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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

15,460 distinct procedures filed
32 distinct payers
1,539,745 rate rows
2026-09-30 last MRF observed
Data quality

1,369,606 of 1,539,745 rate rows are consumer-grade (89.0%)

170,139 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 95,934
per-diem day rate — not a per-procedure price 42,147
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 19,071
template filing: same amount across many unrelated codes — excluded 10,596
exceeds 10× this hospital's gross charge — excluded from medians 1,853
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 414
placeholder amount (≤ $0.02) — excluded from medians 104
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 20
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
Found on page https://www.mrfdatasolutions.com/payers-1
Discovered viaPublic MRF directory
Last fetch success · 2026-11-14
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 $1,361,973.60 $486,429.57 nat. median
$309,665
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $5,818.00 $477,469.10 $415,190.52 nat. median
$360,195
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $207,873.90 $860,817.60 $360,314.40 nat. median
$249,123
1.4× median
5833
APR_DRG 		Neonate With Ecmo 14 $215,822.00 $642,441.60 $312,304.50 nat. median
$244,017
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $9,925.00 $301,629.57 $262,286.58 nat. median
$197,664
1.3× median
24
APR_DRG 		Heart And/or Lung Transplant 14 $185,748.30 $437,815.80 $243,231.00 nat. median
$243,231
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 14 $136,654.20 $522,826.20 $236,867.10 nat. median
$152,569
1.6× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 14 $135,290.70 $592,295.40 $234,504.15 nat. median
$165,334
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 $132,909.30 $516,646.80 $230,375.85 nat. median
$138,094
1.7× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 $131,389.20 $605,332.80 $227,741.55 nat. median
$165,846
1.4× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 $137,191.50 $439,012.80 $224,079.45 nat. median
$154,211
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 14 $182,017.80 $366,425.36 $213,038.00 nat. median
$202,660
1.1× median
5832
APR_DRG 		Neonate With Ecmo 14 $152,307.00 $403,146.00 $200,254.00 nat. median
$159,829
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $133,324.20 $435,342.60 $189,329.00 nat. median
$177,531
1.1× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $129,779.10 $419,860.80 $183,426.50 nat. median
$145,336
1.3× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 14 $123,761.70 $350,350.20 $175,175.10 nat. median
$165,169
1.1× median
5831
APR_DRG 		Neonate With Ecmo 14 $123,340.50 $340,155.00 $171,307.00 nat. median
$148,245
1.2× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 $98,607.60 $381,864.60 $170,919.30 nat. median
$119,800
1.4× median
1613
APR_DRG 		Implantable Heart Assist Systems 14 $145,289.70 $292,930.20 $162,739.00 nat. median
$121,888
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 18 $9,925.00 $181,058.20 $157,441.91 nat. median
$126,240
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 14 $137,707.20 $311,432.40 $155,716.20 nat. median
$160,390
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $5,818.00 $168,134.81 $146,204.18 nat. median
$109,875
1.3× median
7
MS_DRG 		Lung Transplant 18 $9,925.00 $167,720.03 $145,843.50 nat. median
$117,943
1.2× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 $86,309.10 $307,531.50 $143,848.50 nat. median
$107,562
1.3× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 14 $82,471.00 $351,592.20 $140,636.70 nat. median
$103,993
1.4× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 14 $116,581.50 $248,221.80 $137,901.00 nat. median
$137,215
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 14 $120,253.50 $269,704.80 $135,207.00 nat. median
$171,358
0.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 14 $121,472.10 $267,649.20 $134,969.00 nat. median
$122,016
1.1× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 $76,653.00 $284,245.20 $132,864.75 nat. median
$96,980
1.4× median
23
APR_DRG 		Heart And/or Lung Transplant 14 $117,560.70 $236,755.80 $131,531.00 nat. median
$111,079
1.2× median
1612
APR_DRG 		Implantable Heart Assist Systems 14 $98,992.80 $222,671.20 $129,460.00 nat. median
$85,665
1.5× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 14 $92,044.80 $291,794.40 $128,763.00 nat. median
$109,393
1.2× median
1611
APR_DRG 		Implantable Heart Assist Systems 14 $98,992.80 $211,792.20 $123,135.00 nat. median
$77,137
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 18 $9,925.00 $140,383.84 $122,072.90 nat. median
$97,029
1.3× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $86,317.20 $279,255.60 $121,999.00 nat. median
$122,978
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $9,925.00 $137,310.73 $119,400.63 nat. median
$94,844
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 18 $9,925.00 $136,624.47 $118,803.88 nat. median
$93,531
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 $13,997.00 $135,123.73 $117,498.89 nat. median
$93,094
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $20,296.00 $124,763.15 $108,489.69 nat. median
$90,525
1.2× median
8634
APR_DRG 		Neonatal Aftercare 14 $59,794.00 $228,535.20 $104,697.25 nat. median
$71,420
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 18 $9,925.00 $119,242.87 $103,689.45 nat. median
$78,028
1.3× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 $74,490.30 $207,955.80 $103,227.50 nat. median
$89,743
1.2× median
64
APR_DRG 		Pancreas Transplant 14 $83,694.60 $177,519.48 $103,209.00 nat. median
$92,076
1.1× median
22
APR_DRG 		Heart And/or Lung Transplant 14 $84,612.60 $182,743.20 $101,524.00 nat. median
$93,125
1.1× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 14 $58,136.40 $239,529.60 $100,769.85 nat. median
$76,467
1.3× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 14 $71,568.00 $226,875.60 $100,116.50 nat. median
$86,338
1.2× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 $74,508.30 $186,271.20 $97,988.00 nat. median
$76,612
1.3× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 14 $87,425.10 $192,466.80 $97,139.00 nat. median
$99,544
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $20,296.00 $109,967.00 $95,623.47 nat. median
$76,979
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 18 $13,997.00 $109,907.92 $95,572.10 nat. median
$77,595
1.2× median

Other procedures at this hospital

Browse this hospital's 15,460 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
             
6904 APR_DRG Acute Leukemia 64 14 — — $40,571.10 $82,699.32 $48,081.00 2026-09-30
834 MS_DRG Acute Leukemia With Mcc 73 18 — — $5,818.00 $72,931.34 $63,418.55 2026-09-30
850 MS_DRG Acute Leukemia With Other Procedures 73 18 — — $9,925.00 $119,242.87 $103,689.45 2026-09-30
4014 APR_DRG Adrenal Procedures 64 14 — — $38,473.20 $81,531.00 $43,416.00 2026-09-30
245 MS_DRG Aicd Generator Procedures 73 18 — — $9,925.00 $64,880.92 $56,418.19 2026-09-30
265 MS_DRG Aicd Lead Procedures 73 18 — — $9,925.00 $48,294.94 $41,995.60 2026-09-30
14 MS_DRG Allogeneic Bone Marrow Transplant 73 18 — — $5,818.00 $168,134.81 $146,204.18 2026-09-30
74 APR_DRG Allogeneic Bone Marrow Transplant 64 14 — — $120,253.50 $269,704.80 $135,207.00 2026-09-30
73 APR_DRG Allogeneic Bone Marrow Transplant 64 14 — — $68,932.80 $160,691.40 $80,345.70 2026-09-30
72 APR_DRG Allogeneic Bone Marrow Transplant 64 14 — — $54,297.90 $119,602.80 $62,327.00 2026-09-30
71 APR_DRG Allogeneic Bone Marrow Transplant 64 14 — — $42,823.80 $99,558.00 $55,310.00 2026-09-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 73 18 — — $9,925.00 $66,767.53 $58,058.72 2026-09-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 73 18 — — $9,925.00 $59,826.96 $52,023.44 2026-09-30
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 73 18 — — $9,925.00 $52,037.98 $45,250.41 2026-09-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 72 18 — — $14,265.00 $87,263.71 $75,881.48 2026-09-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 73 18 — — $9,925.00 $55,754.62 $48,482.27 2026-09-30
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 64 14 — — $58,371.30 $117,194.40 $65,108.00 2026-09-30
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 64 14 — — $34,981.20 $76,869.00 $42,705.00 2026-09-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 73 18 — — $5,818.00 $79,323.90 $68,977.30 2026-09-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 73 18 — — $5,818.00 $79,323.90 $68,977.30 2026-09-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 76 18 — — $12,715.38 $48,506.11 $42,179.22 2026-09-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 73 18 — — $5,818.00 $49,319.32 $42,886.36 2026-09-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 73 18 — — $13,997.00 $80,590.85 $70,079.00 2026-09-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 73 18 — — $9,925.00 $47,466.66 $41,275.35 2026-09-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 73 18 — — $9,925.00 $46,683.61 $40,594.44 2026-09-30
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 64 14 — — $75,165.30 $166,543.20 $83,517.00 2026-09-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 72 18 — — $14,265.00 $92,283.74 $80,246.73 2026-09-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 72 18 — — $14,265.00 $81,316.08 $70,709.63 2026-09-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 73 18 — — $9,925.00 $61,928.48 $53,850.85 2026-09-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 73 18 — — $9,925.00 $46,271.35 $40,235.95 2026-09-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 72 18 — — $20,296.00 $124,763.15 $108,489.69 2026-09-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 75 18 — — $14,265.00 $84,628.00 $73,589.56 2026-09-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 75 18 — — $14,265.00 $78,235.44 $68,030.81 2026-09-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 75 18 — — $14,265.00 $100,711.22 $87,574.97 2026-09-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 76 18 — — $9,925.00 $70,032.93 $60,898.20 2026-09-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 76 18 — — $9,925.00 $61,183.14 $53,202.73 2026-09-30
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 64 14 — — $72,693.90 $145,387.80 $83,072.00 2026-09-30
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 64 14 — — $50,638.50 $104,137.20 $57,854.00 2026-09-30
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 64 14 — — $39,564.90 $79,696.80 $44,276.00 2026-09-30
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 64 14 — — $63,256.50 $127,809.00 $71,005.00 2026-09-30
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 64 14 — — $41,670.00 $87,368.40 $48,282.00 2026-09-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 73 18 — — $9,925.00 $52,335.86 $45,509.44 2026-09-30
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 64 14 — — $36,063.90 $72,127.80 $40,495.00 2026-09-30
471 MS_DRG Cervical Spinal Fusion With Mcc 76 18 — — $13,997.00 $64,510.14 $56,095.77 2026-09-30
6954 APR_DRG Chemotherapy For Acute Leukemia 64 14 — — $35,122.50 $71,132.32 $41,356.00 2026-09-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 73 18 — — $5,818.00 $66,394.23 $57,734.11 2026-09-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 73 18 — — $5,818.00 $477,469.10 $415,190.52 2026-09-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 73 18 — — $9,925.00 $47,498.08 $41,302.67 2026-09-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 73 18 — — $13,997.00 $108,291.55 $94,166.56 2026-09-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 73 18 — — $13,997.00 $72,217.42 $62,797.75 2026-09-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 73 18 — — $9,925.00 $140,383.84 $122,072.90 2026-09-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 73 18 — — $9,925.00 $81,215.53 $70,622.20 2026-09-30
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 64 14 — — $57,293.10 $114,586.20 $65,103.00 2026-09-30
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 64 14 — — $42,052.50 $84,477.60 $46,932.00 2026-09-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 75 18 — — $14,265.00 $101,702.91 $88,437.31 2026-09-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 76 18 — — $9,925.00 $70,328.31 $61,155.05 2026-09-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 72 18 — — $20,296.00 $109,967.00 $95,623.47 2026-09-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 75 18 — — $14,265.00 $80,238.92 $69,772.97 2026-09-30
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 64 14 — — $49,542.30 $99,084.60 $57,308.00 2026-09-30
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 64 14 — — $35,073.00 $71,931.60 $39,962.00 2026-09-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 75 18 — — $14,265.00 $77,417.20 $67,319.30 2026-09-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 76 18 — — $9,925.00 $55,143.77 $47,951.10 2026-09-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 73 18 — — $9,925.00 $56,995.18 $49,561.02 2026-09-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 73 18 — — $9,925.00 $59,671.10 $51,887.91 2026-09-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 73 18 — — $9,925.00 $89,283.53 $77,637.85 2026-09-30
9104 APR_DRG Craniotomy For Multiple Significant Trauma 64 14 — — $51,290.10 $102,580.20 $57,769.00 2026-09-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 73 18 — — $9,925.00 $75,166.10 $65,361.82 2026-09-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 73 18 — — $9,925.00 $51,242.37 $44,558.58 2026-09-30
1794 APR_DRG Defibrillator Implants 64 14 — — $49,493.70 $99,510.60 $57,855.00 2026-09-30
1793 APR_DRG Defibrillator Implants 64 14 — — $36,342.00 $73,076.40 $40,598.00 2026-09-30
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 64 14 — — $48,984.30 $105,415.36 $61,288.00 2026-09-30
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 64 14 — — $34,989.30 $69,978.60 $39,876.00 2026-09-30
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 64 14 — — $66,641.40 $145,133.60 $84,380.00 2026-09-30
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 64 14 — — $44,488.80 $99,226.80 $57,690.00 2026-09-30
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 64 14 — — $33,253.20 $72,004.36 $41,863.00 2026-09-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 51 18 — — $9,925.00 $272,831.61 $72,674.46 2026-09-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 72 18 — — $14,265.00 $78,757.04 $68,484.38 2026-09-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 73 18 — — $9,925.00 $62,592.12 $54,427.93 2026-09-30
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 64 14 — — $46,332.90 $98,492.40 $54,718.00 2026-09-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 73 18 — — $9,925.00 $301,629.57 $262,286.58 2026-09-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 73 18 — — $5,818.00 $57,843.58 $50,298.76 2026-09-30
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 64 14 — — $40,270.50 $81,252.80 $47,240.00 2026-09-30
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 64 14 — — $34,873.20 $70,771.12 $41,146.00 2026-09-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 73 18 — — $9,925.00 $63,210.51 $54,965.66 2026-09-30
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 64 14 — — $137,707.20 $311,432.40 $155,716.20 2026-09-30
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 64 14 — — $45,266.40 $94,176.00 $52,320.00 2026-09-30
579653 CDM Extern Fixat13419x-14761 21 8 $73,805.00 $35,795.43 51% off $18,451.25 $58,305.95 $50,925.45 2026-09-30
1784 APR_DRG External Heart Assist Systems 64 14 — — $59,606.10 $119,212.20 $67,533.00 2026-09-30
1783 APR_DRG External Heart Assist Systems 64 14 — — $46,573.20 $96,669.00 $53,296.00 2026-09-30
1782 APR_DRG External Heart Assist Systems 64 14 — — $38,963.70 $78,997.88 $45,929.00 2026-09-30
1781 APR_DRG External Heart Assist Systems 64 14 — — $35,748.90 $72,221.08 $41,989.00 2026-09-30
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 64 14 — — $123,761.70 $350,350.20 $175,175.10 2026-09-30
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 64 14 — — $56,044.80 $198,198.00 $84,689.92 2026-09-30
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 64 14 — — $32,722.20 $108,763.20 $49,446.88 2026-09-30
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 64 14 — — $31,085.10 $87,998.40 $43,999.20 2026-09-30
37 MS_DRG Extracranial Procedures With Mcc 73 18 — — $9,925.00 $45,199.21 $39,303.66 2026-09-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 73 18 — — $5,818.00 $78,178.87 $67,981.62 2026-09-30
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 64 14 — — $35,263.80 $70,527.60 $40,213.00 2026-09-30
793 MS_DRG Full Term Neonate With Major Problems 73 18 — — $5,818.00 $55,877.79 $48,589.38 2026-09-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 73 18 — — $9,925.00 $87,405.73 $76,004.98 2026-09-30
2324 APR_DRG Gastric Fundoplication 64 14 — — $25,014.60 $67,635.56 $39,323.00 2026-09-30
24 APR_DRG Heart And/or Lung Transplant 45 14 — — $185,748.30 $437,815.80 $243,231.00 2026-09-30
23 APR_DRG Heart And/or Lung Transplant 45 14 — — $117,560.70 $236,755.80 $131,531.00 2026-09-30
22 APR_DRG Heart And/or Lung Transplant 45 14 — — $84,612.60 $182,743.20 $101,524.00 2026-09-30
21 APR_DRG Heart And/or Lung Transplant 45 14 — — $69,559.20 $140,085.00 $77,825.00 2026-09-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 51 18 — — $9,925.00 $357,504.82 $94,239.81 2026-09-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 51 18 — — $9,925.00 $141,965.01 $41,292.78 2026-09-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 73 18 — — $9,925.00 $47,821.10 $41,583.56 2026-09-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 73 18 — — $9,925.00 $82,948.79 $72,129.38 2026-09-30
1614 APR_DRG Implantable Heart Assist Systems 64 14 — — $182,017.80 $366,425.36 $213,038.00 2026-09-30
1613 APR_DRG Implantable Heart Assist Systems 64 14 — — $145,289.70 $292,930.20 $162,739.00 2026-09-30
1612 APR_DRG Implantable Heart Assist Systems 64 14 — — $98,992.80 $222,671.20 $129,460.00 2026-09-30
1611 APR_DRG Implantable Heart Assist Systems 64 14 — — $98,992.80 $211,792.20 $123,135.00 2026-09-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 73 18 — — $9,925.00 $66,320.07 $57,669.62 2026-09-30
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 64 14 — — $30,538.80 $73,774.24 $42,892.00 2026-09-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 73 18 — — $9,925.00 $72,931.34 $63,418.55 2026-09-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 73 18 — — $9,925.00 $104,778.53 $91,111.76 2026-09-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 73 18 — — $9,925.00 $47,832.41 $41,593.40 2026-09-30
4404 APR_DRG Kidney Transplant 64 14 — — $69,206.40 $138,412.80 $78,303.00 2026-09-30
4403 APR_DRG Kidney Transplant 64 14 — — $44,037.00 $92,138.40 $51,061.00 2026-09-30
4402 APR_DRG Kidney Transplant 64 14 — — $38,718.00 $79,529.40 $43,793.00 2026-09-30
4401 APR_DRG Kidney Transplant 64 14 — — $34,716.60 $72,657.00 $39,104.00 2026-09-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 73 18 — — $9,925.00 $61,367.90 $53,363.39 2026-09-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 73 18 — — $9,925.00 $47,104.67 $40,960.58 2026-09-30
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 73 18 — — $9,925.00 $51,502.55 $44,784.82 2026-09-30
14 APR_DRG Liver Transplant And/or Intestinal Transplant 45 14 — — $116,581.50 $248,221.80 $137,901.00 2026-09-30
13 APR_DRG Liver Transplant And/or Intestinal Transplant 45 14 — — $66,333.60 $137,079.00 $76,155.00 2026-09-30
12 APR_DRG Liver Transplant And/or Intestinal Transplant 45 14 — — $55,302.30 $110,604.60 $61,493.00 2026-09-30
11 APR_DRG Liver Transplant And/or Intestinal Transplant 45 14 — — $45,441.00 $94,271.48 $54,809.00 2026-09-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 73 18 — — $9,925.00 $137,310.73 $119,400.63 2026-09-30
6 MS_DRG Liver Transplant Without Mcc 73 18 — — $9,925.00 $64,408.34 $56,007.25 2026-09-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 73 18 — — $9,925.00 $47,709.24 $41,486.29 2026-09-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 73 18 — — $12,561.34 $48,093.84 $41,820.73 2026-09-30
1814 APR_DRG Lower Extremity Arterial Procedures 64 14 — — $35,066.70 $74,549.96 $43,343.00 2026-09-30
7 MS_DRG Lung Transplant 73 18 — — $9,925.00 $167,720.03 $145,843.50 2026-09-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 73 18 — — $9,925.00 $76,639.18 $66,642.76 2026-09-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 73 18 — — $9,925.00 $62,275.39 $54,152.51 2026-09-30
1694 APR_DRG Major Abdominal Vascular Procedures 64 14 — — $44,731.80 $89,463.60 $51,367.00 2026-09-30
2614 APR_DRG Major Biliary Tract Procedures 64 14 — — $37,437.30 $75,225.92 $43,736.00 2026-09-30
4414 APR_DRG Major Bladder Procedures 64 14 — — $39,109.50 $80,005.80 $46,515.00 2026-09-30
653 MS_DRG Major Bladder Procedures With Mcc 73 18 — — $9,925.00 $73,525.85 $63,935.52 2026-09-30
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 64 14 — — $87,425.10 $192,466.80 $97,139.00 2026-09-30
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 64 14 — — $41,293.80 $84,596.40 $46,998.00 2026-09-30
163 MS_DRG Major Chest Procedures With Mcc 73 18 — — $9,925.00 $61,391.79 $53,384.16 2026-09-30
894 APR_DRG Major Cranial Or Facial Bone Procedures 64 14 — — $41,253.30 $82,506.60 $47,418.00 2026-09-30
140 MS_DRG Major Head And Neck Procedures With Mcc 73 18 — — $9,925.00 $56,615.59 $49,230.94 2026-09-30
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 64 14 — — $47,692.80 $97,248.80 $56,540.00 2026-09-30
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 64 14 — — $42,264.90 $84,529.80 $48,072.00 2026-09-30
1204 APR_DRG Major Respiratory And Chest Procedures 64 14 — — $40,492.80 $84,835.56 $49,323.00 2026-09-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 73 18 — — $9,925.00 $61,174.35 $53,195.08 2026-09-30
2304 APR_DRG Major Small Bowel Procedures 64 14 — — $35,136.90 $70,273.80 $40,755.00 2026-09-30
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 64 14 — — $41,083.20 $83,309.92 $48,436.00 2026-09-30
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 64 14 — — $38,930.40 $81,961.20 $45,534.00 2026-09-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 73 18 — — $13,997.00 $135,123.73 $117,498.89 2026-09-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 73 18 — — $13,997.00 $92,732.45 $80,636.91 2026-09-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 73 18 — — $13,997.00 $72,639.74 $63,164.99 2026-09-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 73 18 — — $13,997.00 $87,730.01 $76,286.96 2026-09-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 73 18 — — $13,895.84 $54,784.29 $47,638.51 2026-09-30
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 64 14 — — $46,388.70 $94,030.20 $52,239.00 2026-09-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 73 18 — — $9,925.00 $63,482.01 $55,201.74 2026-09-30
8634 APR_DRG Neonatal Aftercare 64 14 — — $59,794.00 $228,535.20 $104,697.25 2026-09-30
8633 APR_DRG Neonatal Aftercare 64 14 — — $32,517.90 $82,650.60 $45,164.00 2026-09-30
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 64 14 — — $86,309.10 $307,531.50 $143,848.50 2026-09-30
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 64 14 — — $35,323.20 $103,123.50 $55,758.06 2026-09-30
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 64 14 — — $98,607.60 $381,864.60 $170,919.30 2026-09-30
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 64 14 — — $74,490.30 $207,955.80 $103,227.50 2026-09-30
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 64 14 — — $57,789.00 $152,026.20 $78,588.00 2026-09-30
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 64 14 — — $41,862.60 $139,194.00 $69,684.00 2026-09-30
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 64 14 — — $40,929.30 $108,745.20 $56,846.00 2026-09-30
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 64 14 — — $76,653.00 $284,245.20 $132,864.75 2026-09-30
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 64 14 — — $57,682.80 $155,950.20 $78,048.00 2026-09-30
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 64 14 — — $41,965.20 $106,223.40 $58,285.00 2026-09-30
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 64 14 — — $47,364.30 $152,883.00 $77,691.45 2026-09-30
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 64 14 — — $33,983.10 $88,077.60 $46,642.00 2026-09-30
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 64 14 — — $58,136.40 $239,529.60 $100,769.85 2026-09-30
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 64 14 — — $32,540.40 $81,351.00 $45,195.00 2026-09-30
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 64 14 — — $36,164.70 $119,001.00 $60,108.25 2026-09-30
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 64 14 — — $29,975.40 $74,939.40 $41,633.00 2026-09-30
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 64 14 — — $54,855.00 $175,537.80 $89,596.95 2026-09-30
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 64 14 — — $35,144.10 $94,888.80 $48,811.00 2026-09-30
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 64 14 — — $131,389.20 $605,332.80 $227,741.55 2026-09-30
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 64 14 — — $57,307.50 $145,227.60 $79,594.00 2026-09-30
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 64 14 — — $32,562.90 $92,995.20 $43,691.81 2026-09-30
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 64 14 — — $29,538.00 $74,853.00 $39,307.00 2026-09-30
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 64 14 — — $29,952.00 $98,544.60 $49,596.24 2026-09-30
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 64 14 — — $45,407.70 $163,999.80 $78,706.95 2026-09-30
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 64 14 — — $29,252.70 $93,607.20 $47,779.41 2026-09-30
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 64 14 — — $31,295.70 $102,519.00 $51,709.59 2026-09-30
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 64 14 — — $135,290.70 $592,295.40 $234,504.15 2026-09-30
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 64 14 — — $82,471.00 $351,592.20 $140,636.70 2026-09-30
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 64 14 — — $43,885.00 $285,487.20 $87,262.50 2026-09-30
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 64 14 — — $136,654.20 $522,826.20 $236,867.10 2026-09-30
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 64 14 — — $92,044.80 $291,794.40 $128,763.00 2026-09-30
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 64 14 — — $71,568.00 $226,875.60 $100,116.50 2026-09-30
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 64 14 — — $207,873.90 $860,817.60 $360,314.40 2026-09-30
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 64 14 — — $133,324.20 $435,342.60 $189,329.00 2026-09-30
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 64 14 — — $129,779.10 $419,860.80 $183,426.50 2026-09-30
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 64 14 — — $86,317.20 $279,255.60 $121,999.00 2026-09-30
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 64 14 — — $43,670.00 $357,179.40 $82,432.50 2026-09-30
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 64 14 — — $36,020.70 $357,179.40 $60,034.50 2026-09-30
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 64 14 — — $28,837.00 $357,179.40 $50,415.00 2026-09-30
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 64 14 — — $42,731.10 $171,837.00 $74,067.15 2026-09-30
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 64 14 — — $137,191.50 $439,012.80 $224,079.45 2026-09-30
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 64 14 — — $74,508.30 $186,271.20 $97,988.00 2026-09-30
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 64 14 — — $29,349.00 $77,794.50 $44,126.97 2026-09-30
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 64 14 — — $132,909.30 $516,646.80 $230,375.85 2026-09-30
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 64 14 — — $43,587.90 $111,627.00 $60,538.00 2026-09-30
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 64 14 — — $27,717.30 $97,335.00 $47,431.50 2026-09-30
5834 APR_DRG Neonate With Ecmo 64 14 — — $272,497.00 $1,361,973.60 $486,429.57 2026-09-30
5833 APR_DRG Neonate With Ecmo 64 14 — — $215,822.00 $642,441.60 $312,304.50 2026-09-30
5832 APR_DRG Neonate With Ecmo 64 14 — — $152,307.00 $403,146.00 $200,254.00 2026-09-30
5831 APR_DRG Neonate With Ecmo 64 14 — — $123,340.50 $340,155.00 $171,307.00 2026-09-30
C1767 HCPCS Neurstm Nrec 10082x-11090 1,177 19 $118,860.00 $57,647.10 52% off $10,586.10 $206,348.80 $46,463.65 2026-09-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 73 18 — — $5,818.00 $48,513.65 $42,185.78 2026-09-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 73 18 — — $9,925.00 $47,484.25 $41,290.65 2026-09-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 73 18 — — $9,925.00 $52,849.93 $45,956.46 2026-09-30
214 APR_DRG Open Craniotomy Except Trauma 64 14 — — $44,676.90 $89,353.80 $50,285.00 2026-09-30
204 APR_DRG Open Craniotomy For Trauma 64 14 — — $39,585.60 $81,240.76 $47,233.00 2026-09-30
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 64 14 — — $38,551.50 $83,335.72 $48,451.00 2026-09-30
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 64 14 — — $48,626.10 $111,767.32 $64,981.00 2026-09-30
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 64 14 — — $30,180.60 $67,614.92 $39,311.00 2026-09-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 76 18 — — $9,925.00 $66,093.83 $57,472.89 2026-09-30
264 MS_DRG Other Circulatory System O.r. Procedures 73 18 — — $9,925.00 $47,388.73 $41,207.59 2026-09-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 73 18 — — $9,925.00 $57,074.36 $49,629.87 2026-09-30
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 73 18 — — $9,925.00 $44,960.40 $39,096.00 2026-09-30
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 73 18 — — $9,925.00 $53,052.30 $46,132.43 2026-09-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 73 18 — — $9,925.00 $58,671.87 $51,019.01 2026-09-30
215 MS_DRG Other Heart Assist System Implant 76 18 — — $9,925.00 $136,624.47 $118,803.88 2026-09-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 73 18 — — $9,925.00 $54,581.94 $47,462.55 2026-09-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 73 18 — — $9,925.00 $56,117.87 $48,798.14 2026-09-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 73 18 — — $9,925.00 $46,751.48 $40,653.46 2026-09-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 73 18 — — $9,925.00 $67,975.40 $59,109.04 2026-09-30
914 APR_DRG Other Major Head And Neck Procedures 64 14 — — $48,461.40 $96,922.80 $55,890.00 2026-09-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 73 18 — — $9,925.00 $53,529.92 $46,547.75 2026-09-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 73 18 — — $9,925.00 $55,114.86 $47,925.96 2026-09-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 73 18 — — $9,925.00 $97,276.12 $84,587.93 2026-09-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 73 18 — — $9,925.00 $48,516.16 $42,187.96 2026-09-30
274 APR_DRG Other Open Craniotomy 64 14 — — $35,097.30 $76,679.32 $44,581.00 2026-09-30
1214 APR_DRG Other Respiratory And Chest Procedures 64 14 — — $34,236.00 $68,472.00 $39,534.00 2026-09-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 73 18 — — $9,925.00 $51,853.22 $45,089.75 2026-09-30
252 MS_DRG Other Vascular Procedures With Mcc 73 18 — — $9,925.00 $46,575.52 $40,500.45 2026-09-30
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 73 18 — — $9,925.00 $71,692.04 $62,340.90 2026-09-30
64 APR_DRG Pancreas Transplant 64 14 — — $83,694.60 $177,519.48 $103,209.00 2026-09-30
10 MS_DRG Pancreas Transplant 73 18 — — $9,925.00 $103,671.21 $90,148.87 2026-09-30
63 APR_DRG Pancreas Transplant 64 14 — — $71,230.50 $142,461.00 $81,709.00 2026-09-30
62 APR_DRG Pancreas Transplant 64 14 — — $60,232.50 $120,465.00 $67,118.00 2026-09-30
61 APR_DRG Pancreas Transplant 64 14 — — $48,605.40 $97,210.80 $55,755.00 2026-09-30
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 39 11 — — $37,865.70 $72,365.56 $42,073.00 2026-09-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 73 18 — — $9,925.00 $52,607.35 $45,745.52 2026-09-30
1834 APR_DRG Percutaneous Structural Cardiac Procedures 64 14 — — $52,892.10 $105,784.20 $60,375.00 2026-09-30
1833 APR_DRG Percutaneous Structural Cardiac Procedures 64 14 — — $36,294.30 $74,536.20 $41,409.00 2026-09-30
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 73 18 — — $9,925.00 $50,870.32 $44,235.06 2026-09-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 73 18 — — $9,925.00 $49,001.32 $42,609.84 2026-09-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 73 18 — — $9,925.00 $46,092.87 $40,080.75 2026-09-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 73 18 — — $9,925.00 $60,165.06 $52,317.44 2026-09-30
791 MS_DRG Prematurity With Major Problems 73 18 — — $5,818.00 $54,487.67 $47,380.58 2026-09-30
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 64 14 — — $42,444.00 $92,809.48 $53,959.00 2026-09-30
665 MS_DRG Prostatectomy With Mcc 73 18 — — $9,925.00 $46,615.74 $40,535.42 2026-09-30
332 MS_DRG Rectal Resection With Mcc 73 18 — — $9,925.00 $47,056.91 $40,919.05 2026-09-30
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 64 14 — — $41,403.60 $86,290.20 $46,004.00 2026-09-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 73 18 — — $5,818.00 $84,744.88 $73,691.20 2026-09-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 73 18 — — $12,221.39 $46,510.16 $40,443.61 2026-09-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 73 18 — — $13,997.00 $67,492.76 $58,689.35 2026-09-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 73 18 — — $5,818.00 $90,894.88 $79,039.02 2026-09-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 73 18 — — $9,925.00 $71,847.90 $62,476.43 2026-09-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 73 18 — — $9,925.00 $103,096.80 $89,649.39 2026-09-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 73 18 — — $13,379.34 $52,631.24 $45,766.29 2026-09-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 73 18 — — $13,997.00 $68,190.34 $59,295.94 2026-09-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 73 18 — — $9,925.00 $71,272.23 $61,975.85 2026-09-30
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 64 14 — — $39,127.50 $81,307.84 $47,272.00 2026-09-30
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 64 14 — — $36,843.30 $80,239.72 $46,651.00 2026-09-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 73 18 — — $9,925.00 $47,009.14 $40,877.51 2026-09-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 72 18 — — $14,265.00 $80,861.08 $70,313.98 2026-09-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 73 18 — — $9,925.00 $50,492.00 $43,906.08 2026-09-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 73 18 — — $9,925.00 $51,988.96 $45,207.79 2026-09-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 76 18 — — $13,997.00 $109,907.92 $95,572.10 2026-09-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 76 18 — — $13,997.00 $75,597.21 $65,736.70 2026-09-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 76 18 — — $13,735.94 $57,731.72 $50,201.49 2026-09-30
234 APR_DRG Spinal Procedures 64 14 — — $43,106.40 $86,212.80 $50,013.00 2026-09-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 73 18 — — $9,925.00 $45,649.19 $39,694.94 2026-09-30
28 MS_DRG Spinal Procedures With Mcc 76 18 — — $9,925.00 $79,871.91 $69,453.83 2026-09-30
799 MS_DRG Splenic Procedures With Mcc 73 18 — — $9,925.00 $63,221.83 $54,975.50 2026-09-30
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 73 18 — — $9,925.00 $67,296.68 $58,518.85 2026-09-30
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 73 18 — — $9,925.00 $55,038.19 $47,859.29 2026-09-30
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 73 18 — — $9,925.00 $71,279.78 $61,982.41 2026-09-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 73 18 — — $9,925.00 $181,058.20 $157,441.91 2026-09-30
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 64 14 — — $121,472.10 $267,649.20 $134,969.00 2026-09-30
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 64 14 — — $80,285.40 $177,418.80 $91,647.00 2026-09-30
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 64 14 — — $52,270.20 $110,644.20 $61,469.00 2026-09-30
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 64 14 — — $37,833.30 $78,390.00 $42,075.00 2026-09-30
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 64 14 — — $83,403.90 $190,391.40 $95,195.70 2026-09-30
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 64 14 — — $59,060.70 $134,323.20 $67,161.60 2026-09-30
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 64 14 — — $39,177.90 $89,949.60 $47,572.00 2026-09-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 73 18 — — $9,925.00 $66,345.21 $57,691.48 2026-09-30
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 73 18 — — $9,925.00 $53,494.73 $46,517.15 2026-09-30
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 64 14 — — $34,502.40 $69,383.08 $40,339.00 2026-09-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 73 18 — — $9,925.00 $52,950.49 $46,043.90 2026-09-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 73 18 — — $9,925.00 $56,130.44 $48,809.07 2026-09-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 73 18 — — $9,925.00 $71,343.88 $62,038.15 2026-09-30
901 MS_DRG Wound Debridements For Injuries With Mcc 73 18 — — $9,925.00 $59,145.72 $51,431.06 2026-09-30
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