Price Transparencybeta Hospital negotiated rates

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

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Hospital

BANNER PAYSON MEDICAL CENTER

Payson, AZ · CCN 031318 · Rates published

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You selected 482 (MS_DRG)

MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC

This hospital’s price: $44,172 across 1 payer · range $44,172-$65,596

Source: https://images.pricetransparency.healthcare/public-mrfs/banner/450233470_banner-payson-medical-center_standardcharges.csv · observed 2026-03-02

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.

5,338 distinct procedures filed
27 distinct payers
215,352 rate rows
2026-03-02 last MRF observed
Data quality

213,059 of 215,352 rate rows are consumer-grade (98.9%)

2,293 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
per-diem day rate — not a per-procedure price 1,754
exceeds 10× this hospital's gross charge — excluded from medians 330
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 146
placeholder amount (≤ $0.02) — excluded from medians 56
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://images.pricetransparency.healthcare/public-mrfs/banner/450233470_banner-payson-medical-center_standardcharges.csv
Found on page https://www.bannerhealth.com/patients/billing/pricing-resources/hospital-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-31
Content fingerprint 498f9c348b1b398f… · 82,751,725 bytes · first seen 2026-05-09

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
J9999
HCPCS 		Lifileucel Til/dose 7.5b-72b Snij 27 $4.88 $3,383,553.60 $1,541,396.64 nat. median
$2,706
outlier · 569.7×
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $523,946.33 $778,066.57 $523,946.33 nat. median
$248,541
outlier · 2.1×
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 1 $467,818.22 $694,715.64 $467,818.22 nat. median
$190,359
outlier · 2.5×
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 1 $457,847.10 $679,908.42 $457,847.10 nat. median
$198,115
outlier · 2.3×
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $368,923.11 $547,855.23 $368,923.11 nat. median
$103,938
outlier · 3.5×
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 1 $349,382.81 $518,837.65 $349,382.81 nat. median
$93,787
outlier · 3.7×
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 1 $282,719.26 $419,841.47 $282,719.26 nat. median
$126,461
outlier · 2.2×
20
MS_DRG 		Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 1 $276,146.28 $410,080.52 $276,146.28 nat. median
$74,298
outlier · 3.7×
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 1 $265,395.66 $394,115.73 $265,395.66 nat. median
$94,943
outlier · 2.8×
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 1 $262,456.30 $389,750.73 $262,456.30 nat. median
$110,084
outlier · 2.4×
5834
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $261,131.22 $261,131.22 $261,131.22 nat. median
$307,273
0.8× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 1 $256,415.16 $380,779.58 $256,415.16 nat. median
$117,977
outlier · 2.2×
19
MS_DRG 		Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $253,232.20 $376,052.85 $253,232.20 nat. median
$66,623
outlier · 3.8×
275
MS_DRG 		Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $247,540.22 $367,600.19 $247,540.22 nat. median
$66,584
outlier · 3.7×
21
MS_DRG 		Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 1 $240,126.85 $356,591.23 $240,126.85 nat. median
$51,462
outlier · 4.7×
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 1 $229,201.65 $340,367.20 $229,201.65 nat. median
$90,512
outlier · 2.5×
266
MS_DRG 		Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 1 $216,404.85 $321,363.79 $216,404.85 nat. median
$58,220
outlier · 3.7×
8
MS_DRG 		Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 1 $213,538.56 $317,107.31 $213,538.56 nat. median
$50,763
outlier · 4.2×
5833
APR_DRG 		Apr-DRG 38.00: Neonate With Ecmo 5 $209,788.74 $209,788.74 $209,788.74 nat. median
$244,017
0.9× median
5884
APR_DRG 		Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $206,842.86 $206,842.86 $206,842.86 nat. median
$247,815
0.8× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 1 $203,218.29 $301,781.60 $203,218.29 nat. median
$93,226
outlier · 2.2×
22
MS_DRG 		Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 1 $200,948.81 $298,411.38 $200,948.81 nat. median
$32,286
outlier · 6.2×
267
MS_DRG 		Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 1 $199,227.41 $295,855.09 $199,227.41 nat. median
$45,843
outlier · 4.3×
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $198,793.00 $295,209.99 $198,793.00 nat. median
$359,244
0.6× median
219
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 1 $198,009.44 $294,046.39 $198,009.44 nat. median
$72,247
outlier · 2.7×
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 1 $197,298.96 $292,991.31 $197,298.96 nat. median
$76,979
outlier · 2.6×
16
MS_DRG 		Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 1 $188,854.37 $280,450.99 $188,854.37 nat. median
$53,841
outlier · 3.5×
427
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 1 $188,046.45 $279,251.22 $188,046.45 nat. median
$63,564
outlier · 3.0×
233
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 1 $187,733.84 $278,786.99 $187,733.84 nat. median
$71,737
outlier · 2.6×
217
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 1 $186,759.46 $277,340.03 $186,759.46 nat. median
$61,995
outlier · 3.0×
24
APR_DRG 		Apr-DRG 38.00: Heart And/Or Lung Transplant 5 $181,732.74 $181,732.74 $181,732.74 nat. median
$241,734
0.8× median
6
MS_DRG 		Ms-DRG 42.00: Liver Transplant Without Mcc 1 $181,469.41 $269,484.24 $181,469.41 nat. median
$44,153
outlier · 4.1×
955
MS_DRG 		Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 1 $180,227.08 $267,639.37 $180,227.08 nat. median
$61,660
outlier · 2.9×
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $179,865.75 $267,102.79 $179,865.75 nat. median
$77,936
outlier · 2.3×
228
MS_DRG 		Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 1 $177,653.10 $263,816.98 $177,653.10 nat. median
$47,347
outlier · 3.8×
870
MS_DRG 		Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 1 $177,632.80 $263,786.84 $177,632.80 nat. median
$62,577
outlier · 2.8×
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 1 $169,890.58 $252,289.53 $169,890.58 nat. median
$97,137
1.7× median
458
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 1 $169,232.87 $251,312.84 $169,232.87 nat. median
$40,320
outlier · 4.2×
218
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 1 $168,981.16 $250,939.04 $168,981.16 nat. median
$59,493
outlier · 2.8×
232
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 1 $167,438.40 $248,648.02 $167,438.40 nat. median
$57,798
outlier · 2.9×
10
MS_DRG 		Ms-DRG 42.00: Pancreas Transplant 1 $164,580.23 $244,403.60 $164,580.23 nat. median
$64,851
outlier · 2.5×
428
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 1 $162,935.97 $241,961.86 $162,935.97 nat. median
$50,496
outlier · 3.2×
430
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 $162,935.97 $241,961.86 $162,935.97 nat. median
$51,152
outlier · 3.2×
25
MS_DRG 		Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 1 $160,520.33 $238,374.60 $160,520.33 nat. median
$42,767
outlier · 3.8×
1614
APR_DRG 		Apr-DRG 38.00: Implantable Heart Assist Systems 5 $160,129.62 $160,129.62 $160,129.62 nat. median
$202,649
0.8× median
790
MS_DRG 		Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $159,748.95 $237,229.09 $159,748.95 nat. median
$50,808
outlier · 3.1×
207
MS_DRG 		Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $156,367.05 $232,206.94 $156,367.05 nat. median
$59,324
outlier · 2.6×
220
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 1 $151,990.48 $225,707.67 $151,990.48 nat. median
$50,558
outlier · 3.0×
276
MS_DRG 		Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 1 $149,473.34 $221,969.69 $149,473.34 nat. median
$56,633
outlier · 2.6×
235
MS_DRG 		Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 1 $147,224.15 $218,629.63 $147,224.15 nat. median
$55,425
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 5,338 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
             
J9999 HCPCS Lifileucel Til/dose 7.5b-72b Snij 44 27 $3,759,504.00 $2,126,751.41 43% off $4.88 $3,383,553.60 $1,541,396.64 2026-03-02
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 6 1 — $257,332.32 $523,946.33 $778,066.57 $523,946.33 2026-03-02
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 6 1 — $202,454.89 $467,818.22 $694,715.64 $467,818.22 2026-03-02
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 6 1 — $250,305.27 $457,847.10 $679,908.42 $457,847.10 2026-03-02
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 1 — $116,269.12 $368,923.11 $547,855.23 $368,923.11 2026-03-02
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 6 1 — $97,001.72 $349,382.81 $518,837.65 $349,382.81 2026-03-02
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 6 1 — $139,591.32 $282,719.26 $419,841.47 $282,719.26 2026-03-02
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 6 1 — $80,260.26 $276,146.28 $410,080.52 $276,146.28 2026-03-02
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 6 1 — $98,283.68 $265,395.66 $394,115.73 $265,395.66 2026-03-02
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 6 1 — $108,833.75 $262,456.30 $389,750.73 $262,456.30 2026-03-02
5834 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $261,131.22 $261,131.22 $261,131.22 2026-03-02
7 MS_DRG Ms-DRG 42.00: Lung Transplant 6 1 — $116,478.03 $256,415.16 $380,779.58 $256,415.16 2026-03-02
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 1 — $75,911.09 $253,232.20 $376,052.85 $253,232.20 2026-03-02
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 1 — $66,813.91 $247,540.22 $367,600.19 $247,540.22 2026-03-02
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 6 1 — $58,314.98 $240,126.85 $356,591.23 $240,126.85 2026-03-02
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 6 1 — $92,158.76 $229,201.65 $340,367.20 $229,201.65 2026-03-02
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 6 1 — $59,312.06 $216,404.85 $321,363.79 $216,404.85 2026-03-02
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 6 1 — $49,967.99 $213,538.56 $317,107.31 $213,538.56 2026-03-02
5833 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $209,788.74 $209,788.74 $209,788.74 2026-03-02
5884 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $206,842.86 $206,842.86 $206,842.86 2026-03-02
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 6 1 — — $203,218.29 $301,781.60 $203,218.29 2026-03-02
22 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 6 1 — $37,252.84 $200,948.81 $298,411.38 $200,948.81 2026-03-02
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 6 1 — $46,340.52 $199,227.41 $295,855.09 $199,227.41 2026-03-02
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 1 — $349,861.42 $198,793.00 $295,209.99 $198,793.00 2026-03-02
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 6 1 — $73,223.72 $198,009.44 $294,046.39 $198,009.44 2026-03-02
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 6 1 — $77,060.10 $197,298.96 $292,991.31 $197,298.96 2026-03-02
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 6 1 — $58,656.84 $188,854.37 $280,450.99 $188,854.37 2026-03-02
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 6 1 — — $188,046.45 $279,251.22 $188,046.45 2026-03-02
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 6 1 — $74,068.86 $187,733.84 $278,786.99 $187,733.84 2026-03-02
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 6 1 — $60,442.09 $186,759.46 $277,340.03 $186,759.46 2026-03-02
24 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $181,732.74 $181,732.74 $181,732.74 2026-03-02
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 6 1 — $45,932.19 $181,469.41 $269,484.24 $181,469.41 2026-03-02
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 6 1 — $57,830.69 $180,227.08 $267,639.37 $180,227.08 2026-03-02
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 1 — — $179,865.75 $267,102.79 $179,865.75 2026-03-02
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 6 1 — $47,850.38 $177,653.10 $263,816.98 $177,653.10 2026-03-02
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 6 1 — $66,139.69 $177,632.80 $263,786.84 $177,632.80 2026-03-02
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 6 1 — $102,281.50 $169,890.58 $252,289.53 $169,890.58 2026-03-02
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 6 1 — $43,026.41 $169,232.87 $251,312.84 $169,232.87 2026-03-02
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 6 1 — $54,098.76 $168,981.16 $250,939.04 $168,981.16 2026-03-02
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 6 1 — $56,491.75 $167,438.40 $248,648.02 $167,438.40 2026-03-02
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 6 1 — — $164,580.23 $244,403.60 $164,580.23 2026-03-02
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 6 1 — — $162,935.97 $241,961.86 $162,935.97 2026-03-02
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 1 — — $162,935.97 $241,961.86 $162,935.97 2026-03-02
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 6 1 — $41,934.37 $160,520.33 $238,374.60 $160,520.33 2026-03-02
1614 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $160,129.62 $160,129.62 $160,129.62 2026-03-02
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 1 — $56,976.05 $159,748.95 $237,229.09 $159,748.95 2026-03-02
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 6 1 — $65,598.42 $156,367.05 $232,206.94 $156,367.05 2026-03-02
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 6 1 — $49,806.56 $151,990.48 $225,707.67 $151,990.48 2026-03-02
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 6 1 — $58,970.21 $149,473.34 $221,969.69 $149,473.34 2026-03-02
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 6 1 — $55,846.02 $147,224.15 $218,629.63 $147,224.15 2026-03-02
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 6 1 — $65,712.37 $146,659.83 $217,791.60 $146,659.83 2026-03-02
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 6 1 — $41,421.59 $145,896.57 $216,658.14 $145,896.57 2026-03-02
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 1 — $68,684.62 $144,950.61 $215,253.39 $144,950.61 2026-03-02
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 6 1 — $53,832.87 $144,845.05 $215,096.63 $144,845.05 2026-03-02
8414 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $144,137.70 $144,137.70 $144,137.70 2026-03-02
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 6 1 — $44,146.94 $144,134.57 $214,041.56 $144,134.57 2026-03-02
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 6 1 — $49,360.25 $143,257.63 $212,739.29 $143,257.63 2026-03-02
5832 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $142,314.06 $142,314.06 $142,314.06 2026-03-02
5914 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $141,191.82 $141,191.82 $141,191.82 2026-03-02
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 6 1 — $64,753.28 $140,358.86 $208,434.59 $140,358.86 2026-03-02
229 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures Without Mcc 6 1 — $30,197.30 $140,200.53 $208,199.46 $140,200.53 2026-03-02
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 6 1 — — $139,660.56 $207,397.60 $139,660.56 2026-03-02
6094 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $138,316.08 $138,316.08 $138,316.08 2026-03-02
74 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $137,825.10 $137,825.10 $137,825.10 2026-03-02
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 6 1 — $65,095.13 $137,322.06 $203,924.90 $137,322.06 2026-03-02
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 6 1 — $57,222.94 $136,810.51 $203,165.24 $136,810.51 2026-03-02
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 6 1 — — $134,788.68 $200,162.80 $134,788.68 2026-03-02
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 1 — $57,422.36 $131,565.12 $195,375.77 $131,565.12 2026-03-02
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 6 1 — $58,656.84 $129,311.87 $192,029.68 $129,311.87 2026-03-02
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 1 — $47,470.54 $129,222.56 $191,897.04 $129,222.56 2026-03-02
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 6 1 — $45,409.91 $128,987.08 $191,547.36 $128,987.08 2026-03-02
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 6 1 — $42,713.04 $128,146.68 $190,299.36 $128,146.68 2026-03-02
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 6 1 — $65,266.06 $127,647.32 $189,557.79 $127,647.32 2026-03-02
5883 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $126,111.72 $126,111.72 $126,111.72 2026-03-02
94 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $124,498.50 $124,498.50 $124,498.50 2026-03-02
6314 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $123,306.12 $123,306.12 $123,306.12 2026-03-02
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 6 1 — $53,168.15 $123,270.74 $183,058.53 $123,270.74 2026-03-02
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 6 1 — $52,275.52 $122,170.51 $181,424.67 $122,170.51 2026-03-02
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 6 1 — $80,041.85 $121,687.38 $180,707.22 $121,687.38 2026-03-02
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 6 1 — — $121,687.38 $180,707.22 $121,687.38 2026-03-02
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 6 1 — $43,947.52 $121,240.79 $180,044.03 $121,240.79 2026-03-02
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 6 1 — $48,230.22 $120,903.82 $179,543.62 $120,903.82 2026-03-02
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 6 1 — $35,980.37 $120,030.94 $178,247.39 $120,030.94 2026-03-02
26 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Cc 6 1 — $28,041.71 $119,669.61 $177,710.80 $119,669.61 2026-03-02
6304 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $118,817.16 $118,817.16 $118,817.16 2026-03-02
14 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $117,765.06 $117,765.06 $117,765.06 2026-03-02
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 6 1 — $51,411.39 $117,749.28 $174,859.09 $117,749.28 2026-03-02
5934 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $117,274.08 $117,274.08 $117,274.08 2026-03-02
462 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 6 1 — $27,025.64 $113,445.79 $168,468.35 $113,445.79 2026-03-02
5831 APR_DRG Apr-DRG 38.00: Neonate With Ecmo 5 5 — — $112,434.42 $112,434.42 $112,434.42 2026-03-02
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 6 1 — $38,411.35 $112,004.52 $166,328.05 $112,004.52 2026-03-02
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 6 1 — $36,825.52 $111,663.49 $165,821.62 $111,663.49 2026-03-02
1613 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $111,662.88 $111,662.88 $111,662.88 2026-03-02
6034 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $109,839.24 $109,839.24 $109,839.24 2026-03-02
44 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $109,348.26 $109,348.26 $109,348.26 2026-03-02
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 6 1 — $42,893.47 $107,973.04 $160,341.26 $107,973.04 2026-03-02
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 6 1 — $38,373.37 $106,897.17 $158,743.57 $106,897.17 2026-03-02
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 6 1 — $45,998.66 $106,267.88 $157,809.08 $106,267.88 2026-03-02
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 6 1 — $32,837.20 $105,204.19 $156,229.48 $105,204.19 2026-03-02
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 6 1 — $48,021.31 $103,523.39 $153,733.47 $103,523.39 2026-03-02
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 6 1 — $44,764.18 $103,129.58 $153,148.66 $103,129.58 2026-03-02
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 6 1 — $48,961.42 $101,347.28 $150,501.93 $101,347.28 2026-03-02
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 6 1 — $49,255.79 $100,791.08 $149,675.95 $100,791.08 2026-03-02
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 6 1 — $35,344.14 $99,759.86 $148,144.59 $99,759.86 2026-03-02
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 6 1 — $39,095.06 $99,707.08 $148,066.21 $99,707.08 2026-03-02
64 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $97,354.32 $97,354.32 $97,354.32 2026-03-02
321 MS_DRG Ms-DRG 42.00: Percutaneous Cardiovascular Procedures With Intraluminal Device Wi… 6 1 — $27,301.02 $95,667.48 $142,067.36 $95,667.48 2026-03-02
23 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $95,530.68 $95,530.68 $95,530.68 2026-03-02
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 6 1 — $44,897.13 $94,810.84 $140,795.24 $94,810.84 2026-03-02
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 1 — $37,138.89 $93,856.77 $139,378.42 $93,856.77 2026-03-02
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 1 — — $93,633.47 $139,046.83 $93,633.47 2026-03-02
959 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma Without Cc/m… 6 1 — $24,043.89 $92,500.76 $137,364.74 $92,500.76 2026-03-02
29 MS_DRG Ms-DRG 42.00: Spinal Procedures With Cc Or Spinal Neurostimulators 6 1 — $32,552.31 $91,627.88 $136,068.50 $91,627.88 2026-03-02
970 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures Without Mcc 6 1 — $26,398.90 $91,522.33 $135,911.75 $91,522.33 2026-03-02
6024 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $90,761.16 $90,761.16 $90,761.16 2026-03-02
652 MS_DRG Ms-DRG 42.00: Kidney Transplant 6 1 — $28,526.01 $90,690.05 $134,675.80 $90,690.05 2026-03-02
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 6 1 — $36,910.98 $90,616.97 $134,567.28 $90,616.97 2026-03-02
242 MS_DRG Ms-DRG 42.00: Permanent Cardiac Pacemaker Implant With Mcc 6 1 — $32,808.71 $90,288.12 $134,078.93 $90,288.12 2026-03-02
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 6 1 — $53,785.39 $90,247.52 $134,018.64 $90,247.52 2026-03-02
411 MS_DRG Ms-DRG 42.00: Cholecystectomy With C.d.e. With Mcc 6 1 — $28,867.86 $90,239.40 $134,006.58 $90,239.40 2026-03-02
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 6 1 — $43,026.41 $90,105.42 $133,807.63 $90,105.42 2026-03-02
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 6 1 — $33,558.89 $90,105.42 $133,807.63 $90,105.42 2026-03-02
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 6 1 — $39,493.90 $89,914.61 $133,524.26 $89,914.61 2026-03-02
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 1 — $42,751.03 $89,857.77 $133,439.86 $89,857.77 2026-03-02
854 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Cc 6 1 — $19,352.86 $89,833.41 $133,403.68 $89,833.41 2026-03-02
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 6 1 — $34,698.41 $88,745.35 $131,787.91 $88,745.35 2026-03-02
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 6 1 — $37,043.93 $88,160.73 $130,919.74 $88,160.73 2026-03-02
27 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 6 1 — $23,103.79 $88,132.31 $130,877.53 $88,132.31 2026-03-02
5891 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $87,254.16 $87,254.16 $87,254.16 2026-03-02
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 6 1 — $37,005.94 $87,206.65 $129,502.92 $87,206.65 2026-03-02
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 6 1 — $57,688.25 $87,166.05 $129,442.63 $87,166.05 2026-03-02
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 6 1 — — $87,166.05 $129,442.63 $87,166.05 2026-03-02
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 6 1 — $30,396.72 $87,101.09 $129,346.17 $87,101.09 2026-03-02
835 MS_DRG Ms-DRG 42.00: Acute Leukemia With Cc 6 1 — $21,233.07 $86,873.74 $129,008.54 $86,873.74 2026-03-02
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 6 1 — $46,710.86 $86,837.20 $128,954.28 $86,837.20 2026-03-02
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 6 1 — $45,647.31 $86,695.10 $128,743.27 $86,695.10 2026-03-02
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 6 1 — $38,534.80 $85,789.75 $127,398.80 $85,789.75 2026-03-02
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 6 1 — $42,048.32 $85,270.08 $126,627.09 $85,270.08 2026-03-02
320 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures Without Mcc 6 1 — $21,138.11 $84,519.00 $125,511.72 $84,519.00 2026-03-02
5892 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $84,168.00 $84,168.00 $84,168.00 2026-03-02
5913 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $83,957.58 $83,957.58 $83,957.58 2026-03-02
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 6 1 — $47,052.72 $83,110.21 $123,419.66 $83,110.21 2026-03-02
406 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Cc 6 1 — $27,414.97 $82,200.80 $122,069.16 $82,200.80 2026-03-02
654 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Cc 6 1 — $26,000.07 $82,070.88 $121,876.24 $82,070.88 2026-03-02
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 6 1 — — $81,920.66 $121,653.16 $81,920.66 2026-03-02
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 6 1 — $35,875.92 $81,474.07 $120,989.97 $81,474.07 2026-03-02
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 6 1 — $39,313.47 $81,474.07 $120,989.97 $81,474.07 2026-03-02
5933 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $81,222.12 $81,222.12 $81,222.12 2026-03-02
22 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $80,099.88 $80,099.88 $80,099.88 2026-03-02
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 6 1 — $40,633.42 $79,797.33 $118,500.00 $79,797.33 2026-03-02
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 6 1 — $38,031.51 $79,334.51 $117,812.69 $79,334.51 2026-03-02
821 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Cc 6 1 — $21,195.09 $78,542.83 $116,637.03 $78,542.83 2026-03-02
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 6 1 — $33,948.23 $78,526.59 $116,612.92 $78,526.59 2026-03-02
929 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury Without C… 6 1 — $30,539.16 $78,518.47 $116,600.86 $78,518.47 2026-03-02
467 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Cc 6 1 — $33,103.08 $78,347.95 $116,347.64 $78,347.95 2026-03-02
1611 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $78,206.10 $78,206.10 $78,206.10 2026-03-02
1612 APR_DRG Apr-DRG 38.00: Implantable Heart Assist Systems 5 5 — — $78,206.10 $78,206.10 $78,206.10 2026-03-02
327 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Cc 6 1 — $23,711.53 $77,093.44 $114,484.68 $77,093.44 2026-03-02
5893 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $76,522.74 $76,522.74 $76,522.74 2026-03-02
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 1 — $53,965.81 $76,163.72 $113,104.04 $76,163.72 2026-03-02
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 6 1 — $36,569.13 $76,025.69 $112,899.05 $76,025.69 2026-03-02
5912 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $75,961.62 $75,961.62 $75,961.62 2026-03-02
322 MS_DRG Ms-DRG 42.00: Percutaneous Cardiovascular Procedures With Intraluminal Device Wi… 6 1 — $17,311.22 $75,903.89 $112,718.18 $75,903.89 2026-03-02
1604 APR_DRG Apr-DRG 38.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $75,681.06 $75,681.06 $75,681.06 2026-03-02
252 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Mcc 6 1 — $31,849.61 $75,656.24 $112,350.42 $75,656.24 2026-03-02
6074 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $75,610.92 $75,610.92 $75,610.92 2026-03-02
409 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 6 1 — $18,583.69 $75,392.34 $111,958.53 $75,392.34 2026-03-02
43 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $74,769.24 $74,769.24 $74,769.24 2026-03-02
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 1 — $33,473.43 $74,694.04 $110,921.54 $74,694.04 2026-03-02
521 MS_DRG Ms-DRG 42.00: Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 1 — $28,431.05 $74,665.62 $110,879.34 $74,665.62 2026-03-02
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 1 — $59,046.18 $74,665.62 $110,879.34 $74,665.62 2026-03-02
469 MS_DRG Ms-DRG 42.00: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extr… 6 1 — $31,621.71 $74,665.62 $110,879.34 $74,665.62 2026-03-02
614 MS_DRG Ms-DRG 42.00: Adrenal And Pituitary Procedures With Cc/mcc 6 1 — $21,385.01 $74,604.72 $110,788.90 $74,604.72 2026-03-02
836 MS_DRG Ms-DRG 42.00: Acute Leukemia Without Cc/mcc 6 1 — $13,408.36 $73,853.64 $109,673.54 $73,853.64 2026-03-02
827 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 6 1 — $22,002.25 $73,845.52 $109,661.48 $73,845.52 2026-03-02
61 MS_DRG Ms-DRG 42.00: Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With … 6 1 — $26,617.31 $73,419.23 $109,028.44 $73,419.23 2026-03-02
619 MS_DRG Ms-DRG 42.00: O.r. Procedures For Obesity With Mcc 6 1 — $24,718.11 $73,163.46 $108,648.61 $73,163.46 2026-03-02
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 6 1 — $32,818.20 $72,375.84 $107,478.98 $72,375.84 2026-03-02
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 6 1 — $37,585.20 $72,347.42 $107,436.78 $72,347.42 2026-03-02
515 MS_DRG Ms-DRG 42.00: Other Musculoskeletal System And Connective Tissue O.r. Procedures… 6 1 — $30,026.38 $72,229.68 $107,261.94 $72,229.68 2026-03-02
8634 APR_DRG Apr-DRG 38.00: Neonatal Aftercare 5 5 — — $72,103.92 $72,103.92 $72,103.92 2026-03-02
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 6 1 — $35,325.15 $71,969.85 $106,876.08 $71,969.85 2026-03-02
656 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Neoplasm With Mcc 6 1 — $29,798.47 $71,783.09 $106,598.75 $71,783.09 2026-03-02
54 APR_DRG Apr-DRG 38.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $71,753.22 $71,753.22 $71,753.22 2026-03-02
8424 APR_DRG Apr-DRG 38.00: Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $71,683.08 $71,683.08 $71,683.08 2026-03-02
164 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Cc 6 1 — $24,214.82 $71,588.22 $106,309.36 $71,588.22 2026-03-02
424 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 6 1 — $20,245.49 $71,364.92 $105,977.76 $71,364.92 2026-03-02
982 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 1 — $23,607.08 $71,068.55 $105,537.65 $71,068.55 2026-03-02
73 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $70,911.54 $70,911.54 $70,911.54 2026-03-02
243 MS_DRG Ms-DRG 42.00: Permanent Cardiac Pacemaker Implant With Cc 6 1 — $21,631.91 $70,605.72 $104,850.34 $70,605.72 2026-03-02
5932 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $70,350.42 $70,350.42 $70,350.42 2026-03-02
468 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement Without Cc/mcc 6 1 — $25,354.34 $69,866.82 $103,753.06 $69,866.82 2026-03-02
412 MS_DRG Ms-DRG 42.00: Cholecystectomy With C.d.e. With Cc 6 1 — $19,618.75 $69,757.20 $103,590.28 $69,757.20 2026-03-02
655 MS_DRG Ms-DRG 42.00: Major Bladder Procedures Without Cc/mcc 6 1 — $20,017.58 $69,745.02 $103,572.19 $69,745.02 2026-03-02
173 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis With Principal Diagn… 6 1 — $29,200.22 $69,562.33 $103,300.89 $69,562.33 2026-03-02
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 1 — $34,404.04 $69,558.27 $103,294.86 $69,558.27 2026-03-02
330 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Cc 6 1 — $22,524.53 $69,334.97 $102,963.26 $69,334.97 2026-03-02
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 6 1 — $40,861.32 $69,164.46 $102,710.04 $69,164.46 2026-03-02
974 MS_DRG Ms-DRG 42.00: HIV With Major Related Condition With Mcc 6 1 — $27,699.85 $68,587.95 $101,853.93 $68,587.95 2026-03-02
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 6 1 — $32,580.80 $68,384.96 $101,552.48 $68,384.96 2026-03-02
477 MS_DRG Ms-DRG 42.00: Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 1 — $31,992.05 $68,173.84 $101,238.97 $68,173.84 2026-03-02
344 MS_DRG Ms-DRG 42.00: Minor Small And Large Bowel Procedures With Mcc 6 1 — $26,019.06 $68,047.98 $101,052.07 $68,047.98 2026-03-02
480 MS_DRG Ms-DRG 42.00: Hip And Femur Procedures Except Major Joint With Mcc 6 1 — $28,003.73 $67,840.93 $100,744.59 $67,840.93 2026-03-02
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 6 1 — $42,352.19 $67,617.63 $100,413.00 $67,617.63 2026-03-02
485 MS_DRG Ms-DRG 42.00: Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 1 — $31,279.85 $67,171.05 $99,749.81 $67,171.05 2026-03-02
6084 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 5 5 — — $66,983.70 $66,983.70 $66,983.70 2026-03-02
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 6 1 — $41,098.72 $66,618.90 $98,929.86 $66,618.90 2026-03-02
838 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or… 6 1 — $19,011.01 $66,448.38 $98,676.64 $66,448.38 2026-03-02
3034 APR_DRG Apr-DRG 38.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $66,422.58 $66,422.58 $66,422.58 2026-03-02
250 MS_DRG Ms-DRG 42.00: Percutaneous Cardiovascular Procedures Without Intraluminal Device… 6 1 — $22,325.11 $66,265.69 $98,405.34 $66,265.69 2026-03-02
1624 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $66,001.74 $66,001.74 $66,001.74 2026-03-02
240 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 6 1 — $26,674.29 $65,884.06 $97,838.61 $65,884.06 2026-03-02
35 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Cc 6 1 — $21,840.82 $65,835.34 $97,766.26 $65,835.34 2026-03-02
464 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 6 1 — $28,497.52 $65,656.70 $97,500.99 $65,656.70 2026-03-02
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 6 1 — $36,331.73 $65,429.35 $97,163.36 $65,429.35 2026-03-02
13 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 6 1 — $25,506.28 $65,380.63 $97,091.02 $65,380.63 2026-03-02
37 MS_DRG Ms-DRG 42.00: Extracranial Procedures With Mcc 6 1 — $32,058.52 $64,637.67 $95,987.71 $64,637.67 2026-03-02
824 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Cc 6 1 — $21,204.59 $64,260.10 $95,427.01 $64,260.10 2026-03-02
659 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 1 — $24,585.16 $64,219.50 $95,366.72 $64,219.50 2026-03-02
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 6 1 — $32,875.18 $63,720.13 $94,625.16 $63,720.13 2026-03-02
258 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Device Replacement With Mcc 6 1 — $25,724.69 $63,695.77 $94,588.98 $63,695.77 2026-03-02
167 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Cc 6 1 — $17,282.73 $63,407.52 $94,160.92 $63,407.52 2026-03-02
84 APR_DRG Apr-DRG 38.00: Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $62,144.04 $62,144.04 $62,144.04 2026-03-02
472 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Cc 6 1 — $28,060.70 $62,067.75 $92,171.35 $62,067.75 2026-03-02
21 APR_DRG Apr-DRG 38.00: Heart And/Or Lung Transplant 5 5 — — $61,933.62 $61,933.62 $61,933.62 2026-03-02
6023 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $61,863.48 $61,863.48 $61,863.48 2026-03-02
253 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Cc 6 1 — $24,224.32 $61,856.64 $91,857.84 $61,856.64 2026-03-02
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 6 1 — $34,005.20 $61,751.08 $91,701.09 $61,751.08 2026-03-02
963 MS_DRG Ms-DRG 42.00: Other Multiple Significant Trauma With Mcc 6 1 — $25,962.09 $61,682.06 $91,598.60 $61,682.06 2026-03-02
333 MS_DRG Ms-DRG 42.00: Rectal Resection With Cc 6 1 — $19,751.70 $61,621.16 $91,508.16 $61,621.16 2026-03-02
855 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures Without Cc/… 6 1 — $16,162.21 $61,507.49 $91,339.35 $61,507.49 2026-03-02
165 MS_DRG Ms-DRG 42.00: Major Chest Procedures Without Cc/mcc 6 1 — $17,814.51 $61,458.77 $91,267.00 $61,458.77 2026-03-02
987 MS_DRG Ms-DRG 42.00: Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Wit… 6 1 — $32,068.02 $61,336.97 $91,086.13 $61,336.97 2026-03-02
274 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures Without Mcc 6 1 — $30,776.56 $61,207.05 $90,893.20 $61,207.05 2026-03-02
425 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 6 1 — $15,212.60 $61,186.75 $90,863.06 $61,186.75 2026-03-02
840 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Mcc 6 1 — $29,675.02 $61,097.44 $90,730.42 $61,097.44 2026-03-02
6114 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $60,951.66 $60,951.66 $60,951.66 2026-03-02
5881 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $60,881.52 $60,881.52 $60,881.52 2026-03-02
5882 APR_DRG Apr-DRG 38.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $60,881.52 $60,881.52 $60,881.52 2026-03-02
522 MS_DRG Ms-DRG 42.00: Hip Replacement With Principal Diagnosis Of Hip Fracture Without M… 6 1 — $20,055.57 $60,460.03 $89,783.87 $60,460.03 2026-03-02
143 MS_DRG Ms-DRG 42.00: Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 6 1 — $31,583.72 $60,094.64 $89,241.26 $60,094.64 2026-03-02
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 6 1 — $35,439.10 $60,054.04 $89,180.97 $60,054.04 2026-03-02
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 6 1 — $38,126.47 $60,054.04 $89,180.97 $60,054.04 2026-03-02
62 MS_DRG Ms-DRG 42.00: Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With … 6 1 — $17,776.53 $60,037.80 $89,156.85 $60,037.80 2026-03-02
32 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Cc 6 1 — $20,454.40 $59,846.99 $88,873.49 $59,846.99 2026-03-02
6303 APR_DRG Apr-DRG 38.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $59,338.44 $59,338.44 $59,338.44 2026-03-02
737 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 6 1 — $18,745.12 $59,327.32 $88,101.78 $59,327.32 2026-03-02
L8614 HCPCS Imp Dev Cochlear Int&ext Cmp Lvl 01 381 27 $109,504.00 $55,299.52 50% off $15,261.64 $197,103.60 $59,263.20 2026-03-02
470 MS_DRG Ms-DRG 42.00: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extr… 6 1 — $17,871.49 $59,250.18 $87,987.23 $59,250.18 2026-03-02
244 MS_DRG Ms-DRG 42.00: Permanent Cardiac Pacemaker Implant Without Cc/mcc 6 1 — $17,377.69 $59,201.46 $87,914.88 $59,201.46 2026-03-02
500 MS_DRG Ms-DRG 42.00: Soft Tissue Procedures With Mcc 6 1 — $30,795.55 $59,144.62 $87,830.47 $59,144.62 2026-03-02
829 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 6 1 — $29,950.41 $59,132.44 $87,812.39 $59,132.44 2026-03-02
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 6 1 — $38,914.64 $59,026.89 $87,655.63 $59,026.89 2026-03-02
72 APR_DRG Apr-DRG 38.00: Allogeneic Bone Marrow Transplant 5 5 — — $58,917.60 $58,917.60 $58,917.60 2026-03-02
357 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Cc 6 1 — $20,862.73 $58,913.21 $87,486.82 $58,913.21 2026-03-02
36 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures Without Cc/mcc 6 1 — $17,168.78 $58,840.13 $87,378.30 $58,840.13 2026-03-02
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 1 — $32,343.40 $58,827.95 $87,360.21 $58,827.95 2026-03-02
939 MS_DRG Ms-DRG 42.00: O.r. Procedures With Diagnoses Of Other Contact With Health Servic… 6 1 — $30,529.67 $58,738.63 $87,227.57 $58,738.63 2026-03-02
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 6 1 — $34,337.56 $58,738.63 $87,227.57 $58,738.63 2026-03-02
63 APR_DRG Apr-DRG 38.00: Pancreas Transplant 5 5 — — $58,566.90 $58,566.90 $58,566.90 2026-03-02
324 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device Withou… 6 1 — $28,193.65 $58,490.98 $86,859.80 $58,490.98 2026-03-02
208 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 1 — $25,629.73 $58,450.38 $86,799.51 $58,450.38 2026-03-02
483 MS_DRG Ms-DRG 42.00: Major Joint Or Limb Reattachment Procedures Of Upper Extremities 6 1 — $23,588.08 $58,357.00 $86,660.85 $58,357.00 2026-03-02
4404 APR_DRG Apr-DRG 38.00: Kidney Transplant 5 5 — — $58,356.48 $58,356.48 $58,356.48 2026-03-02
800 MS_DRG Ms-DRG 42.00: Splenic Procedures With Cc 6 1 — $26,759.75 $58,089.05 $86,262.93 $58,089.05 2026-03-02
8413 APR_DRG Apr-DRG 38.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $57,304.38 $57,304.38 $57,304.38 2026-03-02
579 MS_DRG Ms-DRG 42.00: Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 1 — $31,735.66 $57,260.83 $85,033.02 $57,260.83 2026-03-02
30 MS_DRG Ms-DRG 42.00: Spinal Procedures Without Cc/mcc 6 1 — $22,021.24 $56,923.86 $84,532.61 $56,923.86 2026-03-02
407 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures Without Cc/mcc 6 1 — $20,425.91 $56,802.06 $84,351.74 $56,802.06 2026-03-02
95 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Cc 6 1 — $22,638.48 $56,704.62 $84,207.04 $56,704.62 2026-03-02
570 MS_DRG Ms-DRG 42.00: Skin Debridement With Mcc 6 1 — $27,747.33 $56,489.45 $83,887.51 $56,489.45 2026-03-02
421 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Cc 6 1 — $16,238.17 $56,375.77 $83,718.69 $56,375.77 2026-03-02
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 6 1 — $30,919.00 $56,217.44 $83,483.56 $56,217.44 2026-03-02
336 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Cc 6 1 — $19,989.10 $55,933.24 $83,061.53 $55,933.24 2026-03-02
288 MS_DRG Ms-DRG 42.00: Acute And Subacute Endocarditis With Mcc 6 1 — $24,623.15 $55,580.03 $82,537.01 $55,580.03 2026-03-02
1784 APR_DRG Apr-DRG 38.00: External Heart Assist Systems 5 5 — — $55,480.74 $55,480.74 $55,480.74 2026-03-02
13 APR_DRG Apr-DRG 38.00: Liver Transplant And/Or Intestinal Transplant 5 5 — — $55,480.74 $55,480.74 $55,480.74 2026-03-02
615 MS_DRG Ms-DRG 42.00: Adrenal And Pituitary Procedures Without Cc/mcc 6 1 — $13,968.63 $55,425.75 $82,307.91 $55,425.75 2026-03-02
6022 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $55,410.60 $55,410.60 $55,410.60 2026-03-02
6093 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $55,340.46 $55,340.46 $55,340.46 2026-03-02
353 MS_DRG Ms-DRG 42.00: Hernia Procedures Except Inguinal And Femoral With Mcc 6 1 — $27,766.33 $55,247.12 $82,042.63 $55,247.12 2026-03-02
93 APR_DRG Apr-DRG 38.00: Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $55,130.04 $55,130.04 $55,130.04 2026-03-02
41 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 6 1 — $21,185.59 $55,113.14 $81,843.68 $55,113.14 2026-03-02
1634 APR_DRG Apr-DRG 38.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 5 5 — — $54,919.62 $54,919.62 $54,919.62 2026-03-02
415 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 6 1 — $18,764.11 $54,918.27 $81,554.28 $54,918.27 2026-03-02
255 MS_DRG Ms-DRG 42.00: Upper Limb And Toe Amputation For Circulatory System Disorders Wit… 6 1 — $26,085.53 $54,812.71 $81,397.53 $54,812.71 2026-03-02
5911 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $54,709.20 $54,709.20 $54,709.20 2026-03-02
241 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 6 1 — $13,237.43 $54,297.10 $80,631.85 $54,297.10 2026-03-02
264 MS_DRG Ms-DRG 42.00: Other Circulatory System O.r. Procedures 6 1 — $31,013.96 $54,219.96 $80,517.30 $54,219.96 2026-03-02
857 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 6 1 — $20,283.47 $54,126.59 $80,378.63 $54,126.59 2026-03-02
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 6 1 — $34,536.98 $54,110.35 $80,354.51 $54,110.35 2026-03-02
410 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 6 1 — $14,861.25 $53,826.15 $79,932.48 $53,826.15 2026-03-02
413 MS_DRG Ms-DRG 42.00: Cholecystectomy With C.d.e. Without Cc/mcc 6 1 — $14,338.97 $53,606.92 $79,606.92 $53,606.92 2026-03-02
63 MS_DRG Ms-DRG 42.00: Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With … 6 1 — $14,120.56 $53,586.62 $79,576.77 $53,586.62 2026-03-02
486 MS_DRG Ms-DRG 42.00: Knee Procedures With Principal Diagnosis Of Infection With Cc 6 1 — $19,067.98 $53,489.18 $79,432.08 $53,489.18 2026-03-02
465 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 6 1 — $17,767.03 $53,343.03 $79,215.03 $53,343.03 2026-03-02
983 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis Without… 6 1 — $15,525.97 $53,338.97 $79,209.00 $53,338.97 2026-03-02
516 MS_DRG Ms-DRG 42.00: Other Musculoskeletal System And Connective Tissue O.r. Procedures… 6 1 — $19,381.35 $53,192.81 $78,991.96 $53,192.81 2026-03-02
1674 APR_DRG Apr-DRG 38.00: Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $53,166.12 $53,166.12 $53,166.12 2026-03-02
6033 APR_DRG Apr-DRG 38.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $52,955.70 $52,955.70 $52,955.70 2026-03-02
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