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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

NORTHRIDGE HOSPITAL MEDICAL CENTER

Northridge, CA · CCN 050116 · Rates published

15,745 distinct procedures filed
22 distinct payers
889,076 rate rows
2026-02-28 last MRF observed
Data quality

819,190 of 889,076 rate rows are consumer-grade (92.1%)

69,886 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 35,870
per-diem day rate — not a per-procedure price 31,698
template filing: same amount across many unrelated codes — excluded 1,838
exceeds 10× this hospital's gross charge — excluded from medians 360
placeholder amount (≤ $0.02) — excluded from medians 120
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/815009488_northridge-hospital-medical-center_standardcharges.json?target=%22_blank%22
Found on page https://www.dignityhealth.org/socal/locations/northridgehospital/patients-and-visitors/for-patients/billing-and-payment/hospital-pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 282bfd70dccfc10c… · 90,328,436 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 $272,497.00 $780,357.20 $433,531.00 nat. median
$309,665
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $8,743.00 $455,766.46 $379,805.38 nat. median
$370,174
1.0× median
5833
APR_DRG 		Neonate With Ecmo 11 $215,822.00 $471,937.20 $337,098.00 nat. median
$244,017
1.4× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $223,521.00 $582,045.80 $323,359.40 nat. median
$246,434
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $13,188.00 $340,612.55 $283,843.79 nat. median
$265,286
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $13,188.00 $286,977.82 $239,148.18 nat. median
$206,474
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 $156,990.00 $395,614.80 $219,786.00 nat. median
$150,721
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 15 $10,521.00 $259,334.61 $216,112.17 nat. median
$202,976
1.1× median
1614
APR_DRG 		Implantable Heart Assist Systems 11 $213,038.00 $353,643.08 $213,712.00 nat. median
$207,730
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 11 $145,778.00 $382,631.20 $212,573.20 nat. median
$151,838
1.4× median
5832
APR_DRG 		Neonate With Ecmo 11 $159,148.00 $296,153.20 $211,538.00 nat. median
$156,126
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 11 $140,773.00 $378,814.80 $210,452.20 nat. median
$164,289
1.3× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 $134,285.00 $372,145.20 $206,747.80 nat. median
$122,924
1.7× median
24
APR_DRG 		Heart And/or Lung Transplant 11 $206,239.00 $342,602.42 $206,387.00 nat. median
$234,729
0.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 $139,876.00 $367,890.60 $204,383.20 nat. median
$162,982
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $144,001.00 $259,242.20 $185,173.00 nat. median
$182,665
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $141,004.00 $252,347.20 $180,248.00 nat. median
$145,336
1.2× median
5831
APR_DRG 		Neonate With Ecmo 11 $137,045.00 $239,829.80 $171,307.00 nat. median
$144,745
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 11 $161,433.00 $267,978.78 $163,726.00 nat. median
$119,796
1.4× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 $113,900.00 $287,029.40 $159,460.00 nat. median
$109,499
1.5× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 $104,494.00 $276,099.60 $153,389.60 nat. median
$118,620
1.3× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 11 $150,711.00 $253,993.28 $153,008.00 nat. median
$160,267
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 17 $10,521.00 $171,241.18 $142,700.98 nat. median
$133,161
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 11 $131,114.00 $228,271.58 $137,513.00 nat. median
$164,834
0.8× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 11 $133,615.00 $221,800.90 $135,207.00 nat. median
$187,061
0.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 11 $133,923.00 $224,048.54 $134,969.00 nat. median
$105,658
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $8,743.00 $158,836.00 $132,363.33 nat. median
$117,357
1.1× median
7
MS_DRG 		Lung Transplant 17 $10,521.00 $158,437.85 $132,031.54 nat. median
$122,708
1.1× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 11 $129,535.00 $215,028.10 $131,840.00 nat. median
$129,535
1.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 11 $129,460.00 $214,903.60 $131,457.00 nat. median
$85,444
1.5× median
23
APR_DRG 		Heart And/or Lung Transplant 11 $127,535.00 $216,834.18 $130,623.00 nat. median
$93,528
1.4× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 11 $93,745.00 $178,976.00 $127,840.00 nat. median
$108,996
1.2× median
1611
APR_DRG 		Implantable Heart Assist Systems 11 $123,135.00 $204,404.10 $124,885.00 nat. median
$76,806
1.6× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 11 $82,471.00 $172,229.40 $123,021.00 nat. median
$102,919
1.2× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 11 $92,815.00 $167,839.00 $119,885.00 nat. median
$124,573
1.0× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 $80,260.00 $214,627.00 $119,238.00 nat. median
$95,507
1.2× median
64
APR_DRG 		Pancreas Transplant 11 $103,209.00 $171,326.94 $116,430.00 nat. median
$91,009
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $13,188.00 $133,715.56 $111,429.63 nat. median
$108,660
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $13,188.00 $132,197.79 $110,164.82 nat. median
$102,358
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $10,521.00 $129,247.91 $107,706.59 nat. median
$100,136
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 17 $13,188.00 $128,589.17 $107,157.64 nat. median
$99,019
1.1× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 $78,391.00 $148,822.80 $106,302.00 nat. median
$72,936
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $25,064.00 $127,148.61 $105,957.17 nat. median
$98,894
1.1× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 $82,397.00 $144,842.60 $103,459.00 nat. median
$86,492
1.2× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 11 $74,302.00 $139,158.60 $99,399.00 nat. median
$86,338
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $13,188.00 $117,203.48 $97,669.56 nat. median
$93,672
1.0× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 11 $90,431.00 $161,250.74 $97,139.00 nat. median
$97,957
1.0× median
8634
APR_DRG 		Neonatal Aftercare 11 $59,794.00 $170,963.80 $94,980.20 nat. median
$69,502
1.4× median
22
APR_DRG 		Heart And/or Lung Transplant 11 $94,014.00 $156,063.24 $94,645.00 nat. median
$77,804
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 17 $13,188.00 $111,904.55 $93,253.79 nat. median
$83,470
1.1× median

Other procedures at this hospital

Browse this hospital's 15,745 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 34 11 — — $272,497.00 $780,357.20 $433,531.00 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 42 15 — — $8,743.00 $455,766.46 $379,805.38 2026-02-28
5833 APR_DRG Neonate With Ecmo 34 11 — — $215,822.00 $471,937.20 $337,098.00 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 34 11 — — $223,521.00 $582,045.80 $323,359.40 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 42 15 — — $13,188.00 $340,612.55 $283,843.79 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 42 15 — — $13,188.00 $286,977.82 $239,148.18 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 34 11 — — $156,990.00 $395,614.80 $219,786.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 48 15 — — $10,521.00 $259,334.61 $216,112.17 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 34 11 — — $213,038.00 $353,643.08 $213,712.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 34 11 — — $145,778.00 $382,631.20 $212,573.20 2026-02-28
5832 APR_DRG Neonate With Ecmo 34 11 — — $159,148.00 $296,153.20 $211,538.00 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 34 11 — — $140,773.00 $378,814.80 $210,452.20 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 34 11 — — $134,285.00 $372,145.20 $206,747.80 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 34 11 — — $206,239.00 $342,602.42 $206,387.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 34 11 — — $139,876.00 $367,890.60 $204,383.20 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 34 11 — — $144,001.00 $259,242.20 $185,173.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 34 11 — — $141,004.00 $252,347.20 $180,248.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 34 11 — — $137,045.00 $239,829.80 $171,307.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 34 11 — — $161,433.00 $267,978.78 $163,726.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 34 11 — — $113,900.00 $287,029.40 $159,460.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $104,494.00 $276,099.60 $153,389.60 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 34 11 — — $150,711.00 $253,993.28 $153,008.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 52 17 — — $10,521.00 $171,241.18 $142,700.98 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 34 11 — — $131,114.00 $228,271.58 $137,513.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 34 11 — — $133,615.00 $221,800.90 $135,207.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 34 11 — — $133,923.00 $224,048.54 $134,969.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 52 17 — — $8,743.00 $158,836.00 $132,363.33 2026-02-28
7 MS_DRG Lung Transplant 52 17 — — $10,521.00 $158,437.85 $132,031.54 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 34 11 — — $129,535.00 $215,028.10 $131,840.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 34 11 — — $129,460.00 $214,903.60 $131,457.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 34 11 — — $127,535.00 $216,834.18 $130,623.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 34 11 — — $93,745.00 $178,976.00 $127,840.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 34 11 — — $123,135.00 $204,404.10 $124,885.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 34 11 — — $82,471.00 $172,229.40 $123,021.00 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 34 11 — — $92,815.00 $167,839.00 $119,885.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $80,260.00 $214,627.00 $119,238.00 2026-02-28
64 APR_DRG Pancreas Transplant 34 11 — — $103,209.00 $171,326.94 $116,430.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 46 17 — — $13,188.00 $133,715.56 $111,429.63 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 46 17 — — $13,188.00 $132,197.79 $110,164.82 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 52 17 — — $10,521.00 $129,247.91 $107,706.59 2026-02-28
215 MS_DRG Other Heart Assist System Implant 48 17 — — $13,188.00 $128,589.17 $107,157.64 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 34 11 — — $78,391.00 $148,822.80 $106,302.00 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 17 — — $25,064.00 $127,148.61 $105,957.17 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $82,397.00 $144,842.60 $103,459.00 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 34 11 — — $74,302.00 $139,158.60 $99,399.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 17 — — $13,188.00 $117,203.48 $97,669.56 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 34 11 — — $90,431.00 $161,250.74 $97,139.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 34 11 — — $59,794.00 $170,963.80 $94,980.20 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 34 11 — — $94,014.00 $156,063.24 $94,645.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 46 17 — — $13,188.00 $111,904.55 $93,253.79 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 34 11 — — $88,258.00 $153,833.86 $92,671.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 34 11 — — $89,206.00 $148,081.96 $91,647.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 34 11 — — $60,992.00 $162,782.20 $90,434.40 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $58,323.00 $156,466.80 $86,926.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 48 17 — — $13,188.00 $103,000.61 $85,833.84 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 52 17 — — $10,521.00 $102,943.91 $85,786.59 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 34 11 — — $83,072.00 $137,899.52 $85,230.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 46 17 — — $25,064.00 $101,392.36 $84,493.63 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 34 11 — — $81,483.00 $140,070.80 $84,380.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 34 11 — — $76,165.00 $138,638.22 $83,517.00 2026-02-28
63 APR_DRG Pancreas Transplant 34 11 — — $81,709.00 $135,636.94 $81,868.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 46 17 — — $13,188.00 $98,020.20 $81,683.50 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 34 11 — — $77,288.00 $128,298.08 $81,136.00 2026-02-28
10 MS_DRG Pancreas Transplant 52 17 — — $10,521.00 $96,957.28 $80,797.73 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 46 17 — — $13,188.00 $96,405.92 $80,338.26 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $62,870.00 $112,366.80 $80,262.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $62,438.00 $112,161.00 $80,115.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 34 11 — — $76,592.00 $127,142.72 $79,681.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 34 11 — — $63,675.00 $111,431.60 $79,594.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 46 17 — — $13,188.00 $95,067.92 $79,223.26 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 17 — — $13,188.00 $94,115.99 $78,429.99 2026-02-28
4404 APR_DRG Kidney Transplant 34 11 — — $77,462.00 $129,982.98 $78,303.00 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 34 11 — — $73,704.00 $122,348.64 $76,221.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 52 17 — — $10,521.00 $90,818.63 $75,682.19 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 34 11 — — $52,627.00 $132,620.60 $73,677.80 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 34 11 — — $43,885.00 $101,806.60 $72,719.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 34 11 — — $70,285.00 $116,673.10 $72,525.00 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 17 — — $25,064.00 $86,457.16 $72,047.63 2026-02-28
1784 APR_DRG External Heart Assist Systems 34 11 — — $67,533.00 $112,104.78 $72,042.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 46 17 — — $13,188.00 $86,026.44 $71,688.70 2026-02-28
62 APR_DRG Pancreas Transplant 34 11 — — $67,118.00 $111,415.88 $71,069.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 34 11 — — $47,849.00 $127,142.40 $70,634.20 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 46 17 — — $8,743.00 $84,693.27 $70,577.72 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 52 17 — — $10,521.00 $83,146.54 $69,288.78 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 34 11 — — $54,999.00 $96,248.60 $68,749.00 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 34 11 — — $43,670.00 $96,171.60 $68,694.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 34 11 — — $64,857.00 $107,662.62 $68,396.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 46 17 — — $25,064.00 $81,655.31 $68,046.09 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 46 17 — — $13,188.00 $81,344.03 $67,786.69 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 48 17 — — $13,188.00 $81,207.70 $67,673.08 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 34 11 — — $43,490.00 $119,646.80 $66,470.60 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 34 11 — — $65,103.00 $108,070.98 $66,323.00 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 46 17 — — $8,743.00 $78,789.88 $65,658.23 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 34 11 — — $64,992.00 $108,934.18 $65,623.00 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 17 — — $13,188.00 $78,677.68 $65,564.73 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 34 11 — — $64,981.00 $107,868.46 $65,237.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 34 11 — — $46,514.00 $117,215.00 $65,119.60 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 52 17 — — $10,521.00 $77,065.80 $64,221.50 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 34 11 — — $61,493.00 $102,078.38 $63,882.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 34 11 — — $58,078.00 $96,409.48 $63,009.00 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 46 17 — — $13,188.00 $75,498.57 $62,915.47 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 46 17 — — $13,188.00 $75,402.05 $62,835.04 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 52 17 — — $10,521.00 $75,061.82 $62,551.51 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 34 11 — — $61,288.00 $101,738.08 $62,542.00 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 52 17 — — $10,521.00 $74,802.42 $62,335.35 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 34 11 — — $60,331.00 $100,149.46 $62,327.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 34 11 — — $60,429.00 $103,371.52 $62,272.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 46 17 — — $13,188.00 $74,464.60 $62,053.83 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 52 17 — — $10,521.00 $74,112.30 $61,760.25 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 34 11 — — $44,075.00 $111,067.60 $61,705.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 34 11 — — $57,690.00 $95,765.40 $61,695.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 34 11 — — $60,375.00 $100,222.50 $61,476.00 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 46 17 — — $8,743.00 $73,586.27 $61,321.89 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 46 17 — — $8,743.00 $73,586.27 $61,321.89 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 48 17 — — $13,188.00 $73,042.14 $60,868.45 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 34 11 — — $48,431.00 $84,753.20 $60,538.00 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 17 — — $13,188.00 $72,541.44 $60,451.20 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 46 17 — — $8,743.00 $72,487.16 $60,405.96 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 46 17 — — $13,188.00 $71,756.02 $59,796.68 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 34 11 — — $57,308.00 $95,131.28 $59,784.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 52 17 — — $10,521.00 $71,009.20 $59,174.33 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 34 11 — — $57,769.00 $95,896.54 $59,060.00 2026-02-28
1794 APR_DRG Defibrillator Implants 34 11 — — $57,855.00 $96,039.30 $58,693.00 2026-02-28
C1824 HCPCS Gener Ccm 23772x-26149 68 14 $146,435.00 $40,855.37 72% off $23,813.00 $146,435.00 $58,574.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 34 11 — — $56,540.00 $93,856.40 $58,451.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 34 11 — — $56,265.00 $93,399.90 $58,376.00 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 52 17 — — $10,521.00 $70,009.01 $58,340.84 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $46,628.00 $81,599.00 $58,285.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 17 — — $10,521.00 $69,595.19 $57,995.99 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 34 11 — — $45,477.00 $79,584.40 $56,846.00 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 34 11 — — $54,809.00 $90,982.94 $56,719.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 52 17 — — $10,521.00 $68,020.71 $56,683.92 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 46 17 — — $8,743.00 $67,450.04 $56,208.36 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 46 17 — — $13,188.00 $67,450.04 $56,208.36 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 17 — — $25,064.00 $67,170.14 $55,975.11 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 34 11 — — $51,367.00 $85,269.22 $55,955.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 34 11 — — $55,263.00 $92,777.40 $55,890.00 2026-02-28
61 APR_DRG Pancreas Transplant 34 11 — — $55,755.00 $92,553.30 $55,864.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 34 11 — — $51,481.00 $85,458.46 $55,797.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 46 17 — — $25,064.00 $66,764.75 $55,637.29 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 34 11 — — $47,272.00 $78,471.52 $55,554.00 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 34 11 — — $47,582.00 $78,986.12 $55,497.00 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 52 17 — — $10,521.00 $66,410.04 $55,341.70 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 34 11 — — $50,296.00 $83,491.36 $55,309.00 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 52 17 — — $10,521.00 $66,260.44 $55,217.03 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 52 17 — — $10,521.00 $65,926.24 $54,938.53 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 52 17 — — $10,521.00 $65,864.70 $54,887.25 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 52 17 — — $10,521.00 $65,857.47 $54,881.22 2026-02-28
5500985 CDM Inst/supp Ste12199x-13419 16 6 $75,147.00 $20,966.02 72% off $17,283.81 $75,147.00 $54,481.57 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 34 11 — — $51,543.00 $85,561.38 $54,211.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 46 17 — — $13,188.00 $64,951.38 $54,126.15 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 34 11 — — $53,079.00 $89,571.94 $53,959.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 17 — — $13,188.00 $64,667.86 $53,889.88 2026-02-28
1783 APR_DRG External Heart Assist Systems 34 11 — — $51,748.00 $85,901.68 $53,296.00 2026-02-28
C2624 HCPCS Wrless Sens 19647x-21611 132 14 $121,022.00 $33,765.14 72% off $23,813.00 $133,124.00 $53,249.68 2026-02-28
234 APR_DRG Spinal Procedures 34 11 — — $50,013.00 $83,021.58 $52,943.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 46 17 — — $25,064.00 $62,899.14 $52,415.95 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 46 17 — — $13,188.00 $62,692.83 $52,244.02 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 34 11 — — $50,285.00 $83,473.10 $52,217.00 2026-02-28
4414 APR_DRG Major Bladder Procedures 34 11 — — $46,515.00 $77,214.90 $52,208.00 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 34 11 — — $41,490.00 $72,608.20 $51,863.00 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 52 17 — — $10,521.00 $62,229.53 $51,857.94 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 52 17 — — $10,521.00 $62,041.32 $51,701.10 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 34 11 — — $48,072.00 $79,799.52 $51,553.00 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 52 17 — — $10,521.00 $61,533.39 $51,277.82 2026-02-28
4403 APR_DRG Kidney Transplant 34 11 — — $48,930.00 $81,223.80 $51,061.00 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 46 17 — — $8,743.00 $61,175.06 $50,979.21 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 46 17 — — $13,188.00 $61,128.00 $50,940.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 52 17 — — $10,521.00 $61,103.87 $50,919.89 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 34 11 — — $43,256.00 $71,804.96 $50,894.00 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 48 17 — — $13,188.00 $60,886.71 $50,738.92 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 34 11 — — $36,254.00 $70,040.60 $50,029.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 34 11 — — $48,451.00 $80,428.66 $49,841.00 2026-02-28
245 MS_DRG Aicd Generator Procedures 46 17 — — $13,188.00 $59,722.44 $49,768.70 2026-02-28
1782 APR_DRG External Heart Assist Systems 34 11 — — $45,929.00 $76,242.14 $49,655.00 2026-02-28
5556748 CDM Inst/supp Ste11090x-12199 16 6 $68,315.00 $19,059.89 72% off $15,712.45 $68,315.00 $49,528.38 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 52 17 — — $10,521.00 $59,366.52 $49,472.10 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 34 11 — — $48,436.00 $80,403.76 $49,461.00 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 52 17 — — $10,521.00 $59,268.80 $49,390.66 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 34 11 — — $47,952.00 $81,876.18 $49,323.00 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 34 11 — — $47,418.00 $78,713.88 $49,125.00 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 34 11 — — $46,725.00 $77,563.50 $48,984.00 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $39,049.00 $68,335.40 $48,811.00 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 34 11 — — $34,773.00 $87,628.80 $48,682.20 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 52 17 — — $10,521.00 $58,379.61 $48,649.67 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 34 11 — — $47,240.00 $78,418.40 $48,642.00 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 34 11 — — $45,882.00 $76,164.12 $48,544.00 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 34 11 — — $38,756.00 $67,823.00 $48,445.00 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 52 17 — — $10,521.00 $58,129.86 $48,441.55 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 52 17 — — $10,521.00 $58,119.00 $48,432.50 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 34 11 — — $46,300.00 $76,858.00 $48,282.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 34 11 — — $47,233.00 $78,406.78 $48,175.00 2026-02-28
6904 APR_DRG Acute Leukemia 34 11 — — $47,709.00 $79,814.46 $48,081.00 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 48 17 — — $13,188.00 $57,525.41 $47,937.84 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 52 17 — — $10,521.00 $57,221.38 $47,684.48 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 34 11 — — $43,531.00 $72,261.46 $47,572.00 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 46 17 — — $13,188.00 $56,888.38 $47,406.98 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 34 11 — — $37,314.00 $66,078.60 $47,199.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 34 11 — — $46,651.00 $77,440.66 $47,046.00 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 52 17 — — $10,521.00 $56,373.21 $46,977.67 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 46 17 — — $13,188.00 $56,350.29 $46,958.57 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 17 — — $13,188.00 $56,172.93 $46,810.77 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 52 17 — — $10,521.00 $56,164.48 $46,803.73 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 34 11 — — $31,932.00 $84,233.80 $46,796.40 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 34 11 — — $33,280.00 $83,865.60 $46,592.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 34 11 — — $43,343.00 $71,949.38 $46,265.00 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 34 11 — — $43,961.00 $72,975.26 $46,265.00 2026-02-28
274 APR_DRG Other Open Craniotomy 34 11 — — $44,581.00 $74,004.46 $46,026.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 34 11 — — $45,507.00 $76,366.64 $46,004.00 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 52 17 — — $10,521.00 $55,195.67 $45,996.39 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 52 17 — — $10,521.00 $54,871.12 $45,725.93 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 46 17 — — $13,188.00 $54,721.52 $45,601.26 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 34 11 — — $42,892.00 $71,200.72 $45,451.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 34 11 — — $43,736.00 $72,601.76 $45,314.00 2026-02-28
2306421 CDM Trauma Lvl 2 Activate 4/5 84 14 $74,868.00 $20,888.18 72% off $18,717.00 $74,868.00 $45,295.14 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 34 11 — — $33,100.00 $63,316.40 $45,226.00 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 52 17 — — $10,521.00 $54,217.20 $45,181.00 2026-02-28
8633 APR_DRG Neonatal Aftercare 34 11 — — $36,131.00 $63,229.60 $45,164.00 2026-02-28
5556772 CDM Inst/supp Ste10082x-11090 16 6 $62,104.00 $17,327.02 72% off $14,283.92 $62,104.00 $45,025.40 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 34 11 — — $41,356.00 $68,650.96 $44,901.00 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 34 11 — — $41,863.00 $69,492.58 $44,824.00 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 46 17 — — $13,188.00 $53,762.36 $44,801.96 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 34 11 — — $40,755.00 $67,653.30 $44,331.00 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 34 11 — — $42,073.00 $69,841.18 $44,314.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 34 11 — — $41,989.00 $69,701.74 $44,288.00 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 46 17 — — $8,743.00 $52,967.27 $44,139.39 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 34 11 — — $36,358.00 $60,354.28 $44,075.00 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 52 17 — — $10,521.00 $52,859.90 $44,049.91 2026-02-28
4402 APR_DRG Kidney Transplant 34 11 — — $43,020.00 $71,413.20 $43,793.00 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 34 11 — — $40,213.00 $66,753.58 $43,718.00 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 52 17 — — $10,521.00 $52,228.90 $43,524.08 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 34 11 — — $41,146.00 $68,302.36 $43,506.00 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 46 17 — — $13,188.00 $52,152.89 $43,460.74 2026-02-28
4014 APR_DRG Adrenal Procedures 34 11 — — $42,748.00 $70,961.68 $43,416.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 34 11 — — $40,327.00 $66,942.82 $43,185.00 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 46 17 — — $13,188.00 $51,788.52 $43,157.10 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 34 11 — — $37,234.00 $61,808.44 $43,142.00 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 34 11 — — $30,797.00 $77,607.60 $43,115.80 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 34 11 — — $38,868.00 $64,520.88 $43,068.00 2026-02-28
1793 APR_DRG Defibrillator Implants 34 11 — — $40,380.00 $67,030.80 $42,797.00 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 52 17 — — $10,521.00 $51,322.82 $42,769.01 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 52 17 — — $10,521.00 $51,310.76 $42,758.96 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 34 11 — — $34,178.00 $59,810.80 $42,722.00 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 34 11 — — $37,408.00 $62,097.28 $42,665.00 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 46 17 — — $8,743.00 $51,080.32 $42,566.93 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 48 17 — — $13,188.00 $50,962.08 $42,468.40 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 34 11 — — $39,876.00 $66,194.16 $42,265.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 34 11 — — $42,037.00 $69,781.42 $42,075.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 34 11 — — $28,837.00 $58,818.20 $42,013.00 2026-02-28
C1767 HCPCS Neurstm Nrec 10082x-11090 650 14 $82,662.00 $23,062.70 72% off $11,292.00 $146,435.00 $42,009.24 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 46 17 — — $13,188.00 $50,375.73 $41,979.77 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 52 17 — — $10,521.00 $50,347.97 $41,956.64 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 52 17 — — $10,521.00 $50,274.38 $41,895.31 2026-02-28
7594 APR_DRG Eating Disorders 34 11 — — $31,384.00 $52,097.44 $41,740.72 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 46 17 — — $25,064.00 $50,030.67 $41,692.22 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 52 17 — — $10,521.00 $49,836.42 $41,530.35 2026-02-28
791 MS_DRG Prematurity With Major Problems 46 17 — — $8,743.00 $49,745.93 $41,454.94 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 34 11 — — $40,495.00 $67,221.70 $41,042.00 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 34 11 — — $31,445.00 $57,433.60 $41,024.00 2026-02-28
5500984 CDM Inst/supp Ster7755x-10082 16 6 $56,460.00 $15,752.34 72% off $12,985.80 $56,460.00 $40,933.50 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 34 11 — — $32,702.00 $57,229.20 $40,878.00 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 34 11 — — $38,536.00 $63,969.76 $40,741.00 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 34 11 — — $38,865.00 $64,515.90 $40,740.00 2026-02-28
0571T CPT Ins/rpl Icd Sbstrnl Elecs 66 19 $113,800.00 $31,750.20 72% off $653.00 $113,800.00 $40,737.44 2026-02-28
0408T CPT Ins/rpl Crd Mod Sy Pg Tve 64 19 $80,042.00 $22,331.72 72% off $2,114.00 $80,042.00 $40,737.44 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 34 11 — — $38,970.00 $64,690.20 $40,725.00 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 52 17 — — $10,521.00 $48,826.59 $40,688.82 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 52 17 — — $10,521.00 $48,792.80 $40,660.66 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 34 11 — — $39,311.00 $65,256.26 $40,632.00 2026-02-28
2301430 CDM Trauma Fac Activat Tier 1 32 9 $74,868.00 $20,888.18 72% off $18,717.00 $74,868.00 $40,428.72 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 34 11 — — $40,004.00 $66,962.74 $40,339.00 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 52 17 — — $10,521.00 $48,368.12 $40,306.76 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 34 11 — — $37,949.00 $62,995.34 $40,251.00 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 52 17 — — $10,521.00 $48,270.39 $40,225.32 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 34 11 — — $36,479.00 $60,555.14 $40,145.00 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 52 17 — — $10,521.00 $48,173.87 $40,144.89 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 34 11 — — $37,355.00 $62,009.30 $40,121.00 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 34 11 — — $38,198.00 $63,408.68 $39,986.00 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 46 17 — — $25,064.00 $47,963.94 $39,969.95 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 48 17 — — $12,887.00 $47,941.01 $39,950.84 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 34 11 — — $35,387.00 $58,742.42 $39,903.00 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 34 11 — — $37,546.00 $62,326.36 $39,814.00 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 52 17 — — $10,521.00 $47,680.41 $39,733.67 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 34 11 — — $39,207.00 $65,626.44 $39,534.00 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 34 11 — — $36,741.00 $60,990.06 $39,505.00 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 52 17 — — $10,521.00 $47,394.47 $39,495.39 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 34 11 — — $38,173.00 $63,367.18 $39,480.00 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 52 17 — — $10,521.00 $47,347.42 $39,456.18 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 34 11 — — $38,304.00 $63,584.64 $39,456.00 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 52 17 — — $10,521.00 $47,217.12 $39,347.60 2026-02-28
2324 APR_DRG Gastric Fundoplication 34 11 — — $36,418.00 $65,276.18 $39,323.00 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 34 11 — — $37,075.00 $61,544.50 $39,307.00 2026-02-28
6504 APR_DRG Splenectomy 34 11 — — $35,913.00 $59,615.58 $39,151.00 2026-02-28
4401 APR_DRG Kidney Transplant 34 11 — — $38,574.00 $64,032.84 $39,104.00 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 52 17 — — $10,521.00 $46,880.51 $39,067.09 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 34 11 — — $36,264.00 $60,198.24 $39,005.00 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 17 — — $10,521.00 $46,630.77 $38,858.97 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 52 17 — — $10,521.00 $46,273.64 $38,561.36 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 34 11 — — $35,786.00 $59,404.76 $38,557.00 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 52 17 — — $10,521.00 $45,910.48 $38,258.73 2026-02-28
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