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

CORONA REGIONAL MEDICAL CENTER

Corona, CA · CCN 050329 · Rates published

11,397 distinct procedures filed
18 distinct payers
415,468 rate rows
2026-07-17 last MRF observed
Data quality

414,141 of 415,468 rate rows are consumer-grade (99.7%)

1,327 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
exceeds 10× this hospital's gross charge — excluded from medians 477
template filing: same amount across many unrelated codes — excluded 327
per-diem day rate — not a per-procedure price 326
placeholder amount (≤ $0.02) — excluded from medians 149
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 33
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uhsfilecdn.eskycity.net/ac/432035443_corona-regional-medical-center_standardcharges.csv
Found on page https://www.swhcoronaregional.com/patients-visitors/pricing-guide
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-03
Content fingerprint 394d643188b874c9… · 63,069,968 bytes · first seen 2026-05-13

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
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 14 $3,710,000.00 $4,155,200.00 $3,784,200.00 nat. median
$3,758,972
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 14 $3,710,000.00 $4,155,200.00 $3,784,200.00 nat. median
$3,646,097
1.0× median
714
OTHER 		Inj Delandistrogene Mox Rokl 14 $3,321,781.50 $3,720,395.29 $3,388,217.14 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Autotem 14 $3,193,000.00 $3,576,160.00 $3,256,860.00 nat. median
$3,252,508
1.0× median
746
OTHER 		Inj, Betibeglogene Autotemce 14 $2,968,000.00 $3,324,160.00 $3,027,360.00 nat. median
$2,939,969
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 14 $2,403,458.75 $2,691,873.80 $2,451,527.93 nat. median
$2,588,981
0.9× median
824
OTHER 		Inj, Exagamglogene Autotem 14 $2,332,000.00 $2,611,840.00 $2,378,640.00 nat. median
$58,186
outlier · 40.9×
9194
OTHER 		Tisagenlecleucel Car-pos T 14 $565,623.84 $633,498.70 $576,936.32 nat. median
$576,820
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 14 $551,318.34 $617,476.54 $562,344.71 nat. median
$587,650
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Car 14 $528,312.43 $591,709.92 $538,878.68 nat. median
$560,872
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 14 $516,485.97 $578,464.29 $526,815.69 nat. median
$562,201
0.9× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 14 $489,517.15 $548,259.21 $499,307.49 nat. median
$533,230
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 14 $488,051.51 $546,617.69 $497,812.54 nat. median
$492,768
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $390,851.71 $648,056.76 $400,623.01 nat. median
$370,165
1.1× median
5834
APR_DRG 		Neonate With Ecmo 4 $309,665.45 $331,342.03 $319,884.41 nat. median
$311,018
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $291,933.46 $484,044.07 $299,231.80 nat. median
$261,939
1.1× median
5833
APR_DRG 		Neonate With Ecmo 4 $269,678.49 $288,555.99 $278,577.88 nat. median
$250,089
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $245,860.74 $407,652.60 $252,007.26 nat. median
$205,166
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $230,970.69 $247,138.63 $238,592.72 nat. median
$254,667
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $222,114.97 $368,280.61 $227,667.85 nat. median
$199,832
1.1× median
1614
APR_DRG 		Implantable Heart Assist Systems 4 $213,037.56 $227,950.19 $220,067.80 nat. median
$209,486
1.1× median
24
APR_DRG 		Heart And/or Lung Transplant 4 $206,386.58 $220,833.64 $213,197.33 nat. median
$243,231
0.9× median
5832
APR_DRG 		Neonate With Ecmo 4 $169,230.17 $181,076.28 $174,814.77 nat. median
$169,230
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 4 $161,433.16 $172,733.48 $166,760.45 nat. median
$127,938
1.3× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $160,319.16 $171,541.50 $165,609.69 nat. median
$119,243
1.4× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $156,990.16 $167,979.48 $162,170.84 nat. median
$160,171
1.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $153,007.58 $163,718.11 $158,056.83 nat. median
$165,646
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $151,837.53 $162,466.16 $156,848.17 nat. median
$156,285
1.0× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 14 $152,500.50 $170,800.56 $155,550.51 nat. median
$155,877
1.0× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 14 $152,500.50 $170,800.56 $155,550.51 nat. median
$155,877
1.0× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $150,323.17 $160,845.79 $155,283.83 nat. median
$168,361
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $148,138.20 $158,507.88 $153,026.77 nat. median
$180,995
0.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 $147,676.79 $158,014.16 $152,550.12 nat. median
$147,677
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $145,988.27 $156,207.45 $150,805.89 nat. median
$168,174
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $146,441.92 $242,809.92 $150,102.96 nat. median
$132,706
1.1× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $144,198.66 $154,292.57 $148,957.22 nat. median
$147,847
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $137,512.65 $147,138.54 $142,050.57 nat. median
$165,599
0.9× median
5831
APR_DRG 		Neonate With Ecmo 4 $137,045.23 $146,638.40 $141,567.72 nat. median
$154,685
0.9× median
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 14 $137,500.50 $154,000.56 $140,250.51 nat. median
$140,545
1.0× median
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 14 $137,500.50 $154,000.56 $140,250.51 nat. median
$140,545
1.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $134,969.36 $144,417.22 $139,423.35 nat. median
$127,600
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $135,785.75 $225,141.33 $139,180.40 nat. median
$114,305
1.2× median
7
MS_DRG 		Lung Transplant 16 $135,443.74 $224,574.26 $138,829.84 nat. median
$122,690
1.1× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $133,615.15 $142,968.21 $138,024.45 nat. median
$175,480
0.8× median
23
APR_DRG 		Heart And/or Lung Transplant 4 $130,623.46 $139,767.10 $134,934.03 nat. median
$116,111
1.2× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $129,535.48 $138,602.96 $133,810.15 nat. median
$137,901
1.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 4 $129,460.41 $138,522.64 $133,732.60 nat. median
$93,192
1.4× median
1611
APR_DRG 		Implantable Heart Assist Systems 4 $123,134.72 $131,754.15 $127,198.17 nat. median
$82,164
1.5× median
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 14 $122,500.50 $137,200.56 $124,950.51 nat. median
$122,500
1.0× median
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 14 $122,500.50 $137,200.56 $124,950.51 nat. median
$122,500
1.0× median

Other procedures at this hospital

Browse this hospital's 11,397 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
             
773 OTHER Inj, Beqvez, Per Tx Dose 14 14 — — $3,710,000.00 $4,155,200.00 $3,784,200.00 2026-07-17
9138 OTHER Inj, Hemgenix, Per Tx Dose 14 14 — — $3,710,000.00 $4,155,200.00 $3,784,200.00 2026-07-17
714 OTHER Inj Delandistrogene Mox Rokl 14 14 — — $3,321,781.50 $3,720,395.29 $3,388,217.14 2026-07-17
748 OTHER Inj, Lovotibeglogene Autotem 14 14 — — $3,193,000.00 $3,576,160.00 $3,256,860.00 2026-07-17
746 OTHER Inj, Betibeglogene Autotemce 14 14 — — $2,968,000.00 $3,324,160.00 $3,027,360.00 2026-07-17
9141 OTHER Inj Onase Abepar-xioi Treat 14 14 — — $2,403,458.75 $2,691,873.80 $2,451,527.93 2026-07-17
824 OTHER Inj, Exagamglogene Autotem 14 14 — — $2,332,000.00 $2,611,840.00 $2,378,640.00 2026-07-17
9194 OTHER Tisagenlecleucel Car-pos T 14 14 — — $565,623.84 $633,498.70 $576,936.32 2026-07-17
9498 OTHER Ciltacabtagene Car-pos T 14 14 — — $551,318.34 $617,476.54 $562,344.71 2026-07-17
9422 OTHER Idecabtagene Vicleucel Car 14 14 — — $528,312.43 $591,709.92 $538,878.68 2026-07-17
9413 OTHER Lisocabtagene Car Pos T 14 14 — — $516,485.97 $578,464.29 $526,815.69 2026-07-17
9035 OTHER Axicabtagene Ciloleucel Car+ 14 14 — — $489,517.15 $548,259.21 $499,307.49 2026-07-17
9391 OTHER Brexucabtagene Car Pos T 14 14 — — $488,051.51 $546,617.69 $497,812.54 2026-07-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 16 — — $390,851.71 $648,056.76 $400,623.01 2026-07-17
5834 APR_DRG Neonate With Ecmo 4 4 — — $309,665.45 $331,342.03 $319,884.41 2026-07-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 16 — — $291,933.46 $484,044.07 $299,231.80 2026-07-17
5833 APR_DRG Neonate With Ecmo 4 4 — — $269,678.49 $288,555.99 $278,577.88 2026-07-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 16 — — $245,860.74 $407,652.60 $252,007.26 2026-07-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $230,970.69 $247,138.63 $238,592.72 2026-07-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 16 — — $222,114.97 $368,280.61 $227,667.85 2026-07-17
1614 APR_DRG Implantable Heart Assist Systems 4 4 — — $213,037.56 $227,950.19 $220,067.80 2026-07-17
24 APR_DRG Heart And/or Lung Transplant 4 4 — — $206,386.58 $220,833.64 $213,197.33 2026-07-17
5832 APR_DRG Neonate With Ecmo 4 4 — — $169,230.17 $181,076.28 $174,814.77 2026-07-17
1613 APR_DRG Implantable Heart Assist Systems 4 4 — — $161,433.16 $172,733.48 $166,760.45 2026-07-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $160,319.16 $171,541.50 $165,609.69 2026-07-17
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $156,990.16 $167,979.48 $162,170.84 2026-07-17
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $153,007.58 $163,718.11 $158,056.83 2026-07-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $151,837.53 $162,466.16 $156,848.17 2026-07-17
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 14 14 — — $152,500.50 $170,800.56 $155,550.51 2026-07-17
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 14 14 — — $152,500.50 $170,800.56 $155,550.51 2026-07-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $150,323.17 $160,845.79 $155,283.83 2026-07-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $148,138.20 $158,507.88 $153,026.77 2026-07-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $147,676.79 $158,014.16 $152,550.12 2026-07-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $145,988.27 $156,207.45 $150,805.89 2026-07-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 16 — — $146,441.92 $242,809.92 $150,102.96 2026-07-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $144,198.66 $154,292.57 $148,957.22 2026-07-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $137,512.65 $147,138.54 $142,050.57 2026-07-17
5831 APR_DRG Neonate With Ecmo 4 4 — — $137,045.23 $146,638.40 $141,567.72 2026-07-17
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 14 14 — — $137,500.50 $154,000.56 $140,250.51 2026-07-17
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 14 14 — — $137,500.50 $154,000.56 $140,250.51 2026-07-17
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $134,969.36 $144,417.22 $139,423.35 2026-07-17
14 MS_DRG Allogeneic Bone Marrow Transplant 18 16 — — $135,785.75 $225,141.33 $139,180.40 2026-07-17
7 MS_DRG Lung Transplant 18 16 — — $135,443.74 $224,574.26 $138,829.84 2026-07-17
74 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $133,615.15 $142,968.21 $138,024.45 2026-07-17
23 APR_DRG Heart And/or Lung Transplant 4 4 — — $130,623.46 $139,767.10 $134,934.03 2026-07-17
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $129,535.48 $138,602.96 $133,810.15 2026-07-17
1612 APR_DRG Implantable Heart Assist Systems 4 4 — — $129,460.41 $138,522.64 $133,732.60 2026-07-17
1611 APR_DRG Implantable Heart Assist Systems 4 4 — — $123,134.72 $131,754.15 $127,198.17 2026-07-17
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 14 14 — — $122,500.50 $137,200.56 $124,950.51 2026-07-17
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 14 14 — — $122,500.50 $137,200.56 $124,950.51 2026-07-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $113,900.42 $121,873.45 $117,659.13 2026-07-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 16 — — $114,207.08 $189,362.52 $117,062.26 2026-07-17
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 16 — — $112,903.30 $187,200.78 $115,725.88 2026-07-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $109,563.52 $117,232.96 $113,179.11 2026-07-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 16 — — $110,369.32 $182,999.29 $113,128.55 2026-07-17
215 MS_DRG Other Heart Assist System Implant 18 16 — — $109,803.45 $182,061.04 $112,548.54 2026-07-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 16 — — $108,566.00 $180,009.27 $111,280.16 2026-07-17
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 14 14 — — $107,500.50 $120,400.56 $109,650.51 2026-07-17
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 14 14 — — $107,500.50 $120,400.56 $109,650.51 2026-07-17
64 APR_DRG Pancreas Transplant 4 4 — — $103,208.80 $110,433.42 $106,614.70 2026-07-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $102,271.96 $109,431.00 $105,646.93 2026-07-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 17 — — $3,900.00 $165,844.50 $102,023.50 2026-07-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $98,416.50 $105,305.65 $101,664.24 2026-07-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $97,139.35 $103,939.10 $100,344.95 2026-07-17
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $95,908.24 $102,621.82 $99,073.21 2026-07-17
850 MS_DRG Acute Leukemia With Other Procedures 18 16 — — $95,471.22 $158,297.29 $97,857.99 2026-07-17
22 APR_DRG Heart And/or Lung Transplant 4 4 — — $94,013.54 $100,594.48 $97,115.99 2026-07-17
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 14 14 — — $95,000.50 $106,400.56 $96,900.51 2026-07-17
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 14 14 — — $95,000.50 $106,400.56 $96,900.51 2026-07-17
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $92,671.33 $99,158.32 $95,729.49 2026-07-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $89,206.21 $95,450.65 $92,150.02 2026-07-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 17 — — $3,900.00 $145,615.50 $89,579.11 2026-07-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 17 — — $7,968.00 $145,534.73 $89,529.43 2026-07-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $86,144.46 $92,174.57 $88,987.23 2026-07-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 16 — — $86,441.15 $143,324.87 $88,602.18 2026-07-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $85,169.58 $91,131.45 $87,980.18 2026-07-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $85,041.47 $90,994.37 $87,847.84 2026-07-17
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $84,379.87 $90,286.46 $87,164.41 2026-07-17
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 14 14 — — $85,000.50 $95,200.56 $86,700.51 2026-07-17
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 14 14 — — $85,000.50 $95,200.56 $86,700.51 2026-07-17
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $83,517.10 $89,363.29 $86,273.16 2026-07-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $83,071.70 $88,886.72 $85,813.07 2026-07-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 16 — — $83,544.44 $138,521.94 $85,633.05 2026-07-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $82,767.42 $88,561.14 $85,498.75 2026-07-17
10 MS_DRG Pancreas Transplant 18 16 — — $82,631.38 $137,008.03 $84,697.17 2026-07-17
63 APR_DRG Pancreas Transplant 4 4 — — $81,709.47 $87,429.14 $84,405.89 2026-07-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 16 — — $82,157.75 $136,222.72 $84,211.69 2026-07-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 17 — — $3,900.00 $134,317.02 $82,628.56 2026-07-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $79,519.50 $85,085.87 $82,143.64 2026-07-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 17 — — $3,900.00 $132,961.20 $81,794.49 2026-07-17
4404 APR_DRG Kidney Transplant 4 4 — — $78,303.41 $83,784.65 $80,887.42 2026-07-17
21 APR_DRG Heart And/or Lung Transplant 4 4 — — $77,288.50 $82,698.69 $79,839.02 2026-07-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 16 — — $77,358.23 $128,264.81 $79,292.18 2026-07-17
73 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $76,591.87 $81,953.30 $79,119.40 2026-07-17
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 14 14 — — $75,000.50 $84,000.56 $76,500.51 2026-07-17
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 14 14 — — $75,000.50 $84,000.56 $76,500.51 2026-07-17
13 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $73,704.27 $78,863.57 $76,136.51 2026-07-17
8514 APR_DRG Gender Related Procedures 4 4 — — $73,525.11 $78,671.87 $75,951.45 2026-07-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 16 — — $73,611.68 $122,052.80 $75,451.97 2026-07-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 16 — — $73,241.69 $121,439.33 $75,072.73 2026-07-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 16 — — $72,096.47 $119,540.50 $73,898.88 2026-07-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $70,285.20 $75,205.16 $72,604.61 2026-07-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 16 — — $70,767.82 $117,337.51 $72,537.02 2026-07-17
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 16 — — $69,486.84 $115,213.56 $71,224.01 2026-07-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 16 — — $69,219.46 $114,770.22 $70,949.95 2026-07-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 16 — — $28,463.00 $114,576.04 $70,484.39 2026-07-17
8634 APR_DRG Neonatal Aftercare 4 4 — — $67,843.00 $72,592.01 $70,081.82 2026-07-17
1784 APR_DRG External Heart Assist Systems 4 4 — — $67,532.72 $72,260.02 $69,761.30 2026-07-17
62 APR_DRG Pancreas Transplant 4 4 — — $67,118.35 $71,816.64 $69,333.26 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 16 — — $67,025.42 $111,132.36 $68,701.05 2026-07-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 17 — — $3,900.00 $110,972.55 $68,267.61 2026-07-17
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $65,623.01 $70,216.62 $67,788.57 2026-07-17
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $65,102.54 $69,659.72 $67,250.92 2026-07-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 16 — — $65,544.42 $108,676.77 $67,183.03 2026-07-17
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 4 — — $64,981.43 $69,530.13 $67,125.82 2026-07-17
84 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $64,857.32 $69,397.33 $66,997.61 2026-07-17
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $64,596.08 $69,117.81 $66,727.76 2026-07-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $64,209.74 $68,704.42 $66,328.65 2026-07-17
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 14 14 — — $65,000.50 $72,800.56 $66,300.51 2026-07-17
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 14 14 — — $65,000.50 $72,800.56 $66,300.51 2026-07-17
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $64,091.63 $68,578.04 $66,206.65 2026-07-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 16 — — $64,198.15 $106,444.57 $65,803.10 2026-07-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $63,675.26 $68,132.52 $65,776.54 2026-07-17
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 16 — — $64,115.24 $106,307.10 $65,718.12 2026-07-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 16 — — $63,822.97 $105,822.51 $65,418.54 2026-07-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 17 — — $7,534.00 $105,453.05 $64,872.15 2026-07-17
717 OTHER Instill Adstiladrin, Tx Dose 14 14 — — $63,402.04 $71,010.29 $64,670.08 2026-07-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 17 — — $3,900.00 $104,971.90 $64,576.16 2026-07-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $62,271.99 $66,631.03 $64,326.97 2026-07-17
28 MS_DRG Spinal Procedures With Mcc 19 16 — — $7,968.00 $104,470.13 $64,267.48 2026-07-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $62,089.83 $66,436.12 $64,138.79 2026-07-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 16 — — $62,555.47 $103,720.91 $64,119.35 2026-07-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 16 — — $62,555.47 $103,720.91 $64,119.35 2026-07-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 16 — — $62,088.06 $102,945.91 $63,640.26 2026-07-17
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $61,532.33 $65,839.59 $63,562.90 2026-07-17
12 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $61,493.29 $65,797.82 $63,522.57 2026-07-17
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $61,288.11 $65,578.28 $63,310.62 2026-07-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 16 — — $61,611.32 $102,155.44 $63,151.60 2026-07-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 17 — — $3,900.00 $102,232.77 $62,891.11 2026-07-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $60,375.29 $64,601.56 $62,367.67 2026-07-17
72 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $60,331.25 $64,554.44 $62,322.18 2026-07-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 17 — — $3,900.00 $101,114.09 $62,202.93 2026-07-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 16 — — $60,341.74 $100,050.40 $61,850.28 2026-07-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 17 — — $7,968.00 $98,625.85 $60,672.22 2026-07-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 16 — — $59,127.09 $98,036.44 $60,605.26 2026-07-17
5244 OTHER Level 4 Blood Product Exchange And Related Services 14 14 — — $59,142.33 $66,239.41 $60,325.18 2026-07-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $58,175.31 $62,247.58 $60,095.10 2026-07-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $58,078.22 $62,143.70 $59,994.81 2026-07-17
1794 APR_DRG Defibrillator Implants 4 4 — — $57,855.02 $61,904.87 $59,764.24 2026-07-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $57,768.95 $61,812.77 $59,675.32 2026-07-17
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $57,689.87 $61,728.17 $59,593.64 2026-07-17
653 MS_DRG Major Bladder Procedures With Mcc 18 16 — — $57,774.60 $95,793.93 $59,218.96 2026-07-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $57,307.53 $61,319.06 $59,198.68 2026-07-17
834 MS_DRG Acute Leukemia With Mcc 18 16 — — $57,284.39 $94,981.12 $58,716.50 2026-07-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 16 — — $57,284.39 $94,981.12 $58,716.50 2026-07-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 16 — — $57,043.95 $94,582.45 $58,470.04 2026-07-17
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $56,539.84 $60,497.63 $58,405.65 2026-07-17
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $56,264.59 $60,203.11 $58,121.32 2026-07-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 16 — — $56,695.72 $94,005.07 $58,113.11 2026-07-17
1643 OTHER Y90 Ibritumomab, Rx 14 14 — — $56,824.55 $63,643.49 $57,961.04 2026-07-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 16 — — $56,391.02 $93,499.86 $57,800.79 2026-07-17
914 APR_DRG Other Major Head And Neck Procedures 4 4 — — $55,890.26 $59,802.57 $57,734.63 2026-07-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 16 — — $56,262.51 $93,286.78 $57,669.07 2026-07-17
61 APR_DRG Pancreas Transplant 4 4 — — $55,755.13 $59,657.99 $57,595.06 2026-07-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 16 — — $55,975.43 $92,810.78 $57,374.82 2026-07-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 16 — — $55,922.57 $92,723.15 $57,320.63 2026-07-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 16 — — $55,916.35 $92,712.84 $57,314.26 2026-07-17
11 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $55,905.47 $58,645.93 $57,166.09 2026-07-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $54,999.46 $58,849.42 $56,814.43 2026-07-17
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $54,955.42 $58,802.29 $56,768.94 2026-07-17
9273 OTHER Sipuleucel-t Auto Cd54+ 14 14 — — $55,536.50 $62,200.88 $56,647.23 2026-07-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 17 — — $3,900.00 $91,422.32 $56,240.78 2026-07-17
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 14 14 — — $55,000.50 $61,600.56 $56,100.51 2026-07-17
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 14 14 — — $55,000.50 $61,600.56 $56,100.51 2026-07-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 17 — — $3,900.00 $91,018.49 $55,992.36 2026-07-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 4 — — $53,958.52 $57,735.62 $55,739.15 2026-07-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 16 — — $53,375.12 $88,499.32 $54,709.50 2026-07-17
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 4 — — $52,627.32 $56,311.23 $54,364.03 2026-07-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 16 — — $28,463.00 $88,205.47 $54,261.86 2026-07-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 16 — — $52,638.25 $87,277.54 $53,954.21 2026-07-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 17 — — $7,534.00 $87,545.61 $53,855.93 2026-07-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 16 — — $52,201.93 $86,554.09 $53,506.98 2026-07-17
1783 APR_DRG External Heart Assist Systems 4 4 — — $51,747.53 $55,369.86 $53,455.20 2026-07-17
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 4 — — $51,543.35 $55,151.38 $53,244.27 2026-07-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 16 — — $51,894.12 $86,043.72 $53,191.48 2026-07-17
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 4 — — $51,481.29 $55,084.98 $53,180.18 2026-07-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 16 — — $51,853.70 $85,976.71 $53,150.05 2026-07-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 16 — — $51,832.98 $85,942.34 $53,128.81 2026-07-17
1694 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $51,367.19 $54,962.89 $53,062.31 2026-07-17
90288 HCPCS Botulinum Human Antitoxin For Infusion Into Vein 2 2 — — $499.80 $105,348.91 $52,924.36 2026-07-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 17 — — $3,900.00 $85,633.03 $52,679.35 2026-07-17
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 4 — — $50,453.37 $53,985.10 $52,118.32 2026-07-17
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $50,296.23 $53,816.96 $51,956.00 2026-07-17
214 APR_DRG Open Craniotomy Except Trauma 4 4 — — $50,285.22 $53,805.18 $51,944.63 2026-07-17
234 APR_DRG Spinal Procedures 4 4 — — $50,012.97 $53,513.88 $51,663.40 2026-07-17
245 MS_DRG Aicd Generator Procedures 20 17 — — $6,240.00 $83,974.77 $51,659.24 2026-07-17
6 MS_DRG Liver Transplant Without Mcc 18 16 — — $50,256.63 $83,328.65 $51,513.04 2026-07-17
471 MS_DRG Cervical Spinal Fusion With Mcc 19 16 — — $7,968.00 $83,467.84 $51,347.39 2026-07-17
1204 APR_DRG Major Respiratory And Chest Procedures 4 4 — — $49,323.35 $52,775.99 $50,951.03 2026-07-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 16 — — $49,492.81 $82,062.19 $50,730.12 2026-07-17
4403 APR_DRG Kidney Transplant 4 4 — — $48,930.00 $52,355.10 $50,544.69 2026-07-17
799 MS_DRG Splenic Procedures With Mcc 18 16 — — $49,278.27 $81,706.48 $50,510.23 2026-07-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 16 — — $49,268.95 $81,691.02 $50,500.68 2026-07-17
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $48,450.57 $51,842.11 $50,049.43 2026-07-17
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 4 — — $48,435.55 $51,826.04 $50,033.93 2026-07-17
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $48,430.55 $51,820.69 $50,028.76 2026-07-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 16 — — $48,759.04 $80,845.56 $49,978.01 2026-07-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 16 — — $48,497.87 $80,412.53 $49,710.32 2026-07-17
6904 APR_DRG Acute Leukemia 4 4 — — $48,081.23 $51,446.92 $49,667.92 2026-07-17
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 4 4 — — $48,072.23 $51,437.28 $49,658.61 2026-07-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 16 — — $48,211.83 $79,938.25 $49,417.12 2026-07-17
71 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $47,581.79 $50,912.51 $49,151.99 2026-07-17
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 4 — — $47,478.69 $50,802.20 $49,045.49 2026-07-17
894 APR_DRG Major Cranial Or Facial Bone Procedures 4 4 — — $47,417.64 $50,736.87 $48,982.42 2026-07-17
163 MS_DRG Major Chest Procedures With Mcc 18 16 — — $47,769.29 $79,204.49 $48,963.53 2026-07-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 16 — — $47,749.60 $79,171.84 $48,943.34 2026-07-17
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 4 4 — — $47,271.51 $50,580.51 $48,831.47 2026-07-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $47,240.48 $50,547.31 $48,799.42 2026-07-17
204 APR_DRG Open Craniotomy For Trauma 4 4 — — $47,233.47 $50,539.81 $48,792.18 2026-07-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 16 — — $47,590.00 $78,907.21 $48,779.75 2026-07-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 17 — — $3,900.00 $78,919.24 $48,549.20 2026-07-17
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $46,725.01 $49,995.77 $48,266.94 2026-07-17
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 4 — — $46,650.95 $49,916.51 $48,190.43 2026-07-17
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $46,627.93 $49,891.88 $48,166.65 2026-07-17
4414 APR_DRG Major Bladder Procedures 4 4 — — $46,514.83 $49,770.86 $48,049.82 2026-07-17
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $46,513.82 $49,769.79 $48,048.78 2026-07-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 16 — — $46,757.77 $77,527.33 $47,926.72 2026-07-17
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $46,299.63 $49,540.61 $47,827.52 2026-07-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 16 — — $46,478.99 $77,065.08 $47,640.96 2026-07-17
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $46,004.37 $49,224.67 $47,522.51 2026-07-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 16 — — $46,350.47 $76,852.00 $47,509.24 2026-07-17
1782 APR_DRG External Heart Assist Systems 4 4 — — $45,929.30 $49,144.35 $47,444.97 2026-07-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $45,882.26 $49,094.01 $47,396.37 2026-07-17
901 MS_DRG Wound Debridements For Injuries With Mcc 18 16 — — $45,917.26 $76,133.71 $47,065.19 2026-07-17
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $45,476.89 $48,660.27 $46,977.63 2026-07-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 16 — — $45,526.54 $75,485.88 $46,664.71 2026-07-17
1142 OTHER Supprelin La Implant 14 14 — — $45,261.80 $50,693.21 $46,167.03 2026-07-17
274 APR_DRG Other Open Craniotomy 4 4 — — $44,581.09 $47,701.76 $46,052.26 2026-07-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 16 — — $44,843.56 $74,353.45 $45,964.65 2026-07-17
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 14 14 — — $45,000.50 $50,400.56 $45,900.51 2026-07-17
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 14 14 — — $45,000.50 $50,400.56 $45,900.51 2026-07-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 17 — — $7,968.00 $74,200.51 $45,646.35 2026-07-17
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 4 — — $44,074.63 $47,159.86 $45,529.09 2026-07-17
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $43,960.53 $47,037.77 $45,411.22 2026-07-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 16 — — $44,209.29 $73,301.79 $45,314.53 2026-07-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 16 — — $44,144.00 $73,193.53 $45,247.60 2026-07-17
2614 APR_DRG Major Biliary Tract Procedures 4 4 — — $43,736.33 $46,797.87 $45,179.62 2026-07-17
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $43,531.14 $46,578.32 $44,967.68 2026-07-17
140 MS_DRG Major Head And Neck Procedures With Mcc 18 16 — — $43,831.01 $72,674.57 $44,926.79 2026-07-17
1814 APR_DRG Lower Extremity Arterial Procedures 4 4 — — $43,342.97 $46,376.98 $44,773.29 2026-07-17
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 4 4 — — $43,255.90 $46,283.81 $44,683.34 2026-07-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 16 — — $43,430.96 $72,011.27 $44,516.74 2026-07-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 16 — — $43,420.60 $71,994.09 $44,506.12 2026-07-17
4402 APR_DRG Kidney Transplant 4 4 — — $43,019.68 $46,031.06 $44,439.33 2026-07-17
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 4 — — $42,891.57 $45,893.98 $44,306.99 2026-07-17
793 MS_DRG Full Term Neonate With Major Problems 18 16 — — $43,222.65 $71,665.87 $44,303.21 2026-07-17
4014 APR_DRG Adrenal Procedures 4 4 — — $42,748.44 $45,740.83 $44,159.14 2026-07-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 16 — — $28,463.00 $71,497.47 $43,983.50 2026-07-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 16 — — $42,593.56 $70,622.80 $43,658.40 2026-07-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 16 — — $42,530.34 $70,517.98 $43,593.60 2026-07-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 17 — — $3,900.00 $70,662.33 $43,469.74 2026-07-17
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 4 4 — — $42,072.83 $45,017.93 $43,461.24 2026-07-17
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $42,036.80 $44,979.38 $43,424.01 2026-07-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 16 — — $42,320.99 $70,170.86 $43,379.01 2026-07-17
1781 APR_DRG External Heart Assist Systems 4 4 — — $41,988.76 $44,927.97 $43,374.38 2026-07-17
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $41,862.64 $44,793.03 $43,244.11 2026-07-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 16 — — $42,154.13 $69,894.20 $43,207.98 2026-07-17
791 MS_DRG Prematurity With Major Problems 18 16 — — $42,076.40 $69,765.32 $43,128.31 2026-07-17
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $41,490.31 $44,394.63 $42,859.49 2026-07-17
C1882 HCPCS Defib Promote Rf 3207 Jude 311 12 $90,970.00 $36,388.00 60% off $3,668.00 $295,675.20 $42,858.20 2026-07-17
6954 APR_DRG Chemotherapy For Acute Leukemia 4 4 — — $41,356.19 $44,251.12 $42,720.94 2026-07-17
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $41,146.00 $44,026.22 $42,503.82 2026-07-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 16 — — $41,286.67 $68,455.90 $42,318.83 2026-07-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 16 — — $41,257.65 $68,407.79 $42,289.10 2026-07-17
2304 APR_DRG Major Small Bowel Procedures 4 4 — — $40,754.65 $43,607.47 $42,099.55 2026-07-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 16 — — $40,892.84 $67,802.91 $41,915.16 2026-07-17
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 4 4 — — $40,495.41 $43,330.09 $41,831.76 2026-07-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 16 — — $40,808.90 $67,663.72 $41,829.12 2026-07-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 16 — — $40,725.98 $67,526.25 $41,744.13 2026-07-17
1793 APR_DRG Defibrillator Implants 4 4 — — $40,380.31 $43,206.93 $41,712.86 2026-07-17
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 4 4 — — $40,339.27 $43,163.02 $41,670.47 2026-07-17
1833 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $40,327.26 $43,150.17 $41,658.07 2026-07-17
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 16 — — $40,545.65 $67,227.24 $41,559.29 2026-07-17
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 4 4 — — $40,213.16 $43,028.08 $41,540.19 2026-07-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 16 — — $40,525.96 $67,194.60 $41,539.11 2026-07-17
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $40,022.99 $42,824.60 $41,343.75 2026-07-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 16 — — $40,302.10 $66,823.42 $41,309.65 2026-07-17
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $39,875.86 $42,667.17 $41,191.76 2026-07-17
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 16 — — $40,056.48 $66,416.16 $41,057.89 2026-07-17
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 16 — — $40,016.06 $66,349.14 $41,016.46 2026-07-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 16 — — $39,904.13 $66,163.56 $40,901.73 2026-07-17
1214 APR_DRG Other Respiratory And Chest Procedures 4 4 — — $39,533.55 $42,300.90 $40,838.15 2026-07-17
2324 APR_DRG Gastric Fundoplication 4 4 — — $39,323.36 $42,075.99 $40,621.03 2026-07-17
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 4 — — $39,311.35 $42,063.14 $40,608.62 2026-07-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 16 — — $39,614.97 $65,684.12 $40,605.35 2026-07-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 16 — — $39,400.44 $65,328.41 $40,385.45 2026-07-17
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $39,049.11 $41,782.55 $40,337.73 2026-07-17
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $38,970.04 $41,697.94 $40,256.05 2026-07-17
83 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $38,867.95 $41,588.71 $40,150.60 2026-07-17
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $38,864.95 $41,585.49 $40,147.49 2026-07-17
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