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 →

Export CSV
Hospital

SAINT AGNES MEDICAL CENTER

Fresno, CA · CCN 050093 · Rates published

7,559 distinct procedures filed
27 distinct payers
389,957 rate rows
2025-01-01 last MRF observed · ⚠ 18 mo old
Data quality

279,962 of 389,957 rate rows are consumer-grade (71.8%)

109,995 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 82,392
template filing: same amount across many unrelated codes — excluded 21,807
exceeds 10× this hospital's gross charge — excluded from medians 5,388
per-diem day rate — not a per-procedure price 351
percent-of-charges filed in the dollar field — excluded from medians 55
placeholder amount (≤ $0.02) — excluded from medians 2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/saintagnescenter
Found on page https://www.samc.com/for-patients/billing-and-financial-information/price-estimator
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 329382b74da9ee80… · 7,227,090 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $406,754.41 $589,793.89 $417,533.40 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $299,228.66 $433,881.56 $307,158.22 nat. median
$265,286
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $291,063.90 $422,042.66 $297,758.37 nat. median
$206,474
1.4× median
'583-4
APR_DRG 		Neonate With Ecmo 3 $248,268.00 $326,720.69 $278,060.16 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $235,465.36 $341,424.77 $241,705.19 nat. median
$202,976
1.2× median
'588-4
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $203,646.92 $267,999.35 $228,084.55 —
'583-3
APR_DRG 		Neonate With Ecmo 3 $196,632.90 $258,768.90 $220,228.85 —
'161-4
APR_DRG 		Implantable Heart Assist Systems 3 $194,710.35 $256,238.82 $218,075.59 —
'002-4
APR_DRG 		Heart And/or Lung Transplant 3 $187,901.77 $247,278.73 $210,449.98 —
'161-3
APR_DRG 		Implantable Heart Assist Systems 3 $149,168.99 $196,306.39 $167,069.27 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $162,410.62 $235,495.40 $166,714.50 nat. median
$133,161
1.3× median
'630-4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $147,814.83 $194,524.32 $165,552.61 —
'583-2
APR_DRG 		Neonate With Ecmo 3 $144,997.80 $190,817.10 $162,397.54 —
'841-4
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $137,310.38 $180,700.46 $153,787.63 —
'593-4
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $132,816.77 $174,786.87 $148,754.78 —
'588-3
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $131,197.30 $172,655.65 $146,940.98 —
'588-2
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $128,466.86 $169,062.39 $143,882.88 —
'591-4
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $128,256.83 $168,785.99 $143,647.65 —
'011-4
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $128,091.01 $168,567.77 $143,461.93 —
'609-4
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $127,438.80 $167,709.46 $142,731.46 —
'583-1
APR_DRG 		Neonate With Ecmo 3 $125,304.38 $164,900.56 $140,340.91 —
7
MS_DRG 		Lung Transplant 16 $135,555.94 $196,556.11 $139,148.17 nat. median
$122,708
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $135,309.86 $196,199.30 $138,895.58 nat. median
$108,660
1.3× median
'007-4
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $123,185.62 $162,112.28 $137,967.89 —
'631-4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $122,345.49 $161,006.66 $137,026.95 —
'004-4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $122,015.70 $160,572.66 $136,657.58 —
'001-4
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $120,118.03 $158,075.33 $134,532.19 —
'161-2
APR_DRG 		Implantable Heart Assist Systems 3 $119,768.89 $157,615.86 $134,141.16 —
'009-4
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $119,456.61 $157,204.90 $133,791.40 —
'002-3
APR_DRG 		Heart And/or Lung Transplant 3 $116,195.56 $152,913.36 $130,139.03 —
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $126,667.28 $183,667.56 $130,023.96 nat. median
$117,357
1.1× median
'161-1
APR_DRG 		Implantable Heart Assist Systems 3 $113,781.09 $149,735.91 $127,434.82 —
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 16 $119,050.96 $172,623.89 $122,205.81 nat. median
$102,358
1.2× median
'603-4
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 $106,762.47 $140,499.41 $119,573.97 —
'006-4
APR_DRG 		Pancreas Transplant 3 $106,078.02 $139,598.67 $118,807.38 —
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $114,408.55 $165,892.40 $117,440.38 nat. median
$100,136
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 20 $11,458.00 $1,164,466.77 $115,708.00 nat. median
$99,019
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $11,458.00 $875,311.30 $107,294.31 nat. median
$93,672
1.1× median
'602-4
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $95,203.25 $125,287.48 $106,627.64 —
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 19 $16,134.00 $142,073.77 $97,981.91 nat. median
$87,428
1.1× median
'002-2
APR_DRG 		Heart And/or Lung Transplant 3 $86,229.84 $113,478.47 $96,577.42 —
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $93,468.61 $135,529.48 $95,945.53 nat. median
$77,570
1.2× median
'593-3
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $85,409.97 $112,399.52 $95,659.17 —
'588-1
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $84,562.47 $111,284.21 $94,709.97 —
'004-3
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $83,498.48 $109,884.00 $93,518.30 —
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 $16,134.00 $135,161.47 $93,214.81 nat. median
$81,118
1.1× median
'160-4
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $82,390.28 $108,425.61 $92,277.11 —
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $88,404.67 $128,186.77 $90,747.39 nat. median
$71,271
1.3× median
'005-4
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $80,410.62 $105,820.38 $90,059.89 —
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 20 $11,458.00 $669,925.99 $89,747.62 nat. median
$79,312
1.1× median

Other procedures at this hospital

Browse this hospital's 7,559 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 16 — — $406,754.41 $589,793.89 $417,533.40 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 16 — — $299,228.66 $433,881.56 $307,158.22 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 15 — — $291,063.90 $422,042.66 $297,758.37 2025-01-01
'583-4 APR_DRG Neonate With Ecmo 3 3 — — $248,268.00 $326,720.69 $278,060.16 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 16 — — $235,465.36 $341,424.77 $241,705.19 2025-01-01
'588-4 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $203,646.92 $267,999.35 $228,084.55 2025-01-01
'583-3 APR_DRG Neonate With Ecmo 3 3 — — $196,632.90 $258,768.90 $220,228.85 2025-01-01
'161-4 APR_DRG Implantable Heart Assist Systems 3 3 — — $194,710.35 $256,238.82 $218,075.59 2025-01-01
'002-4 APR_DRG Heart And/or Lung Transplant 3 3 — — $187,901.77 $247,278.73 $210,449.98 2025-01-01
'161-3 APR_DRG Implantable Heart Assist Systems 3 3 — — $149,168.99 $196,306.39 $167,069.27 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 16 — — $162,410.62 $235,495.40 $166,714.50 2025-01-01
'630-4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $147,814.83 $194,524.32 $165,552.61 2025-01-01
'583-2 APR_DRG Neonate With Ecmo 3 3 — — $144,997.80 $190,817.10 $162,397.54 2025-01-01
'841-4 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $137,310.38 $180,700.46 $153,787.63 2025-01-01
'593-4 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $132,816.77 $174,786.87 $148,754.78 2025-01-01
'588-3 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $131,197.30 $172,655.65 $146,940.98 2025-01-01
'588-2 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $128,466.86 $169,062.39 $143,882.88 2025-01-01
'591-4 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $128,256.83 $168,785.99 $143,647.65 2025-01-01
'011-4 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $128,091.01 $168,567.77 $143,461.93 2025-01-01
'609-4 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $127,438.80 $167,709.46 $142,731.46 2025-01-01
'583-1 APR_DRG Neonate With Ecmo 3 3 — — $125,304.38 $164,900.56 $140,340.91 2025-01-01
7 MS_DRG Lung Transplant 18 16 — — $135,555.94 $196,556.11 $139,148.17 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 16 — — $135,309.86 $196,199.30 $138,895.58 2025-01-01
'007-4 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $123,185.62 $162,112.28 $137,967.89 2025-01-01
'631-4 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $122,345.49 $161,006.66 $137,026.95 2025-01-01
'004-4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $122,015.70 $160,572.66 $136,657.58 2025-01-01
'001-4 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $120,118.03 $158,075.33 $134,532.19 2025-01-01
'161-2 APR_DRG Implantable Heart Assist Systems 3 3 — — $119,768.89 $157,615.86 $134,141.16 2025-01-01
'009-4 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $119,456.61 $157,204.90 $133,791.40 2025-01-01
'002-3 APR_DRG Heart And/or Lung Transplant 3 3 — — $116,195.56 $152,913.36 $130,139.03 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 16 — — $126,667.28 $183,667.56 $130,023.96 2025-01-01
'161-1 APR_DRG Implantable Heart Assist Systems 3 3 — — $113,781.09 $149,735.91 $127,434.82 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 18 16 — — $119,050.96 $172,623.89 $122,205.81 2025-01-01
'603-4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $106,762.47 $140,499.41 $119,573.97 2025-01-01
'006-4 APR_DRG Pancreas Transplant 3 3 — — $106,078.02 $139,598.67 $118,807.38 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 16 — — $114,408.55 $165,892.40 $117,440.38 2025-01-01
215 MS_DRG Other Heart Assist System Implant 25 20 — — $11,458.00 $1,164,466.77 $115,708.00 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 20 — — $11,458.00 $875,311.30 $107,294.31 2025-01-01
'602-4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $95,203.25 $125,287.48 $106,627.64 2025-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 23 19 — — $16,134.00 $142,073.77 $97,981.91 2025-01-01
'002-2 APR_DRG Heart And/or Lung Transplant 3 3 — — $86,229.84 $113,478.47 $96,577.42 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 16 — — $93,468.61 $135,529.48 $95,945.53 2025-01-01
'593-3 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $85,409.97 $112,399.52 $95,659.17 2025-01-01
'588-1 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $84,562.47 $111,284.21 $94,709.97 2025-01-01
'004-3 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $83,498.48 $109,884.00 $93,518.30 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 19 — — $16,134.00 $135,161.47 $93,214.81 2025-01-01
'160-4 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $82,390.28 $108,425.61 $92,277.11 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 16 — — $88,404.67 $128,186.77 $90,747.39 2025-01-01
'005-4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $80,410.62 $105,820.38 $90,059.89 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 20 — — $11,458.00 $669,925.99 $89,747.62 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 20 — — $11,458.00 $628,593.89 $87,251.16 2025-01-01
'162-4 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $77,651.63 $102,189.55 $86,969.83 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 27 18 — — $11,458.00 $550,043.39 $86,264.99 2025-01-01
'591-3 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $75,138.59 $98,882.38 $84,155.22 2025-01-01
'602-3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $75,070.43 $98,792.69 $84,078.88 2025-01-01
'006-3 APR_DRG Pancreas Transplant 3 3 — — $74,588.64 $98,158.65 $83,539.28 2025-01-01
'303-4 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $74,237.66 $97,696.76 $83,146.18 2025-01-01
'002-1 APR_DRG Heart And/or Lung Transplant 3 3 — — $73,921.69 $97,280.94 $82,792.29 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 16 — — $80,007.06 $116,010.24 $82,127.24 2025-01-01
'607-4 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $73,123.93 $96,231.09 $81,898.80 2025-01-01
'007-3 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $72,596.08 $95,536.44 $81,307.61 2025-01-01
'630-3 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $71,420.63 $93,989.55 $79,991.11 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 16 — — $77,054.11 $111,728.46 $79,096.04 2025-01-01
'440-4 APR_DRG Kidney Transplant 3 3 — — $70,574.97 $92,876.66 $79,043.97 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 16 — — $22,996.00 $112,862.91 $78,731.61 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 16 — — $76,426.22 $110,818.02 $78,451.51 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 17 15 — — $76,555.33 $111,005.23 $78,316.10 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 16 — — $76,035.58 $110,251.59 $78,050.52 2025-01-01
'001-3 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $69,443.74 $91,387.96 $77,776.99 2025-01-01
'842-4 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $69,393.07 $91,321.28 $77,720.24 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 19 — — $11,458.00 $470,568.30 $76,710.20 2025-01-01
'593-2 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $67,695.30 $89,087.01 $75,818.74 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 19 — — $16,134.00 $109,385.96 $75,438.59 2025-01-01
'163-4 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $66,076.75 $86,957.00 $74,005.96 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 20 — — $11,458.00 $574,080.04 $73,959.43 2025-01-01
'178-4 APR_DRG External Heart Assist Systems 3 3 — — $65,636.42 $86,377.53 $73,512.79 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 23 19 — — $16,134.00 $106,406.63 $73,383.88 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 18 — — $69,122.18 $515,553.09 $72,578.29 2025-01-01
'006-2 APR_DRG Pancreas Transplant 3 3 — — $64,750.22 $85,211.29 $72,520.25 2025-01-01
'609-3 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $63,490.02 $83,552.87 $71,108.82 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 16 — — $68,813.20 $99,779.14 $70,636.75 2025-01-01
'011-3 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $63,049.69 $82,973.39 $70,615.65 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 18 16 — — $68,726.03 $99,652.74 $70,547.27 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 16 — — $68,359.66 $99,121.51 $70,171.19 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 16 — — $68,359.66 $99,121.51 $70,171.19 2025-01-01
'008-4 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $62,314.57 $82,005.97 $69,792.32 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 16 — — $67,966.82 $98,551.89 $69,767.94 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 16 — — $67,401.83 $97,732.65 $69,187.98 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 16 — — $66,921.81 $97,036.62 $68,695.24 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 21 19 — — $16,134.00 $96,707.01 $68,228.46 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 15 — — $66,407.58 $96,290.99 $67,934.95 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 20 — — $11,458.00 $491,068.83 $67,814.46 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 23 19 — — $16,134.00 $98,150.27 $67,689.84 2025-01-01
'165-4 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $60,426.11 $79,520.76 $67,677.24 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 19 — — $16,134.00 $97,494.24 $67,237.41 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 20 — — $11,458.00 $388,366.59 $67,033.00 2025-01-01
'167-4 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $59,436.74 $78,218.75 $66,569.15 2025-01-01
'005-3 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $59,213.81 $77,925.37 $66,319.47 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 20 — — $11,458.00 $513,779.68 $66,212.55 2025-01-01
'001-2 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $58,202.33 $76,594.27 $65,186.61 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 16 — — $62,909.50 $91,901.65 $64,576.60 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 16 — — $62,751.70 $91,715.93 $64,414.62 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 16 — — $62,695.42 $91,649.69 $64,356.85 2025-01-01
'004-2 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $57,406.42 $75,546.85 $64,295.19 2025-01-01
'602-2 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $57,280.21 $75,380.76 $64,153.84 2025-01-01
'304-4 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $56,980.82 $74,986.76 $63,818.52 2025-01-01
'607-3 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $56,886.86 $74,863.11 $63,713.28 2025-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 18 16 — — $61,981.46 $90,809.38 $63,623.96 2025-01-01
'007-2 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $56,785.53 $74,729.76 $63,599.79 2025-01-01
'303-3 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $56,209.78 $73,972.07 $62,954.95 2025-01-01
'183-4 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $56,009.88 $73,709.00 $62,731.07 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 16 — — $60,946.38 $89,591.12 $62,561.46 2025-01-01
'611-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $55,568.62 $73,128.30 $62,236.85 2025-01-01
'009-3 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $55,056.43 $72,454.26 $61,663.20 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 18 16 — — $59,935.58 $88,401.43 $61,523.88 2025-01-01
'863-4 APR_DRG Neonatal Aftercare 3 3 — — $54,477.92 $71,692.94 $61,015.27 2025-01-01
'166-4 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $54,468.71 $71,680.82 $61,004.96 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 19 — — $11,458.00 $427,524.06 $60,393.49 2025-01-01
'910-4 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $53,809.13 $70,812.82 $60,266.23 2025-01-01
'179-4 APR_DRG Defibrillator Implants 3 3 — — $53,474.73 $70,372.74 $59,891.70 2025-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 16 — — $58,259.37 $86,428.58 $59,803.24 2025-01-01
'680-4 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $53,253.65 $70,081.80 $59,644.09 2025-01-01
'162-3 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $53,185.48 $69,992.09 $59,567.74 2025-01-01
'612-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $53,137.57 $69,929.04 $59,514.08 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 28 19 — — $11,458.00 $366,566.30 $59,080.56 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 16 — — $57,096.28 $85,059.66 $58,609.33 2025-01-01
'613-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $52,134.39 $68,608.86 $58,390.52 2025-01-01
'603-3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $51,953.83 $68,371.24 $58,188.29 2025-01-01
'001-1 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $51,675.63 $68,005.13 $57,876.71 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 20 — — $11,458.00 $347,151.13 $57,679.39 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 20 — — $11,458.00 $345,901.72 $57,472.53 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 19 — — $16,134.00 $85,453.19 $57,430.64 2025-01-01
'169-4 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $50,980.12 $67,089.84 $57,097.73 2025-01-01
'006-1 APR_DRG Pancreas Transplant 3 3 — — $50,897.22 $66,980.74 $57,004.89 2025-01-01
'911-4 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $50,835.50 $66,899.52 $56,935.76 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 16 — — $55,363.79 $83,020.57 $56,830.93 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 19 — — $54,049.53 $402,811.71 $56,752.01 2025-01-01
'312-4 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $50,614.41 $66,608.56 $56,688.14 2025-01-01
'007-1 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $50,562.82 $66,540.67 $56,630.36 2025-01-01
'841-3 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $50,391.48 $66,315.19 $56,438.46 2025-01-01
'091-4 APR_DRG Other Major Head And Neck Procedures 3 3 — — $50,349.10 $66,259.42 $56,390.99 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 18 16 — — $54,870.53 $82,440.02 $56,324.60 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 16 — — $13,365.00 $84,055.70 $56,243.28 2025-01-01
'912-4 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $49,391.05 $64,998.62 $55,317.98 2025-01-01
6 MS_DRG Liver Transplant Without Mcc 18 16 — — $53,571.72 $80,911.35 $54,991.37 2025-01-01
10 MS_DRG Pancreas Transplant 18 16 — — $53,314.60 $80,608.73 $54,727.44 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 16 — — $53,239.56 $80,520.41 $54,650.41 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 23 19 — — $16,134.00 $81,977.65 $54,477.69 2025-01-01
'178-3 APR_DRG External Heart Assist Systems 3 3 — — $48,557.37 $63,901.50 $54,384.25 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 16 — — $52,970.31 $80,203.51 $54,374.02 2025-01-01
'850-4 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $48,359.31 $63,640.85 $54,162.43 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 16 — — $52,685.61 $79,868.42 $54,081.78 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 20 — — $11,458.00 $378,939.93 $54,068.52 2025-01-01
'023-4 APR_DRG Spinal Procedures 3 3 — — $48,235.87 $63,478.40 $54,024.17 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 16 — — $52,506.84 $79,658.02 $53,898.28 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 18 16 — — $52,211.11 $79,309.95 $53,594.71 2025-01-01
'021-4 APR_DRG Open Craniotomy Except Trauma 3 3 — — $47,574.45 $62,607.98 $53,283.38 2025-01-01
'441-4 APR_DRG Major Bladder Procedures 3 3 — — $47,566.16 $62,597.07 $53,274.10 2025-01-01
'631-3 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $46,983.96 $61,830.89 $52,622.04 2025-01-01
'260-4 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $46,969.22 $61,811.49 $52,605.53 2025-01-01
'440-3 APR_DRG Kidney Transplant 3 3 — — $46,520.60 $61,221.11 $52,103.07 2025-01-01
'740-4 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 3 — — $46,368.60 $61,021.08 $51,932.83 2025-01-01
'608-4 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $46,299.51 $60,930.16 $51,855.45 2025-01-01
245 MS_DRG Aicd Generator Procedures 24 20 — — $30,344.00 $135,470.73 $51,706.56 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 16 — — $50,039.43 $76,753.94 $51,365.47 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 16 — — $49,875.00 $76,560.42 $51,196.69 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 16 — — $49,826.45 $76,503.28 $51,146.85 2025-01-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 23 19 — — $16,134.00 $77,907.26 $51,019.33 2025-01-01
'681-4 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $45,409.63 $59,759.07 $50,858.79 2025-01-01
'630-2 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $45,313.82 $59,632.99 $50,751.48 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 16 — — $49,417.05 $76,021.43 $50,726.60 2025-01-01
'178-2 APR_DRG External Heart Assist Systems 3 3 — — $45,240.13 $59,536.01 $50,668.95 2025-01-01
'220-4 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $45,063.26 $59,303.25 $50,470.85 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 16 — — $49,063.94 $75,605.82 $50,364.14 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 16 — — $48,927.10 $75,444.77 $50,223.67 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 19 — — $16,134.00 $76,938.37 $50,196.12 2025-01-01
'089-4 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 — — $44,757.42 $58,900.76 $50,128.31 2025-01-01
'165-3 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $44,628.45 $58,731.04 $49,983.86 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 16 — — $48,626.95 $75,091.50 $49,915.57 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 16 — — $48,330.11 $97,408.00 $49,780.01 2025-01-01
'950-4 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $44,317.08 $58,321.28 $49,635.13 2025-01-01
'160-3 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $44,227.73 $58,203.69 $49,535.06 2025-01-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millic… 40 25 $55,035.00 $38,524.50 30% off $5,820.00 $307,062.69 $49,531.50 2025-01-01
'608-3 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $44,095.08 $58,029.13 $49,386.49 2025-01-01
'607-2 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $44,049.02 $57,968.51 $49,334.90 2025-01-01
'163-3 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $43,989.14 $57,889.71 $49,267.84 2025-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 18 16 — — $47,953.82 $74,299.24 $49,224.60 2025-01-01
'020-4 APR_DRG Open Craniotomy For Trauma 3 3 — — $43,891.49 $57,761.20 $49,158.47 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 16 — — $47,677.94 $73,974.54 $48,941.40 2025-01-01
'120-4 APR_DRG Major Respiratory And Chest Procedures 3 3 — — $43,688.83 $57,494.50 $48,931.49 2025-01-01
'621-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $43,594.86 $57,370.84 $48,826.24 2025-01-01
'690-4 APR_DRG Acute Leukemia 3 3 — — $43,466.82 $57,202.34 $48,682.84 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 16 — — $47,412.00 $73,661.54 $48,668.42 2025-01-01
'759-4 APR_DRG Eating Disorders 3 3 — — $43,388.52 $57,099.29 $48,595.14 2025-01-01
'005-2 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $43,342.46 $57,038.68 $48,543.56 2025-01-01
'361-4 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $42,863.43 $56,408.27 $48,007.04 2025-01-01
793 MS_DRG Full Term Neonate With Major Problems 17 15 — — $46,646.18 $72,760.18 $47,719.04 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 19 — — $11,458.00 $285,483.73 $47,469.30 2025-01-01
'181-4 APR_DRG Lower Extremity Arterial Procedures 3 3 — — $42,151.34 $55,471.16 $47,209.50 2025-01-01
'162-2 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $42,151.34 $55,471.16 $47,209.50 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 16 — — $45,881.45 $71,860.13 $47,097.31 2025-01-01
'027-4 APR_DRG Other Open Craniotomy 3 3 — — $41,933.94 $55,185.07 $46,966.01 2025-01-01
'614-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $41,896.17 $55,135.36 $46,923.71 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 16 — — $45,623.24 $71,556.21 $46,832.26 2025-01-01
791 MS_DRG Prematurity With Major Problems 17 15 — — $45,414.67 $71,310.74 $46,459.21 2025-01-01
'130-4 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $41,460.44 $54,561.94 $46,435.69 2025-01-01
'176-4 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 3 — — $41,409.78 $54,495.27 $46,378.95 2025-01-01
'261-4 APR_DRG Major Biliary Tract Procedures 3 3 — — $41,285.42 $54,331.61 $46,239.67 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 16 — — $44,974.38 $70,792.53 $46,166.20 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 20 — — $11,458.00 $266,888.93 $46,134.94 2025-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 16 — — $44,830.93 $70,623.68 $46,018.95 2025-01-01
'695-4 APR_DRG Chemotherapy For Acute Leukemia 3 3 — — $40,908.64 $53,835.77 $45,817.68 2025-01-01
'303-2 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $40,838.63 $53,743.64 $45,739.27 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 16 — — $44,496.57 $70,230.15 $45,675.73 2025-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 16 — — $44,390.63 $70,105.47 $45,566.98 2025-01-01
'230-4 APR_DRG Major Small Bowel Procedures 3 3 — — $40,389.09 $53,152.04 $45,235.78 2025-01-01
'510-4 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 3 — — $40,374.35 $53,132.64 $45,219.27 2025-01-01
'178-1 APR_DRG External Heart Assist Systems 3 3 — — $40,350.40 $53,101.13 $45,192.45 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 16 — — $43,869.78 $69,492.44 $45,032.32 2025-01-01
'009-2 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $40,156.02 $52,845.32 $44,974.74 2025-01-01
'591-2 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $39,982.84 $52,617.42 $44,780.78 2025-01-01
'440-2 APR_DRG Kidney Transplant 3 3 — — $39,899.01 $52,507.10 $44,686.89 2025-01-01
'092-4 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 3 — — $39,830.84 $52,417.39 $44,610.54 2025-01-01
'589-1 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $39,787.54 $52,360.40 $44,562.04 2025-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 16 — — $43,353.34 $68,884.61 $44,502.21 2025-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 16 — — $43,248.51 $68,761.23 $44,394.60 2025-01-01
'792-4 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $39,637.39 $52,162.81 $44,393.88 2025-01-01
'633-4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $39,623.57 $52,144.62 $44,378.40 2025-01-01
'401-4 APR_DRG Adrenal Procedures 3 3 — — $39,555.40 $52,054.91 $44,302.05 2025-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 16 — — $42,992.50 $68,459.91 $44,131.81 2025-01-01
'183-3 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $39,345.37 $51,778.51 $44,066.81 2025-01-01
'651-4 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 3 — — $39,305.76 $51,726.38 $44,022.45 2025-01-01
'008-3 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $39,238.51 $51,637.88 $43,947.13 2025-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 16 — — $42,686.83 $68,100.15 $43,818.03 2025-01-01
'179-3 APR_DRG Defibrillator Implants 3 3 — — $38,991.63 $51,312.99 $43,670.63 2025-01-01
'404-4 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 3 3 — — $38,871.87 $51,155.38 $43,536.49 2025-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 16 — — $42,412.06 $67,776.75 $43,535.98 2025-01-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 29 20 — — $11,458.00 $133,768.42 $43,199.96 2025-01-01
'304-3 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $38,507.08 $50,675.32 $43,127.93 2025-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 16 — — $42,005.98 $67,298.80 $43,119.14 2025-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 19 — — $12,524.00 $68,576.80 $43,091.82 2025-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 18 16 — — $41,887.90 $67,159.83 $42,997.93 2025-01-01
'004-1 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $38,333.89 $50,447.40 $42,933.96 2025-01-01
19357 HCPCS Tiss Xpndr Plmt Brst Rcnstj 2 1 — — $42,819.51 $42,819.51 $42,819.51 2025-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 16 — — $41,373.67 $66,554.60 $42,470.07 2025-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 16 — — $41,271.05 $66,433.81 $42,364.73 2025-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 16 — — $41,241.25 $66,398.74 $42,334.15 2025-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 16 — — $41,004.00 $66,119.50 $42,090.60 2025-01-01
'321-4 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 3 3 — — $37,392.42 $49,208.42 $41,879.51 2025-01-01
'612-3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $37,370.32 $49,179.34 $41,854.76 2025-01-01
'030-4 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 3 3 — — $37,118.83 $48,848.38 $41,573.09 2025-01-01
'165-2 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $37,117.91 $48,847.17 $41,572.06 2025-01-01
'166-3 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $37,104.09 $48,828.98 $41,556.58 2025-01-01
'167-3 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $37,019.34 $48,717.45 $41,461.66 2025-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 19 — — $16,134.00 $65,519.46 $41,425.56 2025-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 16 — — $40,329.77 $65,325.95 $41,398.51 2025-01-01
332 MS_DRG Rectal Resection With Mcc 18 16 — — $40,227.14 $65,205.16 $41,293.15 2025-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 16 — — $40,173.07 $65,141.52 $41,237.65 2025-01-01
265 MS_DRG Aicd Lead Procedures 23 19 — — $39,195.37 $153,475.36 $41,155.14 2025-01-01
'264-4 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 3 — — $36,672.05 $48,260.42 $41,072.70 2025-01-01
'026-4 APR_DRG Other Nervous System And Related Procedures 3 3 — — $36,575.32 $48,133.12 $40,964.36 2025-01-01
'710-4 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 3 — — $36,554.13 $48,105.24 $40,940.63 2025-01-01
'511-4 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 3 — — $36,447.27 $47,964.61 $40,820.94 2025-01-01
'325-4 APR_DRG Non-elective Or Complex Knee Joint Replacement 3 3 — — $36,430.69 $47,942.79 $40,802.37 2025-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 16 — — $39,715.12 $64,602.52 $40,767.57 2025-01-01
'022-4 APR_DRG Ventricular Shunt Procedures 3 3 — — $36,355.15 $47,843.38 $40,717.77 2025-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 16 — — $39,646.70 $64,522.00 $40,697.33 2025-01-01
'405-4 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 3 — — $36,274.09 $47,736.70 $40,626.98 2025-01-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 23 19 — — $16,134.00 $65,598.69 $40,561.50 2025-01-01
'611-3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $36,193.94 $47,631.23 $40,537.21 2025-01-01
'005-1 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $35,992.20 $47,365.74 $40,311.26 2025-01-01
'162-1 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $35,970.09 $47,336.64 $40,286.50 2025-01-01
'170-4 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 3 — — $35,947.98 $47,307.54 $40,261.74 2025-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 16 — — $39,097.16 $63,875.21 $40,133.23 2025-01-01
'182-4 APR_DRG Other Peripheral Vascular And Related Procedures 3 3 — — $35,811.65 $47,128.13 $40,109.05 2025-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 23 19 — — $12,524.00 $65,058.40 $40,102.45 2025-01-01
'121-4 APR_DRG Other Respiratory And Chest Procedures 3 3 — — $35,721.37 $47,009.32 $40,007.93 2025-01-01
'650-4 APR_DRG Splenectomy 3 3 — — $35,669.78 $46,941.43 $39,950.15 2025-01-01
'440-1 APR_DRG Kidney Transplant 3 3 — — $35,627.41 $46,885.67 $39,902.70 2025-01-01
'231-4 APR_DRG Major Large Bowel Procedures 3 3 — — $35,537.13 $46,766.86 $39,801.59 2025-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 16 — — $38,561.96 $63,245.30 $39,583.85 2025-01-01
27800000002-11979 CDM Device Impella 5.5 Smartassist 26 14 $90,000.00 $63,000.00 30% off $5,820.00 $81,000.00 $39,510.00 2025-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 20 — — $11,458.00 $237,264.67 $39,485.82 2025-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 16 — — $38,400.85 $63,055.67 $39,418.47 2025-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 16 — — $38,360.03 $63,007.62 $39,376.57 2025-01-01
'447-4 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 3 — — $35,129.04 $46,229.82 $39,344.52 2025-01-01
'863-3 APR_DRG Neonatal Aftercare 3 3 — — $34,954.93 $46,000.69 $39,149.52 2025-01-01
'163-2 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $34,813.06 $45,813.99 $38,990.63 2025-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 21 19 — — $16,134.00 $62,615.39 $38,901.39 2025-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 16 — — $37,779.59 $62,324.46 $38,780.75 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 20 — — $30,344.00 $103,293.67 $38,764.33 2025-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 19 — — $16,134.00 $63,369.98 $38,667.90 2025-01-01
'711-4 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 3 — — $34,481.43 $45,377.56 $38,619.20 2025-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 16 — — $37,608.54 $62,123.15 $38,605.17 2025-01-01
'622-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $34,409.58 $45,283.01 $38,538.73 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 16 — — $37,458.47 $61,946.51 $38,451.12 2025-01-01
37 MS_DRG Extracranial Procedures With Mcc 18 16 — — $37,446.33 $61,932.23 $38,438.66 2025-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 16 — — $37,373.50 $61,846.51 $38,363.90 2025-01-01
252 MS_DRG Other Vascular Procedures With Mcc 21 19 — — $37,205.77 $230,238.37 $38,321.94 2025-01-01
'303-1 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $34,001.49 $44,745.96 $38,081.67 2025-01-01
See an error in this hospital's data? Submit a correction