62,985.00 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 75 10 — — $25,394.00 $180,228.00 $62,137.00 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 75 10 — — $27,007.00 $116,033.00 $61,965.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 9 3 — — $61,759.00 $61,759.00 $61,759.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 3 — — $61,457.00 $61,457.00 $61,457.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 3 — — $61,405.00 $61,405.00 $61,405.00 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 75 10 — — $26,637.00 $102,379.00 $61,116.00 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 75 10 — — $26,506.00 $112,486.00 $60,816.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 9 3 — — $60,753.00 $60,753.00 $60,753.00 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 75 10 — — $24,811.00 $144,099.00 $60,711.00 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 75 10 — — $26,401.00 $121,120.00 $60,576.00 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 75 10 — — $24,677.00 $154,897.00 $60,382.00 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 3 — — $60,241.00 $60,241.00 $60,241.00 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 75 10 — — $25,858.00 $92,875.00 $59,329.00 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 75 10 — — $29,110.00 $98,027.00 $58,962.00 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 75 10 — — $25,559.00 $116,939.00 $58,643.00 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 75 10 — — $25,382.00 $112,538.00 $58,236.00 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 75 10 — — $25,242.00 $113,769.00 $57,914.00 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 75 10 — — $32,476.00 $109,362.00 $57,643.00 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 75 10 — — $25,088.00 $93,363.00 $57,561.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 3 — — $57,387.00 $57,387.00 $57,387.00 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 75 10 — — $24,992.00 $110,710.00 $57,343.00 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 3 — — $56,913.00 $56,913.00 $56,913.00 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 75 10 — — $28,758.00 $96,842.00 $56,792.00 2026-02-28
265 MS_DRG Aicd Lead Procedures 75 10 — — $23,155.00 $116,279.00 $56,658.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 3 — — $56,560.00 $56,560.00 $56,560.00 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 75 10 — — $24,485.00 $98,109.00 $56,178.00 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 75 10 — — $22,916.00 $259,319.00 $56,073.00 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 75 10 — — $24,289.00 $84,435.00 $55,730.00 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 75 10 — — $22,910.00 $112,402.00 $55,690.00 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 75 10 — — $22,727.00 $128,738.00 $55,611.00 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 75 10 — — $22,540.00 $135,763.00 $55,154.00 2026-02-28
332 MS_DRG Rectal Resection With Mcc 75 10 — — $22,515.00 $114,524.00 $55,093.00 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 75 10 — — $23,684.00 $90,032.00 $54,340.00 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 75 10 — — $23,519.00 $101,337.00 $53,963.00 2026-02-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 75 10 — — $22,017.00 $116,515.00 $53,875.00 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 75 10 — — $23,269.00 $88,249.00 $53,388.00 2026-02-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 75 10 — — $21,788.00 $118,244.00 $53,314.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 3 — — $53,245.00 $53,245.00 $53,245.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 9 3 — — $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… 9 3 — — $52,980.00 $52,980.00 $52,980.00 2026-02-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 75 10 — — $23,051.00 $82,229.00 $52,888.00 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 75 10 — — $22,852.00 $79,688.00 $52,432.00 2026-02-28
4800126 CDM Defib Imp Gen Replc Mult 24 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 9 3 — — $52,213.00 $52,213.00 $52,213.00 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 75 10 — — $22,743.00 $96,391.00 $52,182.00 2026-02-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 75 10 — — $22,736.00 $79,154.00 $52,166.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 3 — — $52,134.00 $52,134.00 $52,134.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 3 — — $52,134.00 $52,134.00 $52,134.00 2026-02-28
4800125 CDM Defib Imp Gen Replc Dual 24 5 $125,162.00 $30,789.86 75% off $17,522.68 $96,374.74 $51,316.42 2026-02-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 75 10 — — $22,358.00 $93,399.00 $51,297.00 2026-02-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 75 10 — — $22,323.00 $87,977.00 $51,217.00 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 75 10 — — $25,612.00 $86,245.00 $51,195.00 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 75 10 — — $25,507.00 $85,893.00 $51,195.00 2026-02-28
252 MS_DRG Other Vascular Procedures With Mcc 75 10 — — $22,267.00 $97,632.00 $51,089.00 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 75 10 — — $22,233.00 $101,106.00 $51,012.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 3 — — $50,799.00 $50,799.00 $50,799.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 9 3 — — $50,455.00 $50,455.00 $50,455.00 2026-02-28
4801200 CDM Endvas Ven Art W Stnt 9 3 $93,260.00 $22,941.96 75% off $13,056.40 $71,810.20 $50,360.40 2026-02-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 75 10 — — $20,644.00 $101,326.00 $50,203.00 2026-02-28
63 APR_DRG Pancreas Transplant 9 3 — — $50,155.00 $50,155.00 $50,155.00 2026-02-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 75 10 — — $22,491.00 $75,916.00 $50,150.00 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 75 10 — — $25,840.00 $87,015.00 $50,074.00 2026-02-28
4404 APR_DRG Kidney Transplant 9 3 — — $50,007.00 $50,007.00 $50,007.00 2026-02-28
37 MS_DRG Extracranial Procedures With Mcc 75 10 — — $21,556.00 $83,413.00 $49,458.00 2026-02-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 75 10 — — $20,163.00 $180,925.00 $49,337.00 2026-02-28
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 75 10 — — $21,433.00 $77,551.00 $49,175.00 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 9 3 — — $49,051.00 $49,051.00 $49,051.00 2026-02-28
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 75 10 — — $20,031.00 $112,486.00 $49,015.00 2026-02-28
652 MS_DRG Kidney Transplant 75 10 — — $19,936.00 $117,033.00 $48,783.00 2026-02-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 75 10 — — $21,217.00 $96,354.00 $48,681.00 2026-02-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 75 10 — — $19,853.00 $154,431.00 $48,580.00 2026-02-28
579 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Mcc 75 10 — — $21,157.00 $73,894.00 $48,542.00 2026-02-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 75 10 — — $21,148.00 $92,634.00 $48,521.00 2026-02-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 75 10 — — $20,896.00 $86,683.00 $47,945.00 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 75 10 — — $25,062.00 $84,396.00 $47,924.00 2026-02-28
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 75 10 — — $20,739.00 $75,481.00 $47,585.00 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 3 — — $47,539.00 $47,539.00 $47,539.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 9 3 — — $47,523.00 $47,523.00 $47,523.00 2026-02-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 75 10 — — $20,700.00 $78,845.00 $47,494.00 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 3 — — $47,483.00 $47,483.00 $47,483.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 3 — — $47,384.00 $47,384.00 $47,384.00 2026-02-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 75 10 — — $20,602.00 $75,801.00 $47,270.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 3 — — $47,203.00 $47,203.00 $47,203.00 2026-02-28
500 MS_DRG Soft Tissue Procedures With Mcc 75 10 — — $20,568.00 $76,325.00 $47,191.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 3 — — $47,050.00 $47,050.00 $47,050.00 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 3 — — $46,887.00 $46,887.00 $46,887.00 2026-02-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 75 10 — — $20,258.00 $78,986.00 $46,481.00 2026-02-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 75 10 — — $18,919.00 $96,354.00 $46,294.00 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 75 10 — — $22,687.00 $76,396.00 $46,222.00 2026-02-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 75 10 — — $20,073.00 $93,211.00 $46,182.00 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 75 10 — — $23,268.00 $88,450.00 $46,128.00 2026-02-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 75 10 — — $20,017.00 $76,309.00 $45,927.00 2026-02-28
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 75 10 — — $19,918.00 $89,768.00 $45,701.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 9 3 — — $45,535.00 $45,535.00 $45,535.00 2026-02-28
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 75 10 — — $18,589.00 $146,399.00 $45,486.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 3 — — $45,352.00 $45,352.00 $45,352.00 2026-02-28
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 75 10 — — $18,479.00 $123,457.00 $45,216.00 2026-02-28
61 APR_DRG Pancreas Transplant 9 3 — — $44,959.00 $44,959.00 $44,959.00 2026-02-28
62 APR_DRG Pancreas Transplant 9 3 — — $44,959.00 $44,959.00 $44,959.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 3 — — $44,850.00 $44,850.00 $44,850.00 2026-02-28
570 MS_DRG Skin Debridement With Mcc 75 10 — — $19,539.00 $72,898.00 $44,831.00 2026-02-28
654 MS_DRG Major Bladder Procedures With Cc 75 10 — — $18,318.00 $105,910.00 $44,823.00 2026-02-28
406 MS_DRG Pancreas Liver And Shunt Procedures With Cc 75 10 — — $18,229.00 $106,078.00 $44,606.00 2026-02-28
974 MS_DRG HIV With Major Related Condition With Mcc 75 10 — — $19,383.00 $88,511.00 $44,473.00 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 9 3 — — $44,225.00 $44,225.00 $44,225.00 2026-02-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 75 10 — — $19,139.00 $84,728.00 $43,913.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 9 3 — — $43,862.00 $43,862.00 $43,862.00 2026-02-28
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 75 10 — — $19,090.00 $87,547.00 $43,800.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 3 — — $43,706.00 $43,706.00 $43,706.00 2026-02-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 75 10 — — $19,038.00 $71,295.00 $43,681.00 2026-02-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 75 10 — — $17,762.00 $116,452.00 $43,462.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 3 — — $43,422.00 $43,422.00 $43,422.00 2026-02-28
662 MS_DRG Minor Bladder Procedures With Mcc 75 10 — — $20,249.00 $68,188.00 $43,411.00 2026-02-28
800 MS_DRG Splenic Procedures With Cc 75 10 — — $18,913.00 $74,962.00 $43,395.00 2026-02-28
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 75 10 — — $18,903.00 $85,022.00 $43,371.00 2026-02-28
619 MS_DRG O.r. Procedures For Obesity With Mcc 75 10 — — $17,698.00 $94,416.00 $43,305.00 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 3 — — $43,198.00 $43,198.00 $43,198.00 2026-02-28
472 MS_DRG Cervical Spinal Fusion With Cc 75 10 — — $18,806.00 $80,097.00 $43,148.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 3 — — $43,073.00 $43,073.00 $43,073.00 2026-02-28
61 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 75 10 — — $17,548.00 $94,746.00 $42,938.00 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 9 3 — — $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… 9 3 — — $42,859.00 $42,859.00 $42,859.00 2026-02-28
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 75 10 — — $17,490.00 $87,814.00 $42,797.00 2026-02-28
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 75 10 — — $18,578.00 $67,795.00 $42,625.00 2026-02-28
665 MS_DRG Prostatectomy With Mcc 75 10 — — $22,287.00 $75,052.00 $42,269.00 2026-02-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 75 10 — — $17,223.00 $118,107.00 $42,142.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 9 3 — — $42,133.00 $42,133.00 $42,133.00 2026-02-28
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 75 10 — — $17,162.00 $119,370.00 $41,993.00 2026-02-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 75 10 — — $22,110.00 $74,453.00 $41,978.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 9 3 — — $41,886.00 $41,886.00 $41,886.00 2026-02-28
13 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 75 10 — — $17,201.00 $84,372.00 $41,803.00 2026-02-28
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 75 10 — — $18,211.00 $82,198.00 $41,782.00 2026-02-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 75 10 — — $17,028.00 $90,161.00 $41,666.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 3 — — $41,558.00 $41,558.00 $41,558.00 2026-02-28
6904 APR_DRG Acute Leukemia 9 3 — — $41,544.00 $41,544.00 $41,544.00 2026-02-28
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 75 10 — — $20,800.00 $70,042.00 $41,473.00 2026-02-28
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 75 10 — — $16,775.00 $82,874.00 $41,046.00 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 75 10 — — $27,195.00 $91,576.00 $40,836.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 3 — — $40,759.00 $40,759.00 $40,759.00 2026-02-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 75 10 — — $17,730.00 $71,725.00 $40,680.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 3 — — $40,502.00 $40,502.00 $40,502.00 2026-02-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 75 10 — — $17,634.00 $79,599.00 $40,460.00 2026-02-28
510 MS_DRG Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Mcc 75 10 — — $18,552.00 $62,472.00 $40,435.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 9 3 — — $40,353.00 $40,353.00 $40,353.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 9 3 — — $40,352.00 $40,352.00 $40,352.00 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 9 3 — — $40,114.00 $40,114.00 $40,114.00 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 9 3 — — $40,114.00 $40,114.00 $40,114.00 2026-02-28
164 MS_DRG Major Chest Procedures With Cc 75 10 — — $16,338.00 $92,383.00 $39,978.00 2026-02-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 75 10 — — $17,421.00 $75,429.00 $39,970.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 9 3 — — $39,847.00 $39,847.00 $39,847.00 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 9 3 — — $39,731.00 $39,731.00 $39,731.00 2026-02-28
2324 APR_DRG Gastric Fundoplication 9 3 — — $39,659.00 $39,659.00 $39,659.00 2026-02-28
253 MS_DRG Other Vascular Procedures With Cc 75 10 — — $16,572.00 $79,824.00 $39,550.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 9 3 — — $39,516.00 $39,516.00 $39,516.00 2026-02-28
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 75 10 — — $16,018.00 $113,733.00 $39,196.00 2026-02-28
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 75 10 — — $16,984.00 $70,734.00 $38,968.00 2026-02-28
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 75 10 — — $15,892.00 $91,712.00 $38,886.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 9 3 — — $38,777.00 $38,777.00 $38,777.00 2026-02-28
327 MS_DRG Stomach Esophageal And Duodenal Procedures With Cc 75 10 — — $15,761.00 $99,487.00 $38,566.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 9 3 — — $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… 9 3 — — $38,281.00 $38,281.00 $38,281.00 2026-02-28
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 75 10 — — $16,540.00 $75,308.00 $37,950.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 9 3 — — $37,911.00 $37,911.00 $37,911.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 3 — — $37,780.00 $37,780.00 $37,780.00 2026-02-28
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 75 10 — — $16,455.00 $65,364.00 $37,755.00 2026-02-28
791 MS_DRG Prematurity With Major Problems 66 10 — — $26,353.00 $88,741.00 $37,740.00 2026-02-28
625 MS_DRG Thyroid Parathyroid And Thyroglossal Procedures With Mcc 75 10 — — $18,610.00 $62,669.00 $37,711.00 2026-02-28
503 MS_DRG Foot Procedures With Mcc 75 10 — — $17,179.00 $57,849.00 $37,701.00 2026-02-28
545 MS_DRG Connective Tissue Disorders With Mcc 75 10 — — $16,402.00 $60,539.00 $37,633.00 2026-02-28
330 MS_DRG Major Small And Large Bowel Procedures With Cc 75 10 — — $15,343.00 $89,475.00 $37,543.00 2026-02-28
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 75 10 — — $15,318.00 $95,296.00 $37,482.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 9 3 — — $37,420.00 $37,420.00 $37,420.00 2026-02-28
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 75 10 — — $16,242.00 $66,894.00 $37,265.00 2026-02-28
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