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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

CALIFORNIA HOSPITAL MEDICAL CENTER LA

Los Angeles, CA · CCN 050149 · Rates published

15,048 distinct procedures filed
27 distinct payers
461,228 rate rows
2026-02-28 last MRF observed
Data quality

410,137 of 461,228 rate rows are consumer-grade (88.9%)

51,091 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 36,561
per-diem day rate — not a per-procedure price 8,667
template filing: same amount across many unrelated codes — excluded 5,281
exceeds 10× this hospital's gross charge — excluded from medians 547
placeholder amount (≤ $0.02) — excluded from medians 35
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_california-hospital-medical-center_standardcharges.json?target=%22_blank%22
Found on page https://www.dignityhealth.org/socal/locations/californiahospital/patients-and-visitors/for-patients/billing-and-payment/hospital-pricing-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-15
Content fingerprint 44cd2780add3746f… · 103,666,968 bytes · first seen 2026-05-05

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 14 $272,497.00 $836,097.00 $490,494.00 nat. median
$309,665
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $8,363.00 $477,469.10 $415,190.52 nat. median
$370,174
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $207,873.90 $623,620.50 $374,172.30 nat. median
$246,434
1.5× median
5833
APR_DRG 		Neonate With Ecmo 14 $215,822.00 $505,647.00 $337,098.00 nat. median
$244,017
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $14,265.00 $357,504.82 $310,873.75 nat. median
$265,286
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $14,265.00 $301,629.57 $262,286.58 nat. median
$206,474
1.3× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 $141,291.00 $423,873.00 $254,323.80 nat. median
$150,721
1.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 14 $136,654.20 $409,962.00 $245,977.20 nat. median
$151,838
1.6× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 14 $135,290.70 $405,873.00 $243,523.80 nat. median
$164,289
1.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 $132,909.30 $398,727.00 $239,236.20 nat. median
$122,924
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 20 $14,265.00 $272,831.61 $237,244.87 nat. median
$202,976
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 $131,389.20 $394,168.50 $236,501.10 nat. median
$162,982
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 14 $191,734.20 $366,425.36 $213,038.00 nat. median
$207,730
1.0× median
5832
APR_DRG 		Neonate With Ecmo 14 $152,307.00 $317,307.00 $211,538.00 nat. median
$156,126
1.4× median
24
APR_DRG 		Heart And/or Lung Transplant 14 $185,748.30 $354,985.64 $206,387.00 nat. median
$234,729
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $133,324.20 $277,759.50 $185,173.00 nat. median
$182,665
1.0× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 $102,510.00 $307,531.50 $184,518.90 nat. median
$109,499
1.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $129,779.10 $270,372.00 $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… 14 $98,607.60 $295,821.00 $177,492.60 nat. median
$118,620
1.5× median
5831
APR_DRG 		Neonate With Ecmo 14 $123,340.50 $256,960.50 $171,307.00 nat. median
$144,745
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 14 $145,289.70 $277,664.76 $161,433.00 nat. median
$119,796
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 20 $14,265.00 $181,058.20 $157,441.91 nat. median
$133,161
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 14 $137,707.20 $263,173.76 $153,008.00 nat. median
$160,267
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $8,363.00 $168,134.81 $146,204.18 nat. median
$117,357
1.2× median
7
MS_DRG 		Lung Transplant 20 $14,265.00 $167,720.03 $145,843.50 nat. median
$122,708
1.2× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 $76,653.00 $229,957.50 $137,974.50 nat. median
$95,507
1.4× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 14 $123,761.70 $236,522.36 $137,513.00 nat. median
$164,834
0.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 14 $121,472.10 $232,146.68 $134,969.00 nat. median
$105,658
1.3× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 14 $120,253.50 $229,817.80 $133,615.00 nat. median
$187,061
0.7× median
23
APR_DRG 		Heart And/or Lung Transplant 14 $117,560.70 $224,671.56 $130,623.00 nat. median
$93,528
1.4× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 14 $116,581.50 $222,800.20 $129,535.00 nat. median
$129,535
1.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 14 $116,514.00 $222,671.20 $129,460.00 nat. median
$85,444
1.5× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 14 $92,044.80 $191,760.00 $127,840.00 nat. median
$108,996
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 $14,265.00 $141,965.01 $123,447.83 nat. median
$108,660
1.1× median
1611
APR_DRG 		Implantable Heart Assist Systems 14 $110,821.50 $211,792.20 $123,135.00 nat. median
$76,806
1.6× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 14 $82,471.00 $184,531.50 $123,021.00 nat. median
$102,919
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 20 $14,265.00 $140,383.84 $122,072.90 nat. median
$102,358
1.2× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $86,317.20 $179,827.50 $119,885.00 nat. median
$124,573
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $14,265.00 $137,310.73 $119,400.63 nat. median
$100,136
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 20 $14,265.00 $136,624.47 $118,803.88 nat. median
$99,019
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $13,997.00 $135,123.73 $117,498.89 nat. median
$98,894
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $14,265.00 $124,763.15 $108,489.69 nat. median
$93,672
1.2× median
8634
APR_DRG 		Neonatal Aftercare 14 $59,794.00 $183,175.50 $107,630.00 nat. median
$69,502
1.5× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 $76,536.90 $159,453.00 $106,302.00 nat. median
$72,936
1.5× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 14 $58,136.40 $174,409.50 $104,645.70 nat. median
$72,753
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 20 $14,265.00 $119,242.87 $103,689.45 nat. median
$83,470
1.2× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 $74,490.30 $155,188.50 $103,459.00 nat. median
$86,492
1.2× median
64
APR_DRG 		Pancreas Transplant 14 $92,888.10 $177,519.48 $103,209.00 nat. median
$91,009
1.1× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 14 $55,881.00 $167,643.00 $100,585.80 nat. median
$66,146
1.5× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 14 $71,568.00 $149,098.50 $99,399.00 nat. median
$86,338
1.2× median

Other procedures at this hospital

Browse this hospital's 15,048 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 23 14 — — $272,497.00 $836,097.00 $490,494.00 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 16 — — $8,363.00 $477,469.10 $415,190.52 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 23 14 — — $207,873.90 $623,620.50 $374,172.30 2026-02-28
5833 APR_DRG Neonate With Ecmo 23 14 — — $215,822.00 $505,647.00 $337,098.00 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 16 — — $14,265.00 $357,504.82 $310,873.75 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 16 — — $14,265.00 $301,629.57 $262,286.58 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 23 14 — — $141,291.00 $423,873.00 $254,323.80 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 23 14 — — $136,654.20 $409,962.00 $245,977.20 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 23 14 — — $135,290.70 $405,873.00 $243,523.80 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 23 14 — — $132,909.30 $398,727.00 $239,236.20 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 26 20 — — $14,265.00 $272,831.61 $237,244.87 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 23 14 — — $131,389.20 $394,168.50 $236,501.10 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 23 14 — — $191,734.20 $366,425.36 $213,038.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 23 14 — — $152,307.00 $317,307.00 $211,538.00 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 23 14 — — $185,748.30 $354,985.64 $206,387.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 23 14 — — $133,324.20 $277,759.50 $185,173.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 23 14 — — $102,510.00 $307,531.50 $184,518.90 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 23 14 — — $129,779.10 $270,372.00 $180,248.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 23 14 — — $98,607.60 $295,821.00 $177,492.60 2026-02-28
5831 APR_DRG Neonate With Ecmo 23 14 — — $123,340.50 $256,960.50 $171,307.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 23 14 — — $145,289.70 $277,664.76 $161,433.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 26 20 — — $14,265.00 $181,058.20 $157,441.91 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 23 14 — — $137,707.20 $263,173.76 $153,008.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 22 16 — — $8,363.00 $168,134.81 $146,204.18 2026-02-28
7 MS_DRG Lung Transplant 26 20 — — $14,265.00 $167,720.03 $145,843.50 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 23 14 — — $76,653.00 $229,957.50 $137,974.50 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 23 14 — — $123,761.70 $236,522.36 $137,513.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 23 14 — — $121,472.10 $232,146.68 $134,969.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 23 14 — — $120,253.50 $229,817.80 $133,615.00 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 23 14 — — $117,560.70 $224,671.56 $130,623.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 23 14 — — $116,581.50 $222,800.20 $129,535.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 23 14 — — $116,514.00 $222,671.20 $129,460.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 23 14 — — $92,044.80 $191,760.00 $127,840.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 20 — — $14,265.00 $141,965.01 $123,447.83 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 23 14 — — $110,821.50 $211,792.20 $123,135.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 23 14 — — $82,471.00 $184,531.50 $123,021.00 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 20 — — $14,265.00 $140,383.84 $122,072.90 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 23 14 — — $86,317.20 $179,827.50 $119,885.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 20 — — $14,265.00 $137,310.73 $119,400.63 2026-02-28
215 MS_DRG Other Heart Assist System Implant 27 20 — — $14,265.00 $136,624.47 $118,803.88 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 20 — — $13,997.00 $135,123.73 $117,498.89 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 20 — — $14,265.00 $124,763.15 $108,489.69 2026-02-28
8634 APR_DRG Neonatal Aftercare 23 14 — — $59,794.00 $183,175.50 $107,630.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 23 14 — — $76,536.90 $159,453.00 $106,302.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 23 14 — — $58,136.40 $174,409.50 $104,645.70 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 26 20 — — $14,265.00 $119,242.87 $103,689.45 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 23 14 — — $74,490.30 $155,188.50 $103,459.00 2026-02-28
64 APR_DRG Pancreas Transplant 23 14 — — $92,888.10 $177,519.48 $103,209.00 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 23 14 — — $55,881.00 $167,643.00 $100,585.80 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 23 14 — — $71,568.00 $149,098.50 $99,399.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 23 14 — — $87,425.10 $167,079.08 $97,139.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 20 — — $14,265.00 $109,967.00 $95,623.47 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 27 20 — — $13,997.00 $109,907.92 $95,572.10 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 20 — — $13,997.00 $108,291.55 $94,166.56 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 23 14 — — $84,612.60 $161,704.08 $94,014.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 23 14 — — $83,403.90 $159,394.12 $92,671.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 20 — — $14,265.00 $104,778.53 $91,111.76 2026-02-28
10 MS_DRG Pancreas Transplant 26 20 — — $14,265.00 $103,671.21 $90,148.87 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 20 — — $14,265.00 $103,096.80 $89,649.39 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 23 14 — — $80,285.40 $153,434.32 $89,206.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 20 — — $14,265.00 $101,702.91 $88,437.31 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 20 — — $14,265.00 $100,711.22 $87,574.97 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 23 14 — — $47,364.30 $142,093.50 $85,256.10 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 20 — — $14,265.00 $97,276.12 $84,587.93 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 23 14 — — $75,942.00 $145,133.60 $84,380.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 23 14 — — $75,165.30 $143,649.24 $83,517.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 23 14 — — $74,764.80 $142,883.84 $83,072.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 23 14 — — $45,407.70 $136,224.00 $81,734.40 2026-02-28
63 APR_DRG Pancreas Transplant 23 14 — — $73,538.10 $140,539.48 $81,709.00 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 20 — — $13,997.00 $92,732.45 $80,636.91 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 23 14 — — $57,789.00 $120,393.00 $80,262.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 20 — — $14,265.00 $92,283.74 $80,246.73 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 23 14 — — $57,682.80 $120,172.50 $80,115.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 23 14 — — $57,307.50 $119,391.00 $79,594.00 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 20 — — $8,363.00 $90,894.88 $79,039.02 2026-02-28
4404 APR_DRG Kidney Transplant 23 14 — — $70,472.70 $134,681.16 $78,303.00 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 20 — — $14,265.00 $215,060.12 $77,637.85 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 23 14 — — $69,559.20 $132,935.36 $77,288.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 23 14 — — $42,731.10 $128,193.00 $76,915.80 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 23 14 — — $68,932.80 $131,738.24 $76,592.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 20 — — $13,997.00 $87,730.01 $76,286.96 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 26 20 — — $14,265.00 $87,405.73 $76,004.98 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 20 — — $14,265.00 $87,263.71 $75,881.48 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 23 14 — — $41,862.60 $125,587.50 $75,352.50 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 23 14 — — $66,333.60 $126,770.88 $73,704.00 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 20 — — $8,363.00 $84,744.88 $73,691.20 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 20 — — $14,265.00 $84,628.00 $73,589.56 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 23 14 — — $43,885.00 $109,078.50 $72,719.00 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 20 — — $14,265.00 $82,948.79 $72,129.38 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 23 14 — — $39,667.50 $119,001.00 $71,400.60 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 20 — — $14,265.00 $81,316.08 $70,709.63 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 20 — — $14,265.00 $81,215.53 $70,622.20 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 20 — — $14,265.00 $80,861.08 $70,313.98 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 23 14 — — $63,256.50 $120,890.20 $70,285.00 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 20 — — $13,997.00 $80,590.85 $70,079.00 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 20 — — $14,265.00 $80,238.92 $69,772.97 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 27 20 — — $14,265.00 $79,871.91 $69,453.83 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 26 20 — — $8,363.00 $79,323.90 $68,977.30 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 26 20 — — $8,363.00 $79,323.90 $68,977.30 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 23 14 — — $49,499.10 $103,123.50 $68,749.00 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 23 14 — — $43,670.00 $103,041.00 $68,694.00 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 20 — — $14,265.00 $78,757.04 $68,484.38 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 20 — — $14,265.00 $78,235.44 $68,030.81 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 26 20 — — $8,363.00 $78,178.87 $67,981.62 2026-02-28
1784 APR_DRG External Heart Assist Systems 23 14 — — $60,779.70 $116,156.76 $67,533.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 20 — — $14,265.00 $77,417.20 $67,319.30 2026-02-28
62 APR_DRG Pancreas Transplant 23 14 — — $60,406.20 $115,442.96 $67,118.00 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 20 — — $14,265.00 $76,639.18 $66,642.76 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 27 20 — — $13,997.00 $75,597.21 $65,736.70 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 23 14 — — $59,060.70 $112,871.56 $65,623.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 20 — — $14,265.00 $75,166.10 $65,361.82 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 23 14 — — $58,592.70 $111,977.16 $65,103.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 23 14 — — $58,482.90 $111,767.32 $64,981.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 23 14 — — $58,371.30 $111,554.04 $64,857.00 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 26 20 — — $14,265.00 $73,525.85 $63,935.52 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 26 20 — — $8,363.00 $72,931.34 $63,418.55 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 20 — — $14,265.00 $72,931.34 $63,418.55 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 20 — — $13,997.00 $72,639.74 $63,164.99 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 20 — — $13,997.00 $72,217.42 $62,797.75 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 20 — — $14,265.00 $71,847.90 $62,476.43 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 26 20 — — $14,265.00 $71,692.04 $62,340.90 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 23 14 — — $56,044.80 $107,107.84 $62,272.00 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 20 — — $14,265.00 $71,343.88 $62,038.15 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 20 — — $14,265.00 $71,279.78 $61,982.41 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 20 — — $14,265.00 $71,272.23 $61,975.85 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 23 14 — — $55,343.70 $105,767.96 $61,493.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 23 14 — — $55,159.20 $105,415.36 $61,288.00 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 20 — — $14,265.00 $70,328.31 $61,155.05 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 20 — — $14,265.00 $70,032.93 $60,898.20 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 23 14 — — $43,587.90 $90,807.00 $60,538.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 23 14 — — $54,337.50 $103,845.00 $60,375.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 23 14 — — $54,297.90 $103,769.32 $60,331.00 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 20 — — $13,997.00 $68,190.34 $59,295.94 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 20 — — $14,265.00 $67,975.40 $59,109.04 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 20 — — $13,997.00 $67,492.76 $58,689.35 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 26 20 — — $14,265.00 $67,296.68 $58,518.85 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 23 14 — — $41,965.20 $87,427.50 $58,285.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 23 14 — — $52,270.20 $99,894.16 $58,078.00 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 20 — — $14,265.00 $66,767.53 $58,058.72 2026-02-28
1794 APR_DRG Defibrillator Implants 23 14 — — $52,069.50 $99,510.60 $57,855.00 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 23 14 — — $51,992.10 $99,362.68 $57,769.00 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 20 — — $8,363.00 $66,394.23 $57,734.11 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 20 — — $14,265.00 $66,345.21 $57,691.48 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 23 14 — — $51,921.00 $99,226.80 $57,690.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 20 — — $14,265.00 $66,320.07 $57,669.62 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 20 — — $14,265.00 $66,093.83 $57,472.89 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 23 14 — — $51,577.20 $98,569.76 $57,308.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 23 14 — — $40,929.30 $85,269.00 $56,846.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 23 14 — — $50,886.00 $97,248.80 $56,540.00 2026-02-28
245 MS_DRG Aicd Generator Procedures 26 20 — — $14,265.00 $64,880.92 $56,418.19 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 23 14 — — $31,295.70 $93,888.00 $56,332.80 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 23 14 — — $50,638.50 $96,775.80 $56,265.00 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 27 20 — — $13,997.00 $64,510.14 $56,095.77 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 26 20 — — $14,265.00 $64,408.34 $56,007.25 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 23 14 — — $50,301.00 $96,130.80 $55,890.00 2026-02-28
61 APR_DRG Pancreas Transplant 23 14 — — $50,179.50 $95,898.60 $55,755.00 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 20 — — $14,265.00 $63,482.01 $55,201.74 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 26 20 — — $14,265.00 $96,821.61 $54,975.50 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 20 — — $14,265.00 $63,210.51 $54,965.66 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 23 14 — — $49,328.10 $94,271.48 $54,809.00 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 20 — — $14,265.00 $62,592.12 $54,427.93 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 20 — — $14,265.00 $62,275.39 $54,152.51 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 23 14 — — $30,083.40 $90,250.50 $54,150.30 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 23 14 — — $48,563.10 $92,809.48 $53,959.00 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 23 14 — — $29,952.00 $89,856.00 $53,913.60 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 20 — — $14,265.00 $61,928.48 $53,850.85 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 26 20 — — $14,265.00 $61,391.79 $53,384.16 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 20 — — $14,265.00 $61,367.90 $53,363.39 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 20 — — $14,265.00 $61,183.14 $53,202.73 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 20 — — $14,265.00 $61,174.35 $53,195.08 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 20 — — $14,265.00 $60,165.06 $52,317.44 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 20 — — $14,265.00 $59,826.96 $52,023.44 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 20 — — $14,265.00 $59,671.10 $51,887.91 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 23 14 — — $37,341.00 $77,794.50 $51,863.00 2026-02-28
1783 APR_DRG External Heart Assist Systems 23 14 — — $46,573.20 $89,006.56 $51,748.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 23 14 — — $46,388.70 $88,653.96 $51,543.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 23 14 — — $46,332.90 $88,547.32 $51,481.00 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 26 20 — — $14,265.00 $59,145.72 $51,431.06 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 23 14 — — $46,230.30 $88,351.24 $51,367.00 2026-02-28
579653 CDM Extern Fixat13419x-14761 8 7 $73,805.00 $35,795.43 51% off $18,451.25 $58,305.95 $51,294.47 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 20 — — $14,265.00 $58,671.87 $51,019.01 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 26 20 — — $8,363.00 $57,843.58 $50,298.76 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 23 14 — — $45,266.40 $86,509.12 $50,296.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 23 14 — — $45,256.50 $86,490.20 $50,285.00 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 27 20 — — $13,997.00 $57,731.72 $50,201.49 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 23 14 — — $36,020.70 $75,043.50 $50,029.00 2026-02-28
234 APR_DRG Spinal Procedures 23 14 — — $45,011.70 $86,022.36 $50,013.00 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 23 14 — — $27,717.30 $83,151.00 $49,890.60 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 20 — — $14,265.00 $57,074.36 $49,629.87 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 20 — — $14,265.00 $56,995.18 $49,561.02 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 23 14 — — $44,390.70 $84,835.56 $49,323.00 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 26 20 — — $14,265.00 $56,615.59 $49,230.94 2026-02-28
4403 APR_DRG Kidney Transplant 23 14 — — $44,037.00 $84,159.60 $48,930.00 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 23 14 — — $35,144.10 $73,216.50 $48,811.00 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 20 — — $14,265.00 $56,130.44 $48,809.07 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 20 — — $14,265.00 $56,117.87 $48,798.14 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 26 20 — — $8,363.00 $55,877.79 $48,589.38 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 20 — — $14,265.00 $55,754.62 $48,482.27 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 23 14 — — $43,605.90 $83,335.72 $48,451.00 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 23 14 — — $34,880.40 $72,667.50 $48,445.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 23 14 — — $43,592.40 $83,309.92 $48,436.00 2026-02-28
6904 APR_DRG Acute Leukemia 23 14 — — $43,272.90 $82,699.32 $48,081.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 23 14 — — $43,264.80 $82,683.84 $48,072.00 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 20 — — $14,265.00 $55,143.77 $47,951.10 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 20 — — $14,265.00 $166,744.50 $47,925.96 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 20 — — $14,265.00 $55,038.19 $47,859.29 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 26 20 — — $13,997.00 $54,784.29 $47,638.51 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 23 14 — — $42,823.80 $81,841.04 $47,582.00 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 20 — — $14,265.00 $54,581.94 $47,462.55 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 23 14 — — $42,676.20 $81,558.96 $47,418.00 2026-02-28
791 MS_DRG Prematurity With Major Problems 26 20 — — $8,363.00 $54,487.67 $47,380.58 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 23 14 — — $42,544.80 $81,307.84 $47,272.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 23 14 — — $42,516.00 $81,252.80 $47,240.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 23 14 — — $42,509.70 $81,240.76 $47,233.00 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 23 14 — — $33,983.10 $70,798.50 $47,199.00 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 23 14 — — $42,052.50 $80,367.00 $46,725.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 23 14 — — $41,985.90 $80,239.72 $46,651.00 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 20 — — $14,265.00 $53,529.92 $46,547.75 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 20 — — $14,265.00 $53,494.73 $46,517.15 2026-02-28
4414 APR_DRG Major Bladder Procedures 23 14 — — $41,863.50 $80,005.80 $46,515.00 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 23 14 — — $41,670.00 $79,636.00 $46,300.00 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 26 20 — — $14,265.00 $53,052.30 $46,132.43 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 20 — — $14,265.00 $52,950.49 $46,043.90 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 23 14 — — $41,403.60 $79,126.88 $46,004.00 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 20 — — $14,265.00 $52,849.93 $45,956.46 2026-02-28
1782 APR_DRG External Heart Assist Systems 23 14 — — $41,336.10 $78,997.88 $45,929.00 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 23 14 — — $41,293.80 $78,917.04 $45,882.00 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 26 20 — — $13,997.00 $52,631.24 $45,766.29 2026-02-28
C1767 HCPCS Neurstm Nrec 10082x-11090 374 17 $118,860.00 $57,647.10 52% off $10,586.10 $206,348.80 $45,760.75 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 20 — — $14,265.00 $52,607.35 $45,745.52 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 20 — — $14,265.00 $52,335.86 $45,509.44 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 26 20 — — $14,265.00 $52,037.98 $45,250.41 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 23 14 — — $32,562.90 $67,839.00 $45,226.00 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 26 20 — — $14,265.00 $51,988.96 $45,207.79 2026-02-28
8633 APR_DRG Neonatal Aftercare 23 14 — — $32,517.90 $67,746.00 $45,164.00 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 20 — — $14,265.00 $51,853.22 $45,089.75 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 26 20 — — $14,265.00 $51,502.55 $44,784.82 2026-02-28
274 APR_DRG Other Open Craniotomy 23 14 — — $40,122.90 $76,679.32 $44,581.00 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 20 — — $14,265.00 $51,242.37 $44,558.58 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 26 20 — — $14,265.00 $50,870.32 $44,235.06 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 23 14 — — $39,564.90 $75,612.92 $43,961.00 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 26 20 — — $14,265.00 $50,492.00 $43,906.08 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 23 14 — — $39,362.40 $75,225.92 $43,736.00 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 23 14 — — $39,177.90 $74,873.32 $43,531.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 23 14 — — $39,008.70 $74,549.96 $43,343.00 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 23 14 — — $38,930.40 $74,400.32 $43,256.00 2026-02-28
4402 APR_DRG Kidney Transplant 23 14 — — $38,718.00 $73,994.40 $43,020.00 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 23 14 — — $38,602.80 $73,774.24 $42,892.00 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 26 20 — — $8,363.00 $49,319.32 $42,886.36 2026-02-28
4014 APR_DRG Adrenal Procedures 23 14 — — $38,473.20 $73,526.56 $42,748.00 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 23 14 — — $30,760.20 $64,083.00 $42,722.00 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 20 — — $14,265.00 $49,001.32 $42,609.84 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 20 — — $14,265.00 $48,516.16 $42,187.96 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 20 — — $8,363.00 $48,513.65 $42,185.78 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 27 20 — — $13,997.00 $79,948.79 $42,179.22 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 23 14 — — $37,865.70 $72,365.56 $42,073.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 23 14 — — $37,833.30 $72,303.64 $42,037.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 23 14 — — $28,837.00 $63,019.50 $42,013.00 2026-02-28
265 MS_DRG Aicd Lead Procedures 26 20 — — $14,265.00 $48,294.94 $41,995.60 2026-02-28
1781 APR_DRG External Heart Assist Systems 23 14 — — $37,790.10 $72,221.08 $41,989.00 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 23 14 — — $37,676.70 $72,004.36 $41,863.00 2026-02-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 26 20 — — $13,997.00 $48,093.84 $41,820.73 2026-02-28
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 26 20 — — $14,265.00 $47,832.41 $41,593.40 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 20 — — $14,265.00 $47,821.10 $41,583.56 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 20 — — $14,265.00 $47,709.24 $41,486.29 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 23 14 — — $37,220.40 $71,132.32 $41,356.00 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 20 — — $14,265.00 $47,498.08 $41,302.67 2026-02-28
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 23 14 — — $22,945.50 $68,836.50 $41,301.90 2026-02-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 20 — — $14,265.00 $47,484.25 $41,290.65 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 20 — — $14,265.00 $47,466.66 $41,275.35 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 26 20 — — $14,265.00 $47,388.73 $41,207.59 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 23 14 — — $37,031.40 $70,771.12 $41,146.00 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 23 14 — — $29,538.00 $61,536.00 $41,024.00 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 26 20 — — $14,265.00 $47,104.67 $40,960.58 2026-02-28
332 MS_DRG Rectal Resection With Mcc 26 20 — — $14,265.00 $47,056.91 $40,919.05 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 23 14 — — $29,431.80 $61,317.00 $40,878.00 2026-02-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 26 20 — — $14,265.00 $47,009.14 $40,877.51 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 23 14 — — $36,679.50 $70,098.60 $40,755.00 2026-02-28
33264 CPT Defib Imp Gen Replc Mult 54 26 $93,015.00 $45,112.28 51% off $292.52 $73,481.85 $40,737.44 2026-02-28
33270 CPT Defib Subq Ins/rep W Lead 54 26 $129,296.00 $62,708.56 52% off $458.04 $102,143.84 $40,737.44 2026-02-28
33249 CPT Defib Imp Sys Ins/repl Tv 54 26 $74,899.00 $36,326.02 51% off $1,027.04 $59,170.21 $40,737.44 2026-02-28
33231 CPT Defib Imp Ins Ex Mul Lead 54 26 $97,823.00 $47,444.16 51% off $292.18 $77,280.17 $40,737.44 2026-02-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 26 20 — — $14,265.00 $46,751.48 $40,653.46 2026-02-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 20 — — $14,265.00 $46,683.61 $40,594.44 2026-02-28
665 MS_DRG Prostatectomy With Mcc 26 20 — — $14,265.00 $46,615.74 $40,535.42 2026-02-28
252 MS_DRG Other Vascular Procedures With Mcc 26 20 — — $14,265.00 $46,575.52 $40,500.45 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 23 14 — — $36,445.50 $69,651.40 $40,495.00 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 20 — — $13,997.00 $46,510.16 $40,443.61 2026-02-28
1793 APR_DRG Defibrillator Implants 23 14 — — $36,342.00 $69,453.60 $40,380.00 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 23 14 — — $36,305.10 $69,383.08 $40,339.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 23 14 — — $36,294.30 $69,362.44 $40,327.00 2026-02-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 20 — — $14,265.00 $46,271.35 $40,235.95 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 23 14 — — $36,191.70 $69,166.36 $40,213.00 2026-02-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 26 20 — — $14,265.00 $46,092.87 $40,080.75 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 23 14 — — $35,888.40 $68,586.72 $39,876.00 2026-02-28
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 26 20 — — $14,265.00 $45,649.19 $39,694.94 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 23 14 — — $35,580.60 $67,998.48 $39,534.00 2026-02-28
2324 APR_DRG Gastric Fundoplication 23 14 — — $35,390.70 $67,635.56 $39,323.00 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 23 14 — — $35,379.90 $67,614.92 $39,311.00 2026-02-28
37 MS_DRG Extracranial Procedures With Mcc 26 20 — — $14,265.00 $45,199.21 $39,303.66 2026-02-28
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