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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

DIGNITY HEALTH - ARIZONA GENERAL HOSPITAL

Laveen, AZ · CCN 030136 · Rates published

10,249 distinct procedures filed
13 distinct payers
170,487 rate rows
2026-02-28 last MRF observed
Data quality

162,141 of 170,487 rate rows are consumer-grade (95.1%)

8,346 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 4,198
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,062
placeholder amount (≤ $0.02) — excluded from medians 40
per-diem day rate — not a per-procedure price 36
exceeds 10× this hospital's gross charge — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dignityhealth.org/content/dam/dignity-health/documents/mrf-json/southwest/json/383990879_arizona-general-hospital-mesa-hospital_standardcharges.json
Found on page https://www.mrfdatasolutions.com/payers-1
Discovered viaPublic MRF directory
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint e5970251cf51299d… · 28,384,225 bytes · first seen 2026-05-05

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 12 $219,099.30 $570,087.35 $334,998.37 nat. median
$265,286
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $127,103.35 $301,694.33 $292,907.11 nat. median
$370,174
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 12 $167,004.27 $438,460.56 $284,081.05 nat. median
$202,976
1.4× median
5834
APR_DRG 		Neonate With Ecmo 5 $248,255.00 $248,255.00 $248,255.00 nat. median
$309,665
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $86,488.85 $314,501.07 $200,494.96 nat. median
$108,660
1.8× median
5833
APR_DRG 		Neonate With Ecmo 5 $199,435.00 $199,435.00 $199,435.00 nat. median
$244,017
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $196,648.00 $196,648.00 $196,648.00 nat. median
$246,434
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $93,770.68 $411,434.40 $188,416.62 nat. median
$206,474
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 12 $110,540.86 $267,042.72 $173,018.47 nat. median
$133,161
1.3× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $172,745.00 $172,745.00 $172,745.00 nat. median
$234,729
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $102,589.77 $263,131.52 $167,808.09 nat. median
$117,357
1.4× median
7
MS_DRG 		Lung Transplant 12 $102,334.58 $222,521.36 $161,665.06 nat. median
$122,708
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $63,609.94 $250,322.19 $156,966.07 nat. median
$77,570
outlier · 2.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $83,625.31 $226,245.57 $154,566.74 nat. median
$100,136
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $152,253.00 $152,253.00 $152,253.00 nat. median
$207,730
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 12 $83,203.09 $265,840.24 $146,545.89 nat. median
$99,019
1.5× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $137,062.00 $137,062.00 $137,062.00 nat. median
$160,267
0.9× median
5832
APR_DRG 		Neonate With Ecmo 5 $135,320.00 $135,320.00 $135,320.00 nat. median
$156,126
0.9× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $134,261.00 $134,261.00 $134,261.00 nat. median
$164,289
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $131,522.00 $131,522.00 $131,522.00 nat. median
$162,982
0.8× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $131,015.00 $131,015.00 $131,015.00 nat. median
$187,061
0.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $119,869.00 $119,869.00 $119,869.00 nat. median
$182,665
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $75,905.44 $207,174.71 $119,409.40 nat. median
$93,672
1.3× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $118,382.00 $118,382.00 $118,382.00 nat. median
$164,834
0.7× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 $44,016.02 $191,395.50 $117,705.76 nat. median
$54,045
outlier · 2.2×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $117,260.00 $117,260.00 $117,260.00 nat. median
$122,924
1.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $112,934.00 $112,934.00 $112,934.00 nat. median
$150,721
0.7× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 5 $111,950.00 $111,950.00 $111,950.00 nat. median
$129,535
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $111,465.00 $111,465.00 $111,465.00 nat. median
$151,838
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 12 $66,765.79 $187,345.15 $108,203.33 nat. median
$81,118
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $66,802.13 $169,403.24 $107,055.98 nat. median
$79,312
1.3× median
5831
APR_DRG 		Neonate With Ecmo 5 $106,919.00 $106,919.00 $106,919.00 nat. median
$144,745
0.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 $47,600.27 $169,838.19 $106,735.54 nat. median
$60,726
1.8× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $106,148.00 $106,148.00 $106,148.00 nat. median
$119,796
0.9× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 $104,420.00 $104,420.00 $104,420.00 nat. median
$109,499
1.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $103,939.00 $103,939.00 $103,939.00 nat. median
$105,658
1.0× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 12 $47,949.03 $160,995.34 $103,195.37 nat. median
$56,918
1.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $51,212.36 $144,053.74 $97,633.05 nat. median
$64,508
1.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $61,107.54 $161,741.26 $97,178.96 nat. median
$74,915
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $61,717.67 $160,272.40 $94,344.35 nat. median
$73,807
1.3× median
64
APR_DRG 		Pancreas Transplant 5 $92,525.00 $92,525.00 $92,525.00 nat. median
$91,009
1.0× median
23
APR_DRG 		Heart And/or Lung Transplant 5 $90,803.00 $90,803.00 $90,803.00 nat. median
$93,528
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 12 $48,511.99 $160,040.10 $89,725.66 nat. median
$59,898
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $85,516.04 $297,843.28 $87,440.16 nat. median
$102,358
0.9× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $86,257.00 $86,257.00 $86,257.00 nat. median
$118,620
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $51,284.28 $144,829.01 $85,965.17 nat. median
$62,134
1.4× median
C9600
CPT 		Ptca With Drug Eluting Stent 3 $74,582.00 $95,959.00 $85,270.50 nat. median
$14,775
outlier · 5.8×
C9608
CPT 		Ptca With Drug Eluting Stent 3 $74,582.00 $95,959.00 $85,270.50 nat. median
$11,840
outlier · 7.2×
C9607
CPT 		Ptca With Drug Eluting Stent 3 $74,582.00 $95,959.00 $85,270.50 nat. median
$20,002
outlier · 4.3×
C9605
CPT 		Ptca With Drug Eluting Stent 3 $74,582.00 $95,959.00 $85,270.50 nat. median
$11,264
outlier · 7.6×

Other procedures at this hospital

Browse this hospital's 10,249 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 12 — — $17,485.57 $64,270.77 $35,878.27 2026-02-28
412 MS_DRG Cholecystectomy With C.d.e. With Cc 19 12 — — $17,757.00 $59,466.90 $35,626.47 2026-02-28
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 19 12 — — $18,694.25 $52,181.52 $35,437.89 2026-02-28
41 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Cc Or Peripher… 19 12 — — $18,736.00 $54,859.90 $35,237.99 2026-02-28
35 MS_DRG Carotid Artery Stent Procedures With Cc 19 12 — — $18,864.37 $56,123.58 $34,505.37 2026-02-28
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 19 12 — — $18,896.85 $56,289.52 $35,437.86 2026-02-28
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 19 12 — — $19,173.69 $64,059.65 $35,187.33 2026-02-28
330 MS_DRG Major Small And Large Bowel Procedures With Cc 19 12 — — $19,551.84 $69,600.71 $37,871.67 2026-02-28
327 MS_DRG Stomach Esophageal And Duodenal Procedures With Cc 19 12 — — $20,049.84 $92,045.30 $38,562.62 2026-02-28
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 19 12 — — $20,356.84 $75,131.39 $35,921.73 2026-02-28
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 19 12 — — $20,622.86 $74,342.28 $38,988.28 2026-02-28
164 MS_DRG Major Chest Procedures With Cc 19 12 — — $20,737.31 $54,053.90 $37,395.61 2026-02-28
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 12 — — $20,978.58 $49,748.41 $35,363.50 2026-02-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 19 12 — — $21,559.33 $59,560.35 $40,559.84 2026-02-28
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 19 12 — — $21,718.63 $64,783.96 $39,437.99 2026-02-28
13 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 19 12 — — $21,765.80 $55,735.94 $36,350.39 2026-02-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 19 12 — — $21,791.32 $60,177.71 $40,984.51 2026-02-28
263 MS_DRG Vein Ligation And Stripping 19 12 — — $22,014.03 $48,668.23 $34,666.91 2026-02-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 12 — — $22,027.18 $73,286.68 $37,231.69 2026-02-28
61 MS_DRG Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 19 12 — — $22,178.74 $64,622.03 $41,868.97 2026-02-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 12 — — $22,433.93 $79,021.15 $50,727.54 2026-02-28
406 MS_DRG Pancreas Liver And Shunt Procedures With Cc 19 12 — — $22,990.71 $70,074.87 $41,830.00 2026-02-28
654 MS_DRG Major Bladder Procedures With Cc 19 12 — — $23,096.65 $59,456.52 $41,276.58 2026-02-28
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 12 — — $23,419.12 $96,710.72 $47,008.36 2026-02-28
472 MS_DRG Cervical Spinal Fusion With Cc 19 12 — — $23,677.40 $70,359.01 $39,684.59 2026-02-28
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 12 — — $23,793.40 $56,938.80 $34,716.23 2026-02-28
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 12 — — $24,016.11 $62,271.65 $43,143.88 2026-02-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 12 — — $24,074.88 $60,914.20 $41,979.28 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 12 — — $24,190.26 $64,782.32 $35,427.97 2026-02-28
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 12 — — $24,925.51 $102,016.44 $45,650.45 2026-02-28
652 MS_DRG Kidney Transplant 19 12 — — $25,024.49 $100,379.38 $50,732.88 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 12 — — $25,225.98 $130,470.30 $56,169.42 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 12 — — $25,254.54 $100,038.99 $43,855.17 2026-02-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 12 — — $25,294.38 $168,194.22 $61,524.24 2026-02-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 12 — — $25,408.05 $211,024.09 $47,359.08 2026-02-28
500 MS_DRG Soft Tissue Procedures With Mcc 19 12 — — $25,776.92 $62,203.57 $37,815.61 2026-02-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 19 12 — — $25,867.39 $69,836.06 $44,087.20 2026-02-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 12 — — $26,168.21 $67,645.77 $42,947.51 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 12 — — $26,170.86 $84,112.63 $34,945.25 2026-02-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 19 12 — — $26,550.22 $64,776.13 $45,663.18 2026-02-28
37 MS_DRG Extracranial Procedures With Mcc 19 12 — — $26,953.88 $75,244.00 $41,327.73 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 19 12 — — $26,959.98 $108,730.41 $41,360.29 2026-02-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 12 — — $27,230.72 $78,111.31 $48,066.51 2026-02-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 12 — — $27,503.70 $76,559.99 $45,143.56 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 19 12 — — $27,760.44 $72,454.62 $50,093.75 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 19 12 — — $27,780.25 $89,270.13 $36,422.81 2026-02-28
252 MS_DRG Other Vascular Procedures With Mcc 19 12 — — $27,800.65 $67,674.65 $39,549.61 2026-02-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 12 — — $27,867.15 $73,504.85 $43,588.67 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 12 — — $28,213.75 $101,235.53 $37,617.61 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 19 12 — — $28,300.97 $76,813.43 $48,531.14 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 12 — — $28,348.92 $85,043.69 $53,411.23 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 12 — — $28,368.25 $70,480.33 $47,757.53 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 12 — — $28,498.17 $70,814.53 $39,482.12 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 12 — — $28,566.99 $74,252.29 $51,409.64 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 12 — — $28,573.95 $158,129.63 $73,917.81 2026-02-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 19 12 — — $28,734.80 $71,076.53 $40,741.08 2026-02-28
265 MS_DRG Aicd Lead Procedures 19 12 — — $28,858.53 $184,481.68 $46,782.04 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 12 — — $29,488.77 $82,927.17 $34,596.82 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 19 12 — — $30,443.02 $98,386.00 $48,608.95 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 12 — — $30,671.92 $102,324.47 $60,199.30 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 19 12 — — $30,831.99 $123,568.08 $58,802.42 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 12 — — $31,047.74 $76,964.34 $44,476.44 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 11 — — $31,105.47 $41,473.16 $39,963.91 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 12 — — $31,344.69 $77,438.83 $54,391.76 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 12 — — $31,511.72 $76,543.48 $39,134.28 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 12 — — $31,722.84 $89,140.16 $37,932.43 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 12 — — $32,726.58 $87,434.06 $60,009.70 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 12 — — $33,007.29 $77,857.62 $50,724.53 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 12 — — $33,054.46 $96,948.08 $59,142.71 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 12 — — $33,072.25 $83,120.33 $55,430.71 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 12 — — $33,448.07 $88,252.04 $60,850.06 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 12 — — $33,679.29 $108,621.00 $65,565.00 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 14 11 — — $33,977.78 $51,229.72 $34,742.29 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 12 — — $34,607.21 $91,302.19 $37,065.63 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 19 12 — — $34,664.48 $104,342.23 $69,503.35 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $34,714.00 $34,714.00 $34,714.00 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 5 5 — — $34,846.00 $34,846.00 $34,846.00 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 5 5 — — $35,084.00 $35,084.00 $35,084.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 5 5 — — $35,199.00 $35,199.00 $35,199.00 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 12 — — $35,242.91 $84,597.44 $59,920.18 2026-02-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $35,382.00 $35,382.00 $35,382.00 2026-02-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $35,382.00 $35,382.00 $35,382.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 5 5 — — $35,404.00 $35,404.00 $35,404.00 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $35,656.00 $35,656.00 $35,656.00 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $35,656.00 $35,656.00 $35,656.00 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 12 — — $35,857.68 $136,841.02 $65,864.76 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 12 — — $35,953.57 $79,939.19 $44,222.05 2026-02-28
4403 APR_DRG Kidney Transplant 5 5 — — $36,063.00 $36,063.00 $36,063.00 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 5 5 — — $36,118.00 $36,118.00 $36,118.00 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $36,787.96 $151,446.44 $68,887.84 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 11 — — $36,901.64 $89,684.89 $37,731.93 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 19 12 — — $36,916.33 $100,544.43 $54,851.85 2026-02-28
1783 APR_DRG External Heart Assist Systems 5 5 — — $36,996.00 $36,996.00 $36,996.00 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $37,016.00 $37,016.00 $37,016.00 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $37,024.00 $37,024.00 $37,024.00 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 19 12 — — $37,140.71 $102,000.90 $38,993.32 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 11 — — $37,246.53 $57,642.95 $38,084.58 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $37,280.00 $37,280.00 $37,280.00 2026-02-28
4414 APR_DRG Major Bladder Procedures 5 5 — — $37,382.00 $37,382.00 $37,382.00 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 12 — — $37,459.96 $87,269.02 $41,086.32 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 12 — — $37,613.14 $109,654.63 $50,117.15 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 12 — — $37,654.83 $117,087.62 $77,371.23 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $37,716.00 $37,716.00 $37,716.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $37,722.00 $37,722.00 $37,722.00 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 17 11 — — $37,740.34 $114,970.99 $48,189.45 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $37,803.00 $37,803.00 $37,803.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 5 5 — — $38,032.00 $38,032.00 $38,032.00 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 12 — — $38,035.30 $92,643.14 $45,439.48 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 5 5 — — $38,104.00 $38,104.00 $38,104.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 5 5 — — $38,140.00 $38,140.00 $38,140.00 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 12 — — $38,202.33 $103,459.45 $47,215.01 2026-02-28
234 APR_DRG Spinal Procedures 5 5 — — $38,597.00 $38,597.00 $38,597.00 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $38,654.00 $38,654.00 $38,654.00 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 19 12 — — $38,772.26 $154,699.78 $73,020.03 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 19 12 — — $38,834.89 $115,535.45 $55,521.57 2026-02-28
274 APR_DRG Other Open Craniotomy 5 5 — — $38,984.00 $38,984.00 $38,984.00 2026-02-28
245 MS_DRG Aicd Generator Procedures 19 12 — — $39,063.02 $107,436.91 $42,368.65 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $39,078.00 $39,078.00 $39,078.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $39,229.00 $39,229.00 $39,229.00 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 12 — — $39,809.25 $129,686.36 $84,747.80 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 12 — — $39,948.45 $105,184.11 $57,437.27 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 12 — — $39,994.07 $123,590.20 $42,485.46 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 12 — — $40,223.74 $96,335.91 $42,124.64 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $40,446.00 $40,446.00 $40,446.00 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 — — $40,450.00 $40,450.00 $40,450.00 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $40,640.00 $40,640.00 $40,640.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $40,663.00 $40,663.00 $40,663.00 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 12 — — $40,669.94 $105,194.43 $64,443.33 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $40,718.00 $40,718.00 $40,718.00 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 12 — — $40,966.89 $105,423.42 $46,275.33 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 11 — — $41,099.12 $101,351.92 $42,023.85 2026-02-28
1794 APR_DRG Defibrillator Implants 5 5 — — $41,327.00 $41,327.00 $41,327.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $41,537.00 $41,537.00 $41,537.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $41,935.00 $41,935.00 $41,935.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 5 5 — — $42,081.00 $42,081.00 $42,081.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $42,232.78 $122,872.42 $79,524.82 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 12 — — $42,414.51 $129,271.81 $78,032.02 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 5 5 — — $42,492.00 $42,492.00 $42,492.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $42,642.00 $42,642.00 $42,642.00 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 12 — — $42,999.90 $101,990.59 $64,798.96 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 12 — — $43,039.34 $107,849.51 $57,702.04 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 5 5 — — $43,042.00 $43,042.00 $43,042.00 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 19 12 — — $43,253.54 $111,963.13 $77,608.34 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 12 — — $43,349.43 $182,038.22 $84,174.10 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 11 — — $43,576.78 $138,900.31 $44,557.26 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 11 — — $43,836.61 $138,900.31 $44,822.94 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $43,863.00 $43,863.00 $43,863.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 12 — — $44,016.02 $191,395.50 $117,705.76 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 19 12 — — $44,016.02 $120,530.77 $55,544.93 2026-02-28
2324 APR_DRG Gastric Fundoplication 5 5 — — $44,021.00 $44,021.00 $44,021.00 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 5 — — $44,101.00 $44,101.00 $44,101.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $44,230.00 $44,230.00 $44,230.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 19 12 — — $44,381.79 $114,217.99 $52,474.10 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $44,527.00 $44,527.00 $44,527.00 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $44,527.00 $44,527.00 $44,527.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 5 5 — — $44,791.00 $44,791.00 $44,791.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $44,792.00 $44,792.00 $44,792.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $44,957.00 $44,957.00 $44,957.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $45,243.00 $45,243.00 $45,243.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 12 — — $45,390.95 $129,940.37 $84,189.09 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 19 12 — — $45,656.19 $134,369.37 $83,888.47 2026-02-28
6904 APR_DRG Acute Leukemia 5 5 — — $46,114.00 $46,114.00 $46,114.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $46,129.00 $46,129.00 $46,129.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 12 — — $46,297.26 $117,935.52 $50,218.35 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $46,493.00 $46,493.00 $46,493.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $46,768.00 $46,768.00 $46,768.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 12 — — $46,775.93 $121,399.29 $70,398.10 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $47,279.35 $168,799.89 $80,956.18 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $47,573.00 $47,573.00 $47,573.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 12 — — $47,600.27 $169,838.19 $106,735.54 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $47,641.00 $47,641.00 $47,641.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $47,811.00 $47,811.00 $47,811.00 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 12 — — $47,949.03 $160,995.34 $103,195.37 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 12 — — $47,949.03 $110,236.31 $66,657.63 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $47,950.00 $47,950.00 $47,950.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $48,199.00 $48,199.00 $48,199.00 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 19 12 — — $48,286.19 $137,769.00 $83,788.91 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 12 — — $48,511.99 $160,040.10 $89,725.66 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $48,514.00 $48,514.00 $48,514.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 5 5 — — $48,686.00 $48,686.00 $48,686.00 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 12 — — $48,728.52 $119,653.69 $80,617.45 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 5 — — $49,090.00 $49,090.00 $49,090.00 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 11 — — $49,112.85 $72,051.10 $50,217.90 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 11 — — $49,174.71 $109,959.43 $50,281.15 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $49,783.00 $49,783.00 $49,783.00 2026-02-28
62 APR_DRG Pancreas Transplant 5 5 — — $49,905.00 $49,905.00 $49,905.00 2026-02-28
61 APR_DRG Pancreas Transplant 5 5 — — $49,905.00 $49,905.00 $49,905.00 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 12 — — $50,179.23 $119,709.70 $58,517.12 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 12 — — $50,202.77 $127,800.78 $54,244.40 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $50,341.00 $50,341.00 $50,341.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $50,543.00 $50,543.00 $50,543.00 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $51,212.36 $144,053.74 $97,633.05 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 12 — — $51,284.28 $144,829.01 $85,965.17 2026-02-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $52,045.00 $52,045.00 $52,045.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $52,225.00 $52,225.00 $52,225.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $52,395.00 $52,395.00 $52,395.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $52,597.00 $52,597.00 $52,597.00 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $52,706.00 $52,706.00 $52,706.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 5 5 — — $52,750.00 $52,750.00 $52,750.00 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $52,769.00 $52,769.00 $52,769.00 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 12 — — $52,833.98 $139,925.03 $57,489.18 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 11 — — $53,120.87 $103,736.55 $54,316.10 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 12 — — $54,076.67 $140,660.20 $71,394.88 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $54,446.00 $54,446.00 $54,446.00 2026-02-28
4404 APR_DRG Kidney Transplant 5 5 — — $55,507.00 $55,507.00 $55,507.00 2026-02-28
63 APR_DRG Pancreas Transplant 5 5 — — $55,672.00 $55,672.00 $55,672.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 11 — — $55,922.55 $127,423.64 $57,180.82 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $56,005.00 $56,005.00 $56,005.00 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 11 — — $56,198.61 $160,306.60 $57,463.08 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $56,387.00 $56,387.00 $56,387.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $57,869.00 $57,869.00 $57,869.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $57,869.00 $57,869.00 $57,869.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $57,957.00 $57,957.00 $57,957.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $58,807.00 $58,807.00 $58,807.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 5 5 — — $58,849.00 $58,849.00 $58,849.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 12 — — $58,994.10 $174,277.08 $71,612.93 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $59,102.00 $59,102.00 $59,102.00 2026-02-28
10 MS_DRG Pancreas Transplant 19 12 — — $59,593.78 $140,302.02 $64,816.52 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $61,107.54 $161,741.26 $97,178.96 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 12 — — $61,717.67 $160,272.40 $94,344.35 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 11 — — $62,575.26 $215,876.41 $63,983.21 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $62,781.00 $62,781.00 $62,781.00 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $63,174.00 $63,174.00 $63,174.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 12 — — $63,609.94 $250,322.19 $156,966.07 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $63,699.00 $63,699.00 $63,699.00 2026-02-28
92934 CPT Ptca With Non-drug Eluting Stent 5 3 — — $63,926.00 $82,255.00 $73,090.50 2026-02-28
92941 CPT Ptca With Non-drug Eluting Stent 5 3 — — $63,926.00 $82,255.00 $73,090.50 2026-02-28
92929 CPT Ptca With Non-drug Eluting Stent 5 3 — — $63,926.00 $82,255.00 $73,090.50 2026-02-28
92943 CPT Ptca With Non-drug Eluting Stent 5 3 — — $63,926.00 $82,255.00 $73,090.50 2026-02-28
92937 CPT Ptca With Non-drug Eluting Stent 5 3 — — $63,926.00 $82,255.00 $73,090.50 2026-02-28
92938 CPT Ptca With Non-drug Eluting Stent 5 3 — — $63,926.00 $82,255.00 $73,090.50 2026-02-28
92944 CPT Ptca With Non-drug Eluting Stent 5 3 — — $63,926.00 $82,255.00 $73,090.50 2026-02-28
92933 CPT Ptca With Non-drug Eluting Stent 5 3 — — $63,926.00 $82,255.00 $73,090.50 2026-02-28
92928 CPT Ptca With Non-drug Eluting Stent 5 3 — — $63,926.00 $82,255.00 $73,090.50 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 11 — — $65,771.32 $153,332.68 $67,251.18 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 19 12 — — $66,765.79 $187,345.15 $108,203.33 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 12 — — $66,802.13 $169,403.24 $107,055.98 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $66,867.00 $66,867.00 $66,867.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $67,436.00 $67,436.00 $67,436.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $68,160.00 $68,160.00 $68,160.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $68,217.00 $68,217.00 $68,217.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 5 5 — — $68,552.00 $68,552.00 $68,552.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $71,072.00 $71,072.00 $71,072.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $71,909.00 $71,909.00 $71,909.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $71,957.00 $71,957.00 $71,957.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $72,184.00 $72,184.00 $72,184.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 14 11 — — $72,509.10 $110,160.17 $74,140.56 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 5 5 — — $72,717.00 $72,717.00 $72,717.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $74,345.00 $74,345.00 $74,345.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $74,345.00 $74,345.00 $74,345.00 2026-02-28
C9607 CPT Ptca With Drug Eluting Stent 5 3 — — $74,582.00 $95,959.00 $85,270.50 2026-02-28
C9606 CPT Ptca With Drug Eluting Stent 5 3 — — $74,582.00 $95,959.00 $85,270.50 2026-02-28
C9603 CPT Ptca With Drug Eluting Stent 5 3 — — $74,582.00 $95,959.00 $85,270.50 2026-02-28
C9608 CPT Ptca With Drug Eluting Stent 5 3 — — $74,582.00 $95,959.00 $85,270.50 2026-02-28
C9601 CPT Ptca With Drug Eluting Stent 5 3 — — $74,582.00 $95,959.00 $85,270.50 2026-02-28
C9605 CPT Ptca With Drug Eluting Stent 5 3 — — $74,582.00 $95,959.00 $85,270.50 2026-02-28
C9604 CPT Ptca With Drug Eluting Stent 5 3 — — $74,582.00 $95,959.00 $85,270.50 2026-02-28
C9602 CPT Ptca With Drug Eluting Stent 5 3 — — $74,582.00 $95,959.00 $85,270.50 2026-02-28
C9600 CPT Ptca With Drug Eluting Stent 5 3 — — $74,582.00 $95,959.00 $85,270.50 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $75,905.44 $207,174.71 $119,409.40 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 5 5 — — $76,126.00 $76,126.00 $76,126.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $77,192.00 $77,192.00 $77,192.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $79,792.00 $79,792.00 $79,792.00 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 5 5 — — $79,989.00 $79,989.00 $79,989.00 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 11 — — $82,279.77 $173,240.35 $84,131.07 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 5 5 — — $82,923.00 $82,923.00 $82,923.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 19 12 — — $83,203.09 $265,840.24 $146,545.89 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 12 — — $83,625.31 $226,245.57 $154,566.74 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 11 — — $85,516.04 $297,843.28 $87,440.16 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $86,257.00 $86,257.00 $86,257.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 12 — — $86,488.85 $314,501.07 $200,494.96 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 5 5 — — $90,803.00 $90,803.00 $90,803.00 2026-02-28
64 APR_DRG Pancreas Transplant 5 5 — — $92,525.00 $92,525.00 $92,525.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 12 — — $93,770.68 $411,434.40 $188,416.62 2026-02-28
7 MS_DRG Lung Transplant 19 12 — — $102,334.58 $222,521.36 $161,665.06 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 19 12 — — $102,589.77 $263,131.52 $167,808.09 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $103,939.00 $103,939.00 $103,939.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $104,420.00 $104,420.00 $104,420.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $106,148.00 $106,148.00 $106,148.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 5 5 — — $106,919.00 $106,919.00 $106,919.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 19 12 — — $110,540.86 $267,042.72 $173,018.47 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $111,465.00 $111,465.00 $111,465.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $111,950.00 $111,950.00 $111,950.00 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $112,934.00 $112,934.00 $112,934.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $117,260.00 $117,260.00 $117,260.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $118,382.00 $118,382.00 $118,382.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $119,869.00 $119,869.00 $119,869.00 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 11 — — $127,103.35 $301,694.33 $292,907.11 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $131,015.00 $131,015.00 $131,015.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $131,522.00 $131,522.00 $131,522.00 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $134,261.00 $134,261.00 $134,261.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 5 5 — — $135,320.00 $135,320.00 $135,320.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $137,062.00 $137,062.00 $137,062.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $152,253.00 $152,253.00 $152,253.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 19 12 — — $167,004.27 $438,460.56 $284,081.05 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 5 5 — — $172,745.00 $172,745.00 $172,745.00 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $196,648.00 $196,648.00 $196,648.00 2026-02-28
5833 APR_DRG Neonate With Ecmo 5 5 — — $199,435.00 $199,435.00 $199,435.00 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 12 — — $219,099.30 $570,087.35 $334,998.37 2026-02-28
5834 APR_DRG Neonate With Ecmo 5 5 — — $248,255.00 $248,255.00 $248,255.00 2026-02-28
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