Price Transparencybeta Hospital negotiated rates

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

Export CSV
Hospital

SIERRA NEVADA MEMORIAL HOSPITAL

Grass Valley, CA · CCN 050150 · Rates published

Your selected procedure

You selected 29916 (CPT)

HIP ARTHRO W/LABRAL REPAIR

This hospital’s price: $9,388 across 10 payers · range $885-$27,492

Source: https://www.dignityhealth.org/content/dam/dignity-health/documents/mrf-json/northern-california/json/941439787_sierra-nevada-memorial-hospital_standardcharges.json?target=%22_blank%22 · observed 2026-02-28

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

14,775 distinct procedures filed
14 distinct payers
693,572 rate rows
2026-02-28 last MRF observed
Data quality

564,910 of 693,572 rate rows are consumer-grade (81.4%)

128,662 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 73,984
per-diem day rate — not a per-procedure price 26,322
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 25,320
template filing: same amount across many unrelated codes — excluded 1,888
exceeds 10× this hospital's gross charge — excluded from medians 982
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 112
placeholder amount (≤ $0.02) — excluded from medians 54
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/dhsac/casa/finance/price-transparency/941439787_sierra-nevada-memorial-hospital_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/dignity-health-sacramento-price-transparency
Discovered viaCMS hospital list
Last fetch success · 2026-10-30
Content fingerprint 94b50bf9d2720d7d… · 81,524,119 bytes · first seen 2026-07-06

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
6332423
CDM 		Peg-electrolyte 4l Liq 7 $705,176.64 $1,439,136.00 $1,309,613.76 nat. median
$144
outlier · 9094.5×
5834
APR_DRG 		Neonate With Ecmo 1 $871,388.00 $1,568,499.00 $1,219,943.50 nat. median
$307,273
outlier · 4.0×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $649,944.00 $1,169,899.00 $909,921.50 nat. median
$247,815
outlier · 3.7×
5833
APR_DRG 		Neonate With Ecmo 1 $758,866.00 $948,583.00 $853,724.50 nat. median
$244,017
outlier · 3.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $441,765.00 $795,177.00 $618,471.00 nat. median
$154,116
outlier · 4.0×
1614
APR_DRG 		Implantable Heart Assist Systems 1 $599,481.00 $599,481.00 $599,481.00 nat. median
$202,649
outlier · 3.0×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $427,266.00 $769,079.00 $598,172.50 nat. median
$151,838
outlier · 3.9×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $423,005.00 $761,408.00 $592,206.50 nat. median
$163,528
outlier · 3.6×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $415,558.00 $748,004.00 $581,781.00 nat. median
$134,402
outlier · 4.3×
24
APR_DRG 		Heart And/or Lung Transplant 1 $580,765.00 $580,765.00 $580,765.00 nat. median
$241,734
outlier · 2.4×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $410,806.00 $739,451.00 $575,128.50 nat. median
$165,000
outlier · 3.5×
5832
APR_DRG 		Neonate With Ecmo 1 $476,208.00 $595,260.00 $535,734.00 nat. median
$159,249
outlier · 3.4×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $416,856.00 $521,070.00 $468,963.00 nat. median
$175,429
outlier · 2.7×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $405,770.00 $507,213.00 $456,491.50 nat. median
$145,061
outlier · 3.1×
1613
APR_DRG 		Implantable Heart Assist Systems 1 $454,268.00 $454,268.00 $454,268.00 nat. median
$120,841
outlier · 3.8×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $320,512.00 $576,922.00 $448,717.00 nat. median
$107,442
outlier · 4.2×
5831
APR_DRG 		Neonate With Ecmo 1 $385,641.00 $482,051.00 $433,846.00 nat. median
$147,206
outlier · 2.9×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $308,308.00 $554,955.00 $431,631.50 nat. median
$118,883
outlier · 3.6×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $430,558.00 $430,558.00 $430,558.00 nat. median
$158,104
outlier · 2.7×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $386,956.00 $386,956.00 $386,956.00 nat. median
$163,718
outlier · 2.4×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $379,799.00 $379,799.00 $379,799.00 nat. median
$122,016
outlier · 3.1×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $375,989.00 $375,989.00 $375,989.00 nat. median
$170,172
outlier · 2.2×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $19,981.00 $375,032.60 $367,679.01 nat. median
$359,244
1.0× median
23
APR_DRG 		Heart And/or Lung Transplant 1 $367,570.00 $367,570.00 $367,570.00 nat. median
$110,771
outlier · 3.3×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $364,509.00 $364,509.00 $364,509.00 nat. median
$137,051
outlier · 2.7×
1612
APR_DRG 		Implantable Heart Assist Systems 1 $364,297.00 $364,297.00 $364,297.00 nat. median
$85,271
outlier · 4.3×
1611
APR_DRG 		Implantable Heart Assist Systems 1 $346,497.00 $346,497.00 $346,497.00 nat. median
$77,028
outlier · 4.5×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $239,664.00 $431,396.00 $335,530.00 nat. median
$96,883
outlier · 3.5×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $287,790.00 $359,737.00 $323,763.50 nat. median
$108,900
outlier · 3.0×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $276,941.00 $346,176.00 $311,558.50 nat. median
$101,865
outlier · 3.1×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $269,883.00 $337,353.00 $303,618.00 nat. median
$120,763
outlier · 2.5×
64
APR_DRG 		Pancreas Transplant 1 $290,426.00 $290,426.00 $290,426.00 nat. median
$91,239
outlier · 3.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $34,082.00 $280,216.75 $274,722.30 nat. median
$248,541
1.1× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 1 $273,347.00 $273,347.00 $273,347.00 nat. median
$98,831
outlier · 2.8×
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $239,304.00 $299,130.00 $269,217.00 nat. median
$76,171
outlier · 3.5×
8634
APR_DRG 		Neonatal Aftercare 1 $190,908.00 $343,634.00 $267,271.00 nat. median
$71,102
outlier · 3.8×
22
APR_DRG 		Heart And/or Lung Transplant 1 $264,551.00 $264,551.00 $264,551.00 nat. median
$92,158
outlier · 2.9×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $232,905.00 $291,131.00 $262,018.00 nat. median
$88,855
outlier · 2.9×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $260,774.00 $260,774.00 $260,774.00 nat. median
$81,052
outlier · 3.2×
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 $181,771.00 $327,188.00 $254,479.50 nat. median
$75,577
outlier · 3.4×
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $223,765.00 $279,707.00 $251,736.00 nat. median
$86,187
outlier · 2.9×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $251,023.00 $251,023.00 $251,023.00 nat. median
$74,628
outlier · 3.4×
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $174,719.00 $314,494.00 $244,606.50 nat. median
$66,867
outlier · 3.7×
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 $237,442.00 $237,442.00 $237,442.00 nat. median
$82,449
outlier · 2.9×
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 1 $235,014.00 $235,014.00 $235,014.00 nat. median
$82,410
outlier · 2.9×
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 $233,761.00 $233,761.00 $233,761.00 nat. median
$80,771
outlier · 2.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $24,836.00 $236,054.79 $231,426.26 nat. median
$198,115
1.2× median
63
APR_DRG 		Pancreas Transplant 1 $229,928.00 $229,928.00 $229,928.00 nat. median
$73,635
outlier · 3.1×
4404
APR_DRG 		Kidney Transplant 1 $220,343.00 $220,343.00 $220,343.00 nat. median
$78,303
outlier · 2.8×
21
APR_DRG 		Heart And/or Lung Transplant 1 $217,487.00 $217,487.00 $217,487.00 nat. median
$73,922
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 14,775 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
6332423 CDM Peg-electrolyte 4l Liq 24 7 $1,439,136.00 $784,329.12 46% off $705,176.64 $1,439,136.00 $1,309,613.76 2026-02-28
5834 APR_DRG Neonate With Ecmo 4 1 — — $871,388.00 $1,568,499.00 $1,219,943.50 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 1 — — $649,944.00 $1,169,899.00 $909,921.50 2026-02-28
5833 APR_DRG Neonate With Ecmo 4 1 — — $758,866.00 $948,583.00 $853,724.50 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 1 — — $441,765.00 $795,177.00 $618,471.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 4 1 — — $599,481.00 $599,481.00 $599,481.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 1 — — $427,266.00 $769,079.00 $598,172.50 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 1 — — $423,005.00 $761,408.00 $592,206.50 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 1 — — $415,558.00 $748,004.00 $581,781.00 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 4 1 — — $580,765.00 $580,765.00 $580,765.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 1 — — $410,806.00 $739,451.00 $575,128.50 2026-02-28
5832 APR_DRG Neonate With Ecmo 4 1 — — $476,208.00 $595,260.00 $535,734.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 1 — — $416,856.00 $521,070.00 $468,963.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 1 — — $405,770.00 $507,213.00 $456,491.50 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 4 1 — — $454,268.00 $454,268.00 $454,268.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 1 — — $320,512.00 $576,922.00 $448,717.00 2026-02-28
5831 APR_DRG Neonate With Ecmo 4 1 — — $385,641.00 $482,051.00 $433,846.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 1 — — $308,308.00 $554,955.00 $431,631.50 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 1 — — $430,558.00 $430,558.00 $430,558.00 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 1 — — $386,956.00 $386,956.00 $386,956.00 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 1 — — $379,799.00 $379,799.00 $379,799.00 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 4 1 — — $375,989.00 $375,989.00 $375,989.00 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 8 — — $19,981.00 $375,032.60 $367,679.01 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 4 1 — — $367,570.00 $367,570.00 $367,570.00 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 1 — — $364,509.00 $364,509.00 $364,509.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 4 1 — — $364,297.00 $364,297.00 $364,297.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 4 1 — — $346,497.00 $346,497.00 $346,497.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 1 — — $239,664.00 $431,396.00 $335,530.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 1 — — $287,790.00 $359,737.00 $323,763.50 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 1 — — $276,941.00 $346,176.00 $311,558.50 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 1 — — $269,883.00 $337,353.00 $303,618.00 2026-02-28
64 APR_DRG Pancreas Transplant 4 1 — — $290,426.00 $290,426.00 $290,426.00 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 8 — — $34,082.00 $280,216.75 $274,722.30 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 1 — — $273,347.00 $273,347.00 $273,347.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 1 — — $239,304.00 $299,130.00 $269,217.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 4 1 — — $190,908.00 $343,634.00 $267,271.00 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 4 1 — — $264,551.00 $264,551.00 $264,551.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 1 — — $232,905.00 $291,131.00 $262,018.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 1 — — $260,774.00 $260,774.00 $260,774.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 1 — — $181,771.00 $327,188.00 $254,479.50 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 1 — — $223,765.00 $279,707.00 $251,736.00 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 1 — — $251,023.00 $251,023.00 $251,023.00 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 1 — — $174,719.00 $314,494.00 $244,606.50 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 1 — — $237,442.00 $237,442.00 $237,442.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 1 — — $235,014.00 $235,014.00 $235,014.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 1 — — $233,761.00 $233,761.00 $233,761.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 8 — — $24,836.00 $236,054.79 $231,426.26 2026-02-28
63 APR_DRG Pancreas Transplant 4 1 — — $229,928.00 $229,928.00 $229,928.00 2026-02-28
4404 APR_DRG Kidney Transplant 4 1 — — $220,343.00 $220,343.00 $220,343.00 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 4 1 — — $217,487.00 $217,487.00 $217,487.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 4 1 — — $215,527.00 $215,527.00 $215,527.00 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 24 8 — — $24,836.00 $213,293.82 $209,111.58 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 4 1 — — $207,401.00 $207,401.00 $207,401.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 1 — — $148,092.00 $266,565.00 $207,328.50 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 1 — — $180,684.00 $225,855.00 $203,269.50 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 1 — — $180,352.00 $225,440.00 $202,896.00 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 1 — — $179,180.00 $223,975.00 $201,577.50 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 1 — — $141,974.00 $255,553.00 $198,763.50 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 1 — — $197,780.00 $197,780.00 $197,780.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 4 1 — — $190,035.00 $190,035.00 $190,035.00 2026-02-28
62 APR_DRG Pancreas Transplant 4 1 — — $188,869.00 $188,869.00 $188,869.00 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 1 — — $133,603.00 $240,486.00 $187,044.50 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 1 — — $184,661.00 $184,661.00 $184,661.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 1 — — $163,703.00 $204,629.00 $184,166.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 1 — — $130,888.00 $235,599.00 $183,243.50 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 1 — — $183,196.00 $183,196.00 $183,196.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 1 — — $182,856.00 $182,856.00 $182,856.00 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 1 — — $182,506.00 $182,506.00 $182,506.00 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 1 — — $175,231.00 $175,231.00 $175,231.00 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 1 — — $154,767.00 $193,458.00 $174,112.50 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 4 1 — — $154,643.00 $193,303.00 $173,973.00 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 1 — — $124,025.00 $223,244.00 $173,634.50 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 4 1 — — $173,040.00 $173,040.00 $173,040.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 1 — — $172,463.00 $172,463.00 $172,463.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 1 — — $169,894.00 $169,894.00 $169,894.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 4 1 — — $169,770.00 $169,770.00 $169,770.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 1 — — $163,430.00 $163,430.00 $163,430.00 2026-02-28
1794 APR_DRG Defibrillator Implants 4 1 — — $162,802.00 $162,802.00 $162,802.00 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 1 — — $162,560.00 $162,560.00 $162,560.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 1 — — $162,337.00 $162,337.00 $162,337.00 2026-02-28
J9347 HCPCS Tre-actl300mg/15mlsdvjwtb 24 7 $177,840.00 $96,922.80 45% off $87,141.60 $177,840.00 $161,834.40 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 1 — — $161,262.00 $161,262.00 $161,262.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 4 1 — — $159,101.00 $159,101.00 $159,101.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 1 — — $158,327.00 $158,327.00 $158,327.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 4 1 — — $157,273.00 $157,273.00 $157,273.00 2026-02-28
61 APR_DRG Pancreas Transplant 4 1 — — $156,893.00 $156,893.00 $156,893.00 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 4 1 — — $154,232.00 $154,232.00 $154,232.00 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 1 — — $136,282.00 $170,352.00 $153,317.00 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 4 1 — — $151,838.00 $151,838.00 $151,838.00 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 1 — — $131,209.00 $164,012.00 $147,610.50 2026-02-28
1783 APR_DRG External Heart Assist Systems 4 1 — — $145,616.00 $145,616.00 $145,616.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 1 — — $145,041.00 $145,041.00 $145,041.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 1 — — $144,867.00 $144,867.00 $144,867.00 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 4 1 — — $144,546.00 $144,546.00 $144,546.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 1 — — $127,970.00 $159,963.00 $143,966.50 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 1 — — $141,532.00 $141,532.00 $141,532.00 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 4 1 — — $141,501.00 $141,501.00 $141,501.00 2026-02-28
234 APR_DRG Spinal Procedures 4 1 — — $140,735.00 $140,735.00 $140,735.00 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 4 1 — — $138,794.00 $138,794.00 $138,794.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 24 8 — — $24,836.00 $140,759.13 $137,999.14 2026-02-28
4403 APR_DRG Kidney Transplant 4 1 — — $137,687.00 $137,687.00 $137,687.00 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 1 — — $97,851.00 $176,132.00 $136,991.50 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 4 1 — — $136,338.00 $136,338.00 $136,338.00 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 4 1 — — $136,296.00 $136,296.00 $136,296.00 2026-02-28
6904 APR_DRG Acute Leukemia 4 1 — — $135,299.00 $135,299.00 $135,299.00 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 4 1 — — $135,274.00 $135,274.00 $135,274.00 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 4 1 — — $133,894.00 $133,894.00 $133,894.00 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 4 1 — — $133,432.00 $133,432.00 $133,432.00 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 4 1 — — $133,020.00 $133,020.00 $133,020.00 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 1 — — $132,933.00 $132,933.00 $132,933.00 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 4 1 — — $132,913.00 $132,913.00 $132,913.00 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 4 1 — — $94,060.00 $169,308.00 $131,684.00 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 1 — — $131,483.00 $131,483.00 $131,483.00 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 1 — — $116,752.00 $145,940.00 $131,346.00 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 1 — — $131,274.00 $131,274.00 $131,274.00 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 4 1 — — $93,649.00 $168,568.00 $131,108.50 2026-02-28
4414 APR_DRG Major Bladder Procedures 4 1 — — $130,891.00 $130,891.00 $130,891.00 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 1 — — $130,286.00 $130,286.00 $130,286.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 1 — — $129,455.00 $129,455.00 $129,455.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 4 1 — — $129,244.00 $129,244.00 $129,244.00 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 1 — — $129,111.00 $129,111.00 $129,111.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 24 8 — — $19,981.00 $130,544.90 $127,985.19 2026-02-28
7 MS_DRG Lung Transplant 24 8 — — $24,836.00 $130,217.08 $127,663.80 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 4 1 — — $112,623.00 $140,779.00 $126,701.00 2026-02-28
274 APR_DRG Other Open Craniotomy 4 1 — — $125,450.00 $125,450.00 $125,450.00 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 1 — — $123,703.00 $123,703.00 $123,703.00 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 1 — — $109,883.00 $137,354.00 $123,618.50 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 4 1 — — $123,073.00 $123,073.00 $123,073.00 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 1 — — $109,058.00 $136,322.00 $122,690.00 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 1 — — $122,495.00 $122,495.00 $122,495.00 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 4 1 — — $121,966.00 $121,966.00 $121,966.00 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 4 1 — — $121,721.00 $121,721.00 $121,721.00 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 1 — — $86,661.00 $155,990.00 $121,325.50 2026-02-28
4402 APR_DRG Kidney Transplant 4 1 — — $121,056.00 $121,056.00 $121,056.00 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 1 — — $120,695.00 $120,695.00 $120,695.00 2026-02-28
4014 APR_DRG Adrenal Procedures 4 1 — — $120,293.00 $120,293.00 $120,293.00 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 1 — — $106,252.00 $132,816.00 $119,534.00 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 4 1 — — $118,392.00 $118,392.00 $118,392.00 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 1 — — $118,290.00 $118,290.00 $118,290.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 4 1 — — $118,155.00 $118,155.00 $118,155.00 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 1 — — $117,800.00 $117,800.00 $117,800.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 4 1 — — $116,375.00 $116,375.00 $116,375.00 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 1 — — $115,783.00 $115,783.00 $115,783.00 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 4 1 — — $114,682.00 $114,682.00 $114,682.00 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 1 — — $101,811.00 $127,264.00 $114,537.50 2026-02-28
8633 APR_DRG Neonatal Aftercare 4 1 — — $101,673.00 $127,091.00 $114,382.00 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 4 1 — — $113,953.00 $113,953.00 $113,953.00 2026-02-28
1793 APR_DRG Defibrillator Implants 4 1 — — $113,629.00 $113,629.00 $113,629.00 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 4 1 — — $113,513.00 $113,513.00 $113,513.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 4 1 — — $113,480.00 $113,480.00 $113,480.00 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 4 1 — — $113,159.00 $113,159.00 $113,159.00 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 1 — — $112,209.00 $112,209.00 $112,209.00 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 4 1 — — $111,246.00 $111,246.00 $111,246.00 2026-02-28
2324 APR_DRG Gastric Fundoplication 4 1 — — $110,655.00 $110,655.00 $110,655.00 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 1 — — $110,621.00 $110,621.00 $110,621.00 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 1 — — $109,660.00 $109,660.00 $109,660.00 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 1 — — $109,373.00 $109,373.00 $109,373.00 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 1 — — $109,365.00 $109,365.00 $109,365.00 2026-02-28
4401 APR_DRG Kidney Transplant 4 1 — — $108,545.00 $108,545.00 $108,545.00 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 1 — — $108,438.00 $108,438.00 $108,438.00 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 1 — — $96,175.00 $120,219.00 $108,197.00 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 4 1 — — $107,787.00 $107,787.00 $107,787.00 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 8 — — $34,082.00 $109,861.14 $107,707.00 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 4 1 — — $107,489.00 $107,489.00 $107,489.00 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 1 — — $107,418.00 $107,418.00 $107,418.00 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 4 1 — — $106,788.00 $106,788.00 $106,788.00 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 8 — — $34,082.00 $108,611.44 $106,481.80 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 4 1 — — $94,578.00 $118,223.00 $106,400.50 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 4 1 — — $105,653.00 $105,653.00 $105,653.00 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 4 1 — — $105,264.00 $105,264.00 $105,264.00 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 1 — — $105,115.00 $105,115.00 $105,115.00 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 4 1 — — $105,067.00 $105,067.00 $105,067.00 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 4 1 — — $104,777.00 $104,777.00 $104,777.00 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 4 1 — — $104,329.00 $104,329.00 $104,329.00 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 8 — — $24,836.00 $106,182.56 $104,100.54 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 4 1 — — $103,898.00 $103,898.00 $103,898.00 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 1 — — $92,353.00 $115,441.00 $103,897.00 2026-02-28
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 1 — — $103,895.00 $103,895.00 $103,895.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 22 8 — — $34,082.00 $105,640.16 $103,568.78 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 1 — — $92,024.00 $115,029.00 $103,526.50 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 1 — — $103,388.00 $103,388.00 $103,388.00 2026-02-28
4034 APR_DRG Procedures For Obesity 4 1 — — $102,921.00 $102,921.00 $102,921.00 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 4 1 — — $102,650.00 $102,650.00 $102,650.00 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 8 — — $44,795.00 $104,454.03 $102,405.91 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 1 — — $102,309.00 $102,309.00 $102,309.00 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 4 1 — — $102,045.00 $102,045.00 $102,045.00 2026-02-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 4 1 — — $101,357.00 $101,357.00 $101,357.00 2026-02-28
6504 APR_DRG Splenectomy 4 1 — — $101,059.00 $101,059.00 $101,059.00 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 4 1 — — $100,701.00 $100,701.00 $100,701.00 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 4 1 — — $100,650.00 $100,650.00 $100,650.00 2026-02-28
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 4 1 — — $71,742.00 $129,135.00 $100,438.50 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 4 1 — — $100,287.00 $100,287.00 $100,287.00 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 4 1 — — $99,577.00 $99,577.00 $99,577.00 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 1 — — $99,025.00 $99,025.00 $99,025.00 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 1 — — $98,975.00 $98,975.00 $98,975.00 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 4 1 — — $98,448.00 $98,448.00 $98,448.00 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 4 1 — — $98,409.00 $98,409.00 $98,409.00 2026-02-28
913 APR_DRG Other Major Head And Neck Procedures 4 1 — — $98,093.00 $98,093.00 $98,093.00 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 4 1 — — $97,789.00 $97,789.00 $97,789.00 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 4 1 — — $97,702.00 $97,702.00 $97,702.00 2026-02-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 4 1 — — $97,631.00 $97,631.00 $97,631.00 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 4 1 — — $97,285.00 $97,285.00 $97,285.00 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 1 — — $97,251.00 $97,251.00 $97,251.00 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 1 — — $97,192.00 $97,192.00 $97,192.00 2026-02-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 1 — — $86,106.00 $107,633.00 $96,869.50 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 4 1 — — $96,696.00 $96,696.00 $96,696.00 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 4 1 — — $95,854.00 $95,854.00 $95,854.00 2026-02-28
1831 APR_DRG Percutaneous Structural Cardiac Procedures 4 1 — — $95,707.00 $95,707.00 $95,707.00 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 4 1 — — $95,333.00 $95,333.00 $95,333.00 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 8 — — $34,082.00 $96,265.36 $94,377.80 2026-02-28
3104 APR_DRG Intervertebral Disc Excision And Decompression 4 1 — — $94,189.00 $94,189.00 $94,189.00 2026-02-28
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 1 — — $94,187.00 $94,187.00 $94,187.00 2026-02-28
893 APR_DRG Major Cranial Or Facial Bone Procedures 4 1 — — $94,018.00 $94,018.00 $94,018.00 2026-02-28
1792 APR_DRG Defibrillator Implants 4 1 — — $93,530.00 $93,530.00 $93,530.00 2026-02-28
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 4 1 — — $93,364.00 $93,364.00 $93,364.00 2026-02-28
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 1 — — $92,995.00 $92,995.00 $92,995.00 2026-02-28
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 1 — — $92,781.00 $92,781.00 $92,781.00 2026-02-28
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 4 1 — — $92,668.00 $92,668.00 $92,668.00 2026-02-28
4844 APR_DRG Other Male Reproductive System And Related Procedures 4 1 — — $92,173.00 $92,173.00 $92,173.00 2026-02-28
5184 APR_DRG Other Female Reproductive System And Related Procedures 4 1 — — $92,136.00 $92,136.00 $92,136.00 2026-02-28
1693 APR_DRG Major Abdominal Vascular Procedures 4 1 — — $92,069.00 $92,069.00 $92,069.00 2026-02-28
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 4 1 — — $91,750.00 $91,750.00 $91,750.00 2026-02-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 1 — — $91,362.00 $91,362.00 $91,362.00 2026-02-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 4 1 — — $91,314.00 $91,314.00 $91,314.00 2026-02-28
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 4 1 — — $91,308.00 $91,308.00 $91,308.00 2026-02-28
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 4 1 — — $90,835.00 $90,835.00 $90,835.00 2026-02-28
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 4 1 — — $90,708.00 $90,708.00 $90,708.00 2026-02-28
984 APR_DRG Other Ear Nose Mouth And Throat Procedures 4 1 — — $90,624.00 $90,624.00 $90,624.00 2026-02-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 4 1 — — $90,587.00 $90,587.00 $90,587.00 2026-02-28
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 4 1 — — $90,441.00 $90,441.00 $90,441.00 2026-02-28
3224 APR_DRG Shoulder And Elbow Joint Replacement 4 1 — — $90,196.00 $90,196.00 $90,196.00 2026-02-28
213 APR_DRG Open Craniotomy Except Trauma 4 1 — — $90,165.00 $90,165.00 $90,165.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 22 8 — — $34,082.00 $91,902.31 $90,100.30 2026-02-28
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 4 1 — — $90,001.00 $90,001.00 $90,001.00 2026-02-28
2234 APR_DRG Other Small And Large Bowel Procedures 4 1 — — $89,686.00 $89,686.00 $89,686.00 2026-02-28
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 1 — — $79,515.00 $99,394.00 $89,454.50 2026-02-28
233 APR_DRG Spinal Procedures 4 1 — — $89,083.00 $89,083.00 $89,083.00 2026-02-28
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 4 1 — — $79,135.00 $98,919.00 $89,027.00 2026-02-28
7524 APR_DRG Disorders Of Personality And Impulse Control 4 1 — — $88,813.00 $88,813.00 $88,813.00 2026-02-28
7594 APR_DRG Eating Disorders 4 1 — — $88,314.00 $88,314.00 $88,314.00 2026-02-28
6394 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 4 1 — — $62,521.00 $112,537.00 $87,529.00 2026-02-28
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 1 — — $77,620.00 $97,025.00 $87,322.50 2026-02-28
3634 APR_DRG Breast Procedures Except Mastectomy 4 1 — — $87,317.00 $87,317.00 $87,317.00 2026-02-28
3624 APR_DRG Mastectomy Procedures 4 1 — — $87,207.00 $87,207.00 $87,207.00 2026-02-28
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 4 1 — — $87,165.00 $87,165.00 $87,165.00 2026-02-28
1804 APR_DRG Other Circulatory System Procedures 4 1 — — $86,467.00 $86,467.00 $86,467.00 2026-02-28
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 4 1 — — $86,407.00 $86,407.00 $86,407.00 2026-02-28
3244 APR_DRG Elective Hip Joint Replacement 4 1 — — $85,726.00 $85,726.00 $85,726.00 2026-02-28
C1882 HCPCS Icd Not S/d 14761x-16237 184 11 $115,845.50 $63,135.80 45% off $20,536.25 $142,612.54 $85,481.42 2026-02-28
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 1 — — $83,873.00 $83,873.00 $83,873.00 2026-02-28
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 1 — — $83,591.00 $83,591.00 $83,591.00 2026-02-28
203 APR_DRG Open Craniotomy For Trauma 4 1 — — $83,475.00 $83,475.00 $83,475.00 2026-02-28
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 1 — — $83,428.00 $83,428.00 $83,428.00 2026-02-28
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 4 1 — — $83,340.00 $83,340.00 $83,340.00 2026-02-28
1661 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 1 — — $83,194.00 $83,194.00 $83,194.00 2026-02-28
3174 APR_DRG Tendon Muscle And Other Soft Tissue Procedures 4 1 — — $82,971.00 $82,971.00 $82,971.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 8 — — $34,082.00 $84,570.96 $82,912.70 2026-02-28
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 4 1 — — $82,878.00 $82,878.00 $82,878.00 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 24 8 — — $32,246.00 $84,524.27 $82,866.93 2026-02-28
1791 APR_DRG Defibrillator Implants 4 1 — — $82,757.00 $82,757.00 $82,757.00 2026-02-28
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 1 — — $81,664.00 $81,664.00 $81,664.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 8 — — $44,795.00 $83,246.75 $81,614.46 2026-02-28
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 1 — — $81,546.00 $81,546.00 $81,546.00 2026-02-28
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 4 1 — — $80,867.00 $80,867.00 $80,867.00 2026-02-28
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 4 1 — — $76,964.00 $84,660.00 $80,812.00 2026-02-28
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 1 — — $80,693.00 $80,693.00 $80,693.00 2026-02-28
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 4 1 — — $79,732.00 $79,732.00 $79,732.00 2026-02-28
734 APR_DRG Orbit And Eye Procedures 4 1 — — $79,555.00 $79,555.00 $79,555.00 2026-02-28
6803 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 4 1 — — $79,549.00 $79,549.00 $79,549.00 2026-02-28
1813 APR_DRG Lower Extremity Arterial Procedures 4 1 — — $79,194.00 $79,194.00 $79,194.00 2026-02-28
2634 APR_DRG Cholecystectomy 4 1 — — $79,096.00 $79,096.00 $79,096.00 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 8 — — $24,836.00 $80,470.17 $78,892.32 2026-02-28
4454 APR_DRG Other Bladder Procedures 4 1 — — $78,758.00 $78,758.00 $78,758.00 2026-02-28
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 4 1 — — $78,169.00 $78,169.00 $78,169.00 2026-02-28
10 MS_DRG Pancreas Transplant 24 8 — — $24,836.00 $79,594.98 $78,034.29 2026-02-28
1203 APR_DRG Major Respiratory And Chest Procedures 4 1 — — $77,969.00 $77,969.00 $77,969.00 2026-02-28
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 1 — — $69,120.00 $86,400.00 $77,760.00 2026-02-28
6264 APR_DRG Neonate Birth Weight 2000-2499 Grams Normal Newborn Or Neonate With Other Proble… 4 1 — — $55,479.00 $99,863.00 $77,671.00 2026-02-28
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 4 1 — — $77,642.00 $77,642.00 $77,642.00 2026-02-28
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 4 1 — — $77,600.00 $77,600.00 $77,600.00 2026-02-28
3084 APR_DRG Hip And Femur Fracture Repair 4 1 — — $77,597.00 $77,597.00 $77,597.00 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 8 — — $34,082.00 $79,140.99 $77,589.20 2026-02-28
4834 APR_DRG Penis Testes And Scrotal Procedures 4 1 — — $77,558.00 $77,558.00 $77,558.00 2026-02-28
6924 APR_DRG Radiotherapy 4 1 — — $77,197.00 $77,197.00 $77,197.00 2026-02-28
3164 APR_DRG Hand And Wrist Procedures 4 1 — — $76,758.00 $76,758.00 $76,758.00 2026-02-28
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 4 1 — — $76,750.00 $76,750.00 $76,750.00 2026-02-28
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement 4 1 — — $76,710.00 $76,710.00 $76,710.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 8 — — $34,082.00 $78,039.31 $76,509.12 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 8 — — $34,082.00 $77,255.51 $75,740.69 2026-02-28
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 4 1 — — $75,285.00 $75,285.00 $75,285.00 2026-02-28
1672 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 1 — — $74,677.00 $74,677.00 $74,677.00 2026-02-28
3123 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 4 1 — — $74,581.00 $74,581.00 $74,581.00 2026-02-28
3264 APR_DRG Elective Knee Joint Replacement 4 1 — — $73,922.00 $73,922.00 $73,922.00 2026-02-28
2603 APR_DRG Major Pancreas Liver And Shunt Procedures 4 1 — — $73,863.00 $73,863.00 $73,863.00 2026-02-28
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 1 — — $73,761.00 $73,761.00 $73,761.00 2026-02-28
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 4 1 — — $73,443.00 $73,443.00 $73,443.00 2026-02-28
2203 APR_DRG Major Stomach Esophageal And Duodenal Procedures 4 1 — — $73,271.00 $73,271.00 $73,271.00 2026-02-28
9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 1 — — $73,111.00 $73,111.00 $73,111.00 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 8 — — $24,836.00 $74,540.52 $73,078.94 2026-02-28
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 4 1 — — $64,915.00 $81,143.00 $73,029.00 2026-02-28
See an error in this hospital's data? Submit a correction