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 →

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Hospital

GARDEN GROVE HOSPITAL & MEDICAL CENTER

Garden Grove, CA · CCN 050230 · Rates published

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You selected 45378 (CPT)

Hc Colorectal Cancer Scrn, Colonoscopy Not High Risk - 45378 - 75000071

This hospital’s price: $1,190 across 19 payers · range $423-$1,845

Source: https://gardengrovehospital.com/wp-content/uploads/2026/09/060000152_GardenGroveHospitalMedicalCenter_standardcharges.json · observed 2026-09-01

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.

5,083 distinct procedures filed
30 distinct payers
205,005 rate rows
2026-09-01 last MRF observed
Data quality

204,895 of 205,005 rate rows are consumer-grade (99.9%)

110 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 78
exceeds 10× this hospital's gross charge — excluded from medians 26
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://gardengrovehospital.com/wp-content/uploads/2024/12/262583411_GardenGroveHospitalMedicalCenter_standardcharges.json
Found on page https://gardengrovehospital.com/patients-visitors/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-03
Content fingerprint 59a45b055b5bec4e… · 42,960,453 bytes · first seen 2026-05-09

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 W Ecmo - Soi : 4 4 $756,651.89 $809,617.52 $756,651.89 nat. median
$390,362
1.9× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 4 4 $478,232.31 $511,708.57 $478,232.31 nat. median
$286,698
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $405,810.91 $735,329.37 $407,840.05 nat. median
$168,055
outlier · 2.4×
5833
APR_DRG 		Neonate W Ecmo - Soi : 3 4 $356,911.82 $381,895.65 $356,911.82 nat. median
$268,208
1.3× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 4 $336,295.95 $359,836.67 $336,295.95 nat. median
$198,578
1.7× median
5914
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 4 $329,053.34 $352,087.07 $329,053.34 nat. median
$171,497
1.9× median
5934
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 4 $290,458.92 $310,791.04 $290,458.92 nat. median
$168,439
1.7× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 4 $287,025.89 $307,117.70 $287,025.89 nat. median
$181,762
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $263,505.59 $521,835.33 $264,823.53 nat. median
$186,516
1.4× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 4 $243,895.93 $260,968.65 $243,895.93 nat. median
$187,567
1.3× median
24
APR_DRG 		Heart &or Lung Transplant - Soi : 4 4 $243,231.46 $260,257.66 $243,231.46 nat. median
$225,531
1.1× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 3 4 $241,856.51 $258,786.47 $241,856.51 nat. median
$173,134
1.4× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 2 4 $233,256.45 $249,584.40 $233,256.45 nat. median
$152,383
1.5× median
5832
APR_DRG 		Neonate W Ecmo - Soi : 2 4 $223,969.98 $239,647.88 $223,969.98 nat. median
$201,678
1.1× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 4 $212,147.21 $226,997.51 $212,147.21 nat. median
$124,731
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems- Soi : 4 4 $202,241.64 $216,398.55 $202,241.64 nat. median
$202,242
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $200,858.54 $439,479.67 $201,863.29 nat. median
$131,925
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $199,682.00 $397,033.76 $200,680.54 nat. median
$145,435
1.4× median
5893
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 4 $198,433.49 $212,323.83 $198,433.49 nat. median
$77,096
outlier · 2.6×
5891
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 4 $198,433.49 $212,323.83 $198,433.49 nat. median
$99,483
2.0× median
5892
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 4 $198,433.49 $212,323.83 $198,433.49 nat. median
$96,548
outlier · 2.1×
5913
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 4 $195,328.73 $209,001.74 $195,328.73 nat. median
$120,079
1.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 4 $194,638.60 $208,263.30 $194,638.60 nat. median
$152,792
1.3× median
5831
APR_DRG 		Neonate W Ecmo - Soi : 1 4 $188,974.75 $202,202.98 $188,974.75 nat. median
$173,909
1.1× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft - Soi : 4 4 $173,017.86 $185,129.11 $173,017.86 nat. median
$173,018
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems- Soi : 3 4 $162,739.13 $174,130.87 $162,739.13 nat. median
$155,539
1.0× median
5933
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 4 $162,107.84 $173,455.39 $162,107.84 nat. median
$114,205
1.4× median
5912
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 4 $158,604.21 $169,706.50 $158,604.21 nat. median
$85,835
1.8× median
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 4 $157,914.19 $168,968.18 $157,914.19 nat. median
$100,752
1.6× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 1 4 $155,141.66 $166,001.58 $155,141.66 nat. median
$130,862
1.2× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4 4 $153,438.03 $164,178.69 $153,438.03 nat. median
$115,963
1.3× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant- Soi : 4 4 $149,835.59 $160,324.08 $149,835.59 nat. median
$149,836
1.0× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4 4 $148,693.87 $159,102.44 $148,693.87 nat. median
$135,630
1.1× median
14
APR_DRG 		Liver Transplant &or Intestinal Transplant - Soi : 4 4 $137,900.99 $147,554.06 $137,900.99 nat. median
$136,566
1.0× median
6114
APR_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 4 4 $133,072.23 $142,387.29 $133,072.23 nat. median
$85,322
1.6× median
23
APR_DRG 		Heart &or Lung Transplant - Soi : 3 4 $131,530.85 $140,738.01 $131,530.85 nat. median
$117,894
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $130,460.00 $261,767.07 $131,112.39 nat. median
$97,418
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $127,100.56 $127,100.56 $127,100.56 nat. median
$2,106
outlier · 60.4×
8634
APR_DRG 		Neonatal Aftercare - Soi : 4 4 $126,964.36 $135,851.87 $126,964.36 nat. median
$79,210
1.6× median
5932
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 2 4 $126,041.91 $134,864.84 $126,041.91 nat. median
$91,110
1.4× median
7
MS_DRG 		Lung Transplant 18 $122,000.00 $242,107.67 $122,610.04 nat. median
$70,649
1.7× median
6023
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 4 $115,531.02 $123,618.19 $115,531.02 nat. median
$95,757
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $113,248.00 $242,719.02 $113,814.26 nat. median
$72,715
1.6× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3 4 $110,110.47 $117,818.20 $110,110.47 nat. median
$73,618
1.5× median
1611
APR_DRG 		Implantable Heart Assist Systems- Soi : 1 4 $109,991.74 $117,691.16 $109,991.74 nat. median
$108,954
1.0× median
1612
APR_DRG 		Implantable Heart Assist Systems- Soi : 2 4 $109,991.74 $117,691.16 $109,991.74 nat. median
$109,992
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $106,807.00 $204,146.82 $107,341.15 nat. median
$65,418
1.6× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 4 $106,925.93 $114,410.75 $106,925.93 nat. median
$106,926
1.0× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 4 4 $105,772.54 $113,176.62 $105,772.54 nat. median
$91,350
1.2× median
6303
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 3 4 $103,484.31 $110,728.21 $103,484.31 nat. median
$95,499
1.1× median

Other procedures at this hospital

Browse this hospital's 5,083 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 W Ecmo - Soi : 4 4 4 — — $756,651.89 $809,617.52 $756,651.89 2026-09-01
5884 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 4 4 4 — — $478,232.31 $511,708.57 $478,232.31 2026-09-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 18 — $405,810.00 $405,810.91 $735,329.37 $407,840.05 2026-09-01
5833 APR_DRG Neonate W Ecmo - Soi : 3 4 4 — — $356,911.82 $381,895.65 $356,911.82 2026-09-01
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 4 4 — — $336,295.95 $359,836.67 $336,295.95 2026-09-01
5914 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 4 4 — — $329,053.34 $352,087.07 $329,053.34 2026-09-01
5934 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 4 4 — — $290,458.92 $310,791.04 $290,458.92 2026-09-01
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 4 4 — — $287,025.89 $307,117.70 $287,025.89 2026-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 18 — $263,505.00 $263,505.59 $521,835.33 $264,823.53 2026-09-01
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 4 4 — — $243,895.93 $260,968.65 $243,895.93 2026-09-01
24 APR_DRG Heart &or Lung Transplant - Soi : 4 4 4 — — $243,231.46 $260,257.66 $243,231.46 2026-09-01
5883 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 3 4 4 — — $241,856.51 $258,786.47 $241,856.51 2026-09-01
5882 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 2 4 4 — — $233,256.45 $249,584.40 $233,256.45 2026-09-01
5832 APR_DRG Neonate W Ecmo - Soi : 2 4 4 — — $223,969.98 $239,647.88 $223,969.98 2026-09-01
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 4 4 — — $212,147.21 $226,997.51 $212,147.21 2026-09-01
1614 APR_DRG Implantable Heart Assist Systems- Soi : 4 4 4 — — $202,241.64 $216,398.55 $202,241.64 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 18 — $200,858.00 $200,858.54 $439,479.67 $201,863.29 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 18 — $199,682.00 $199,682.00 $397,033.76 $200,680.54 2026-09-01
5893 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 4 4 — — $198,433.49 $212,323.83 $198,433.49 2026-09-01
5891 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 4 4 — — $198,433.49 $212,323.83 $198,433.49 2026-09-01
5892 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 4 4 — — $198,433.49 $212,323.83 $198,433.49 2026-09-01
5913 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 4 4 — — $195,328.73 $209,001.74 $195,328.73 2026-09-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 4 4 — — $194,638.60 $208,263.30 $194,638.60 2026-09-01
5831 APR_DRG Neonate W Ecmo - Soi : 1 4 4 — — $188,974.75 $202,202.98 $188,974.75 2026-09-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 4 4 4 — — $173,017.86 $185,129.11 $173,017.86 2026-09-01
1613 APR_DRG Implantable Heart Assist Systems- Soi : 3 4 4 — — $162,739.13 $174,130.87 $162,739.13 2026-09-01
5933 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 4 4 — — $162,107.84 $173,455.39 $162,107.84 2026-09-01
5912 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 4 4 — — $158,604.21 $169,706.50 $158,604.21 2026-09-01
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 4 4 — — $157,914.19 $168,968.18 $157,914.19 2026-09-01
5881 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 1 4 4 — — $155,141.66 $166,001.58 $155,141.66 2026-09-01
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4 4 4 — — $153,438.03 $164,178.69 $153,438.03 2026-09-01
74 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 4 4 4 — — $149,835.59 $160,324.08 $149,835.59 2026-09-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4 4 4 — — $148,693.87 $159,102.44 $148,693.87 2026-09-01
14 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 4 4 4 — — $137,900.99 $147,554.06 $137,900.99 2026-09-01
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 4 4 4 — — $133,072.23 $142,387.29 $133,072.23 2026-09-01
23 APR_DRG Heart &or Lung Transplant - Soi : 3 4 4 — — $131,530.85 $140,738.01 $131,530.85 2026-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 18 — $130,460.00 $130,460.00 $261,767.07 $131,112.39 2026-09-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $127,100.56 $127,100.56 $127,100.56 2026-09-01
8634 APR_DRG Neonatal Aftercare - Soi : 4 4 4 — — $126,964.36 $135,851.87 $126,964.36 2026-09-01
5932 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 2 4 4 — — $126,041.91 $134,864.84 $126,041.91 2026-09-01
7 MS_DRG Lung Transplant 24 18 — $122,000.00 $122,000.00 $242,107.67 $122,610.04 2026-09-01
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 4 4 — — $115,531.02 $123,618.19 $115,531.02 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 24 18 — $113,248.00 $113,248.00 $242,719.02 $113,814.26 2026-09-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3 4 4 — — $110,110.47 $117,818.20 $110,110.47 2026-09-01
1611 APR_DRG Implantable Heart Assist Systems- Soi : 1 4 4 — — $109,991.74 $117,691.16 $109,991.74 2026-09-01
1612 APR_DRG Implantable Heart Assist Systems- Soi : 2 4 4 — — $109,991.74 $117,691.16 $109,991.74 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 18 — $106,807.00 $106,807.00 $204,146.82 $107,341.15 2026-09-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 4 4 — — $106,925.93 $114,410.75 $106,925.93 2026-09-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 4 4 4 — — $105,772.54 $113,176.62 $105,772.54 2026-09-01
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 3 4 4 — — $103,484.31 $110,728.21 $103,484.31 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 24 18 — $102,510.00 $102,510.54 $201,816.30 $103,023.55 2026-09-01
22 APR_DRG Heart &or Lung Transplant - Soi : 2 4 4 — — $101,523.66 $108,630.32 $101,523.66 2026-09-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 3 4 4 — — $98,565.98 $105,465.60 $98,565.98 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 18 — $97,219.00 $97,219.70 $197,286.78 $97,705.80 2026-09-01
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 4 4 — — $97,520.72 $104,347.17 $97,520.72 2026-09-01
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly - Soi : 4 4 4 — — $95,464.97 $102,147.52 $95,464.97 2026-09-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $95,128.20 $95,128.20 $95,128.20 2026-09-01
215 MS_DRG Other Heart Assist System Implant 24 18 — $93,901.00 $93,901.19 $196,275.28 $94,370.71 2026-09-01
64 APR_DRG Pancreas Transplant - Soi : 4 4 4 — — $92,994.09 $99,503.68 $92,994.09 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 18 — $92,265.00 $92,265.87 $178,792.65 $92,727.23 2026-09-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns - Soi : 4 4 4 — — $92,524.47 $99,001.18 $92,524.47 2026-09-01
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly - Soi : 4 4 4 — — $91,110.93 $97,488.70 $91,110.93 2026-09-01
73 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 3 4 4 — — $89,273.14 $95,522.26 $89,273.14 2026-09-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $87,727.12 $87,727.12 $87,727.12 2026-09-01
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 4 4 — — $86,639.32 $92,704.07 $86,639.32 2026-09-01
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 4 4 4 — — $84,935.21 $90,880.67 $84,935.21 2026-09-01
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 4 4 — — $84,459.49 $90,371.65 $84,459.49 2026-09-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 4 4 4 — — $80,771.14 $86,425.12 $80,771.14 2026-09-01
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 3 4 4 — — $80,681.56 $86,329.27 $80,681.56 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 18 — $79,316.00 $79,316.60 $156,897.21 $79,713.21 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 18 — $79,565.00 $70,171.00 $156,984.29 $79,565.42 2026-09-01
63 APR_DRG Pancreas Transplant - Soi : 3 4 4 — — $79,144.95 $84,685.10 $79,144.95 2026-09-01
21 APR_DRG Heart &or Lung Transplant - Soi : 1 4 4 — — $77,825.12 $83,272.88 $77,825.12 2026-09-01
6084 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 4 4 4 — — $77,329.63 $82,742.70 $77,329.63 2026-09-01
4404 APR_DRG Kidney Transplant - Soi : 4 4 4 — — $76,896.47 $82,279.22 $76,896.47 2026-09-01
13 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 3 4 4 — — $76,155.46 $81,486.34 $76,155.46 2026-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 18 — $74,298.00 $74,298.05 $154,259.00 $74,669.59 2026-09-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 3 4 4 — — $74,623.62 $79,847.27 $74,623.62 2026-09-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 4 4 4 — — $74,045.86 $79,229.07 $74,045.86 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 18 — $72,509.00 $72,509.70 $143,342.02 $72,872.26 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 18 — $72,198.00 $72,198.99 $144,803.69 $72,559.99 2026-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 18 — $71,961.00 $71,961.49 $138,278.96 $72,321.31 2026-09-01
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 4 4 4 — — $71,005.50 $75,975.89 $71,005.50 2026-09-01
10 MS_DRG Pancreas Transplant 24 18 — $67,791.00 $67,791.50 $147,704.80 $68,130.47 2026-09-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 24 18 — $67,763.00 $40,750.20 $123,730.79 $67,763.40 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 18 — $67,405.00 $67,405.70 $146,858.18 $67,742.73 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 18 — $67,366.00 $67,366.27 $130,920.58 $67,703.13 2026-09-01
62 APR_DRG Pancreas Transplant - Soi : 2 4 4 — — $66,925.17 $71,609.93 $66,925.17 2026-09-01
72 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 2 4 4 — — $66,446.01 $71,097.23 $66,446.01 2026-09-01
1784 APR_DRG External Heart Assist Systems- Soi : 4 4 4 — — $66,228.69 $70,864.70 $66,228.69 2026-09-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Ccmcc 1 1 — — $66,058.90 $66,058.90 $66,058.90 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 18 — $65,314.00 $65,314.10 $128,873.50 $65,640.69 2026-09-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 4 4 4 — — $65,108.16 $69,665.73 $65,108.16 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 18 — $64,995.00 $17,872.30 $123,521.45 $64,995.90 2026-09-01
6144 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 4 4 4 — — $64,292.94 $68,793.45 $64,292.94 2026-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 18 — $63,617.00 $63,617.80 $126,498.52 $63,935.90 2026-09-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 4 4 4 — — $63,659.00 $68,115.13 $63,659.00 2026-09-01
5931 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 1 4 4 — — $62,482.29 $66,856.05 $62,482.29 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 18 — $62,155.00 $62,155.20 $112,625.26 $62,465.99 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 18 — $61,930.00 $61,930.86 $114,084.50 $62,240.56 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 18 — $62,155.00 $62,155.20 $119,636.63 $62,182.16 2026-09-01
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 3 4 4 — — $62,014.52 $66,355.54 $62,014.52 2026-09-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 2 4 4 — — $61,468.84 $65,771.66 $61,468.84 2026-09-01
12 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 2 4 4 — — $61,446.58 $65,747.84 $61,446.58 2026-09-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 18 — $60,835.00 $60,835.30 $119,808.92 $61,139.49 2026-09-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 2 4 4 — — $60,423.58 $64,653.23 $60,423.58 2026-09-01
6083 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 3 4 4 — — $60,413.77 $64,642.73 $60,413.77 2026-09-01
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 4 4 — — $59,013.12 $63,144.04 $59,013.12 2026-09-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 4 4 4 — — $58,768.76 $62,882.57 $58,768.76 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 18 — $57,893.00 $57,893.26 $117,161.60 $58,182.76 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 18 — $57,959.00 $49,753.30 $110,983.31 $57,959.92 2026-09-01
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 3 4 4 — — $57,853.90 $61,903.67 $57,853.90 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 18 — $57,342.00 $57,342.20 $113,167.48 $57,628.92 2026-09-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma - Soi : 4 4 4 — — $56,988.86 $60,978.08 $56,988.86 2026-09-01
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 4 4 — — $56,955.36 $60,942.24 $56,955.36 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 24 18 — $56,832.00 $52,654.00 $112,626.53 $56,832.50 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 24 18 — $56,816.00 $44,624.60 $114,755.13 $56,816.51 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 18 — $56,408.00 $56,408.15 $106,325.97 $56,690.24 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 24 18 — $56,094.00 $56,094.60 $111,818.81 $56,375.08 2026-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 18 — $56,224.00 $8,699.86 $110,131.13 $56,224.20 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 18 — $55,521.00 $55,521.00 $109,008.48 $55,798.61 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 18 — $55,485.00 $55,485.30 $107,861.74 $55,762.75 2026-09-01
71 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 1 4 4 — — $55,309.66 $59,181.34 $55,309.66 2026-09-01
1664 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx - Soi : 4 4 4 — — $55,046.75 $58,900.02 $55,046.75 2026-09-01
1794 APR_DRG Defibrillator Implants- Soi : 4 4 4 — — $54,992.69 $58,842.18 $54,992.69 2026-09-01
6234 APR_DRG Neonate Bwt 2000-2499g W Congenitalperinatal Infection - Soi : 4 4 4 — — $54,746.96 $58,579.25 $54,746.96 2026-09-01
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma - Soi : 4 4 4 — — $54,718.12 $58,548.39 $54,718.12 2026-09-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 18 — $54,222.00 $54,222.70 $105,690.54 $54,493.82 2026-09-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 4 4 4 — — $54,426.59 $58,236.45 $54,426.59 2026-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 18 — $53,933.00 $53,933.59 $100,056.90 $54,203.27 2026-09-01
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 4 4 — — $54,075.28 $57,860.55 $54,075.28 2026-09-01
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures - Soi : 4 4 4 — — $54,029.06 $57,811.09 $54,029.06 2026-09-01
61 APR_DRG Pancreas Transplant - Soi : 1 4 4 — — $54,005.73 $57,786.13 $54,005.73 2026-09-01
914 APR_DRG Other Major Head & Neck Procedures - Soi : 4 4 4 — — $53,845.66 $57,614.86 $53,845.66 2026-09-01
1783 APR_DRG External Heart Assist Systems- Soi : 3 4 4 — — $53,704.67 $57,464.00 $53,704.67 2026-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 18 — $53,042.00 $53,042.70 $100,799.77 $53,307.91 2026-09-01
6804 APR_DRG Major O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 4 4 — — $52,992.28 $56,701.74 $52,992.28 2026-09-01
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 3 4 4 — — $52,716.12 $56,406.25 $52,716.12 2026-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 18 — $52,682.00 $38,652.50 $95,460.18 $52,682.22 2026-09-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 18 — $52,276.00 $52,276.68 $113,686.20 $52,538.08 2026-09-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $52,465.87 $52,465.87 $52,465.87 2026-09-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 3 4 4 — — $52,320.18 $55,982.59 $52,320.18 2026-09-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma - Soi : 4 4 4 — — $52,238.55 $55,895.25 $52,238.55 2026-09-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 24 18 — $51,965.00 $51,965.90 $107,864.00 $52,225.75 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 18 — $51,783.00 $51,783.80 $100,570.06 $52,042.74 2026-09-01
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition - Soi : 4 4 4 — — $52,004.27 $55,644.57 $52,004.27 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 18 — $51,710.00 $51,710.60 $98,560.02 $51,969.16 2026-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 18 — $51,629.00 $51,629.87 $99,962.41 $51,888.05 2026-09-01
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 24 18 — $51,425.00 $51,425.20 $111,818.81 $51,682.33 2026-09-01
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 2 4 4 — — $51,663.97 $55,280.45 $51,663.97 2026-09-01
4403 APR_DRG Kidney Transplant - Soi : 3 4 4 — — $51,187.99 $54,771.15 $51,187.99 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 18 — $50,491.00 $50,491.16 $98,124.67 $50,743.65 2026-09-01
11 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 1 4 4 — — $50,490.44 $54,024.77 $50,490.44 2026-09-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 18 — $50,125.00 $50,125.05 $102,396.68 $50,375.72 2026-09-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 2 4 4 — — $49,972.05 $53,470.09 $49,972.05 2026-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 17 — $49,960.00 $49,960.76 $95,092.03 $49,960.80 2026-09-01
1694 APR_DRG Major Abdominal Vascular Procedures - Soi : 4 4 4 — — $49,701.73 $53,180.85 $49,701.73 2026-09-01
214 APR_DRG Open Craniotomy Except Trauma- Soi : 4 4 4 — — $49,641.30 $53,116.19 $49,641.30 2026-09-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 18 — $49,295.00 $49,295.18 $94,380.64 $49,541.68 2026-09-01
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 1 4 4 — — $49,525.22 $52,991.99 $49,525.22 2026-09-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 3 4 4 — — $49,432.46 $52,892.73 $49,432.46 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 24 18 — $49,210.00 $43,270.70 $103,272.94 $49,210.70 2026-09-01
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 3 4 4 — — $49,060.10 $52,494.31 $49,060.10 2026-09-01
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 3 4 4 — — $48,931.57 $52,356.78 $48,931.57 2026-09-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 1 4 4 — — $48,887.57 $52,309.70 $48,887.57 2026-09-01
1633 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 3 4 4 — — $48,537.74 $51,935.38 $48,537.74 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 18 — $47,744.00 $47,744.36 $86,512.78 $47,983.12 2026-09-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours - Soi : 4 4 4 — — $47,938.78 $51,294.49 $47,938.78 2026-09-01
234 APR_DRG Spinal Procedures - Soi : 4 4 4 — — $47,896.38 $51,249.13 $47,896.38 2026-09-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 18 — $47,248.00 $47,248.69 $94,091.64 $47,484.94 2026-09-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service - Soi : 4 4 4 — — $47,159.61 $50,460.78 $47,159.61 2026-09-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 18 — $46,873.00 $46,873.19 $92,318.74 $47,107.57 2026-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 18 — $46,790.00 $46,790.58 $92,652.20 $47,024.56 2026-09-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 3 4 4 — — $46,998.47 $50,288.36 $46,998.47 2026-09-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures - Soi : 4 4 4 — — $46,961.37 $50,248.67 $46,961.37 2026-09-01
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 3 4 4 — — $46,931.69 $50,216.91 $46,931.69 2026-09-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 18 — $46,631.00 $46,631.90 $93,311.72 $46,752.87 2026-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 18 — $46,439.00 $46,439.48 $99,951.30 $46,671.70 2026-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 18 — $45,758.00 $45,758.88 $89,984.51 $45,987.69 2026-09-01
8633 APR_DRG Neonatal Aftercare - Soi : 3 4 4 — — $45,916.91 $49,131.09 $45,916.91 2026-09-01
894 APR_DRG Major Cranialfacial Bone Procedures - Soi : 4 4 4 — — $45,836.60 $49,045.16 $45,836.60 2026-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 18 — $45,529.00 $45,529.80 $92,761.50 $45,757.46 2026-09-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures - Soi : 4 4 4 — — $45,647.91 $48,843.26 $45,647.91 2026-09-01
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure - Soi : 4 4 4 — — $45,534.48 $48,721.89 $45,534.48 2026-09-01
4014 APR_DRG Adrenal Procedures - Soi : 4 4 4 — — $45,294.89 $48,465.53 $45,294.89 2026-09-01
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 3 4 4 — — $45,194.71 $48,358.34 $45,194.71 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 17 — $45,121.00 $45,121.47 $87,157.50 $45,121.50 2026-09-01
6904 APR_DRG Acute Leukemia - Soi : 4 4 4 — — $45,078.63 $48,234.13 $45,078.63 2026-09-01
1204 APR_DRG Major Respiratory & Chest Procedures - Soi : 4 4 4 — — $44,991.70 $48,141.12 $44,991.70 2026-09-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis- Soi : 4 4 4 — — $44,744.70 $47,876.83 $44,744.70 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 18 — $44,473.00 $44,473.70 $88,068.96 $44,696.08 2026-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 18 — $44,342.00 $44,342.30 $88,469.12 $44,564.01 2026-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 18 — $44,563.00 $31,342.00 $85,353.11 $44,563.85 2026-09-01
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 2 4 4 — — $44,276.14 $47,375.47 $44,276.14 2026-09-01
4402 APR_DRG Kidney Transplant - Soi : 2 4 4 — — $44,182.85 $47,275.65 $44,182.85 2026-09-01
6 MS_DRG Liver Transplant Without Mcc 24 18 — $43,959.00 $43,959.29 $89,834.46 $44,179.10 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 18 — $43,785.00 $43,785.60 $86,179.35 $44,004.54 2026-09-01
204 APR_DRG Open Craniotomy For Trauma- Soi : 4 4 4 — — $43,983.55 $47,062.40 $43,983.55 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 18 — $43,579.00 $43,579.09 $85,067.81 $43,796.99 2026-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 18 — $43,469.00 $43,469.25 $86,690.66 $43,686.65 2026-09-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 1 4 4 — — $43,549.97 $46,598.47 $43,549.97 2026-09-01
245 MS_DRG Aicd Generator Procedures 24 18 — $43,258.00 $43,258.97 $90,531.02 $43,475.29 2026-09-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses - Soi… 4 4 — — $43,474.70 $46,517.93 $43,474.70 2026-09-01
4414 APR_DRG Major Bladder Procedures - Soi : 4 4 4 — — $43,454.56 $46,496.38 $43,454.56 2026-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 18 — $43,130.00 $43,130.36 $83,580.21 $43,346.05 2026-09-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 18 — $43,111.00 $43,111.59 $82,852.15 $43,327.16 2026-09-01
1782 APR_DRG External Heart Assist Systems- Soi : 2 4 4 — — $43,293.42 $46,323.96 $43,293.42 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 24 18 — $42,944.00 $42,944.49 $88,085.64 $43,159.22 2026-09-01
6814 APR_DRG Other O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 4 4 — — $42,835.46 $45,833.94 $42,835.46 2026-09-01
163 MS_DRG Major Chest Procedures With Mcc 24 18 — $42,502.00 $42,502.30 $85,388.31 $42,714.82 2026-09-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 3 4 4 — — $42,705.07 $45,694.42 $42,705.07 2026-09-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 18 — $42,324.00 $42,324.90 $81,379.36 $42,536.53 2026-09-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 18 — $42,490.00 $29,294.10 $77,633.48 $42,490.13 2026-09-01
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 2 4 4 — — $42,209.21 $45,163.85 $42,209.21 2026-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 18 — $41,666.00 $38,534.10 $79,024.75 $41,666.84 2026-09-01
6143 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 3 4 4 — — $41,632.78 $44,547.07 $41,632.78 2026-09-01
2614 APR_DRG Major Biliary Tract Procedures - Soi : 4 4 4 — — $41,597.26 $44,509.07 $41,597.26 2026-09-01
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 1 4 4 — — $41,585.07 $44,496.02 $41,585.07 2026-09-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 3 4 4 — — $41,408.57 $44,307.17 $41,408.57 2026-09-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 24 18 — $41,052.00 $41,052.89 $78,908.04 $41,258.17 2026-09-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses - Soi : 4 4 4 — — $40,936.82 $43,802.40 $40,936.82 2026-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 18 — $40,729.00 $40,729.00 $83,081.87 $40,932.65 2026-09-01
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 2 4 4 — — $40,762.17 $43,615.52 $40,762.17 2026-09-01
1793 APR_DRG Defibrillator Implants- Soi : 3 4 4 — — $40,597.59 $43,439.42 $40,597.59 2026-09-01
140 MS_DRG Major Head And Neck Procedures With Mcc 24 18 — $40,469.00 $6,174.60 $78,348.57 $40,469.92 2026-09-01
4401 APR_DRG Kidney Transplant - Soi : 1 4 4 — — $40,365.43 $43,191.01 $40,365.43 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 23 17 — $40,239.00 $40,239.90 $75,649.39 $40,239.93 2026-09-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 18 — $40,007.00 $40,007.10 $76,023.60 $40,207.15 2026-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 18 — $39,987.00 $39,987.40 $76,136.61 $40,187.33 2026-09-01
33264 CPT Hc Rem Pac Cvdfb Pls Gen &Repl Plse Gen Multi Lead 27 19 $133,574.00 $40,173.00 70% off $325.02 $62,268.93 $40,173.50 2026-09-01
33249 CPT Hc Insert/Rplacmnt Aicd W Lead Sing/Dual 27 19 $187,018.00 $40,173.00 79% off $1,283.80 $62,268.93 $40,173.50 2026-09-01
33270 CPT Hc Insrt/Rep Subq Defibrillator And Lead 27 19 $74,446.90 $40,173.00 46% off $508.93 $62,268.93 $40,173.50 2026-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 18 — $40,074.00 $8,124.21 $77,079.56 $40,074.71 2026-09-01
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures- Soi… 4 4 — — $40,070.72 $42,875.67 $40,070.72 2026-09-01
901 MS_DRG Wound Debridements For Injuries With Mcc 24 18 — $39,825.00 $39,825.00 $82,077.78 $40,024.12 2026-09-01
1663 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx - Soi : 3 4 4 — — $39,961.53 $42,758.84 $39,961.53 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 18 — $39,751.00 $39,751.77 $76,179.22 $39,950.56 2026-09-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 18 — $39,871.00 $35,177.30 $77,614.95 $39,871.94 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 18 — $39,599.00 $39,599.70 $79,993.64 $39,797.70 2026-09-01
793 MS_DRG Full Term Neonate With Major Problems 24 18 — $39,571.00 $39,571.50 $77,261.11 $39,769.38 2026-09-01
1781 APR_DRG External Heart Assist Systems- Soi : 1 4 4 — — $39,720.89 $42,501.35 $39,720.89 2026-09-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 18 — $39,415.00 $39,415.70 $75,351.12 $39,612.78 2026-09-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 18 — $39,157.00 $39,157.50 $72,440.75 $39,353.31 2026-09-01
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures - Soi : 4 4 4 — — $39,182.36 $41,925.13 $39,182.36 2026-09-01
2304 APR_DRG Major Small Bowel Procedures - Soi : 4 4 4 — — $39,041.36 $41,774.26 $39,041.36 2026-09-01
6954 APR_DRG Chemotherapy For Acute Leukemia - Soi : 4 4 4 — — $39,025.46 $41,757.24 $39,025.46 2026-09-01
274 APR_DRG Other Open Craniotomy- Soi : 4 4 4 — — $38,996.84 $41,726.62 $38,996.84 2026-09-01
1814 APR_DRG Lower Extremity Arterial Procedures - Soi : 4 4 4 — — $38,962.92 $41,690.32 $38,962.92 2026-09-01
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 3 4 4 — — $38,877.05 $41,598.44 $38,877.05 2026-09-01
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment - Soi : 4 4 4 — — $38,747.72 $41,460.06 $38,747.72 2026-09-01
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 2 4 4 — — $38,566.44 $41,266.09 $38,566.44 2026-09-01
791 MS_DRG Prematurity With Major Problems 24 18 — $38,533.00 $3,434.94 $75,212.18 $38,533.30 2026-09-01
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs - Soi : 4 4 4 — — $38,524.03 $41,220.71 $38,524.03 2026-09-01
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy - Soi : 4 4 4 — — $38,336.40 $41,019.95 $38,336.40 2026-09-01
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig - Soi : 4 4 4 — — $38,148.76 $40,819.17 $38,148.76 2026-09-01
1621 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 1 4 4 — — $38,042.75 $40,705.74 $38,042.75 2026-09-01
1214 APR_DRG Other Respiratory & Chest Procedures - Soi : 4 4 4 — — $38,039.57 $40,702.34 $38,039.57 2026-09-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 18 — $37,830.00 $37,830.10 $68,548.21 $38,019.27 2026-09-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures- Soi : 4 4 4 — — $37,467.11 $40,089.81 $37,467.11 2026-09-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 18 — $37,152.00 $37,152.30 $70,428.86 $37,338.08 2026-09-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 18 — $36,986.00 $36,986.19 $80,158.52 $37,171.13 2026-09-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 18 — $36,765.00 $36,765.59 $72,040.59 $36,949.43 2026-09-01
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 2 4 4 — — $36,947.67 $39,534.01 $36,947.67 2026-09-01
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure - Soi : 4 4 4 — — $36,901.02 $39,484.09 $36,901.02 2026-09-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 18 — $36,711.00 $36,711.10 $72,798.29 $36,894.68 2026-09-01
1632 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 2 4 4 — — $36,891.48 $39,473.88 $36,891.48 2026-09-01
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 1 4 4 — — $36,886.18 $39,468.21 $36,886.18 2026-09-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 18 — $36,676.00 $36,676.40 $69,880.51 $36,859.78 2026-09-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders - Soi : 4 4 4 — — $36,731.40 $39,302.60 $36,731.40 2026-09-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 2 4 4 — — $36,690.06 $39,258.36 $36,690.06 2026-09-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 18 — $36,470.00 $36,470.80 $73,800.53 $36,482.01 2026-09-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock - Soi : 4 4 4 — — $36,473.80 $39,026.97 $36,473.80 2026-09-01
4034 APR_DRG Procedures For Obesity - Soi : 4 4 4 — — $36,448.36 $38,999.75 $36,448.36 2026-09-01
6082 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 2 4 4 — — $36,442.26 $38,993.22 $36,442.26 2026-09-01
1754 APR_DRG Percutaneous Coronary Intervention Wo Ami - Soi : 4 4 4 — — $36,057.18 $38,581.18 $36,057.18 2026-09-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 18 — $35,754.00 $35,754.50 $84,166.60 $35,933.29 2026-09-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures - Soi : 4 4 4 — — $35,933.15 $38,448.47 $35,933.15 2026-09-01
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours - Soi : 3 4 4 — — $35,849.40 $38,358.86 $35,849.40 2026-09-01
294 APR_DRG Other Percutaneous Intracranial Procedures- Soi : 4 4 4 — — $35,821.84 $38,329.37 $35,821.84 2026-09-01
224 APR_DRG Ventricular Shunt Procedures - Soi : 4 4 4 — — $35,795.34 $38,301.01 $35,795.34 2026-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 18 — $35,517.00 $35,517.00 $71,329.21 $35,694.60 2026-09-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 18 — $35,513.00 $35,513.28 $66,395.84 $35,690.87 2026-09-01
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure - Soi : 4 4 4 — — $35,675.55 $38,172.84 $35,675.55 2026-09-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 18 — $35,600.00 $29,957.40 $64,508.27 $35,600.60 2026-09-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 18 — $35,414.00 $35,414.70 $73,096.55 $35,591.78 2026-09-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 18 — $35,217.00 $35,217.57 $160,295.00 $35,393.69 2026-09-01
1651 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 1 4 4 — — $35,209.10 $37,673.74 $35,209.10 2026-09-01
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures - Soi : 4 4 4 — — $35,181.54 $37,644.25 $35,181.54 2026-09-01
6364 APR_DRG Neonate Birthwt >2499g W Congenitalperinatal Infection - Soi : 4 4 4 — — $35,086.77 $37,542.84 $35,086.77 2026-09-01
904 MS_DRG Skin Grafts For Injuries With Ccmcc 24 18 — $34,910.00 $34,910.60 $78,496.60 $35,085.15 2026-09-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 18 — $34,896.00 $34,896.50 $65,788.20 $35,070.99 2026-09-01
6504 APR_DRG Splenectomy - Soi : 4 4 4 — — $35,049.03 $37,502.46 $35,049.03 2026-09-01
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures - Soi : 4 4 4 — — $34,825.35 $37,263.12 $34,825.35 2026-09-01
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy - Soi : 4 4 4 — — $34,735.24 $37,166.71 $34,735.24 2026-09-01
6122 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 2 4 4 — — $34,706.35 $37,135.79 $34,706.35 2026-09-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 18 — $34,491.00 $34,491.90 $62,499.36 $34,664.37 2026-09-01
332 MS_DRG Rectal Resection With Mcc 24 18 — $34,418.00 $34,418.69 $64,259.83 $34,590.79 2026-09-01
265 MS_DRG Aicd Lead Procedures 24 18 — $34,395.00 $34,395.20 $66,084.61 $34,567.18 2026-09-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 2 4 4 — — $34,562.44 $36,981.81 $34,562.44 2026-09-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 18 — $34,465.00 $26,494.00 $65,221.31 $34,465.63 2026-09-01
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