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

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Hospital

COMMUNITY HOSPITAL OF SAN BERNARDINO

San Bernardino, CA · CCN 050089 · Rates published

16,369 distinct procedures filed
26 distinct payers
993,542 rate rows
2026-02-28 last MRF observed
Data quality

914,190 of 993,542 rate rows are consumer-grade (92.0%)

79,352 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 53,354
per-diem day rate — not a per-procedure price 24,566
exceeds 10× this hospital's gross charge — excluded from medians 886
template filing: same amount across many unrelated codes — excluded 484
placeholder amount (≤ $0.02) — excluded from medians 62
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/951643373_community-hospital-of-san-bernardino_standardcharges.json?target=%22_blank%22
Found on page https://www.dignityhealth.org/socal/locations/san-bernardino/patients-and-visitors/for-patients/billing-payment-financial-services/hospital-pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 39a053fe119a6405… · 109,439,500 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
5834
APR_DRG 		Neonate With Ecmo 11 $309,665.00 $685,599.54 $497,632.27 nat. median
$309,665
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $7,099.00 $773,160.67 $396,492.65 nat. median
$370,174
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $230,971.00 $511,368.81 $371,169.91 nat. median
$246,434
1.5× median
5833
APR_DRG 		Neonate With Ecmo 11 $269,678.00 $414,630.54 $337,098.00 nat. median
$244,017
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $11,250.00 $578,976.32 $296,910.93 nat. median
$265,286
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 $156,990.00 $347,575.86 $252,282.93 nat. median
$150,721
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $11,250.00 $488,531.93 $250,529.19 nat. median
$206,368
1.2× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 11 $151,838.00 $336,168.84 $244,003.42 nat. median
$151,838
1.6× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 11 $150,323.00 $332,815.86 $241,569.43 nat. median
$164,279
1.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 $147,677.00 $326,956.14 $237,316.57 nat. median
$122,924
1.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 $145,988.00 $323,218.17 $234,603.08 nat. median
$162,982
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 16 $11,250.00 $441,917.10 $226,624.15 nat. median
$202,986
1.1× median
1614
APR_DRG 		Implantable Heart Assist Systems 11 $213,038.00 $262,036.74 $225,287.68 nat. median
$207,730
1.1× median
24
APR_DRG 		Heart And/or Lung Transplant 11 $206,387.00 $253,856.01 $218,254.25 nat. median
$234,738
0.9× median
5832
APR_DRG 		Neonate With Ecmo 11 $169,230.00 $260,191.74 $211,538.00 nat. median
$156,126
1.4× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $148,138.00 $227,762.79 $185,173.00 nat. median
$182,736
1.0× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 $113,900.00 $252,175.83 $183,037.92 nat. median
$109,499
1.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $144,199.00 $221,705.04 $180,248.00 nat. median
$145,336
1.2× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 $109,564.00 $242,573.22 $176,068.61 nat. median
$118,620
1.5× median
5831
APR_DRG 		Neonate With Ecmo 11 $137,045.00 $210,707.61 $171,307.00 nat. median
$145,122
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 11 $161,433.00 $198,562.59 $170,715.40 nat. median
$119,796
1.4× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 11 $153,008.00 $188,199.84 $161,805.96 nat. median
$160,267
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 16 $11,250.00 $293,364.89 $150,443.53 nat. median
$133,176
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 11 $137,513.00 $169,140.99 $145,420.00 nat. median
$164,834
0.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 11 $134,969.00 $166,011.87 $142,729.72 nat. median
$105,658
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 11 $133,615.00 $164,346.45 $141,297.86 nat. median
$187,294
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $7,099.00 $272,445.99 $139,715.89 nat. median
$117,303
1.2× median
7
MS_DRG 		Lung Transplant 16 $11,250.00 $271,774.61 $139,371.59 nat. median
$122,708
1.1× median
23
APR_DRG 		Heart And/or Lung Transplant 11 $130,623.00 $160,666.29 $138,133.82 nat. median
$93,528
1.5× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 11 $129,535.00 $159,328.05 $136,983.26 nat. median
$129,535
1.1× median
1612
APR_DRG 		Implantable Heart Assist Systems 11 $129,460.00 $159,235.80 $136,903.95 nat. median
$85,406
1.6× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 $85,170.00 $188,565.15 $136,867.58 nat. median
$95,507
1.4× median
1611
APR_DRG 		Implantable Heart Assist Systems 11 $123,135.00 $151,456.05 $130,215.26 nat. median
$76,806
1.7× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 11 $102,272.00 $157,243.20 $127,840.00 nat. median
$108,996
1.2× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 11 $98,416.00 $151,315.83 $123,021.00 nat. median
$102,636
1.2× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $95,908.00 $147,458.55 $119,885.00 nat. median
$124,573
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $11,250.00 $230,085.34 $117,992.48 nat. median
$108,660
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $11,250.00 $227,525.93 $116,679.96 nat. median
$102,358
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $11,250.00 $222,551.54 $114,128.99 nat. median
$100,136
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 20 $11,250.00 $221,440.68 $113,559.32 nat. median
$99,019
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $26,290.00 $219,011.47 $112,313.57 nat. median
$98,905
1.1× median
64
APR_DRG 		Pancreas Transplant 11 $103,209.00 $126,947.07 $109,143.52 nat. median
$91,748
1.2× median
8634
APR_DRG 		Neonatal Aftercare 11 $67,843.00 $150,203.91 $109,023.46 nat. median
$69,502
1.6× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 $85,041.00 $130,751.46 $106,302.00 nat. median
$72,936
1.5× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 11 $64,596.00 $143,015.79 $103,805.90 nat. median
$72,694
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $11,250.00 $202,240.96 $103,713.31 nat. median
$93,672
1.1× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 $82,767.00 $127,254.57 $103,459.00 nat. median
$86,492
1.2× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 11 $97,139.00 $119,480.97 $102,724.49 nat. median
$97,957
1.0× median
4800639
CDM 		Defib Imp Sys Ins/repl Tv 9 $71,506.76 $137,513.00 $101,759.62 nat. median
$86,304
1.2× median
4810632
CDM 		Defib Imp Ins Ex Mul Lead 9 $71,505.20 $137,510.00 $101,757.40 nat. median
$92,081
1.1× median

Other procedures at this hospital

Browse this hospital's 16,369 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
             
5834 APR_DRG Neonate With Ecmo 32 11 — — $309,665.00 $685,599.54 $497,632.27 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 44 16 — — $7,099.00 $773,160.67 $396,492.65 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 32 11 — — $230,971.00 $511,368.81 $371,169.91 2026-02-28
5833 APR_DRG Neonate With Ecmo 32 11 — — $269,678.00 $414,630.54 $337,098.00 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 44 16 — — $11,250.00 $578,976.32 $296,910.93 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 32 11 — — $156,990.00 $347,575.86 $252,282.93 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 44 16 — — $11,250.00 $488,531.93 $250,529.19 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 32 11 — — $151,838.00 $336,168.84 $244,003.42 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 32 11 — — $150,323.00 $332,815.86 $241,569.43 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 32 11 — — $147,677.00 $326,956.14 $237,316.57 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 32 11 — — $145,988.00 $323,218.17 $234,603.08 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 44 16 — — $11,250.00 $441,917.10 $226,624.15 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 32 11 — — $213,038.00 $262,036.74 $225,287.68 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 32 11 — — $206,387.00 $253,856.01 $218,254.25 2026-02-28
5832 APR_DRG Neonate With Ecmo 32 11 — — $169,230.00 $260,191.74 $211,538.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 32 11 — — $148,138.00 $227,762.79 $185,173.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 32 11 — — $113,900.00 $252,175.83 $183,037.92 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 32 11 — — $144,199.00 $221,705.04 $180,248.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 32 11 — — $109,564.00 $242,573.22 $176,068.61 2026-02-28
5831 APR_DRG Neonate With Ecmo 32 11 — — $137,045.00 $210,707.61 $171,307.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 32 11 — — $161,433.00 $198,562.59 $170,715.40 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 32 11 — — $153,008.00 $188,199.84 $161,805.96 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 44 16 — — $11,250.00 $293,364.89 $150,443.53 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 32 11 — — $137,513.00 $169,140.99 $145,420.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 32 11 — — $134,969.00 $166,011.87 $142,729.72 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 32 11 — — $133,615.00 $164,346.45 $141,297.86 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 44 16 — — $7,099.00 $272,445.99 $139,715.89 2026-02-28
7 MS_DRG Lung Transplant 44 16 — — $11,250.00 $271,774.61 $139,371.59 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 32 11 — — $130,623.00 $160,666.29 $138,133.82 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 32 11 — — $129,535.00 $159,328.05 $136,983.26 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 32 11 — — $129,460.00 $159,235.80 $136,903.95 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 32 11 — — $85,170.00 $188,565.15 $136,867.58 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 32 11 — — $123,135.00 $151,456.05 $130,215.26 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 32 11 — — $102,272.00 $157,243.20 $127,840.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 32 11 — — $98,416.00 $151,315.83 $123,021.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 32 11 — — $95,908.00 $147,458.55 $119,885.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 44 16 — — $11,250.00 $230,085.34 $117,992.48 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 44 16 — — $11,250.00 $227,525.93 $116,679.96 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 56 20 — — $11,250.00 $222,551.54 $114,128.99 2026-02-28
215 MS_DRG Other Heart Assist System Implant 60 20 — — $11,250.00 $221,440.68 $113,559.32 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 20 — — $26,290.00 $219,011.47 $112,313.57 2026-02-28
64 APR_DRG Pancreas Transplant 32 11 — — $103,209.00 $126,947.07 $109,143.52 2026-02-28
8634 APR_DRG Neonatal Aftercare 32 11 — — $67,843.00 $150,203.91 $109,023.46 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 32 11 — — $85,041.00 $130,751.46 $106,302.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 32 11 — — $64,596.00 $143,015.79 $103,805.90 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 60 20 — — $11,250.00 $202,240.96 $103,713.31 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 32 11 — — $82,767.00 $127,254.57 $103,459.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 32 11 — — $97,139.00 $119,480.97 $102,724.49 2026-02-28
4800639 CDM Defib Imp Sys Ins/repl Tv 22 9 $137,513.00 $53,767.59 61% off $71,506.76 $137,513.00 $101,759.62 2026-02-28
4810632 CDM Defib Imp Ins Ex Mul Lead 22 9 $137,510.00 $53,766.41 61% off $71,505.20 $137,510.00 $101,757.40 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 32 11 — — $62,090.00 $137,467.26 $99,778.63 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 32 11 — — $94,014.00 $115,637.22 $99,419.80 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 32 11 — — $79,520.00 $122,260.77 $99,399.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 56 20 — — $11,250.00 $193,305.36 $99,130.95 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 32 11 — — $92,671.00 $113,985.33 $97,999.58 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 32 11 — — $89,206.00 $109,723.38 $94,335.35 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 60 20 — — $11,250.00 $178,290.63 $91,431.09 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 56 20 — — $26,290.00 $178,195.02 $91,382.06 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 56 20 — — $26,290.00 $175,578.63 $90,040.32 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 32 11 — — $84,380.00 $103,787.40 $89,231.85 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 32 11 — — $83,517.00 $102,725.91 $88,319.23 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 32 11 — — $83,072.00 $102,178.56 $87,848.64 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 56 20 — — $11,250.00 $169,892.16 $87,124.18 2026-02-28
63 APR_DRG Pancreas Transplant 32 11 — — $81,709.00 $100,502.07 $86,407.27 2026-02-28
10 MS_DRG Pancreas Transplant 56 20 — — $11,250.00 $168,099.75 $86,205.00 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 56 20 — — $11,250.00 $167,169.98 $85,728.19 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 32 11 — — $52,627.00 $116,516.67 $84,571.84 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 60 20 — — $11,250.00 $164,913.69 $84,571.12 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 60 20 — — $11,250.00 $163,308.47 $83,747.93 2026-02-28
4404 APR_DRG Kidney Transplant 32 11 — — $78,303.00 $96,312.69 $82,805.42 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 32 11 — — $77,288.00 $95,064.24 $81,732.06 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 32 11 — — $50,453.00 $111,703.68 $81,078.34 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 32 11 — — $76,592.00 $94,208.16 $80,996.04 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 56 20 — — $11,250.00 $157,748.14 $80,896.48 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 32 11 — — $64,210.00 $98,722.26 $80,262.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 32 11 — — $64,092.00 $98,541.45 $80,115.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 32 11 — — $63,675.00 $97,900.62 $79,594.00 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 32 11 — — $73,704.00 $90,655.92 $77,941.98 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 20 — — $26,290.00 $150,393.36 $77,124.80 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 56 20 — — $11,250.00 $149,667.03 $76,752.32 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 32 11 — — $47,479.00 $105,118.26 $76,298.63 2026-02-28
4800638 CDM Defib Imp Ins Ex Sng Lead 22 9 $102,256.00 $39,982.10 61% off $53,173.12 $102,256.00 $75,669.44 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 44 16 — — $7,099.00 $147,418.89 $75,599.43 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 32 11 — — $46,514.00 $102,981.75 $74,747.88 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 32 11 — — $70,285.00 $86,450.55 $74,326.39 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 56 20 — — $11,250.00 $144,810.65 $74,261.87 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 56 20 — — $26,290.00 $142,295.99 $72,972.30 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 32 11 — — $58,175.00 $89,444.37 $72,719.00 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 56 20 — — $11,250.00 $141,771.09 $72,703.12 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 56 20 — — $11,250.00 $141,541.18 $72,585.22 2026-02-28
1784 APR_DRG External Heart Assist Systems 32 11 — — $67,533.00 $83,065.59 $71,416.15 2026-02-28
62 APR_DRG Pancreas Transplant 32 11 — — $67,118.00 $82,555.14 $70,977.29 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 32 11 — — $44,075.00 $97,580.82 $70,827.91 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 56 20 — — $7,099.00 $137,464.01 $70,494.36 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 60 20 — — $11,250.00 $137,274.80 $70,397.33 2026-02-28
4810979 CDM Defib Subq Ins/rep W Lead 22 9 $94,157.00 $36,815.39 61% off $48,961.64 $94,157.00 $69,676.18 2026-02-28
4811229 CDM Laa Closure W/implant 22 9 $94,005.00 $36,755.96 61% off $48,882.60 $94,005.00 $69,563.70 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 32 11 — — $65,623.00 $80,716.29 $69,396.32 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 56 20 — — $11,250.00 $134,556.69 $69,003.43 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 32 11 — — $65,103.00 $80,076.69 $68,846.42 2026-02-28
3605552 CDM Inst/supp Ste17861x-19647 22 9 $98,235.00 $38,409.89 61% off $51,082.20 $98,235.00 $68,764.50 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 32 11 — — $54,999.00 $84,561.27 $68,749.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 32 11 — — $64,981.00 $79,926.63 $68,717.41 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 32 11 — — $54,955.00 $84,493.62 $68,694.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 32 11 — — $64,857.00 $79,774.11 $68,586.28 2026-02-28
4810728 CDM Transcth Rpr Mitral Init 22 9 $92,467.00 $36,154.60 61% off $48,082.84 $92,467.00 $68,425.58 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 56 20 — — $11,250.00 $131,913.86 $67,648.13 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 56 20 — — $11,250.00 $131,751.09 $67,564.66 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 56 20 — — $11,250.00 $131,177.36 $67,270.44 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 56 20 — — $8,035.00 $130,739.94 $67,046.12 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 60 20 — — $11,250.00 $130,170.27 $66,753.98 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 56 20 — — $11,250.00 $129,576.20 $66,449.33 2026-02-28
4800817 CDM Tavr Femoral Art App Perc 22 9 $89,580.00 $35,025.78 61% off $46,581.60 $89,580.00 $66,289.20 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 56 20 — — $7,099.00 $128,689.14 $65,994.43 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 56 20 — — $7,099.00 $128,689.14 $65,994.43 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 32 11 — — $62,272.00 $76,594.56 $65,852.64 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 56 20 — — $11,250.00 $127,771.57 $65,523.88 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 60 20 — — $11,250.00 $126,927.26 $65,090.90 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 56 20 — — $7,099.00 $126,835.71 $65,043.95 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 32 11 — — $61,493.00 $75,636.39 $65,028.85 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 32 11 — — $61,288.00 $75,384.24 $64,812.06 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 60 20 — — $11,250.00 $125,602.78 $64,411.68 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 32 11 — — $60,375.00 $74,261.25 $63,846.56 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 32 11 — — $60,331.00 $74,207.13 $63,800.03 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 56 20 — — $11,250.00 $124,343.41 $63,765.85 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 56 20 — — $26,290.00 $122,656.80 $62,900.92 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 20 — — $11,250.00 $121,958.97 $62,543.06 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 32 11 — — $58,078.00 $71,435.94 $61,417.49 2026-02-28
1794 APR_DRG Defibrillator Implants 32 11 — — $57,855.00 $71,161.65 $61,181.66 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 56 20 — — $11,250.00 $119,303.93 $61,181.50 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 32 11 — — $57,769.00 $71,055.87 $61,090.72 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 32 11 — — $57,690.00 $70,958.70 $61,007.18 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 56 20 — — $7,099.00 $118,341.60 $60,688.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 56 20 — — $11,250.00 $118,341.60 $60,688.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 32 11 — — $57,308.00 $70,488.84 $60,603.21 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 32 11 — — $48,431.00 $74,461.74 $60,538.00 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 56 20 — — $26,290.00 $117,869.59 $60,445.94 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 56 20 — — $26,290.00 $117,186.00 $60,095.38 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 32 11 — — $56,540.00 $69,544.20 $59,791.05 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 56 20 — — $11,250.00 $116,587.85 $59,788.64 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 56 20 — — $11,250.00 $116,335.56 $59,659.26 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 32 11 — — $56,265.00 $69,205.95 $59,500.24 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 56 20 — — $11,250.00 $115,772.01 $59,370.26 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 56 20 — — $11,250.00 $115,668.25 $59,317.05 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 56 20 — — $11,250.00 $115,656.05 $59,310.79 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 32 11 — — $55,890.00 $68,744.70 $59,103.68 2026-02-28
61 APR_DRG Pancreas Transplant 32 11 — — $55,755.00 $68,578.65 $58,960.91 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 60 20 — — $11,250.00 $114,128.12 $58,527.24 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 32 11 — — $46,628.00 $71,690.55 $58,285.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 60 20 — — $11,250.00 $113,650.00 $58,282.05 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 32 11 — — $54,809.00 $67,415.07 $57,960.52 2026-02-28
C1824 HCPCS Gener Ccm 21611x-23772 124 17 $124,802.50 $48,797.78 61% off $24,960.60 $130,745.00 $57,290.30 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 32 11 — — $53,959.00 $66,369.57 $57,061.64 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 32 11 — — $45,477.00 $69,920.58 $56,846.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 56 20 — — $26,290.00 $110,667.40 $56,752.51 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 56 20 — — $11,250.00 $110,319.50 $56,574.10 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 56 20 — — $8,035.00 $109,538.25 $56,173.46 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 56 20 — — $11,250.00 $109,220.87 $56,010.70 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 32 11 — — $34,773.00 $76,988.16 $55,880.58 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 56 20 — — $11,250.00 $108,364.33 $55,571.45 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 56 20 — — $7,099.00 $107,760.09 $55,261.58 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 56 20 — — $11,250.00 $107,680.74 $55,220.89 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 56 20 — — $11,250.00 $107,640.04 $55,200.02 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 60 20 — — $11,250.00 $107,273.83 $55,012.22 2026-02-28
4811308 CDM Ins/rpl Crd Mod Sy Pg Tve 22 9 $74,048.00 $28,952.77 61% off $38,504.96 $74,048.00 $54,795.52 2026-02-28
1783 APR_DRG External Heart Assist Systems 32 11 — — $51,748.00 $63,650.04 $54,723.51 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 32 11 — — $51,543.00 $63,397.89 $54,506.72 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 32 11 — — $51,481.00 $63,321.63 $54,441.16 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 32 11 — — $51,367.00 $63,181.41 $54,320.60 2026-02-28
4800709 CDM Pacemk Ins Exis Mlt Leads 22 9 $73,212.00 $28,625.90 61% off $38,070.24 $73,212.00 $54,176.88 2026-02-28
245 MS_DRG Aicd Generator Procedures 60 20 — — $11,250.00 $105,310.52 $54,005.39 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 32 11 — — $33,426.00 $74,005.41 $53,715.71 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 56 20 — — $26,290.00 $104,710.34 $53,697.61 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 56 20 — — $11,250.00 $104,545.55 $53,613.10 2026-02-28
C2624 HCPCS Wrless Sens 21611x-23772 62 17 $118,860.00 $46,474.26 61% off $24,960.60 $118,860.00 $53,487.00 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 32 11 — — $33,280.00 $73,681.92 $53,480.96 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 32 11 — — $50,296.00 $61,864.08 $53,188.02 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 32 11 — — $50,285.00 $61,850.55 $53,176.39 2026-02-28
234 APR_DRG Spinal Procedures 32 11 — — $50,013.00 $61,515.99 $52,888.75 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 56 20 — — $11,250.00 $103,046.12 $52,844.16 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 56 20 — — $11,250.00 $102,624.96 $52,628.18 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 20 — — $11,250.00 $102,606.65 $52,618.79 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 32 11 — — $49,323.00 $60,667.29 $52,159.07 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 56 20 — — $11,250.00 $101,605.67 $52,105.47 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 32 11 — — $41,490.00 $63,791.49 $51,863.00 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 56 20 — — $11,250.00 $101,092.98 $51,842.55 2026-02-28
4403 APR_DRG Kidney Transplant 32 11 — — $48,930.00 $60,183.90 $51,743.47 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 56 20 — — $11,250.00 $100,531.46 $51,554.59 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 32 11 — — $48,451.00 $59,594.73 $51,236.93 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 32 11 — — $48,436.00 $59,576.28 $51,221.07 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 56 20 — — $11,250.00 $99,662.71 $51,109.08 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 56 20 — — $11,250.00 $99,624.04 $51,089.25 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 60 20 — — $11,250.00 $99,324.97 $50,935.88 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 56 20 — — $11,250.00 $99,310.74 $50,928.58 2026-02-28
6904 APR_DRG Acute Leukemia 32 11 — — $48,081.00 $59,139.63 $50,845.66 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 32 11 — — $48,072.00 $59,128.56 $50,836.14 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 32 11 — — $47,582.00 $58,525.86 $50,317.96 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 32 11 — — $47,418.00 $58,324.14 $50,144.54 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 56 20 — — $11,250.00 $97,677.03 $50,090.78 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 32 11 — — $40,023.00 $61,535.67 $50,029.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 32 11 — — $47,272.00 $58,144.56 $49,990.14 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 32 11 — — $47,240.00 $58,105.20 $49,956.30 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 32 11 — — $47,233.00 $58,096.59 $49,948.90 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 56 20 — — $11,250.00 $97,129.74 $49,810.12 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 56 20 — — $11,250.00 $96,877.45 $49,680.74 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 32 11 — — $30,797.00 $68,183.82 $49,490.41 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 32 11 — — $46,725.00 $57,471.75 $49,411.69 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 32 11 — — $46,651.00 $57,380.73 $49,333.43 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 56 20 — — $11,250.00 $96,027.03 $49,244.63 2026-02-28
4414 APR_DRG Major Bladder Procedures 32 11 — — $46,515.00 $57,213.45 $49,189.61 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 32 11 — — $46,300.00 $56,949.00 $48,962.25 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 56 20 — — $11,250.00 $95,260.02 $48,851.29 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 32 11 — — $39,049.00 $60,037.53 $48,811.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 32 11 — — $46,004.00 $56,584.92 $48,649.23 2026-02-28
C1822 HCPCS Nurstm Hf Rc 19647x-21611 62 17 $108,055.00 $42,249.51 61% off $22,691.55 $108,055.00 $48,624.75 2026-02-28
1782 APR_DRG External Heart Assist Systems 32 11 — — $45,929.00 $56,492.67 $48,569.92 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 32 11 — — $45,882.00 $56,434.86 $48,520.21 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 32 11 — — $38,756.00 $59,587.35 $48,445.00 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 56 20 — — $7,099.00 $93,919.28 $48,163.73 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 56 20 — — $26,290.00 $93,738.20 $48,070.87 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 56 20 — — $11,250.00 $92,674.14 $47,525.20 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 56 20 — — $11,250.00 $92,545.97 $47,459.47 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 32 11 — — $37,759.00 $58,054.77 $47,199.00 2026-02-28
274 APR_DRG Other Open Craniotomy 32 11 — — $44,581.00 $54,834.63 $47,144.41 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 56 20 — — $11,250.00 $91,931.55 $47,144.38 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 56 20 — — $11,250.00 $91,146.22 $46,741.65 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 56 20 — — $11,250.00 $91,125.88 $46,731.22 2026-02-28
237 MS_DRG No Active Code Description 16 7 — — $44,484.00 $48,834.00 $46,659.00 2026-02-28
230 MS_DRG No Active Code Description 16 7 — — $44,484.00 $48,834.00 $46,659.00 2026-02-28
238 MS_DRG No Active Code Description 16 7 — — $44,484.00 $48,834.00 $46,659.00 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 56 20 — — $7,099.00 $90,737.29 $46,531.94 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 32 11 — — $43,961.00 $54,072.03 $46,488.76 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 56 20 — — $11,250.00 $90,537.90 $46,429.69 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 32 11 — — $43,736.00 $53,795.28 $46,250.82 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 32 11 — — $43,531.00 $53,543.13 $46,034.03 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 60 20 — — $11,250.00 $89,549.13 $45,922.63 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 56 20 — — $11,250.00 $89,502.33 $45,898.63 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 32 11 — — $43,343.00 $53,311.89 $45,835.22 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 56 20 — — $11,250.00 $89,378.24 $45,834.99 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 32 11 — — $43,256.00 $53,204.88 $45,743.22 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 56 20 — — $26,290.00 $88,967.25 $45,624.23 2026-02-28
4402 APR_DRG Kidney Transplant 32 11 — — $43,020.00 $52,914.60 $45,493.65 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 56 20 — — $11,250.00 $88,639.69 $45,456.25 2026-02-28
791 MS_DRG Prematurity With Major Problems 56 20 — — $7,099.00 $88,487.10 $45,378.00 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 32 11 — — $42,892.00 $52,757.16 $45,358.29 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 32 11 — — $36,181.00 $55,627.98 $45,226.00 2026-02-28
4014 APR_DRG Adrenal Procedures 32 11 — — $42,748.00 $52,580.04 $45,206.01 2026-02-28
8633 APR_DRG Neonatal Aftercare 32 11 — — $36,131.00 $55,551.72 $45,164.00 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 56 20 — — $11,250.00 $86,936.82 $44,582.98 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 56 20 — — $11,250.00 $86,879.84 $44,553.76 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 32 11 — — $42,073.00 $51,749.79 $44,492.20 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 32 11 — — $42,037.00 $51,705.51 $44,454.13 2026-02-28
1781 APR_DRG External Heart Assist Systems 32 11 — — $41,989.00 $51,646.47 $44,403.37 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 32 11 — — $41,863.00 $51,491.49 $44,270.12 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 56 20 — — $11,250.00 $86,163.70 $44,186.51 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 56 20 — — $11,250.00 $85,998.90 $44,102.00 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 56 20 — — $11,250.00 $85,836.14 $44,018.53 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 56 20 — — $26,290.00 $85,482.14 $43,836.99 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 56 20 — — $11,250.00 $85,443.49 $43,817.17 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 32 11 — — $41,356.00 $50,867.88 $43,733.97 2026-02-28
9202231 CDM Perc Avf Creat Upp Single 26 10 $62,294.00 $24,356.96 61% off $32,392.88 $62,294.00 $43,605.80 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 56 20 — — $11,250.00 $85,004.01 $43,591.80 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 32 11 — — $41,146.00 $50,609.58 $43,511.90 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 56 20 — — $11,250.00 $84,521.84 $43,344.53 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 56 20 — — $11,250.00 $84,442.49 $43,303.84 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 56 20 — — $11,250.00 $84,222.77 $43,191.16 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 32 11 — — $40,755.00 $50,128.65 $43,098.41 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 56 20 — — $11,250.00 $83,655.14 $42,900.07 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 32 11 — — $40,495.00 $49,808.85 $42,823.46 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 32 11 — — $34,178.00 $52,548.06 $42,722.00 2026-02-28
1793 APR_DRG Defibrillator Implants 32 11 — — $40,380.00 $49,667.40 $42,701.85 2026-02-28
3606097 CDM Inst/supp Ste11090x-12199 22 9 $60,995.00 $23,849.05 61% off $31,717.40 $60,995.00 $42,696.50 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 20 — — $11,250.00 $83,234.00 $42,684.10 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 32 11 — — $40,339.00 $49,616.97 $42,658.49 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 32 11 — — $40,327.00 $49,602.21 $42,645.80 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 32 11 — — $40,213.00 $49,461.99 $42,525.25 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 56 20 — — $11,250.00 $82,631.78 $42,375.27 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 32 11 — — $39,876.00 $49,047.48 $42,168.87 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 56 20 — — $11,250.00 $82,019.38 $42,061.22 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 32 11 — — $33,610.00 $51,675.99 $42,013.00 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 32 11 — — $39,534.00 $48,626.82 $41,807.21 2026-02-28
C1882 HCPCS Icd Not S/d 10082x-11090 744 17 $93,770.00 $36,664.07 61% off $10,586.10 $158,200.00 $41,593.20 2026-02-28
2324 APR_DRG Gastric Fundoplication 32 11 — — $39,323.00 $48,367.29 $41,584.07 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 32 11 — — $39,311.00 $48,352.53 $41,571.38 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 32 11 — — $38,970.00 $47,933.10 $41,210.78 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 32 11 — — $38,868.00 $47,807.64 $41,102.91 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 32 11 — — $38,865.00 $47,803.95 $41,099.74 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 56 20 — — $7,099.00 $80,121.18 $41,087.78 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 32 11 — — $32,820.00 $50,459.52 $41,024.00 2026-02-28
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 32 11 — — $25,495.00 $56,445.93 $40,970.46 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 32 11 — — $32,702.00 $50,279.94 $40,878.00 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 56 20 — — $11,250.00 $79,606.45 $40,823.82 2026-02-28
4401 APR_DRG Kidney Transplant 32 11 — — $38,574.00 $47,446.02 $40,792.01 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 32 11 — — $38,536.00 $47,399.28 $40,751.82 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 32 11 — — $38,304.00 $47,113.92 $40,506.48 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 56 20 — — $11,250.00 $78,821.13 $40,421.09 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 56 20 — — $7,099.00 $78,817.05 $40,419.00 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 56 20 — — $26,290.00 $78,804.85 $40,412.74 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 32 11 — — $38,198.00 $46,983.54 $40,394.38 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 32 11 — — $38,173.00 $46,952.79 $40,367.95 2026-02-28
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