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

WEST ANAHEIM MEDICAL CENTER

Anaheim, CA · CCN 050426 · Rates published

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You selected G0121 (HCPCS)

HC COLORECTAL CANCER SCRN, COLONOSCOPY NOT HIGH RISK

This hospital’s price: $1,190 across 28 payers · range $1,142-$3,876

Source: https://westanaheimmedctr.com/wp-content/uploads/2024/12/205245674_WestAnaheimMedicalCenter_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.

5,763 distinct procedures filed
33 distinct payers
373,440 rate rows
2026-09-01 last MRF observed
Data quality

373,156 of 373,440 rate rows are consumer-grade (99.9%)

284 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 143
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 113
percent-of-charges filed in the dollar field — excluded from medians 18
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://westanaheimmedctr.com/wp-content/uploads/2026/09/060000182_WestAnaheimMedicalCenter_standardcharges.json
Found on page https://westanaheimmedctr.com/patients-visitors/price-transparency/
Discovered viaCMS hospital list
Last fetch success · 2026-09-21
Content fingerprint 09f7cc3136ddba46… · 33,452,676 bytes · first seen 2026-09-21

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 5 $557,398.00 $809,617.52 $756,651.89 nat. median
$390,362
1.9× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 4 5 $415,747.00 $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 28 $344,213.00 $782,034.88 $431,586.58 nat. median
$168,055
outlier · 2.6×
5833
APR_DRG 		Neonate W Ecmo - Soi : 3 5 $337,098.00 $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 5 $262,779.00 $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 5 $270,582.00 $352,087.07 $329,053.34 nat. median
$171,497
1.9× median
612
OTHER 		UnGrouped 1 $320,771.00 $320,771.00 $320,771.00 nat. median
$6,246
outlier · 51.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 28 $267,582.00 $541,175.00 $298,661.00 nat. median
$186,516
1.6× median
636
OTHER 		UnGrouped 1 $294,349.00 $294,349.00 $294,349.00 nat. median
$6,011
outlier · 49.0×
5934
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 5 $273,308.00 $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 5 $265,818.00 $307,117.70 $287,025.89 nat. median
$181,762
1.6× median
633
OTHER 		UnGrouped 1 $264,455.00 $264,455.00 $264,455.00 nat. median
$1,441
outlier · 183.6×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 5 $243,895.93 $302,363.00 $260,968.65 nat. median
$187,567
1.4× median
631
OTHER 		UnGrouped 1 $257,624.00 $257,624.00 $257,624.00 nat. median
$5,475
outlier · 47.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 $203,959.00 $476,214.42 $251,587.00 nat. median
$131,925
1.9× median
24
APR_DRG 		Heart &or Lung Transplant - Soi : 4 5 $206,387.00 $260,257.66 $243,231.46 nat. median
$225,531
1.1× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 3 5 $185,173.00 $258,786.47 $241,856.51 nat. median
$173,134
1.4× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 2 5 $180,248.00 $249,584.40 $233,256.45 nat. median
$152,383
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 $202,765.00 $411,913.00 $227,325.00 nat. median
$145,435
1.6× median
5832
APR_DRG 		Neonate W Ecmo - Soi : 2 5 $211,538.00 $239,647.88 $223,969.98 nat. median
$201,678
1.1× median
1614
APR_DRG 		Implantable Heart Assist Systems- Soi : 4 5 $202,241.64 $227,950.00 $213,038.00 nat. median
$202,242
1.1× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 5 $197,214.00 $226,997.51 $212,147.21 nat. median
$124,731
1.7× median
5893
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 5 $42,012.80 $212,323.83 $198,433.49 nat. median
$77,096
outlier · 2.6×
5892
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 5 $50,028.70 $212,323.83 $198,433.49 nat. median
$96,548
outlier · 2.1×
5891
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 5 $68,694.30 $212,323.83 $198,433.49 nat. median
$99,483
2.0× median
5913
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 5 $123,021.00 $209,001.74 $195,328.73 nat. median
$120,079
1.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 5 $137,513.00 $208,263.30 $194,638.60 nat. median
$152,792
1.3× median
5831
APR_DRG 		Neonate W Ecmo - Soi : 1 5 $171,307.00 $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 5 $153,008.00 $185,129.11 $173,017.86 nat. median
$173,018
1.0× median
359
OTHER 		UnGrouped 1 $165,863.00 $165,863.00 $165,863.00 nat. median
$13,185
outlier · 12.6×
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4 5 $153,438.03 $219,372.00 $164,178.69 nat. median
$115,963
1.4× median
1613
APR_DRG 		Implantable Heart Assist Systems- Soi : 3 5 $161,433.00 $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 5 $127,840.00 $173,455.39 $162,107.84 nat. median
$114,205
1.4× median
114
APR_DRG 		UnGrouped 5 $160,319.00 $171,542.00 $160,319.00 nat. median
$135,803
1.2× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $160,096.15 $160,096.15 $160,096.15 nat. median
$2,106
outlier · 76.0×
5912
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 5 $72,719.10 $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 5 $153,305.00 $168,968.18 $157,914.19 nat. median
$100,752
1.6× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 1 5 $119,885.00 $166,001.58 $155,141.66 nat. median
$130,862
1.2× median
681
OTHER 		UnGrouped 1 $151,789.00 $151,789.00 $151,789.00 nat. median
$220,794
0.7× median
004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 $150,006.00 $271,812.00 $150,006.00 nat. median
$106,489
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant- Soi : 4 5 $133,615.00 $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 5 $134,969.00 $159,102.44 $148,693.87 nat. median
$135,630
1.1× median
453
OTHER 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $128,938.00 $160,096.00 $144,517.00 nat. median
$55,290
outlier · 2.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $132,465.00 $265,580.32 $139,563.75 nat. median
$97,418
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 28 $114,985.00 $252,083.00 $139,119.00 nat. median
$72,715
1.9× median
7
MS_DRG 		Lung Transplant 28 $123,873.00 $251,450.00 $138,769.00 nat. median
$70,649
2.0× median
14
APR_DRG 		Liver Transplant &or Intestinal Transplant - Soi : 4 5 $129,535.00 $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 5 $116,273.00 $142,387.29 $133,072.23 nat. median
$85,322
1.6× median
23
APR_DRG 		Heart &or Lung Transplant - Soi : 3 5 $130,623.00 $140,738.01 $131,530.85 nat. median
$117,894
1.1× median
8634
APR_DRG 		Neonatal Aftercare - Soi : 4 5 $122,117.00 $135,851.87 $126,964.36 nat. median
$79,210
1.6× median

Other procedures at this hospital

Browse this hospital's 5,763 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 19 5 — — $557,398.00 $809,617.52 $756,651.89 2026-09-01
5884 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 4 19 5 — — $415,747.00 $511,708.57 $478,232.31 2026-09-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 82 28 — $431,586.00 $344,213.00 $782,034.88 $431,586.58 2026-09-01
5833 APR_DRG Neonate W Ecmo - Soi : 3 19 5 — — $337,098.00 $381,895.65 $356,911.82 2026-09-01
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 19 5 — — $262,779.00 $359,836.67 $336,295.95 2026-09-01
5914 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 19 5 — — $270,582.00 $352,087.07 $329,053.34 2026-09-01
612 OTHER UnGrouped 1 1 — — $320,771.00 $320,771.00 $320,771.00 2024-12-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 82 28 — $280,226.00 $267,582.00 $541,175.00 $298,661.00 2026-09-01
636 OTHER UnGrouped 1 1 — — $294,349.00 $294,349.00 $294,349.00 2024-12-19
5934 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 19 5 — — $273,308.00 $310,791.04 $290,458.92 2026-09-01
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 19 5 — — $265,818.00 $307,117.70 $287,025.89 2026-09-01
633 OTHER UnGrouped 1 1 — — $264,455.00 $264,455.00 $264,455.00 2024-12-19
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 19 5 — — $243,895.93 $302,363.00 $260,968.65 2026-09-01
631 OTHER UnGrouped 1 1 — — $257,624.00 $257,624.00 $257,624.00 2024-12-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 82 28 — $213,592.00 $203,959.00 $476,214.42 $251,587.00 2026-09-01
24 APR_DRG Heart &or Lung Transplant - Soi : 4 19 5 — — $206,387.00 $260,257.66 $243,231.46 2026-09-01
5883 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 3 19 5 — — $185,173.00 $258,786.47 $241,856.51 2026-09-01
5882 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 2 19 5 — — $180,248.00 $249,584.40 $233,256.45 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 82 28 — $212,341.00 $202,765.00 $411,913.00 $227,325.00 2026-09-01
5832 APR_DRG Neonate W Ecmo - Soi : 2 19 5 — — $211,538.00 $239,647.88 $223,969.98 2026-09-01
1614 APR_DRG Implantable Heart Assist Systems- Soi : 4 19 5 — — $202,241.64 $227,950.00 $213,038.00 2026-09-01
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 19 5 — — $197,214.00 $226,997.51 $212,147.21 2026-09-01
5892 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 19 5 — — $50,028.70 $212,323.83 $198,433.49 2026-09-01
5893 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 19 5 — — $42,012.80 $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… 19 5 — — $68,694.30 $212,323.83 $198,433.49 2026-09-01
5913 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 19 5 — — $123,021.00 $209,001.74 $195,328.73 2026-09-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 19 5 — — $137,513.00 $208,263.30 $194,638.60 2026-09-01
5831 APR_DRG Neonate W Ecmo - Soi : 1 19 5 — — $171,307.00 $202,202.98 $188,974.75 2026-09-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 4 19 5 — — $153,008.00 $185,129.11 $173,017.86 2026-09-01
359 OTHER UnGrouped 1 1 — — $165,863.00 $165,863.00 $165,863.00 2024-12-19
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4 19 5 — — $153,438.03 $219,372.00 $164,178.69 2026-09-01
1613 APR_DRG Implantable Heart Assist Systems- Soi : 3 19 5 — — $161,433.00 $174,130.87 $162,739.13 2026-09-01
5933 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 19 5 — — $127,840.00 $173,455.39 $162,107.84 2026-09-01
114 APR_DRG UnGrouped 9 5 — — $160,319.00 $171,542.00 $160,319.00 2024-12-19
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $160,096.15 $160,096.15 $160,096.15 2026-09-01
5912 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 19 5 — — $72,719.10 $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 19 5 — — $153,305.00 $168,968.18 $157,914.19 2026-09-01
5881 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 1 19 5 — — $119,885.00 $166,001.58 $155,141.66 2026-09-01
681 OTHER UnGrouped 1 1 — — $151,789.00 $151,789.00 $151,789.00 2024-12-19
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 23 — $195,008.00 $150,006.00 $271,812.00 $150,006.00 2024-12-19
74 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 4 19 5 — — $133,615.00 $160,324.08 $149,835.59 2026-09-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4 19 5 — — $134,969.00 $159,102.44 $148,693.87 2026-09-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $128,938.00 $160,096.00 $144,517.00 2024-12-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 52 21 — $138,714.00 $132,465.00 $265,580.32 $139,563.75 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 82 28 — $120,407.00 $114,985.00 $252,083.00 $139,119.00 2026-09-01
7 MS_DRG Lung Transplant 82 28 — $129,716.00 $123,873.00 $251,450.00 $138,769.00 2026-09-01
14 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 4 19 5 — — $129,535.00 $147,554.06 $137,900.99 2026-09-01
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 4 19 5 — — $116,273.00 $142,387.29 $133,072.23 2026-09-01
23 APR_DRG Heart &or Lung Transplant - Soi : 3 19 5 — — $130,623.00 $140,738.01 $131,530.85 2026-09-01
8634 APR_DRG Neonatal Aftercare - Soi : 4 19 5 — — $122,117.00 $135,851.87 $126,964.36 2026-09-01
5932 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 2 19 5 — — $99,399.40 $134,864.84 $126,041.91 2026-09-01
635 OTHER UnGrouped 1 1 — — $125,444.00 $125,444.00 $125,444.00 2024-12-19
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 2 — — $59,001.30 $119,824.00 $119,823.70 2026-09-01
634 OTHER UnGrouped 1 1 — — $119,068.00 $119,068.00 $119,068.00 2024-12-19
1611 APR_DRG Implantable Heart Assist Systems- Soi : 1 19 5 — — $109,991.74 $131,754.00 $117,691.16 2026-09-01
1612 APR_DRG Implantable Heart Assist Systems- Soi : 2 19 5 — — $109,991.74 $138,523.00 $117,691.16 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 82 28 — $113,556.00 $108,444.00 $221,210.34 $117,071.00 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 82 28 — $108,986.00 $10,615.70 $209,718.00 $115,739.00 2026-09-01
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 19 5 — — $103,459.00 $123,618.19 $115,531.02 2026-09-01
613 OTHER UnGrouped 1 1 — — $113,771.00 $113,771.00 $113,771.00 2024-12-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 82 28 — $103,358.00 $98,706.90 $205,027.00 $113,150.00 2026-09-01
215 MS_DRG Other Heart Assist System Implant 82 28 — $99,829.00 $95,336.70 $203,979.00 $112,571.00 2026-09-01
426 OTHER UnGrouped 29 23 — $144,699.00 $17,577.20 $201,688.00 $111,307.00 2024-12-19
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $110,501.29 $110,501.29 $110,501.29 2026-09-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3 19 5 — — $62,272.00 $117,818.20 $110,110.47 2026-09-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 19 5 — — $97,139.40 $114,410.75 $106,925.93 2026-09-01
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 3 19 5 — — $103,484.31 $113,743.00 $106,302.00 2026-09-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 4 19 5 — — $92,671.30 $113,176.62 $105,772.54 2026-09-01
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 19 5 — — $97,520.72 $119,585.00 $104,347.17 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 82 28 — $98,089.00 $93,675.90 $185,872.00 $102,578.00 2026-09-01
22 APR_DRG Heart &or Lung Transplant - Soi : 2 19 5 — — $94,013.50 $108,630.32 $101,523.66 2026-09-01
64 APR_DRG Pancreas Transplant - Soi : 4 19 5 — — $92,994.09 $110,433.00 $99,503.68 2026-09-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 3 19 5 — — $89,206.20 $105,465.60 $98,565.98 2026-09-01
850 MS_DRG UnGrouped 28 22 — $127,305.00 $97,927.50 $177,445.00 $97,927.50 2024-12-19
632 OTHER UnGrouped 1 1 — — $95,621.30 $95,621.30 $95,621.30 2024-12-19
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly - Soi : 4 19 5 — — $85,461.60 $102,147.52 $95,464.97 2026-09-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns - Soi : 4 19 5 — — $83,517.10 $99,001.18 $92,524.47 2026-09-01
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly - Soi : 4 19 5 — — $90,816.10 $97,488.70 $91,110.93 2026-09-01
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 4 19 5 — — $84,935.21 $101,360.00 $90,880.67 2026-09-01
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $70,581.80 $110,501.00 $90,541.40 2024-12-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 82 28 — $84,581.00 $74,969.90 $163,284.00 $90,112.60 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 82 28 — $84,316.00 $70,800.40 $163,194.00 $90,062.80 2026-09-01
73 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 3 19 5 — — $76,591.90 $95,522.26 $89,273.14 2026-09-01
429 MS_DRG UnGrouped 28 22 — $115,311.00 $88,701.00 $160,726.00 $88,701.00 2024-12-19
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 19 5 — — $80,114.50 $92,704.07 $86,639.32 2026-09-01
113 APR_DRG UnGrouped 9 5 — — $86,144.50 $92,174.60 $86,144.50 2024-12-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 82 28 — $78,978.00 $75,428.40 $164,809.00 $85,741.40 2026-09-01
10 MS_DRG Pancreas Transplant 82 28 — $72,058.00 $61,807.60 $153,673.00 $84,808.40 2026-09-01
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 19 5 — — $80,262.20 $90,371.65 $84,459.49 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 82 28 — $71,647.00 $68,428.70 $152,796.00 $84,324.50 2026-09-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Ccmcc 2 1 — — $83,207.94 $83,207.94 $83,207.94 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 82 28 — $76,746.00 $73,296.60 $150,668.00 $83,150.10 2026-09-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 4 19 5 — — $80,771.14 $88,886.70 $83,071.70 2026-09-01
6084 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 4 19 5 — — $77,329.63 $89,585.60 $82,742.70 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 82 28 — $77,076.00 $73,612.20 $149,154.00 $82,314.70 2026-09-01
63 APR_DRG Pancreas Transplant - Soi : 3 19 5 — — $79,144.95 $87,429.10 $81,709.50 2026-09-01
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 3 19 5 — — $79,594.10 $86,329.27 $80,681.56 2026-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 82 28 — $76,493.00 $73,055.40 $143,910.00 $79,420.60 2026-09-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 4 19 5 — — $74,045.86 $90,286.50 $79,229.07 2026-09-01
4404 APR_DRG Kidney Transplant - Soi : 4 19 5 — — $76,896.47 $83,784.60 $78,303.40 2026-09-01
21 APR_DRG Heart &or Lung Transplant - Soi : 1 19 5 — — $77,288.50 $83,272.88 $77,825.12 2026-09-01
361 OTHER UnGrouped 1 1 — — $77,464.60 $77,464.60 $77,464.60 2024-12-19
647 OTHER UnGrouped 1 1 — — $76,907.00 $76,907.00 $76,907.00 2024-12-19
13 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 3 19 5 — — $73,704.30 $81,486.34 $76,155.46 2026-09-01
427 MS_DRG UnGrouped 29 23 — $98,270.00 $16,919.00 $136,974.00 $75,592.60 2024-12-19
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 23 — $97,778.00 $60,302.70 $136,289.00 $75,214.60 2024-12-19
360 OTHER UnGrouped 1 1 — — $74,917.40 $74,917.40 $74,917.40 2024-12-19
53 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 3 19 5 — — $65,623.00 $79,847.27 $74,623.62 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 82 28 — $69,423.00 $66,304.60 $134,169.00 $74,044.50 2026-09-01
8514 APR_DRG UnGrouped 9 5 — — $73,525.10 $78,671.90 $73,525.10 2024-12-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 82 28 — $67,618.00 $64,581.80 $145,503.00 $72,686.90 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 52 21 — $71,605.00 $68,388.60 $129,749.85 $72,048.90 2026-09-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 82 28 — $72,028.00 $43,537.10 $130,515.19 $72,028.25 2026-09-01
447 MS_DRG UnGrouped 28 22 — $92,791.00 $71,378.10 $129,337.00 $71,378.10 2024-12-19
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 4 19 5 — — $70,285.20 $75,975.89 $71,005.50 2026-09-01
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 23 — $92,280.00 $19,261.50 $128,625.00 $70,985.20 2024-12-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 52 21 — $69,084.00 $19,094.60 $125,181.46 $69,084.69 2026-09-01
646 OTHER UnGrouped 1 1 — — $68,970.40 $68,970.40 $68,970.40 2024-12-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 82 28 — $64,659.00 $61,756.00 $124,805.00 $68,863.10 2026-09-01
6144 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 4 19 5 — — $64,292.94 $84,887.70 $68,793.45 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 82 28 — $66,063.00 $63,096.50 $124,602.00 $68,764.70 2026-09-01
1784 APR_DRG External Heart Assist Systems- Soi : 4 19 5 — — $66,228.69 $72,260.00 $67,532.70 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 82 28 — $61,530.00 $58,768.20 $124,165.12 $67,349.90 2026-09-01
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Ccmcc 2 2 — — $51,375.80 $83,207.90 $67,291.85 2024-12-19
62 APR_DRG Pancreas Transplant - Soi : 2 19 5 — — $66,925.17 $71,816.60 $67,118.40 2026-09-01
72 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 2 19 5 — — $60,331.30 $71,097.23 $66,446.01 2026-09-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 2 — — $41,722.60 $66,086.14 $66,086.12 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 82 28 — $66,063.00 $63,096.50 $119,706.61 $66,063.25 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 82 28 — $60,384.00 $46,328.80 $119,546.00 $65,974.40 2026-09-01
317 MS_DRG UnGrouped 29 23 — $85,656.00 $64,707.70 $119,392.00 $65,889.70 2024-12-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 82 28 — $65,824.00 $62,868.60 $119,274.19 $65,824.61 2026-09-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 82 28 — $55,556.00 $53,064.10 $123,188.00 $65,363.40 2026-09-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 4 19 5 — — $64,857.30 $69,665.73 $65,108.16 2026-09-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 4 19 5 — — $63,659.00 $69,659.70 $65,102.50 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 82 28 — $60,943.00 $58,208.50 $117,901.00 $65,066.90 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 82 28 — $60,401.00 $49,307.50 $117,341.00 $64,757.70 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 82 28 — $59,616.00 $56,941.50 $116,504.00 $64,296.00 2026-09-01
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 82 28 — $54,650.00 $52,199.40 $116,504.00 $64,296.00 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 82 28 — $61,600.00 $53,155.90 $115,639.00 $63,818.40 2026-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 82 28 — $59,754.00 $8,065.03 $114,756.00 $63,331.30 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 82 28 — $59,006.00 $56,359.00 $113,594.00 $62,689.60 2026-09-01
5931 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 1 19 5 — — $1,931.74 $66,856.05 $62,482.29 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 82 28 — $58,968.00 $56,322.80 $112,406.00 $62,034.10 2026-09-01
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 3 19 5 — — $60,538.20 $66,355.54 $62,014.52 2026-09-01
112 APR_DRG UnGrouped 9 5 — — $61,532.30 $65,839.60 $61,532.30 2024-12-19
12 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 2 19 5 — — $61,446.58 $65,797.80 $61,493.30 2026-09-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 2 19 5 — — $58,078.20 $65,771.66 $61,468.84 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 82 28 — $59,950.00 $57,259.90 $110,815.00 $61,156.30 2026-09-01
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 19 5 — — $56,955.36 $66,973.30 $60,942.24 2026-09-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 82 28 — $57,625.00 $55,040.50 $110,157.00 $60,793.10 2026-09-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 2 19 5 — — $36,357.70 $64,653.23 $60,423.58 2026-09-01
6083 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 3 19 5 — — $56,846.10 $64,642.73 $60,413.77 2026-09-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 4 19 5 — — $58,768.76 $64,601.60 $60,375.30 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 82 28 — $52,295.00 $46,230.00 $107,653.00 $59,411.20 2026-09-01
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 19 5 — — $58,284.90 $63,144.04 $59,013.12 2026-09-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 82 28 — $53,267.00 $50,879.00 $110,955.00 $58,910.30 2026-09-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 82 28 — $55,225.00 $52,748.60 $115,241.00 $58,910.30 2026-09-01
428 MS_DRG UnGrouped 29 23 — $76,264.00 $13,385.00 $106,300.00 $58,664.60 2024-12-19
6234 APR_DRG Neonate Bwt 2000-2499g W Congenitalperinatal Infection - Soi : 4 19 5 — — $54,746.96 $64,097.10 $58,579.25 2026-09-01
430 MS_DRG UnGrouped 28 22 — $75,801.00 $58,308.80 $105,656.00 $58,308.80 2024-12-19
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 4 19 5 — — $54,426.59 $65,578.30 $58,236.45 2026-09-01
008 OTHER Simultaneous Pancreas And Kidney Transplant 30 23 — $75,396.00 $57,997.50 $105,091.00 $57,997.50 2024-12-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 82 28 — $55,031.00 $52,563.60 $104,854.00 $57,866.20 2026-09-01
1794 APR_DRG Defibrillator Implants- Soi : 4 19 5 — — $54,992.69 $61,904.90 $57,855.00 2026-09-01
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 3 19 5 — — $56,264.60 $61,903.67 $57,853.90 2026-09-01
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures - Soi : 4 19 5 — — $54,029.06 $69,530.10 $57,811.09 2026-09-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma - Soi : 4 19 5 — — $56,988.86 $61,812.80 $57,768.90 2026-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 82 28 — $57,318.00 $54,746.80 $104,322.00 $57,572.90 2026-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 82 28 — $54,868.00 $52,407.30 $104,224.00 $57,518.90 2026-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 82 28 — $49,347.00 $47,136.10 $104,213.00 $57,512.50 2026-09-01
1664 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx - Soi : 4 19 5 — — $55,046.75 $61,319.10 $57,307.50 2026-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 52 21 — $56,370.00 $53,842.10 $102,144.03 $56,721.75 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 82 28 — $54,954.00 $52,489.30 $102,772.00 $56,717.30 2026-09-01
6804 APR_DRG Major O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 19 5 — — $52,992.28 $60,497.60 $56,539.80 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 82 28 — $53,656.00 $51,250.80 $102,321.00 $56,468.40 2026-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 82 28 — $55,987.00 $41,295.90 $101,449.28 $55,987.46 2026-09-01
914 APR_DRG Other Major Head & Neck Procedures - Soi : 4 19 5 — — $53,845.66 $59,802.60 $55,890.30 2026-09-01
61 APR_DRG Pancreas Transplant - Soi : 1 19 5 — — $54,005.73 $59,658.00 $55,755.10 2026-09-01
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition - Soi : 4 19 5 — — $52,004.27 $64,378.60 $55,644.57 2026-09-01
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 19 5 — — $54,075.28 $59,314.40 $55,434.10 2026-09-01
71 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 1 19 5 — — $47,581.80 $59,181.34 $55,309.66 2026-09-01
450 MS_DRG UnGrouped 28 22 — $71,390.00 $54,916.10 $99,507.90 $54,916.10 2024-12-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 79 27 — $53,092.00 $50,712.20 $99,179.80 $54,735.00 2026-09-01
608 OTHER UnGrouped 1 1 — — $54,734.00 $54,734.00 $54,734.00 2024-12-19
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma - Soi : 4 19 5 — — $51,481.30 $58,548.39 $54,718.12 2026-09-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 82 28 — $52,384.00 $50,036.20 $98,442.90 $54,328.30 2026-09-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 82 28 — $50,208.00 $47,957.90 $98,143.60 $54,163.20 2026-09-01
11 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 1 19 5 — — $50,490.44 $58,645.90 $54,024.77 2026-09-01
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 23 — $69,832.00 $49,980.80 $97,335.80 $53,717.30 2024-12-19
1783 APR_DRG External Heart Assist Systems- Soi : 3 19 5 — — $51,747.50 $57,464.00 $53,704.67 2026-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 82 28 — $48,379.00 $46,212.20 $96,766.00 $53,402.80 2026-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 82 28 — $49,720.00 $47,492.60 $96,652.80 $53,340.40 2026-09-01
92925 CPT Hc Prq Trluml Coronry Angioatherec Addl Artbrnch 6 5 $66,544.90 — $4,132.00 $53,236.00 $53,236.00 2024-12-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 82 28 — $49,808.00 $47,576.50 $96,307.40 $53,149.80 2026-09-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 3 19 5 — — $49,432.46 $61,728.20 $52,892.73 2026-09-01
648 OTHER UnGrouped 1 1 — — $52,876.20 $52,876.20 $52,876.20 2024-12-19
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 3 19 5 — — $48,811.40 $56,406.25 $52,716.12 2026-09-01
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 3 19 5 — — $49,060.10 $73,561.80 $52,494.31 2026-09-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 3 19 5 — — $50,296.20 $55,982.59 $52,320.18 2026-09-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma - Soi : 4 19 5 — — $51,543.30 $55,895.25 $52,238.55 2026-09-01
245 MS_DRG Aicd Generator Procedures 82 28 — $45,964.00 $43,906.00 $94,455.70 $52,127.90 2026-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 82 28 — $48,623.00 $46,444.90 $93,889.70 $51,815.50 2026-09-01
6 MS_DRG Liver Transplant Without Mcc 82 28 — $46,709.00 $44,617.30 $93,734.30 $51,729.80 2026-09-01
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 2 19 5 — — $45,225.70 $55,280.45 $51,663.97 2026-09-01
1694 APR_DRG Major Abdominal Vascular Procedures - Soi : 4 19 5 — — $49,701.73 $54,962.90 $51,367.20 2026-09-01
4403 APR_DRG Kidney Transplant - Soi : 3 19 5 — — $48,930.00 $54,771.15 $51,187.99 2026-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 82 28 — $47,116.00 $45,006.20 $92,320.10 $50,949.30 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 82 28 — $50,735.00 $46,945.40 $91,932.51 $50,735.38 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 82 28 — $45,630.00 $43,586.70 $91,923.00 $50,730.10 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 82 28 — $47,256.00 $45,139.70 $91,905.70 $50,720.60 2026-09-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service - Soi : 4 19 5 — — $47,159.61 $57,735.60 $50,460.78 2026-09-01
214 APR_DRG Open Craniotomy Except Trauma- Soi : 4 19 5 — — $49,641.30 $53,805.20 $50,285.20 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 79 27 — $47,945.00 $45,797.50 $90,961.70 $50,199.60 2026-09-01
234 APR_DRG Spinal Procedures - Soi : 4 19 5 — — $47,896.38 $53,513.90 $50,013.00 2026-09-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 2 19 5 — — $43,531.10 $53,470.09 $49,972.05 2026-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 82 28 — $46,188.00 $44,119.60 $90,478.20 $49,932.80 2026-09-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 52 21 — $49,552.00 $47,331.50 $89,788.53 $49,815.83 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 82 28 — $46,524.00 $44,440.90 $89,948.60 $49,640.50 2026-09-01
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 1 19 5 — — $12,764.00 $52,991.99 $49,525.22 2026-09-01
163 MS_DRG Major Chest Procedures With Mcc 82 28 — $45,159.00 $43,137.60 $89,129.20 $49,188.30 2026-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 82 28 — $47,352.00 $24,721.40 $89,092.80 $49,168.20 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 82 28 — $46,305.00 $44,231.10 $88,797.30 $49,005.10 2026-09-01
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 3 19 5 — — $47,198.70 $52,356.78 $48,931.57 2026-09-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 1 19 5 — — $34,539.10 $52,309.70 $48,887.57 2026-09-01
318 OTHER UnGrouped 1 1 — — $48,841.30 $48,841.30 $48,841.30 2024-12-19
1633 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 3 19 5 — — $46,299.60 $51,935.38 $48,537.74 2026-09-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures - Soi : 4 19 5 — — $45,647.91 $51,826.00 $48,435.60 2026-09-01
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 3 19 5 — — $45,194.71 $51,835.90 $48,358.34 2026-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 82 28 — $45,827.00 $36,698.70 $87,256.50 $48,154.80 2026-09-01
677 OTHER UnGrouped 1 1 — — $48,151.90 $48,151.90 $48,151.90 2024-12-19
1204 APR_DRG Major Respiratory & Chest Procedures - Soi : 4 19 5 — — $44,991.70 $52,776.00 $48,141.12 2026-09-01
691 OTHER UnGrouped 1 1 — — $48,098.70 $48,098.70 $48,098.70 2024-12-19
6904 APR_DRG Acute Leukemia - Soi : 4 19 5 — — $45,078.63 $51,446.90 $48,081.20 2026-09-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures - Soi : 4 19 5 — — $46,961.37 $51,437.30 $48,072.20 2026-09-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours - Soi : 4 19 5 — — $46,004.40 $51,294.49 $47,938.78 2026-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 82 28 — $43,273.00 $41,336.70 $86,740.40 $47,870.00 2026-09-01
362 OTHER UnGrouped 1 1 — — $47,828.00 $47,828.00 $47,828.00 2024-12-19
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 82 28 — $45,807.00 $43,756.30 $86,502.50 $47,738.70 2026-09-01
894 APR_DRG Major Cranialfacial Bone Procedures - Soi : 4 19 5 — — $45,836.60 $50,736.90 $47,417.60 2026-09-01
901 MS_DRG Wound Debridements For Injuries With Mcc 82 28 — $42,312.00 $40,418.60 $85,700.40 $47,296.00 2026-09-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis- Soi : 4 19 5 — — $44,744.70 $50,547.30 $47,240.50 2026-09-01
204 APR_DRG Open Craniotomy For Trauma- Soi : 4 19 5 — — $43,983.55 $50,539.80 $47,062.40 2026-09-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 3 19 5 — — $45,882.30 $50,288.36 $46,998.47 2026-09-01
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 3 19 5 — — $46,725.00 $50,216.91 $46,931.69 2026-09-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 82 28 — $44,971.00 $42,957.40 $84,977.00 $46,896.80 2026-09-01
396 OTHER UnGrouped 1 1 — — $46,577.50 $46,577.50 $46,577.50 2024-12-19
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses - Soi… 19 5 — — $43,474.70 $50,580.50 $46,517.93 2026-09-01
4414 APR_DRG Major Bladder Procedures - Soi : 4 19 5 — — $43,454.56 $49,770.90 $46,496.38 2026-09-01
933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 30 23 — $60,058.00 $38,931.30 $83,712.60 $46,199.00 2024-12-19
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 82 28 — $42,072.00 $40,189.80 $83,541.80 $46,104.70 2026-09-01
1782 APR_DRG External Heart Assist Systems- Soi : 2 19 5 — — $43,293.42 $49,144.30 $45,929.30 2026-09-01
8633 APR_DRG Neonatal Aftercare - Soi : 3 19 5 — — $45,164.40 $49,131.09 $45,916.91 2026-09-01
6814 APR_DRG Other O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 19 5 — — $42,835.46 $51,842.10 $45,833.94 2026-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 82 28 — $44,271.00 $41,169.40 $82,538.30 $45,550.90 2026-09-01
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure - Soi : 4 19 5 — — $43,255.90 $48,721.89 $45,534.48 2026-09-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 82 28 — $43,618.00 $41,665.60 $82,417.40 $45,484.20 2026-09-01
4014 APR_DRG Adrenal Procedures - Soi : 4 19 5 — — $42,748.40 $48,465.53 $45,294.89 2026-09-01
140 MS_DRG Major Head And Neck Procedures With Mcc 82 28 — $42,998.00 $5,931.94 $81,837.90 $45,164.40 2026-09-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 82 28 — $45,146.00 $27,997.40 $81,806.04 $45,146.82 2026-09-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 82 28 — $42,362.00 $37,583.00 $81,078.10 $44,745.10 2026-09-01
793 OTHER Full Term Neonate With Major Problems 30 23 — $57,905.00 $44,542.80 $80,711.60 $44,542.80 2024-12-19
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 81 28 — $42,577.00 $8,679.83 $80,523.60 $44,439.10 2026-09-01
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 2 19 5 — — $43,960.50 $47,375.47 $44,276.14 2026-09-01
4402 APR_DRG Kidney Transplant - Soi : 2 19 5 — — $43,019.70 $47,275.65 $44,182.85 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 82 28 — $42,234.00 $40,344.20 $79,591.00 $43,924.40 2026-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 82 28 — $42,484.00 $40,583.50 $79,546.90 $43,900.10 2026-09-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 82 28 — $42,505.00 $40,603.60 $79,429.90 $43,835.50 2026-09-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses - Soi : 4 19 5 — — $40,936.82 $49,916.50 $43,802.40 2026-09-01
2614 APR_DRG Major Biliary Tract Procedures - Soi : 4 19 5 — — $41,597.26 $46,797.90 $43,736.30 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 78 28 — $42,753.00 $40,840.00 $79,042.30 $43,621.60 2026-09-01
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 2 19 5 — — $40,762.17 $55,493.30 $43,615.52 2026-09-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 1 19 5 — — $42,036.80 $46,598.47 $43,549.97 2026-09-01
363 OTHER UnGrouped 1 1 — — $43,461.20 $43,461.20 $43,461.20 2024-12-19
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 82 28 — $41,876.00 $40,002.90 $95,768.20 $43,451.10 2026-09-01
791 MS_DRG Prematurity With Major Problems 82 28 — $40,938.00 $3,498.09 $78,589.40 $43,371.70 2026-09-01
6143 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 3 19 5 — — $41,632.78 $45,712.70 $42,722.20 2026-09-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 3 19 5 — — $38,867.90 $45,694.42 $42,705.07 2026-09-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 82 28 — $38,744.00 $37,012.20 $77,127.40 $42,564.80 2026-09-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 82 28 — $36,183.00 $34,566.80 $77,073.60 $42,535.10 2026-09-01
793 MS_DRG Full Term Neonate With Major Problems 52 21 — $42,042.00 $40,161.20 $76,181.01 $42,306.68 2026-09-01
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 2 19 5 — — $34,479.80 $45,163.85 $42,209.21 2026-09-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 82 28 — $37,621.00 $35,939.60 $76,398.20 $42,162.40 2026-09-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 82 28 — $36,100.00 $34,487.70 $76,242.70 $42,076.60 2026-09-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 9 5 — — $42,072.80 $45,017.90 $42,072.80 2024-12-19
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 82 28 — $39,000.00 $37,256.30 $76,089.30 $41,991.90 2026-09-01
1781 APR_DRG External Heart Assist Systems- Soi : 1 19 5 — — $39,720.89 $44,928.00 $41,988.80 2026-09-01
402 MS_DRG UnGrouped 29 23 — $54,349.00 $15,145.70 $75,755.40 $41,807.60 2024-12-19
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 82 28 — $41,602.00 $39,740.70 $75,718.90 $41,787.50 2026-09-01
274 APR_DRG Other Open Craniotomy- Soi : 4 19 5 — — $38,996.84 $47,701.80 $41,726.62 2026-09-01
1814 APR_DRG Lower Extremity Arterial Procedures - Soi : 4 19 5 — — $38,962.92 $46,377.00 $41,690.32 2026-09-01
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 1 19 5 — — $41,024.40 $44,496.02 $41,585.07 2026-09-01
034 OTHER Carotid Artery Stent Procedures With Mcc 30 23 — $54,026.00 $38,915.10 $75,304.50 $41,558.80 2024-12-19
1833 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 3 19 5 — — $40,327.30 $44,307.17 $41,408.57 2026-09-01
6954 APR_DRG Chemotherapy For Acute Leukemia - Soi : 4 19 5 — — $39,025.46 $44,251.10 $41,356.20 2026-09-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 82 28 — $35,230.00 $31,071.00 $74,849.70 $41,307.80 2026-09-01
904 MS_DRG Skin Grafts For Injuries With Ccmcc 82 28 — $37,084.00 $35,427.70 $83,864.90 $41,266.50 2026-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 82 28 — $37,730.00 $36,043.60 $74,567.70 $41,152.20 2026-09-01
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment - Soi : 4 19 5 — — $38,747.72 $44,026.20 $41,146.00 2026-09-01
33249 CPT Hc Insert/Rplacmnt Aicd W Lead Sing/Dual 99 30 $112,944.00 $40,173.00 64% off $1,283.80 $87,318.40 $41,105.20 2026-09-01
33264 CPT Hc Rem Pac Cvdfb Pls Gen &Repl Plse Gen Multi Lead 99 30 $133,574.00 $40,173.00 70% off $325.02 $106,859.00 $41,105.20 2026-09-01
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