Price Transparency Hospital negotiated rates

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

Export CSV
Hospital

UCSF HEALTH ST. MARY'S HOSPITAL

San Francisco, CA · CCN 050457 · Rates published

15,820 distinct procedures filed
22 distinct payers
826,844 rate rows
2026-02-28 last MRF observed
Data quality

738,442 of 826,844 rate rows are consumer-grade (89.3%)

88,402 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 49,830
per-diem day rate — not a per-procedure price 33,122
template filing: same amount across many unrelated codes — excluded 4,466
exceeds 10× this hospital's gross charge — excluded from medians 906
placeholder amount (≤ $0.02) — excluded from medians 78
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://app.box.com/index.php?rm=box_download_shared_file&shared_name=xsx8jxwcakpxzg78pfllolwmhrhcifxh&file_id=f_1732344688129
Found on page https://sfcommunityhospitals.ucsfhealth.org/st-marys/patients-and-visitors/for-patients/billing-and-payment/hospital-pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 8412bbef342a73b4… · 91,287,597 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 With Ecmo 9 $378,349.00 $824,045.09 $601,197.05 nat. median
$309,665
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $14,968.00 $1,513,357.23 $499,457.83 nat. median
$370,174
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $282,200.00 $614,631.60 $448,415.80 nat. median
$246,434
1.8× median
5833
APR_DRG 		Neonate With Ecmo 9 $329,493.00 $498,359.07 $411,867.00 nat. median
$244,017
1.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $25,082.00 $1,130,835.03 $373,212.88 nat. median
$265,286
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $25,082.00 $952,669.33 $314,412.32 nat. median
$206,368
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $191,811.00 $417,763.39 $304,787.20 nat. median
$150,721
outlier · 2.0×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $185,515.00 $404,051.67 $294,783.34 nat. median
$151,838
1.9× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $183,665.00 $400,022.37 $291,843.68 nat. median
$164,279
1.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $180,432.00 $392,980.17 $286,706.09 nat. median
$122,924
outlier · 2.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 13 $25,082.00 $860,843.18 $284,106.66 nat. median
$202,986
1.4× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $178,369.00 $388,486.23 $283,427.61 nat. median
$162,982
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 9 $260,289.00 $314,949.69 $260,289.00 nat. median
$207,730
1.3× median
5832
APR_DRG 		Neonate With Ecmo 9 $206,765.00 $312,732.97 $258,457.00 nat. median
$156,126
1.7× median
24
APR_DRG 		Heart And/or Lung Transplant 9 $252,163.00 $305,117.23 $252,163.00 nat. median
$234,738
1.1× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $180,995.00 $273,755.24 $226,244.00 nat. median
$182,736
1.2× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 $139,164.00 $303,097.74 $221,130.87 nat. median
$109,499
outlier · 2.0×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $176,182.00 $266,474.67 $220,227.00 nat. median
$145,336
1.5× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $133,865.00 $291,557.97 $212,711.48 nat. median
$118,620
1.8× median
5831
APR_DRG 		Neonate With Ecmo 9 $167,442.00 $253,255.42 $209,302.00 nat. median
$145,122
1.4× median
1613
APR_DRG 		Implantable Heart Assist Systems 9 $197,239.00 $238,659.19 $197,239.00 nat. median
$119,796
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 13 $25,082.00 $568,211.39 $187,528.51 nat. median
$133,176
1.4× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $186,945.00 $226,203.45 $186,945.00 nat. median
$160,267
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $14,968.00 $527,003.42 $173,928.52 nat. median
$117,303
1.5× median
7
MS_DRG 		Lung Transplant 13 $25,082.00 $525,680.86 $173,492.03 nat. median
$122,708
1.4× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $168,013.00 $203,295.73 $168,013.00 nat. median
$164,834
1.0× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 $104,060.00 $226,642.68 $165,351.34 nat. median
$95,507
1.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $164,906.00 $199,536.26 $164,906.00 nat. median
$105,658
1.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $163,251.00 $197,533.71 $163,251.00 nat. median
$187,294
0.9× median
23
APR_DRG 		Heart And/or Lung Transplant 9 $159,596.00 $193,111.16 $159,596.00 nat. median
$93,528
1.7× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 9 $158,266.00 $191,501.86 $158,266.00 nat. median
$129,535
1.2× median
1612
APR_DRG 		Implantable Heart Assist Systems 9 $158,175.00 $191,391.75 $158,175.00 nat. median
$85,406
1.9× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $124,956.00 $188,995.95 $156,195.00 nat. median
$108,996
1.4× median
1611
APR_DRG 		Implantable Heart Assist Systems 9 $150,446.00 $182,039.66 $150,446.00 nat. median
$76,806
2.0× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $120,245.00 $181,871.47 $150,307.00 nat. median
$102,636
1.5× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $117,181.00 $177,235.96 $146,476.00 nat. median
$124,573
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $25,082.00 $443,557.52 $146,388.62 nat. median
$108,660
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $25,082.00 $438,515.76 $144,724.67 nat. median
$102,358
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $25,082.00 $428,716.74 $141,490.67 nat. median
$100,136
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 16 $25,082.00 $426,528.50 $140,768.48 nat. median
$99,019
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $25,082.00 $421,743.19 $139,189.17 nat. median
$98,905
1.4× median
8634
APR_DRG 		Neonatal Aftercare 9 $82,891.00 $180,535.63 $131,713.32 nat. median
$69,502
1.9× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $103,904.00 $157,154.80 $129,880.00 nat. median
$72,936
1.8× median
6092354
CDM 		Maci Imp 42112x-46323 9 $26,672.00 $195,884.00 $129,283.44 nat. median
$129,283
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $25,082.00 $388,707.10 $128,286.17 nat. median
$93,672
1.4× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $101,125.00 $152,952.47 $126,407.00 nat. median
$86,492
1.5× median
64
APR_DRG 		Pancreas Transplant 9 $126,101.00 $152,582.21 $126,101.00 nat. median
$91,748
1.4× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 $78,924.00 $171,895.02 $125,409.51 nat. median
$72,694
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $25,082.00 $371,104.95 $122,476.88 nat. median
$83,442
1.5× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $97,157.00 $146,949.66 $121,446.00 nat. median
$86,258
1.4× median

Other procedures at this hospital

Browse this hospital's 15,820 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
             
027G04Z OTHER Coronary Surgery 8 4 — — $48,815.00 $48,815.00 $48,815.00 2026-02-28
02CG3ZZ OTHER Da Vinci Cardiac 10 4 — — $48,815.00 $71,319.00 $60,067.00 2026-02-28
02CG4ZZ OTHER Da Vinci Cardiac 10 4 — — $48,815.00 $71,319.00 $60,067.00 2026-02-28
02NG0ZZ OTHER Coronary Surgery 8 4 — — $48,815.00 $48,815.00 $48,815.00 2026-02-28
02NG3ZZ OTHER Da Vinci Cardiac 10 4 — — $48,815.00 $71,319.00 $60,067.00 2026-02-28
02NG4ZZ OTHER Da Vinci Cardiac 10 4 — — $48,815.00 $71,319.00 $60,067.00 2026-02-28
02QG0ZZ OTHER Coronary Surgery 8 4 — — $71,319.00 $71,319.00 $71,319.00 2026-02-28
02RG08Z OTHER Cardiovascular Surgery 10 4 — — $48,815.00 $71,319.00 $60,067.00 2026-02-28
02RG0JZ OTHER Coronary Surgery 8 4 — — $71,319.00 $71,319.00 $71,319.00 2026-02-28
02RG0KZ OTHER Cardiovascular Surgery 8 4 — — $48,815.00 $48,815.00 $48,815.00 2026-02-28
02RG37Z OTHER Da Vinci Cardiac 8 4 — — $48,815.00 $48,815.00 $48,815.00 2026-02-28
02RG38Z OTHER Cardiovascular Surgery 10 4 — — $48,815.00 $71,319.00 $60,067.00 2026-02-28
02RG3JZ OTHER Coronary Surgery 8 4 — — $48,815.00 $48,815.00 $48,815.00 2026-02-28
02RG48Z OTHER Cardiovascular Surgery 8 4 — — $71,319.00 $71,319.00 $71,319.00 2026-02-28
02RG4JZ OTHER Da Vinci Cardiac 8 4 — — $71,319.00 $71,319.00 $71,319.00 2026-02-28
02RG4KZ OTHER Cardiovascular Surgery 10 4 — — $48,815.00 $71,319.00 $60,067.00 2026-02-28
02VG0ZZ OTHER Da Vinci Cardiac 10 4 — — $48,815.00 $71,319.00 $60,067.00 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 38 13 — — $25,082.00 $1,130,835.03 $373,212.88 2026-02-28
10 MS_DRG Pancreas Transplant 44 16 — — $25,082.00 $321,452.61 $106,089.97 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 44 16 — — $25,082.00 $218,168.22 $72,002.71 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 30 9 — — $66,966.00 $81,028.86 $66,966.00 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 30 9 — — $75,133.00 $90,910.93 $75,133.00 2026-02-28
12 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc 44 16 — — $25,082.00 $166,379.73 $54,910.80 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 30 9 — — $60,263.00 $72,918.23 $60,263.00 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 30 9 — — $48,302.00 $58,445.42 $48,302.00 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 30 9 — — $90,052.00 $108,962.92 $90,052.00 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 30 9 — — $56,208.00 $68,011.68 $56,208.00 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 38 13 — — $14,968.00 $527,003.42 $173,928.52 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 30 9 — — $158,266.00 $191,501.86 $158,266.00 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 44 16 — — $25,082.00 $171,409.47 $56,570.78 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 44 16 — — $14,968.00 $243,817.98 $80,467.98 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 30 9 — — $56,059.00 $67,831.39 $56,059.00 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 30 9 — — $118,685.00 $143,608.85 $118,685.00 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 30 9 — — $150,446.00 $182,039.66 $150,446.00 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 30 9 — — $158,175.00 $191,391.75 $158,175.00 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 30 9 — — $197,239.00 $238,659.19 $197,239.00 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 30 9 — — $260,289.00 $314,949.69 $260,289.00 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 30 9 — — $53,711.00 $64,990.31 $53,711.00 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 30 9 — — $68,744.00 $83,180.24 $68,744.00 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 30 9 — — $101,497.00 $122,811.37 $101,497.00 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 44 16 — — $25,082.00 $186,639.04 $61,597.04 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 30 9 — — $56,569.00 $68,448.49 $56,569.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 30 9 — — $85,874.00 $103,907.54 $85,874.00 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 30 9 — — $57,089.00 $69,077.69 $57,089.00 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 30 9 — — $79,542.00 $96,245.82 $79,542.00 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 44 16 — — $25,082.00 $156,224.02 $51,559.08 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 30 9 — — $47,614.00 $57,612.94 $47,614.00 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 30 9 — — $70,018.00 $84,721.78 $70,018.00 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 30 9 — — $48,031.00 $58,117.51 $48,031.00 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 30 9 — — $79,394.00 $96,066.74 $79,394.00 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 30 9 — — $62,760.00 $75,939.60 $62,760.00 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 44 16 — — $14,968.00 $243,817.98 $80,467.98 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 30 9 — — $52,405.00 $63,410.05 $52,405.00 2026-02-28
1781 APR_DRG External Heart Assist Systems 30 9 — — $51,302.00 $62,075.42 $51,302.00 2026-02-28
1782 APR_DRG External Heart Assist Systems 30 9 — — $56,116.00 $67,900.36 $56,116.00 2026-02-28
1783 APR_DRG External Heart Assist Systems 30 9 — — $63,225.00 $76,502.25 $63,225.00 2026-02-28
1784 APR_DRG External Heart Assist Systems 30 9 — — $82,512.00 $99,839.52 $82,512.00 2026-02-28
1793 APR_DRG Defibrillator Implants 30 9 — — $49,337.00 $59,697.77 $49,337.00 2026-02-28
1794 APR_DRG Defibrillator Implants 30 9 — — $70,687.00 $85,531.27 $70,687.00 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 38 13 — — $14,968.00 $1,513,357.23 $499,457.83 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 30 9 — — $52,956.00 $64,076.76 $52,956.00 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 30 9 — — $49,272.00 $59,619.12 $49,272.00 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 30 9 — — $73,767.00 $89,258.07 $73,767.00 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 44 16 — — $25,082.00 $319,621.07 $105,485.50 2026-02-28
1970452 CDM Inst/supp Ste13419x-14761 12 6 $62,419.00 $62,419.00 $37,451.40 $62,419.00 $48,998.92 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 44 16 — — $25,082.00 $443,557.52 $146,388.62 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 44 16 — — $25,082.00 $324,983.47 $107,255.27 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 30 9 — — $57,710.00 $69,829.10 $57,710.00 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 44 16 — — $14,968.00 $261,103.53 $86,172.78 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 30 9 — — $94,431.00 $114,261.51 $94,431.00 2026-02-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 44 16 — — $25,082.00 $223,434.42 $73,740.73 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 44 16 — — $25,082.00 $438,515.76 $144,724.67 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 30 9 — — $61,438.00 $74,339.98 $61,438.00 2026-02-28
215 MS_DRG Other Heart Assist System Implant 44 16 — — $25,082.00 $426,528.50 $140,768.48 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 16 — — $25,082.00 $388,707.10 $128,286.17 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 16 — — $25,082.00 $260,730.78 $86,049.76 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 16 — — $25,082.00 $240,347.24 $79,322.52 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 16 — — $25,082.00 $312,014.29 $102,975.01 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 30 9 — — $114,866.00 $138,987.86 $114,866.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 16 — — $25,082.00 $214,192.49 $70,690.59 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 30 9 — — $59,179.00 $71,606.59 $59,179.00 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 16 — — $25,082.00 $185,973.74 $61,377.47 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 44 16 — — $25,082.00 $201,632.11 $66,545.25 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 30 9 — — $159,596.00 $193,111.16 $159,596.00 2026-02-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 16 — — $25,082.00 $230,560.25 $76,092.49 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 30 9 — — $49,794.00 $60,250.74 $49,794.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 44 16 — — $25,082.00 $341,527.55 $112,715.36 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 44 16 — — $25,082.00 $246,735.63 $81,430.90 2026-02-28
2324 APR_DRG Gastric Fundoplication 30 9 — — $48,045.00 $58,134.45 $48,045.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 44 16 — — $25,082.00 $315,176.42 $104,018.62 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 44 16 — — $25,082.00 $215,134.31 $71,001.42 2026-02-28
234 APR_DRG Spinal Procedures 30 9 — — $61,106.00 $73,938.26 $61,106.00 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 44 16 — — $25,082.00 $237,738.17 $78,461.44 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 44 16 — — $25,082.00 $166,716.36 $55,021.90 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 46 16 — — $25,082.00 $203,780.29 $67,254.22 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 30 9 — — $252,163.00 $305,117.23 $252,163.00 2026-02-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 16 — — $25,082.00 $154,276.24 $50,916.25 2026-02-28
245 MS_DRG Aicd Generator Procedures 44 16 — — $25,082.00 $197,764.62 $65,268.85 2026-02-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 44 16 — — $25,082.00 $181,152.37 $59,786.26 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 30 9 — — $58,735.00 $71,069.35 $58,735.00 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 30 9 — — $53,437.00 $64,658.77 $53,437.00 2026-02-28
265 MS_DRG Aicd Lead Procedures 44 16 — — $25,082.00 $144,878.00 $47,814.52 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 44 16 — — $25,082.00 $242,010.47 $79,871.44 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 44 16 — — $25,082.00 $190,466.47 $62,860.22 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 44 16 — — $25,082.00 $269,135.09 $88,823.46 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 44 16 — — $25,082.00 $168,664.17 $55,664.74 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 44 16 — — $25,082.00 $207,631.75 $68,525.33 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 44 16 — — $25,082.00 $158,628.69 $52,352.70 2026-02-28
274 APR_DRG Other Open Craniotomy 30 9 — — $54,469.00 $65,907.49 $54,469.00 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 44 16 — — $25,082.00 $285,142.15 $94,106.32 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 44 16 — — $25,082.00 $250,170.29 $82,564.45 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 44 16 — — $25,082.00 $188,350.35 $62,161.83 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 16 — — $25,082.00 $202,433.67 $66,809.79 2026-02-28
28 MS_DRG Spinal Procedures With Mcc 44 16 — — $25,082.00 $245,565.36 $81,044.67 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 38 13 — — $25,082.00 $860,843.18 $284,106.66 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 30 9 — — $51,148.00 $61,889.08 $51,148.00 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 30 9 — — $70,486.00 $85,288.06 $70,486.00 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 30 9 — — $103,095.00 $124,744.95 $103,095.00 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 30 9 — — $48,720.00 $58,951.20 $48,720.00 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 30 9 — — $74,882.00 $90,607.22 $74,882.00 2026-02-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 44 16 — — $25,082.00 $169,862.47 $56,060.22 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 30 9 — — $57,756.00 $69,884.76 $57,756.00 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 44 16 — — $25,082.00 $249,849.68 $82,458.64 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 44 16 — — $25,082.00 $177,966.21 $58,734.72 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 30 9 — — $49,477.00 $59,867.17 $49,477.00 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 44 16 — — $25,082.00 $172,619.83 $56,970.24 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 44 16 — — $25,082.00 $205,467.58 $67,811.08 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 44 16 — — $25,082.00 $185,945.68 $61,368.21 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 44 16 — — $25,082.00 $147,130.38 $48,557.88 2026-02-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 44 16 — — $25,082.00 $157,763.01 $52,067.00 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 44 16 — — $25,082.00 $172,872.32 $57,053.57 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 30 9 — — $56,998.00 $68,967.58 $56,998.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 38 13 — — $25,082.00 $568,211.39 $187,528.51 2026-02-28
40 MS_DRG Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 44 16 — — $25,082.00 $153,089.94 $50,524.73 2026-02-28
4014 APR_DRG Adrenal Procedures 30 9 — — $52,230.00 $63,198.30 $52,230.00 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 44 16 — — $25,082.00 $158,704.83 $52,377.83 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 44 16 — — $25,082.00 $219,482.75 $72,436.55 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 30 9 — — $51,361.00 $62,146.81 $51,361.00 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 30 9 — — $70,960.00 $85,861.60 $70,960.00 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 44 16 — — $25,082.00 $164,924.90 $54,430.66 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 16 — — $25,082.00 $421,743.19 $139,189.17 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 16 — — $25,082.00 $286,572.92 $94,578.52 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 16 — — $25,082.00 $222,504.63 $73,433.87 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 44 16 — — $25,082.00 $336,185.20 $110,952.21 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 30 9 — — $108,992.00 $131,880.32 $108,992.00 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 44 16 — — $25,082.00 $221,158.01 $72,989.44 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 30 9 — — $164,906.00 $199,536.26 $164,906.00 2026-02-28
4402 APR_DRG Kidney Transplant 30 9 — — $52,561.00 $63,598.81 $52,561.00 2026-02-28
4403 APR_DRG Kidney Transplant 30 9 — — $59,783.00 $72,337.43 $59,783.00 2026-02-28
4404 APR_DRG Kidney Transplant 30 9 — — $95,671.00 $115,761.91 $95,671.00 2026-02-28
4414 APR_DRG Major Bladder Procedures 30 9 — — $56,832.00 $68,766.72 $56,832.00 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 44 16 — — $25,082.00 $270,621.97 $89,314.18 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 44 16 — — $25,082.00 $165,570.14 $54,643.61 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 44 16 — — $25,082.00 $208,317.08 $68,751.51 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 44 16 — — $32,316.00 $341,339.20 $112,653.20 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 44 16 — — $32,316.00 $231,934.93 $76,546.18 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 44 16 — — $32,316.00 $174,968.39 $57,745.34 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 44 16 — — $32,316.00 $247,857.82 $81,801.26 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 46 16 — — $25,082.00 $218,372.59 $72,070.16 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 44 16 — — $32,316.00 $206,092.79 $68,017.42 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 44 16 — — $32,316.00 $196,582.31 $64,878.65 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 46 16 — — $25,082.00 $181,649.35 $59,950.28 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 44 16 — — $25,082.00 $428,716.74 $141,490.67 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 30 9 — — $51,405.00 $62,200.05 $51,405.00 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 30 9 — — $49,287.00 $59,637.27 $49,287.00 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 44 16 — — $32,316.00 $145,551.30 $48,036.73 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 30 9 — — $53,186.00 $64,355.06 $53,186.00 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 30 9 — — $80,178.00 $97,015.38 $80,178.00 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 30 9 — — $113,226.00 $137,003.46 $113,226.00 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 46 16 — — $25,082.00 $248,719.49 $82,085.64 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 46 16 — — $25,082.00 $218,144.16 $71,994.77 2026-02-28
5831 APR_DRG Neonate With Ecmo 30 9 — — $167,442.00 $253,255.42 $209,302.00 2026-02-28
5832 APR_DRG Neonate With Ecmo 30 9 — — $206,765.00 $312,732.97 $258,457.00 2026-02-28
5833 APR_DRG Neonate With Ecmo 30 9 — — $329,493.00 $498,359.07 $411,867.00 2026-02-28
5834 APR_DRG Neonate With Ecmo 30 9 — — $378,349.00 $824,045.09 $601,197.05 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 30 9 — — $117,181.00 $177,235.96 $146,476.00 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 30 9 — — $176,182.00 $266,474.67 $220,227.00 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 30 9 — — $180,995.00 $273,755.24 $226,244.00 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 30 9 — — $282,200.00 $614,631.60 $448,415.80 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 30 9 — — $67,145.00 $101,556.51 $83,931.00 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 30 9 — — $48,900.00 $73,961.25 $61,125.00 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 30 9 — — $41,065.00 $62,110.51 $51,331.00 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 30 9 — — $71,079.00 $107,506.08 $88,848.00 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 30 9 — — $120,245.00 $181,871.47 $150,307.00 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 30 9 — — $183,665.00 $400,022.37 $291,843.68 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 30 9 — — $97,157.00 $146,949.66 $121,446.00 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 30 9 — — $124,956.00 $188,995.95 $156,195.00 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 30 9 — — $185,515.00 $404,051.67 $294,783.34 2026-02-28
6 MS_DRG Liver Transplant Without Mcc 44 16 — — $25,082.00 $196,257.68 $64,771.51 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $78,451.00 $118,657.44 $98,064.00 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $101,125.00 $152,952.47 $126,407.00 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $133,865.00 $291,557.97 $212,711.48 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 30 9 — — $67,198.00 $101,637.58 $83,998.00 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 30 9 — — $139,164.00 $303,097.74 $221,130.87 2026-02-28
6070000 CDM Closure Impl 17861x-19647 48 13 $83,081.00 $83,081.00 $16,511.00 $83,081.00 $56,910.49 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $56,970.00 $86,167.73 $71,213.00 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $78,307.00 $118,439.64 $97,884.00 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $104,060.00 $226,642.68 $165,351.34 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 30 9 — — $39,956.00 $60,433.45 $49,945.00 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 30 9 — — $55,564.00 $84,040.55 $69,455.00 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 30 9 — — $56,831.00 $123,776.95 $90,303.98 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 30 9 — — $40,099.00 $60,650.04 $50,124.00 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 30 9 — — $44,205.00 $66,860.97 $55,257.00 2026-02-28
6092354 CDM Maci Imp 42112x-46323 24 9 $195,884.00 $195,884.00 $26,672.00 $195,884.00 $129,283.44 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 30 9 — — $77,798.00 $117,670.08 $97,248.00 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 30 9 — — $178,369.00 $388,486.23 $283,427.61 2026-02-28
61 APR_DRG Pancreas Transplant 30 9 — — $68,122.00 $82,427.62 $68,122.00 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 30 9 — — $47,352.00 $71,619.90 $59,190.00 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 30 9 — — $78,924.00 $171,895.02 $125,409.51 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $47,710.00 $72,161.98 $59,638.00 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $75,861.00 $165,225.50 $120,543.25 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 30 9 — — $46,134.00 $69,777.07 $57,667.00 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 30 9 — — $64,300.00 $140,045.40 $102,172.70 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 30 9 — — $41,758.00 $63,159.58 $52,198.00 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 30 9 — — $53,850.00 $117,286.51 $85,568.26 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 46 16 — — $25,082.00 $156,813.17 $51,753.52 2026-02-28
62 APR_DRG Pancreas Transplant 30 9 — — $82,005.00 $99,226.05 $82,005.00 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 30 9 — — $61,644.00 $134,260.39 $97,952.20 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 46 16 — — $25,082.00 $151,883.60 $50,126.60 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 30 9 — — $42,486.00 $92,534.75 $67,510.38 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 30 9 — — $40,661.00 $88,561.11 $64,611.06 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 30 9 — — $40,840.00 $88,949.52 $64,894.76 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 44 16 — — $25,082.00 $160,047.42 $52,820.93 2026-02-28
63 APR_DRG Pancreas Transplant 30 9 — — $99,833.00 $120,797.93 $99,833.00 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 30 9 — — $50,693.00 $76,672.86 $63,366.00 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 30 9 — — $103,904.00 $157,154.80 $129,880.00 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 30 9 — — $191,811.00 $417,763.39 $304,787.20 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 30 9 — — $59,172.00 $89,498.86 $73,966.00 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 30 9 — — $180,432.00 $392,980.17 $286,706.09 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 30 9 — — $58,009.00 $126,344.57 $92,176.79 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 30 9 — — $37,627.00 $81,952.09 $59,789.54 2026-02-28
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 30 9 — — $31,150.00 $67,843.49 $49,496.75 2026-02-28
64 APR_DRG Pancreas Transplant 30 9 — — $126,101.00 $152,582.21 $126,101.00 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 44 16 — — $25,082.00 $186,562.89 $61,571.91 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 44 16 — — $25,082.00 $225,330.11 $74,366.37 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 44 16 — — $25,082.00 $169,822.41 $56,047.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 30 9 — — $69,080.00 $83,586.80 $69,080.00 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 30 9 — — $59,197.00 $71,628.37 $59,197.00 2026-02-28
6904 APR_DRG Acute Leukemia 30 9 — — $58,746.00 $71,082.66 $58,746.00 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 30 9 — — $50,529.00 $61,140.09 $50,529.00 2026-02-28
7 MS_DRG Lung Transplant 38 13 — — $25,082.00 $525,680.86 $173,492.03 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 30 9 — — $58,135.00 $70,343.35 $58,135.00 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 30 9 — — $73,713.00 $89,192.73 $73,713.00 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 30 9 — — $93,580.00 $113,231.80 $93,580.00 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 44 16 — — $25,082.00 $159,722.82 $52,713.80 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 44 16 — — $25,082.00 $161,458.16 $53,286.52 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 30 9 — — $163,251.00 $197,533.71 $163,251.00 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 30 9 — — $52,850.00 $63,948.50 $52,850.00 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 44 16 — — $14,968.00 $240,166.89 $79,263.00 2026-02-28
791 MS_DRG Prematurity With Major Problems 44 16 — — $14,968.00 $164,624.33 $54,331.46 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 30 9 — — $50,272.00 $60,829.12 $50,272.00 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 44 16 — — $14,968.00 $169,056.92 $55,794.36 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 44 16 — — $25,082.00 $192,474.36 $63,522.89 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 44 16 — — $25,082.00 $219,979.73 $72,600.57 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 44 16 — — $25,082.00 $145,583.38 $48,047.32 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 44 16 — — $25,082.00 $235,257.36 $77,642.69 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 44 16 — — $25,082.00 $189,456.51 $62,526.90 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 44 16 — — $25,082.00 $193,303.98 $63,796.69 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 44 16 — — $14,968.00 $223,434.42 $73,740.73 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 44 16 — — $14,968.00 $202,589.99 $66,861.38 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 30 9 — — $79,243.00 $95,884.03 $79,243.00 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 30 9 — — $61,452.00 $74,356.92 $61,452.00 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 30 9 — — $186,945.00 $226,203.45 $186,945.00 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 30 9 — — $102,041.00 $123,469.61 $102,041.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 44 16 — — $25,082.00 $371,104.95 $122,476.88 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 30 9 — — $65,927.00 $79,771.67 $65,927.00 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 44 16 — — $25,082.00 $202,353.53 $66,783.34 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 44 16 — — $25,082.00 $182,727.46 $60,306.09 2026-02-28
8633 APR_DRG Neonatal Aftercare 30 9 — — $44,145.00 $66,770.22 $55,182.00 2026-02-28
8634 APR_DRG Neonatal Aftercare 30 9 — — $82,891.00 $180,535.63 $131,713.32 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 44 16 — — $14,968.00 $280,713.57 $92,644.74 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 44 16 — — $25,082.00 $159,402.18 $52,607.98 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 30 9 — — $57,935.00 $70,101.35 $57,935.00 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 46 16 — — $25,082.00 $179,477.15 $59,233.38 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 46 16 — — $25,082.00 $156,656.85 $51,701.93 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 44 16 — — $25,082.00 $161,570.39 $53,323.56 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 30 9 — — $70,582.00 $85,404.22 $70,582.00 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 30 9 — — $62,900.00 $76,109.00 $62,900.00 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 30 9 — — $62,976.00 $76,200.96 $62,976.00 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 30 9 — — $68,287.00 $82,627.27 $68,287.00 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 30 9 — — $49,132.00 $59,449.72 $49,132.00 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 38 13 — — $25,082.00 $952,669.33 $314,412.32 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 44 16 — — $25,082.00 $269,587.98 $88,972.93 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 30 9 — — $76,084.00 $92,061.64 $76,084.00 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 44 16 — — $14,968.00 $175,325.08 $57,863.06 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 30 9 — — $168,013.00 $203,295.73 $168,013.00 2026-02-28
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 44 16 — — $14,968.00 $148,144.34 $48,892.52 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 30 9 — — $57,718.00 $69,838.78 $57,718.00 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 44 16 — — $25,082.00 $275,575.60 $90,949.04 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 44 16 — — $25,082.00 $155,105.86 $51,190.05 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 44 16 — — $25,082.00 $301,061.05 $99,360.08 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 44 16 — — $25,082.00 $166,624.19 $54,991.48 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 44 16 — — $25,082.00 $255,376.40 $84,282.64 2026-02-28
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 44 16 — — $14,968.00 $145,575.36 $48,044.67 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 44 16 — — $25,082.00 $192,438.27 $63,510.98 2026-02-28
C1767 HCPCS Neurstm Nrec 12199x-13419 196 14 $68,661.00 $68,661.00 $12,483.68 $83,081.00 $49,093.20 2026-02-28
C1820 HCPCS Neurstm Rech 1234x-1605 344 14 $75,528.00 $75,528.00 $1,383.58 $100,524.00 $49,642.26 2026-02-28
C1822 HCPCS Nurstm Hf Rc 17861x-19647 300 14 $83,081.00 $83,081.00 $483.56 $121,633.00 $48,186.98 2026-02-28
C1882 HCPCS Icd Not S/d 12199x-13419 484 14 $75,528.00 $75,528.00 $8,691.98 $121,633.00 $52,771.92 2026-02-28
C2624 HCPCS Wrless Sens 19647x-21611 100 14 $91,387.00 $91,387.00 $16,511.00 $100,524.00 $65,340.60 2026-02-28
See an error in this hospital's data? Submit a correction