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

ST JOSEPH'S MEDICAL CENTER OF STOCKTON

Stockton, CA · CCN 050084 · Rates published

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TOTAL KNEE ARTHROPLASTY

This hospital’s price: $17,715 across 15 payers · range $1,709-$27,618

Source: https://www.commonspirit.org/content/dam/commonspiritorg/en/dhcva/cacv/finance/price-transparency/465322209_st-josephs-medical-center-of-stockton_standardcharges.json · observed 2026-02-28

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

15,913 distinct procedures filed
20 distinct payers
506,410 rate rows
2026-02-28 last MRF observed
Data quality

452,990 of 506,410 rate rows are consumer-grade (89.5%)

53,420 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 30,112
per-diem day rate — not a per-procedure price 16,054
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,352
template filing: same amount across many unrelated codes — excluded 1,662
exceeds 10× this hospital's gross charge — excluded from medians 994
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 210
placeholder amount (≤ $0.02) — excluded from medians 36
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dignityhealth.org/content/dam/dignity-health/documents/mrf-json/southern-california/json/465322209_st-josephs-medical-center-of-stockton_standardcharges.json?target=%22_blank%22
Found on page https://www.dignityhealth.org/central-california/locations/stjosephs-stockton/patients-and-visitors/for-patients/billing-information/hospital-pricing-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-19
Content fingerprint 3307a81a646e48a9… · 102,827,309 bytes · first seen 2026-05-08

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
6332423
CDM 		Peg-electrolyte 4l Liq 8 $100.00 $1,230,840.00 $886,204.80 nat. median
$141
outlier · 6283.4×
5834
APR_DRG 		Neonate With Ecmo 6 $364,272.00 $714,699.00 $539,485.50 nat. median
$311,018
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $10,841.00 $489,362.02 $479,766.68 nat. median
$370,165
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $271,700.00 $533,074.00 $402,387.00 nat. median
$254,667
1.6× median
5833
APR_DRG 		Neonate With Ecmo 6 $317,234.00 $432,229.00 $374,731.50 nat. median
$250,089
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $21,773.00 $365,665.01 $358,495.10 nat. median
$261,939
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $18,491.00 $308,051.19 $302,010.97 nat. median
$205,166
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $184,674.00 $362,329.00 $273,501.50 nat. median
$160,171
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 14 $18,491.00 $278,357.17 $272,899.18 nat. median
$199,832
1.4× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $178,613.00 $350,437.00 $264,525.00 nat. median
$156,285
1.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $176,831.00 $346,941.00 $261,886.00 nat. median
$168,361
1.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $173,718.00 $340,834.00 $257,276.00 nat. median
$147,677
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $250,605.00 $273,158.00 $256,243.25 nat. median
$209,486
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $171,732.00 $336,937.00 $254,334.50 nat. median
$168,174
1.5× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $242,781.00 $264,630.00 $248,243.25 nat. median
$243,231
1.0× median
5832
APR_DRG 		Neonate With Ecmo 6 $199,072.00 $271,235.00 $235,153.50 nat. median
$169,230
1.4× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $174,261.00 $237,430.00 $205,845.50 nat. median
$180,995
1.1× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $169,627.00 $231,115.00 $200,371.00 nat. median
$147,847
1.4× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $133,986.00 $262,879.00 $198,432.50 nat. median
$109,499
1.8× median
1613
APR_DRG 		Implantable Heart Assist Systems 6 $189,900.00 $206,991.00 $194,172.75 nat. median
$127,938
1.5× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $128,884.00 $252,869.00 $190,876.50 nat. median
$123,690
1.5× median
5831
APR_DRG 		Neonate With Ecmo 6 $161,212.00 $219,650.00 $190,431.00 nat. median
$154,685
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $179,989.00 $196,187.00 $184,038.50 nat. median
$165,646
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 14 $18,491.00 $183,728.21 $180,125.69 nat. median
$132,706
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $10,841.00 $170,402.70 $167,061.47 nat. median
$114,305
1.5× median
7
MS_DRG 		Lung Transplant 14 $18,491.00 $169,975.02 $166,642.17 nat. median
$122,690
1.4× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $161,762.00 $176,320.00 $165,401.50 nat. median
$165,599
1.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $158,770.00 $173,059.00 $162,342.25 nat. median
$127,600
1.3× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $157,177.00 $171,322.00 $160,713.25 nat. median
$175,480
0.9× median
23
APR_DRG 		Heart And/or Lung Transplant 6 $153,658.00 $167,486.00 $157,115.00 nat. median
$116,111
1.4× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $152,378.00 $166,091.00 $155,806.25 nat. median
$137,901
1.1× median
1612
APR_DRG 		Implantable Heart Assist Systems 6 $152,290.00 $165,995.00 $155,716.25 nat. median
$93,192
1.7× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 $100,188.00 $196,569.00 $148,378.50 nat. median
$99,613
1.5× median
1611
APR_DRG 		Implantable Heart Assist Systems 6 $144,848.00 $157,884.00 $148,107.00 nat. median
$82,164
1.8× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $120,307.00 $163,917.00 $142,112.00 nat. median
$112,711
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $21,773.00 $143,418.62 $140,606.49 nat. median
$108,240
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $21,773.00 $141,788.25 $139,008.08 nat. median
$100,978
1.4× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $115,771.00 $157,738.00 $136,754.50 nat. median
$108,751
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $18,491.00 $138,619.52 $135,901.49 nat. median
$99,646
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 14 $18,491.00 $137,911.90 $135,207.74 nat. median
$98,002
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $20,926.00 $136,364.48 $133,690.66 nat. median
$96,835
1.4× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $112,821.00 $153,718.00 $133,269.50 nat. median
$120,928
1.1× median
64
APR_DRG 		Pancreas Transplant 6 $121,409.00 $132,335.00 $124,140.50 nat. median
$92,994
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $18,491.00 $125,681.52 $123,217.17 nat. median
$92,900
1.3× median
8634
APR_DRG 		Neonatal Aftercare 6 $79,807.00 $156,580.00 $118,193.50 nat. median
$72,289
1.6× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $100,038.00 $136,301.00 $118,169.50 nat. median
$80,447
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $21,773.00 $119,989.48 $117,636.74 nat. median
$81,364
1.4× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 6 $114,269.00 $124,553.00 $116,840.00 nat. median
$101,315
1.2× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $97,363.00 $132,656.00 $115,009.50 nat. median
$92,000
1.3× median
22
APR_DRG 		Heart And/or Lung Transplant 6 $110,592.00 $120,545.00 $113,080.25 nat. median
$94,014
1.2× median

Other procedures at this hospital

Browse this hospital's 15,913 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
             
6332423 CDM Peg-electrolyte 4l Liq 15 8 $1,230,840.00 $361,866.96 71% off $100.00 $1,230,840.00 $886,204.80 2026-02-28
5834 APR_DRG Neonate With Ecmo 8 6 — — $364,272.00 $714,699.00 $539,485.50 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 12 — — $10,841.00 $489,362.02 $479,766.68 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $271,700.00 $533,074.00 $402,387.00 2026-02-28
5833 APR_DRG Neonate With Ecmo 8 6 — — $317,234.00 $432,229.00 $374,731.50 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 14 — — $21,773.00 $365,665.01 $358,495.10 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 14 — — $18,491.00 $308,051.19 $302,010.97 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 6 — — $184,674.00 $362,329.00 $273,501.50 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 19 14 — — $18,491.00 $278,357.17 $272,899.18 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $178,613.00 $350,437.00 $264,525.00 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 6 — — $176,831.00 $346,941.00 $261,886.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 6 — — $173,718.00 $340,834.00 $257,276.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 8 6 — — $250,605.00 $273,158.00 $256,243.25 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 6 — — $171,732.00 $336,937.00 $254,334.50 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 8 6 — — $242,781.00 $264,630.00 $248,243.25 2026-02-28
5832 APR_DRG Neonate With Ecmo 8 6 — — $199,072.00 $271,235.00 $235,153.50 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $174,261.00 $237,430.00 $205,845.50 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $169,627.00 $231,115.00 $200,371.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 6 — — $133,986.00 $262,879.00 $198,432.50 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 8 6 — — $189,900.00 $206,991.00 $194,172.75 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $128,884.00 $252,869.00 $190,876.50 2026-02-28
5831 APR_DRG Neonate With Ecmo 8 6 — — $161,212.00 $219,650.00 $190,431.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 8 6 — — $179,989.00 $196,187.00 $184,038.50 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 19 14 — — $18,491.00 $183,728.21 $180,125.69 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 19 14 — — $10,841.00 $170,402.70 $167,061.47 2026-02-28
7 MS_DRG Lung Transplant 19 14 — — $18,491.00 $169,975.02 $166,642.17 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $161,762.00 $176,320.00 $165,401.50 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $158,770.00 $173,059.00 $162,342.25 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 8 6 — — $157,177.00 $171,322.00 $160,713.25 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 8 6 — — $153,658.00 $167,486.00 $157,115.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 8 6 — — $152,378.00 $166,091.00 $155,806.25 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 8 6 — — $152,290.00 $165,995.00 $155,716.25 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $100,188.00 $196,569.00 $148,378.50 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 8 6 — — $144,848.00 $157,884.00 $148,107.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $120,307.00 $163,917.00 $142,112.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 14 — — $21,773.00 $143,418.62 $140,606.49 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 14 — — $21,773.00 $141,788.25 $139,008.08 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 6 — — $115,771.00 $157,738.00 $136,754.50 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 14 — — $18,491.00 $138,619.52 $135,901.49 2026-02-28
215 MS_DRG Other Heart Assist System Implant 19 14 — — $18,491.00 $137,911.90 $135,207.74 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 14 — — $20,926.00 $136,364.48 $133,690.66 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $112,821.00 $153,718.00 $133,269.50 2026-02-28
64 APR_DRG Pancreas Transplant 8 6 — — $121,409.00 $132,335.00 $124,140.50 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 14 — — $18,491.00 $125,681.52 $123,217.17 2026-02-28
8634 APR_DRG Neonatal Aftercare 8 6 — — $79,807.00 $156,580.00 $118,193.50 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 6 — — $100,038.00 $136,301.00 $118,169.50 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 18 14 — — $21,773.00 $119,989.48 $117,636.74 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 6 — — $114,269.00 $124,553.00 $116,840.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $97,363.00 $132,656.00 $115,009.50 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 8 6 — — $110,592.00 $120,545.00 $113,080.25 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 6 — — $75,987.00 $149,086.00 $112,536.50 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 6 — — $109,013.00 $118,824.00 $111,465.75 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $93,542.00 $127,450.00 $110,496.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 14 — — $18,491.00 $110,424.97 $108,259.77 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 19 14 — — $20,277.00 $110,364.07 $108,200.06 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $73,039.00 $143,302.00 $108,170.50 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $104,937.00 $114,381.00 $107,298.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 14 — — $20,926.00 $108,697.41 $106,566.08 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 14 — — $18,491.00 $105,075.07 $103,014.77 2026-02-28
10 MS_DRG Pancreas Transplant 19 14 — — $18,491.00 $103,933.29 $101,895.38 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 6 — — $99,260.00 $108,192.00 $101,493.00 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 14 — — $18,491.00 $103,341.02 $101,314.72 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 6 — — $98,245.00 $107,086.00 $100,455.25 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $97,721.00 $106,515.00 $99,919.50 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 14 — — $18,491.00 $101,903.76 $99,905.64 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 14 — — $18,491.00 $100,881.21 $98,903.14 2026-02-28
63 APR_DRG Pancreas Transplant 8 6 — — $96,118.00 $104,768.00 $98,280.50 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 38 14 — — $18,491.00 $97,339.23 $95,430.61 2026-02-28
4404 APR_DRG Kidney Transplant 8 6 — — $92,112.00 $100,401.00 $94,184.25 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 8 6 — — $90,918.00 $99,100.00 $92,963.50 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 8 6 — — $90,098.00 $98,207.00 $92,125.25 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 6 — — $61,908.00 $121,462.00 $91,685.00 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 14 — — $20,926.00 $92,654.18 $90,837.43 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 14 — — $21,773.00 $92,191.51 $90,383.83 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $75,533.00 $102,913.00 $89,223.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $75,394.00 $102,723.00 $89,058.50 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 14 — — $10,841.00 $90,759.42 $88,979.82 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 8 6 — — $86,701.00 $94,504.00 $88,651.75 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 6 — — $74,904.00 $102,056.00 $88,480.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 6 — — $59,350.00 $116,445.00 $87,897.50 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 38 14 — — $18,491.00 $89,097.94 $87,350.92 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 14 — — $20,926.00 $87,496.08 $85,780.47 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 14 — — $18,491.00 $87,161.72 $85,452.66 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 14 — — $18,491.00 $87,015.27 $85,309.08 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 6 — — $82,679.00 $90,120.00 $84,539.25 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 14 — — $10,841.00 $84,418.08 $82,762.82 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 8 6 — — $55,851.00 $109,579.00 $82,715.00 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 14 — — $18,491.00 $84,297.55 $82,644.65 2026-02-28
1784 APR_DRG External Heart Assist Systems 8 6 — — $79,442.00 $86,591.00 $81,229.25 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 6 — — $54,716.00 $107,353.00 $81,034.50 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 38 14 — — $18,491.00 $82,566.09 $80,947.14 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 6 — — $68,434.00 $93,241.00 $80,837.50 2026-02-28
62 APR_DRG Pancreas Transplant 8 6 — — $78,954.00 $86,060.00 $80,730.50 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 14 — — $21,773.00 $80,882.59 $79,296.65 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 14 — — $21,773.00 $80,778.90 $79,195.00 2026-02-28
J7330 HCPCS Maci Imp 42112x-46323 42 12 $120,597.00 $35,455.52 71% off $31,355.22 $221,691.13 $79,081.20 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 6 — — $77,195.00 $84,142.00 $78,931.75 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 14 — — $18,491.00 $80,413.43 $78,836.69 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 14 — — $20,277.00 $80,134.80 $78,563.52 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 6 — — $76,583.00 $83,475.00 $78,306.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 14 — — $18,491.00 $79,771.91 $78,207.75 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 8 6 — — $76,440.00 $83,320.00 $78,160.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 8 6 — — $76,294.00 $83,160.00 $78,010.50 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 19 14 — — $18,491.00 $79,393.48 $77,836.74 2026-02-28
0795T CPT Ins 2chmbr Ldls Pm Cmpl 11 7 $108,000.00 $31,752.00 71% off $2,589.00 $108,000.00 $77,760.00 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 14 — — $10,841.00 $78,828.42 $77,282.76 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 14 — — $10,841.00 $78,828.42 $77,282.76 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 6 — — $51,847.00 $101,723.00 $76,785.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 14 — — $18,491.00 $78,243.92 $76,709.72 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 6 — — $64,698.00 $88,151.00 $76,424.50 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 6 — — $64,646.00 $88,080.00 $76,363.00 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 14 — — $18,491.00 $77,706.08 $76,182.43 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 19 14 — — $10,841.00 $120,872.72 $76,125.25 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 14 — — $18,491.00 $76,862.38 $75,355.27 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $73,253.00 $79,846.00 $74,901.25 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 14 — — $18,491.00 $76,060.16 $74,568.78 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 8 6 — — $72,337.00 $78,847.00 $73,964.50 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 6 — — $72,096.00 $78,584.00 $73,718.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 19 14 — — $20,277.00 $74,985.77 $73,515.46 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 14 — — $18,491.00 $74,541.24 $73,079.64 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 8 6 — — $71,022.00 $77,414.00 $72,620.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 8 6 — — $70,970.00 $77,357.00 $72,566.75 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 19 14 — — $18,491.00 $72,849.96 $71,421.52 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 19 14 — — $10,841.00 $72,236.95 $70,820.53 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 14 — — $18,491.00 $72,236.95 $70,820.53 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 14 — — $20,926.00 $71,936.27 $70,525.75 2026-02-28
A9543 HCPCS Y90 Ibritummab Tx To 40mc 62 19 $70,321.00 $20,674.38 71% off $14,767.41 $225,000.72 $70,321.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 14 — — $20,926.00 $71,500.82 $70,098.84 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $68,320.00 $74,468.00 $69,857.00 2026-02-28
0803T CPT Rem&rpl 2chmb Ldls Pm Rv 11 7 $96,927.00 $28,496.54 71% off $2,589.00 $96,927.00 $69,787.44 2026-02-28
0801T CPT Rem&rpl 2chmb Ldls Pm Cmp 11 7 $96,927.00 $28,496.54 71% off $2,589.00 $96,927.00 $69,787.44 2026-02-28
0797T CPT Ins 2chmbr Ldls Pm Rv 11 7 $96,927.00 $28,496.54 71% off $2,589.00 $96,927.00 $69,787.44 2026-02-28
0796T CPT Ins 2chmbr Ldls Pm Ra 11 7 $96,927.00 $28,496.54 71% off $2,589.00 $96,927.00 $69,787.44 2026-02-28
0802T CPT Rem&rpl 2chmb Ldls Pm Ra 11 7 $96,927.00 $28,496.54 71% off $2,589.00 $96,927.00 $69,787.44 2026-02-28
0825T CPT Rem&rpl 1chmb Ldls Pm Ra 11 7 $96,927.00 $28,496.54 71% off $2,589.00 $96,927.00 $69,787.44 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 14 — — $18,491.00 $71,119.79 $69,725.28 2026-02-28
1794 APR_DRG Defibrillator Implants 8 6 — — $68,057.00 $74,182.00 $69,588.25 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 19 14 — — $18,491.00 $70,959.09 $69,567.73 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 8 6 — — $67,956.00 $74,072.00 $69,485.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 6 — — $67,863.00 $73,970.00 $69,389.75 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 14 — — $18,491.00 $70,600.10 $69,215.78 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 14 — — $18,491.00 $70,534.00 $69,150.98 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 14 — — $18,491.00 $70,526.22 $69,143.35 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 6 — — $67,413.00 $73,480.00 $68,929.75 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 14 — — $18,491.00 $69,552.93 $68,189.14 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 8 6 — — $66,510.00 $72,496.00 $68,006.50 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 14 — — $18,491.00 $69,248.37 $67,890.55 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $66,186.00 $72,143.00 $67,675.25 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 6 — — $56,971.00 $77,622.00 $67,296.50 2026-02-28
02RG37Z OTHER Da Vinci Cardiac 3 3 — — $67,273.00 $67,273.00 $67,273.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 8 6 — — $65,746.00 $71,663.00 $67,225.25 2026-02-28
61 APR_DRG Pancreas Transplant 8 6 — — $65,587.00 $71,490.00 $67,062.75 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 14 — — $20,926.00 $67,348.42 $66,027.86 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 8 6 — — $64,474.00 $70,277.00 $65,924.75 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 14 — — $18,491.00 $67,126.81 $65,810.59 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 14 — — $20,277.00 $66,629.14 $65,322.68 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 19 14 — — $18,491.00 $66,426.96 $65,124.47 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 8 6 — — $63,474.00 $69,186.00 $64,902.00 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $54,850.00 $74,733.00 $64,791.50 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 14 — — $18,491.00 $65,881.35 $64,589.55 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 14 — — $10,841.00 $65,496.44 $64,212.19 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 14 — — $21,773.00 $65,445.89 $64,162.63 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 14 — — $18,491.00 $65,419.97 $64,137.22 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 14 — — $18,491.00 $65,186.70 $63,908.52 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 6 — — $53,496.00 $72,888.00 $63,192.00 2026-02-28
245 MS_DRG Aicd Generator Procedures 19 14 — — $18,491.00 $63,936.04 $62,682.39 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 19 14 — — $20,277.00 $63,553.73 $62,307.57 2026-02-28
1783 APR_DRG External Heart Assist Systems 8 6 — — $60,873.00 $66,351.00 $62,242.50 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 19 14 — — $18,491.00 $63,448.75 $62,204.65 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 8 6 — — $60,633.00 $66,089.00 $61,997.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 8 6 — — $60,560.00 $66,010.00 $61,922.50 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 8 6 — — $60,425.00 $65,863.00 $61,784.50 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 14 — — $18,491.00 $62,493.60 $61,268.23 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 19 14 — — $18,491.00 $62,225.32 $61,005.21 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 14 — — $18,491.00 $62,213.66 $60,993.78 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $40,905.00 $80,256.00 $60,580.50 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 8 6 — — $59,166.00 $64,490.00 $60,497.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 8 6 — — $59,153.00 $64,476.00 $60,483.75 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 14 — — $18,491.00 $61,576.03 $60,368.65 2026-02-28
234 APR_DRG Spinal Procedures 8 6 — — $58,832.00 $64,127.00 $60,155.75 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 14 — — $18,491.00 $61,249.43 $60,048.46 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 14 — — $21,773.00 $60,891.74 $59,697.78 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 8 6 — — $58,021.00 $63,243.00 $59,326.50 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 19 14 — — $18,491.00 $60,338.34 $59,155.23 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 14 — — $18,491.00 $60,313.72 $59,131.09 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 14 — — $18,491.00 $60,123.21 $58,944.32 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 14 — — $18,491.00 $60,114.13 $58,935.42 2026-02-28
4403 APR_DRG Kidney Transplant 8 6 — — $57,558.00 $62,738.00 $58,853.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 8 6 — — $56,994.00 $62,124.00 $58,276.50 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 8 6 — — $56,977.00 $62,104.00 $58,258.75 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 8 6 — — $39,320.00 $77,146.00 $58,233.00 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 8 6 — — $39,149.00 $76,809.00 $57,979.00 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 14 — — $18,491.00 $59,073.45 $57,915.14 2026-02-28
6904 APR_DRG Acute Leukemia 8 6 — — $56,560.00 $61,650.00 $57,832.50 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 8 6 — — $56,549.00 $61,638.00 $57,821.25 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 6 — — $48,807.00 $66,499.00 $57,653.00 2026-02-28
02RG0KZ OTHER Cardiovascular Surgery 4 3 — — $47,881.00 $67,273.00 $57,577.00 2026-02-28
02NG0ZZ OTHER Da Vinci Cardiac 4 3 — — $47,881.00 $67,273.00 $57,577.00 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 14 — — $18,491.00 $58,724.82 $57,573.35 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 14 — — $18,491.00 $58,564.11 $57,415.79 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 8 6 — — $55,972.00 $61,010.00 $57,231.50 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 8 6 — — $55,779.00 $60,799.00 $57,034.00 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 19 14 — — $18,491.00 $58,022.39 $56,884.69 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 8 6 — — $55,607.00 $60,612.00 $56,858.25 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 16 6 — — $55,571.00 $60,572.00 $56,821.25 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 8 6 — — $55,563.00 $60,563.00 $56,813.00 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 14 — — $18,491.00 $57,533.79 $56,405.67 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 6 — — $54,965.00 $59,911.00 $56,201.50 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 8 6 — — $54,877.00 $59,816.00 $56,111.75 2026-02-28
4414 APR_DRG Major Bladder Procedures 8 6 — — $54,717.00 $59,642.00 $55,948.25 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 6 — — $54,464.00 $59,366.00 $55,689.50 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 6 — — $47,081.00 $64,147.00 $55,614.00 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 14 — — $10,841.00 $56,679.72 $55,568.35 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 19 14 — — $20,277.00 $56,564.38 $55,455.27 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 6 — — $54,117.00 $58,987.00 $55,334.50 2026-02-28
1782 APR_DRG External Heart Assist Systems 8 6 — — $54,029.00 $58,891.00 $55,244.50 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 6 — — $53,973.00 $58,831.00 $55,187.50 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 14 — — $18,491.00 $55,886.57 $54,790.75 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 14 — — $21,773.00 $55,804.93 $54,710.71 2026-02-28
C1605 HCPCS Pace Dl Ldles23772x-26149 80 9 $91,441.50 $26,883.81 71% off $19,469.58 $106,920.00 $54,497.88 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 19 14 — — $18,491.00 $55,413.53 $54,326.99 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $45,935.00 $62,586.00 $54,260.50 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 6 — — $45,590.00 $62,116.00 $53,853.00 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 14 — — $18,491.00 $54,913.28 $53,836.54 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 14 — — $18,491.00 $54,900.31 $53,823.83 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 8 6 — — $36,227.00 $71,078.00 $53,652.50 2026-02-28
274 APR_DRG Other Open Craniotomy 8 6 — — $52,443.00 $57,162.00 $53,622.75 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 19 14 — — $10,841.00 $54,652.78 $53,581.15 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 14 — — $18,491.00 $54,525.77 $53,456.63 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $51,713.00 $56,366.00 $52,876.25 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 14 — — $18,491.00 $53,895.91 $52,839.12 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 38 14 — — $18,491.00 $53,866.10 $52,809.90 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 14 — — $18,491.00 $53,787.04 $52,732.39 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 8 6 — — $51,449.00 $56,079.00 $52,606.50 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 14 — — $20,926.00 $53,525.26 $52,475.74 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 6 — — $44,417.00 $60,518.00 $52,467.50 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 6 — — $51,207.00 $55,816.00 $52,359.25 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 14 — — $18,491.00 $53,316.60 $52,271.17 2026-02-28
791 MS_DRG Prematurity With Major Problems 19 14 — — $10,841.00 $53,219.40 $52,175.88 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 8 6 — — $50,986.00 $55,575.00 $52,133.25 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 8 6 — — $50,884.00 $55,463.00 $52,028.75 2026-02-28
4402 APR_DRG Kidney Transplant 8 6 — — $50,606.00 $55,160.00 $51,744.50 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 8 6 — — $50,455.00 $54,996.00 $51,590.25 2026-02-28
4014 APR_DRG Adrenal Procedures 8 6 — — $50,287.00 $54,812.00 $51,418.25 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 14 — — $18,491.00 $52,231.85 $51,207.69 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 14 — — $18,491.00 $52,195.56 $51,172.11 2026-02-28
02NG4ZZ OTHER Da Vinci Cardiac 5 3 — — $34,953.00 $67,273.00 $51,113.00 2026-02-28
02QG0ZZ OTHER Cardiovascular Surgery 2 5 3 — — $34,953.00 $67,273.00 $51,113.00 2026-02-28
02VG0ZZ OTHER Da Vinci Cardiac 5 3 — — $34,953.00 $67,273.00 $51,113.00 2026-02-28
02RG48Z OTHER Cardiovascular Surgery 4 3 — — $34,953.00 $67,273.00 $51,113.00 2026-02-28
02CG3ZZ OTHER Da Vinci Cardiac 5 3 — — $34,953.00 $67,273.00 $51,113.00 2026-02-28
02NG3ZZ OTHER Da Vinci Cardiac 5 3 — — $34,953.00 $67,273.00 $51,113.00 2026-02-28
02CG4ZZ OTHER Da Vinci Cardiac 5 3 — — $34,953.00 $67,273.00 $51,113.00 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 19 14 — — $18,491.00 $51,739.36 $50,724.86 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 14 — — $18,491.00 $51,634.38 $50,621.94 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 8 6 — — $49,492.00 $53,946.00 $50,605.50 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $49,450.00 $53,900.00 $50,562.50 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 14 — — $18,491.00 $51,530.71 $50,520.30 2026-02-28
1781 APR_DRG External Heart Assist Systems 8 6 — — $49,393.00 $53,838.00 $50,504.25 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 6 — — $49,245.00 $53,677.00 $50,353.00 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 14 — — $20,926.00 $51,305.20 $50,299.21 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 14 — — $18,491.00 $51,280.58 $50,275.07 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 6 — — $42,561.00 $57,989.00 $50,275.00 2026-02-28
8633 APR_DRG Neonatal Aftercare 8 6 — — $42,503.00 $57,910.00 $50,206.50 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 14 — — $18,491.00 $51,000.64 $50,000.62 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 8 6 — — $48,649.00 $53,027.00 $49,743.50 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 19 14 — — $18,491.00 $50,693.48 $49,699.49 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 19 14 — — $18,491.00 $50,642.94 $49,649.94 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 14 — — $18,491.00 $50,502.98 $49,512.72 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 8 6 — — $48,402.00 $52,758.00 $49,491.00 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 38 14 — — $18,491.00 $50,141.39 $49,158.22 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 8 6 — — $47,941.00 $52,256.00 $49,019.75 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 14 — — $18,491.00 $49,873.12 $48,895.21 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 8 6 — — $47,636.00 $51,923.00 $48,707.75 2026-02-28
1793 APR_DRG Defibrillator Implants 8 6 — — $47,501.00 $51,776.00 $48,569.75 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 8 6 — — $47,453.00 $51,723.00 $48,520.50 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 19 14 — — $18,491.00 $49,489.50 $48,519.11 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 8 6 — — $47,439.00 $51,708.00 $48,506.25 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 8 6 — — $47,304.00 $51,562.00 $48,368.50 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 19 14 — — $18,491.00 $49,099.41 $48,136.67 2026-02-28
C1824 HCPCS Gener Ccm 21611x-23772 108 13 $71,479.50 $21,014.98 71% off $17,699.76 $74,883.00 $47,993.58 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 6 — — $46,908.00 $51,129.00 $47,963.25 2026-02-28
02RG4KZ OTHER Da Vinci Cardiac 3 3 — — $47,881.00 $47,881.00 $47,881.00 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 8 6 — — $46,505.00 $50,690.00 $47,551.25 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 6 — — $40,205.00 $54,779.00 $47,492.00 2026-02-28
2324 APR_DRG Gastric Fundoplication 8 6 — — $46,258.00 $50,421.00 $47,298.75 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 8 6 — — $46,244.00 $50,405.00 $47,284.25 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 14 — — $10,841.00 $47,890.23 $46,951.20 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 6 — — $45,842.00 $49,968.00 $46,873.50 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 8 6 — — $45,722.00 $49,837.00 $46,750.75 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 6 — — $45,718.00 $49,833.00 $46,746.75 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 8 6 — — $39,537.00 $53,869.00 $46,703.00 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 14 — — $18,491.00 $47,562.34 $46,629.74 2026-02-28
4401 APR_DRG Kidney Transplant 8 6 — — $45,376.00 $49,459.00 $46,396.75 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 8 6 — — $45,331.00 $49,411.00 $46,351.00 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 14 — — $18,491.00 $47,062.09 $46,139.30 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 14 — — $10,841.00 $47,059.50 $46,136.76 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 14 — — $20,277.00 $47,051.72 $46,129.13 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 8 6 — — $45,059.00 $49,114.00 $46,072.75 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 8 6 — — $44,934.00 $48,978.00 $45,945.00 2026-02-28
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