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

LA PALMA INTERCOMMUNITY HOSPITAL

La Palma, CA · CCN 050580 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CCMCC

This hospital’s price: $6,856 across 24 payers · range $4,938-$13,628

Source: https://lapalmaintercommunityhospital.com/wp-content/uploads/2024/12/205253134_LaPalmaIntercommunityHospital_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.

5,964 distinct procedures filed
31 distinct payers
556,690 rate rows
2026-09-01 last MRF observed
Data quality

556,180 of 556,690 rate rows are consumer-grade (99.9%)

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

Excluded — reasonRows
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 262
exceeds 10× this hospital's gross charge — excluded from medians 164
percent-of-charges filed in the dollar field — excluded from medians 36
per-diem day rate — not a per-procedure price 32
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 14
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://lapalmaintercommunityhospital.com/wp-content/uploads/2024/12/205253134_LaPalmaIntercommunityHospital_standardcharges.json
Found on page https://lapalmaintercommunityhospital.com/patients-visitors/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint a6936b741750fd8f… · 41,908,471 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate W Ecmo 9 $557,398.00 $809,617.52 $596,416.00 nat. median
$390,362
1.5× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $415,747.00 $511,708.57 $444,850.00 nat. median
$286,698
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 $350,167.00 $747,270.67 $412,401.00 nat. median
$168,055
outlier · 2.5×
5833
APR_DRG 		Neonate W Ecmo 9 $337,098.00 $381,895.65 $356,911.82 nat. median
$268,208
1.3× median
612
OTHER 		UnGrouped 1 $326,320.00 $326,320.00 $326,320.00 nat. median
$6,246
outlier · 52.2×
636
OTHER 		UnGrouped 1 $299,441.00 $299,441.00 $299,441.00 nat. median
$6,011
outlier · 49.8×
5934
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure 9 $273,308.00 $310,791.04 $290,458.92 nat. median
$168,439
1.7× median
5914
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure 9 $270,582.00 $352,087.07 $289,522.00 nat. median
$171,497
1.7× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 9 $265,818.00 $307,117.70 $284,426.00 nat. median
$181,762
1.6× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 9 $243,895.93 $316,492.00 $282,582.00 nat. median
$187,567
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 24 $267,780.00 $510,099.00 $281,511.00 nat. median
$186,516
1.5× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 9 $262,779.00 $359,836.67 $281,173.00 nat. median
$198,578
1.4× median
633
OTHER 		UnGrouped 1 $269,029.00 $269,029.00 $269,029.00 nat. median
$1,441
outlier · 186.7×
631
OTHER 		UnGrouped 1 $262,080.00 $262,080.00 $262,080.00 nat. median
$5,475
outlier · 47.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $204,114.00 $429,688.00 $237,135.00 nat. median
$131,925
1.8× median
5832
APR_DRG 		Neonate W Ecmo 9 $211,538.00 $239,647.88 $223,969.98 nat. median
$201,678
1.1× median
24
APR_DRG 		Heart &or Lung Transplant 9 $206,387.00 $260,257.66 $220,834.00 nat. median
$225,531
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $202,918.72 $388,245.00 $214,263.00 nat. median
$145,435
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 9 $202,241.64 $238,602.00 $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 9 $197,214.00 $226,997.51 $211,019.00 nat. median
$124,731
1.7× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition 9 $153,438.03 $229,623.00 $205,021.00 nat. median
$115,963
1.8× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $185,173.00 $258,786.47 $198,135.00 nat. median
$173,134
1.1× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $180,248.00 $249,584.40 $192,866.00 nat. median
$152,383
1.3× median
5831
APR_DRG 		Neonate W Ecmo 9 $171,307.00 $202,202.98 $183,298.00 nat. median
$173,909
1.1× median
359
OTHER 		UnGrouped 1 $168,732.00 $168,732.00 $168,732.00 nat. median
$13,185
outlier · 12.8×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 9 $153,008.00 $185,129.11 $163,718.00 nat. median
$173,018
0.9× median
1613
APR_DRG 		Implantable Heart Assist Systems 9 $161,433.00 $180,805.00 $162,739.13 nat. median
$155,539
1.0× median
114
APR_DRG 		UnGrouped 8 $160,319.00 $179,557.00 $160,319.00 nat. median
$135,803
1.2× median
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 9 $153,305.00 $171,702.00 $157,914.19 nat. median
$100,752
1.6× median
681
OTHER 		UnGrouped 1 $154,414.00 $154,414.00 $154,414.00 nat. median
$220,794
0.7× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $137,513.00 $208,263.30 $147,139.00 nat. median
$152,792
1.0× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 9 $134,969.00 $159,102.44 $144,417.00 nat. median
$135,630
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $131,168.00 $143,380.00 $143,379.99 nat. median
$2,106
outlier · 68.1×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $133,615.00 $160,324.08 $142,968.00 nat. median
$149,836
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $132,570.00 $256,174.00 $141,376.00 nat. median
$97,418
1.5× median
14
APR_DRG 		Liver Transplant &or Intestinal Transplant 9 $129,535.00 $147,554.06 $137,900.99 nat. median
$136,566
1.0× median
5933
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure 9 $127,840.00 $173,455.39 $136,789.00 nat. median
$114,205
1.2× median
5913
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure 9 $123,021.00 $209,001.74 $131,632.00 nat. median
$120,079
1.1× median
23
APR_DRG 		Heart &or Lung Transplant 9 $130,623.00 $146,298.00 $131,530.85 nat. median
$117,894
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 24 $115,078.00 $237,576.00 $131,112.00 nat. median
$72,715
1.8× median
7
MS_DRG 		Lung Transplant 24 $123,972.65 $236,979.00 $130,783.00 nat. median
$70,649
1.9× median
1612
APR_DRG 		Implantable Heart Assist Systems 9 $109,991.74 $144,996.00 $129,460.00 nat. median
$109,992
1.2× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $119,885.00 $166,001.58 $128,277.00 nat. median
$130,862
1.0× median
635
OTHER 		UnGrouped 1 $127,614.00 $127,614.00 $127,614.00 nat. median
$91
outlier · 1407.1×
8634
APR_DRG 		Neonatal Aftercare 9 $122,117.00 $136,772.00 $126,964.36 nat. median
$79,210
1.6× median
6114
APR_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly 9 $116,273.00 $142,387.29 $124,412.00 nat. median
$85,322
1.5× median
1611
APR_DRG 		Implantable Heart Assist Systems 9 $109,991.74 $137,911.00 $123,135.00 nat. median
$108,954
1.1× median
634
OTHER 		UnGrouped 1 $121,127.00 $121,127.00 $121,127.00 nat. median
$55,344
outlier · 2.2×
613
OTHER 		UnGrouped 1 $115,739.00 $115,739.00 $115,739.00 nat. median
$45,113
outlier · 2.6×
6124
APR_DRG 		Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond 9 $97,520.72 $125,173.00 $111,762.00 nat. median
$71,851
1.6× median

Other procedures at this hospital

Browse this hospital's 5,964 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 38 9 — — $557,398.00 $809,617.52 $596,416.00 2026-09-01
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 38 9 — — $415,747.00 $511,708.57 $444,850.00 2026-09-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 102 24 — $489,824.00 $350,167.00 $747,270.67 $412,401.00 2026-09-01
5833 APR_DRG Neonate W Ecmo 38 9 — — $337,098.00 $381,895.65 $356,911.82 2026-09-01
612 OTHER UnGrouped 2 1 — — $326,320.00 $326,320.00 $326,320.00 2024-12-19
636 OTHER UnGrouped 2 1 — — $299,441.00 $299,441.00 $299,441.00 2024-12-19
5934 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure 38 9 — — $273,308.00 $310,791.04 $290,458.92 2026-09-01
5914 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure 38 9 — — $270,582.00 $352,087.07 $289,522.00 2026-09-01
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 38 9 — — $265,818.00 $307,117.70 $284,426.00 2026-09-01
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 38 9 — — $243,895.93 $316,492.00 $282,582.00 2026-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 102 24 — $365,964.00 $267,780.00 $510,099.00 $281,511.00 2026-09-01
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 38 9 — — $262,779.00 $359,836.67 $281,173.00 2026-09-01
633 OTHER UnGrouped 2 1 — — $269,029.00 $269,029.00 $269,029.00 2024-12-19
631 OTHER UnGrouped 2 1 — — $262,080.00 $262,080.00 $262,080.00 2024-12-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 102 24 — $308,275.00 $204,114.00 $429,688.00 $237,135.00 2026-09-01
5832 APR_DRG Neonate W Ecmo 38 9 — — $211,538.00 $239,647.88 $223,969.98 2026-09-01
24 APR_DRG Heart &or Lung Transplant 38 9 — — $206,387.00 $260,257.66 $220,834.00 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 102 24 — $278,542.00 $202,918.72 $388,245.00 $214,263.00 2026-09-01
1614 APR_DRG Implantable Heart Assist Systems 38 9 — — $202,241.64 $238,602.00 $213,038.00 2026-09-01
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 38 9 — — $197,214.00 $226,997.51 $211,019.00 2026-09-01
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition 38 9 — — $153,438.03 $229,623.00 $205,021.00 2026-09-01
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 38 9 — — $185,173.00 $258,786.47 $198,135.00 2026-09-01
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 38 9 — — $180,248.00 $249,584.40 $192,866.00 2026-09-01
5831 APR_DRG Neonate W Ecmo 38 9 — — $171,307.00 $202,202.98 $183,298.00 2026-09-01
359 OTHER UnGrouped 2 1 — — $168,732.00 $168,732.00 $168,732.00 2024-12-19
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 38 9 — — $153,008.00 $185,129.11 $163,718.00 2026-09-01
1613 APR_DRG Implantable Heart Assist Systems 38 9 — — $161,433.00 $180,805.00 $162,739.13 2026-09-01
114 APR_DRG UnGrouped 22 8 — — $160,319.00 $179,557.00 $160,319.00 2024-12-19
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 38 9 — — $153,305.00 $171,702.00 $157,914.19 2026-09-01
681 OTHER UnGrouped 2 1 — — $154,414.00 $154,414.00 $154,414.00 2024-12-19
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 38 9 — — $137,513.00 $208,263.30 $147,139.00 2026-09-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 38 9 — — $134,969.00 $159,102.44 $144,417.00 2026-09-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 2 — — $131,168.00 $143,380.00 $143,379.99 2026-09-01
74 APR_DRG Allogeneic Bone Marrow Transplant 38 9 — — $133,615.00 $160,324.08 $142,968.00 2026-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 102 24 — $183,789.00 $132,570.00 $256,174.00 $141,376.00 2026-09-01
14 APR_DRG Liver Transplant &or Intestinal Transplant 38 9 — — $129,535.00 $147,554.06 $137,900.99 2026-09-01
5933 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure 38 9 — — $127,840.00 $173,455.39 $136,789.00 2026-09-01
5913 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure 38 9 — — $123,021.00 $209,001.74 $131,632.00 2026-09-01
23 APR_DRG Heart &or Lung Transplant 38 9 — — $130,623.00 $146,298.00 $131,530.85 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 102 24 — $170,446.00 $115,078.00 $237,576.00 $131,112.00 2026-09-01
7 MS_DRG Lung Transplant 102 24 — $170,017.00 $123,972.65 $236,979.00 $130,783.00 2026-09-01
1612 APR_DRG Implantable Heart Assist Systems 38 9 — — $109,991.74 $144,996.00 $129,460.00 2026-09-01
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 38 9 — — $119,885.00 $166,001.58 $128,277.00 2026-09-01
635 OTHER UnGrouped 2 1 — — $127,614.00 $127,614.00 $127,614.00 2024-12-19
8634 APR_DRG Neonatal Aftercare 38 9 — — $122,117.00 $136,772.00 $126,964.36 2026-09-01
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 38 9 — — $116,273.00 $142,387.29 $124,412.00 2026-09-01
1611 APR_DRG Implantable Heart Assist Systems 38 9 — — $109,991.74 $137,911.00 $123,135.00 2026-09-01
634 OTHER UnGrouped 2 1 — — $121,127.00 $121,127.00 $121,127.00 2024-12-19
613 OTHER UnGrouped 2 1 — — $115,739.00 $115,739.00 $115,739.00 2024-12-19
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond 38 9 — — $97,520.72 $125,173.00 $111,762.00 2026-09-01
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 38 9 — — $103,459.00 $123,618.19 $110,701.00 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 102 24 — $143,426.00 $108,532.61 $199,915.00 $110,328.00 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 102 24 — $141,794.00 $10,799.30 $197,639.00 $109,072.00 2026-09-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 2 — — $60,021.80 $107,313.00 $107,312.52 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 102 24 — $138,621.00 $98,789.10 $193,217.00 $106,632.00 2026-09-01
5932 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure 38 9 — — $99,399.40 $134,864.84 $106,357.00 2026-09-01
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 38 9 — — $103,484.31 $119,058.00 $106,302.00 2026-09-01
215 MS_DRG Other Heart Assist System Implant 102 24 — $137,912.00 $95,416.60 $192,229.00 $106,087.00 2026-09-01
426 MS_DRG UnGrouped 54 21 — $136,363.00 $17,881.20 $190,069.00 $104,895.00 2024-12-19
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 38 9 — — $97,139.40 $114,410.75 $103,939.00 2026-09-01
64 APR_DRG Pancreas Transplant 38 9 — — $92,994.09 $115,594.00 $103,209.00 2026-09-01
22 APR_DRG Heart &or Lung Transplant 38 9 — — $94,013.50 $108,630.32 $100,594.00 2026-09-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 38 9 — — $92,671.30 $113,176.62 $99,158.30 2026-09-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $98,963.49 $98,963.49 $98,963.49 2026-09-01
632 OTHER UnGrouped 2 1 — — $97,275.30 $97,275.30 $97,275.30 2024-12-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 102 24 — $125,666.00 $93,754.67 $175,160.00 $96,666.40 2026-09-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 38 9 — — $89,206.20 $105,465.60 $95,450.60 2026-09-01
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection 38 9 — — $84,935.21 $106,097.00 $94,729.20 2026-09-01
850 MS_DRG UnGrouped 52 20 — $119,966.00 $92,282.10 $167,215.00 $92,282.10 2024-12-19
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 38 9 — — $85,461.60 $102,147.52 $91,444.00 2026-09-01
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 38 9 — — $90,816.10 $101,714.00 $91,110.93 2026-09-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 38 9 — — $83,517.10 $99,001.18 $89,363.30 2026-09-01
113 APR_DRG UnGrouped 22 8 — — $86,144.50 $96,481.80 $86,144.50 2024-12-19
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 38 9 — — $80,114.50 $92,704.07 $85,722.60 2026-09-01
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 4 2 — — $71,802.60 $98,963.50 $85,383.05 2024-12-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 102 24 — $110,389.00 $70,655.90 $153,866.00 $84,915.20 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 102 24 — $110,328.00 $72,025.00 $153,781.00 $84,868.30 2026-09-01
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 38 9 — — $80,262.20 $90,371.65 $84,459.49 2026-09-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 38 9 — — $74,045.86 $94,505.40 $84,379.90 2026-09-01
6084 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition 38 9 — — $77,329.63 $93,771.90 $83,724.90 2026-09-01
429 MS_DRG UnGrouped 52 20 — $108,659.00 $83,584.60 $151,455.00 $83,584.60 2024-12-19
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 38 9 — — $80,771.14 $93,040.30 $83,071.70 2026-09-01
73 APR_DRG Allogeneic Bone Marrow Transplant 38 9 — — $76,591.90 $95,522.26 $81,953.30 2026-09-01
63 APR_DRG Pancreas Transplant 38 9 — — $79,144.95 $91,514.60 $81,709.50 2026-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 102 24 — $105,032.00 $75,494.50 $155,325.00 $80,794.50 2026-09-01
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 38 9 — — $79,594.10 $89,145.40 $80,681.56 2026-09-01
10 MS_DRG Pancreas Transplant 102 24 — $103,889.00 $62,876.70 $144,806.00 $79,915.00 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 102 24 — $103,296.00 $68,490.00 $143,979.00 $79,458.80 2026-09-01
6144 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition 38 9 — — $64,292.94 $88,854.50 $79,334.30 2026-09-01
361 OTHER UnGrouped 2 1 — — $78,804.50 $78,804.50 $78,804.50 2024-12-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 102 24 — $101,857.00 $73,361.30 $141,973.00 $78,351.80 2026-09-01
4404 APR_DRG Kidney Transplant 38 9 — — $76,896.47 $87,699.80 $78,303.40 2026-09-01
647 OTHER UnGrouped 2 1 — — $78,237.30 $78,237.30 $78,237.30 2024-12-19
21 APR_DRG Heart &or Lung Transplant 38 9 — — $77,288.50 $86,563.10 $77,825.12 2026-09-01
5912 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure 38 9 — — $72,719.10 $169,706.50 $77,809.50 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 102 24 — $100,833.00 $73,677.09 $140,546.00 $77,564.20 2026-09-01
360 OTHER UnGrouped 2 1 — — $76,213.20 $76,213.20 $76,213.20 2024-12-19
13 APR_DRG Liver Transplant &or Intestinal Transplant 38 9 — — $73,704.30 $82,548.80 $76,155.46 2026-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 102 24 — $97,286.00 $73,119.90 $135,603.00 $74,836.00 2026-09-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Ccmcc 2 1 — — $74,519.93 $74,519.93 $74,519.93 2026-09-01
8514 APR_DRG UnGrouped 22 8 — — $73,525.10 $82,348.10 $73,525.10 2024-12-19
5891 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 38 9 — — $68,694.30 $212,323.83 $73,502.90 2026-09-01
427 MS_DRG UnGrouped 54 21 — $92,595.00 $17,211.60 $129,064.00 $71,227.40 2024-12-19
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx 38 9 — — $70,285.20 $78,719.40 $71,005.50 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 102 24 — $92,132.00 $61,345.70 $128,418.00 $70,871.10 2026-09-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 38 9 — — $65,623.00 $79,847.27 $70,216.60 2026-09-01
646 OTHER UnGrouped 2 1 — — $70,163.40 $70,163.40 $70,163.40 2024-12-19
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 56 22 — $90,698.00 $69,768.00 $126,420.00 $69,768.00 2024-12-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 102 24 — $87,095.00 $41,031.80 $124,762.56 $68,853.50 2026-09-01
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition 38 9 — — $49,060.10 $76,999.20 $68,749.30 2026-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 102 24 — $89,034.00 $64,640.50 $148,019.00 $68,488.30 2026-09-01
1784 APR_DRG External Heart Assist Systems 38 9 — — $66,228.69 $75,636.60 $67,532.70 2026-09-01
447 MS_DRG UnGrouped 52 20 — $87,430.00 $67,254.40 $121,865.00 $67,254.40 2024-12-19
62 APR_DRG Pancreas Transplant 38 9 — — $66,925.17 $75,172.60 $67,118.40 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 102 24 — $86,949.00 $17,995.80 $121,194.00 $66,884.10 2026-09-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 38 9 — — $62,272.00 $117,818.20 $66,631.00 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 46 18 — $66,364.00 $66,364.40 $120,252.37 $66,364.44 2026-09-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 38 9 — — $64,857.30 $72,640.20 $65,108.16 2026-09-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 38 9 — — $63,659.00 $72,914.80 $65,102.50 2026-09-01
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 38 9 — — $54,029.06 $72,779.20 $64,981.40 2026-09-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 102 24 — $84,348.00 $61,812.76 $117,569.00 $64,883.60 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 102 24 — $84,228.00 $62,639.00 $117,430.00 $64,790.80 2026-09-01
72 APR_DRG Allogeneic Bone Marrow Transplant 38 9 — — $60,331.30 $71,097.23 $64,554.40 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 102 24 — $82,494.00 $58,822.80 $114,984.00 $63,457.20 2026-09-01
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Ccmcc 4 2 — — $52,264.50 $74,519.90 $63,392.20 2024-12-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 102 24 — $77,627.00 $59,713.80 $114,435.28 $63,154.10 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 102 24 — $80,338.00 $61,799.10 $114,022.13 $62,926.10 2026-09-01
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond 38 9 — — $56,955.36 $70,102.90 $62,591.90 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 102 24 — $80,808.00 $44,932.90 $112,635.00 $62,160.40 2026-09-01
317 MS_DRG UnGrouped 54 21 — $80,704.00 $62,080.60 $112,490.00 $62,080.60 2024-12-19
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 38 9 — — $60,538.20 $67,802.80 $62,014.52 2026-09-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 102 24 — $80,059.00 $53,114.86 $111,591.00 $61,584.50 2026-09-01
112 APR_DRG UnGrouped 22 8 — — $61,532.30 $68,916.20 $61,532.30 2024-12-19
12 APR_DRG Liver Transplant &or Intestinal Transplant 38 9 — — $61,446.58 $68,872.50 $61,493.30 2026-09-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 38 9 — — $58,078.20 $65,771.66 $61,468.84 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 102 24 — $79,696.00 $58,262.80 $111,085.00 $61,305.00 2026-09-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 38 9 — — $54,426.59 $68,642.70 $61,288.10 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 102 24 — $79,317.00 $50,160.40 $110,556.00 $61,013.50 2026-09-01
016 OTHER Autologous Bone Marrow Transplant With Ccmcc 56 22 — $78,751.00 $60,578.20 $109,768.00 $60,578.20 2024-12-19
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 102 24 — $78,751.00 $52,249.56 $109,768.00 $60,578.20 2026-09-01
6083 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition 38 9 — — $56,846.10 $64,642.73 $60,413.77 2026-09-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 38 9 — — $58,768.76 $67,620.30 $60,375.30 2026-09-01
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition 38 9 — — $52,004.27 $67,386.90 $60,166.90 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 102 24 — $78,166.00 $50,097.10 $108,952.00 $60,128.10 2026-09-01
6234 APR_DRG Neonate Bwt 2000-2499g W Congenitalperinatal Infection 38 9 — — $54,746.96 $67,092.30 $59,903.90 2026-09-01
790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 56 22 — $77,569.00 $8,204.53 $108,120.00 $59,668.90 2024-12-19
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 2 — — $42,444.20 $59,185.90 $59,185.87 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 102 24 — $76,783.00 $56,411.99 $107,024.00 $59,063.90 2026-09-01
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 38 9 — — $58,284.90 $65,279.10 $59,013.12 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 102 24 — $75,979.00 $56,375.70 $105,904.00 $58,446.00 2026-09-01
1794 APR_DRG Defibrillator Implants 38 9 — — $54,992.69 $64,797.60 $57,855.00 2026-09-01
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 38 9 — — $56,264.60 $63,016.30 $57,853.90 2026-09-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 38 9 — — $56,988.86 $64,701.20 $57,768.90 2026-09-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 38 9 — — $49,432.46 $64,612.70 $57,689.90 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 102 24 — $74,904.00 $57,313.55 $104,405.00 $57,618.50 2026-09-01
1664 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx 38 9 — — $55,046.75 $64,184.40 $57,307.50 2026-09-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 102 24 — $74,458.00 $55,092.57 $103,784.00 $57,276.10 2026-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 46 18 — $57,126.00 $8,759.99 $103,513.33 $57,126.60 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 46 18 — $56,994.00 $56,994.90 $103,274.78 $56,994.91 2026-09-01
6804 APR_DRG Major O.r. Procedures For Lymphatichematopoieticother Neoplasms 38 9 — — $52,992.28 $63,324.60 $56,539.80 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 102 24 — $72,765.00 $43,569.80 $101,424.00 $55,973.40 2026-09-01
914 APR_DRG Other Major Head & Neck Procedures 38 9 — — $53,845.66 $62,597.10 $55,890.30 2026-09-01
61 APR_DRG Pancreas Transplant 38 9 — — $54,005.73 $62,445.80 $55,755.10 2026-09-01
608 OTHER UnGrouped 2 1 — — $55,680.70 $55,680.70 $55,680.70 2024-12-19
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 102 24 — $72,151.00 $52,799.08 $108,610.00 $55,501.20 2026-09-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 102 24 — $72,151.00 $50,928.20 $107,044.00 $55,501.20 2026-09-01
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Syndoth Maj Resp Cond 38 9 — — $54,075.28 $62,086.10 $55,434.10 2026-09-01
428 MS_DRG UnGrouped 54 21 — $71,850.00 $13,616.60 $100,149.00 $55,269.60 2024-12-19
430 MS_DRG UnGrouped 52 20 — $71,414.00 $54,934.20 $99,540.80 $54,934.20 2024-12-19
11 APR_DRG Liver Transplant &or Intestinal Transplant 38 9 — — $50,490.44 $61,386.40 $54,809.30 2026-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 102 24 — $70,512.00 $54,240.50 $99,295.30 $54,798.70 2026-09-01
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma 38 9 — — $51,481.30 $58,548.39 $54,718.12 2026-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 102 24 — $71,032.00 $53,893.30 $99,009.00 $54,640.80 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 102 24 — $70,872.00 $52,614.00 $98,784.70 $54,517.00 2026-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 102 24 — $70,446.00 $52,457.50 $98,191.50 $54,189.60 2026-09-01
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 56 22 — $70,438.00 $54,183.60 $98,180.60 $54,183.60 2024-12-19
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 38 9 — — $47,159.61 $60,433.50 $53,958.50 2026-09-01
648 OTHER UnGrouped 2 1 — — $53,790.80 $53,790.80 $53,790.80 2024-12-19
1783 APR_DRG External Heart Assist Systems 38 9 — — $51,747.50 $57,957.20 $53,704.67 2026-09-01
5892 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 38 9 — — $50,028.70 $212,323.83 $53,530.80 2026-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 102 24 — $65,351.00 $38,919.60 $96,990.92 $53,527.00 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 102 24 — $69,464.00 $52,539.58 $96,822.20 $53,433.90 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 102 24 — $69,159.00 $51,300.30 $96,397.10 $53,199.30 2026-09-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 38 9 — — $50,296.20 $56,331.80 $52,320.18 2026-09-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 38 9 — — $51,543.30 $57,728.60 $52,238.55 2026-09-01
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond 38 9 — — $48,811.40 $56,406.25 $52,228.20 2026-09-01
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 38 9 — — $40,762.17 $58,086.40 $51,862.90 2026-09-01
450 MS_DRG UnGrouped 52 20 — $67,256.00 $51,735.90 $93,745.40 $51,735.90 2024-12-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 98 23 — $67,034.00 $50,761.27 $93,436.10 $51,565.20 2026-09-01
1694 APR_DRG Major Abdominal Vascular Procedures 38 9 — — $49,701.73 $57,531.30 $51,367.20 2026-09-01
4403 APR_DRG Kidney Transplant 38 9 — — $48,930.00 $54,801.60 $51,187.99 2026-09-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 102 24 — $66,536.00 $50,084.86 $92,741.60 $51,181.90 2026-09-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 102 24 — $66,333.00 $48,005.07 $92,459.40 $51,026.10 2026-09-01
71 APR_DRG Allogeneic Bone Marrow Transplant 38 9 — — $47,581.80 $59,181.34 $50,912.50 2026-09-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 102 24 — $65,787.00 $47,197.80 $91,697.90 $50,605.90 2026-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 102 24 — $65,402.00 $46,258.20 $91,160.70 $50,309.40 2026-09-01
214 APR_DRG Open Craniotomy Except Trauma 38 9 — — $49,641.30 $56,319.40 $50,285.20 2026-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 102 24 — $65,325.00 $47,539.50 $91,053.90 $50,250.50 2026-09-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 102 24 — $65,092.00 $47,623.46 $90,728.40 $50,070.80 2026-09-01
234 APR_DRG Spinal Procedures 38 9 — — $47,896.38 $56,014.50 $50,013.00 2026-09-01
318 OTHER UnGrouped 2 1 — — $49,686.20 $49,686.20 $49,686.20 2024-12-19
1204 APR_DRG Major Respiratory & Chest Procedures 38 9 — — $44,991.70 $55,242.20 $49,323.30 2026-09-01
245 MS_DRG Aicd Generator Procedures 102 24 — $63,839.00 $43,950.40 $88,982.90 $49,107.50 2026-09-01
677 OTHER UnGrouped 2 1 — — $48,984.80 $48,984.80 $48,984.80 2024-12-19
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection 38 9 — — $47,198.70 $52,862.50 $48,931.57 2026-09-01
691 OTHER UnGrouped 2 1 — — $48,930.70 $48,930.70 $48,930.70 2024-12-19
471 MS_DRG Cervical Spinal Fusion With Mcc 102 24 — $63,456.00 $46,491.00 $88,449.30 $48,813.10 2026-09-01
6 MS_DRG Liver Transplant Without Mcc 102 24 — $63,351.00 $44,662.15 $88,302.80 $48,732.20 2026-09-01
362 OTHER UnGrouped 2 1 — — $48,655.30 $48,655.30 $48,655.30 2024-12-19
1633 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx 38 9 — — $46,299.60 $51,935.38 $48,537.74 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 102 24 — $60,021.00 $46,170.70 $87,897.95 $48,508.80 2026-09-01
6814 APR_DRG Other O.r. Procedures For Lymphatichematopoieticother Neoplasms 38 9 — — $42,835.46 $54,264.60 $48,450.60 2026-09-01
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 38 9 — — $45,194.71 $54,258.20 $48,444.80 2026-09-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 38 9 — — $45,647.91 $54,247.80 $48,435.60 2026-09-01
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 38 9 — — $45,225.70 $55,280.45 $48,391.50 2026-09-01
6904 APR_DRG Acute Leukemia 38 9 — — $45,078.63 $53,851.00 $48,081.20 2026-09-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 38 9 — — $46,961.37 $53,840.90 $48,072.20 2026-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 102 24 — $62,395.00 $45,051.39 $86,969.70 $47,996.50 2026-09-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 38 9 — — $46,004.40 $51,524.90 $47,938.78 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 102 24 — $62,126.00 $43,630.80 $86,595.20 $47,789.90 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 102 24 — $62,115.00 $45,184.96 $86,578.90 $47,780.90 2026-09-01
894 APR_DRG Major Cranialfacial Bone Procedures 38 9 — — $45,836.60 $53,107.80 $47,417.60 2026-09-01
396 OTHER UnGrouped 2 1 — — $47,383.20 $47,383.20 $47,383.20 2024-12-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 98 23 — $61,476.00 $45,843.20 $85,689.00 $47,289.80 2026-09-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 38 9 — — $43,474.70 $52,944.10 $47,271.50 2026-09-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 38 9 — — $44,744.70 $52,909.30 $47,240.50 2026-09-01
204 APR_DRG Open Craniotomy For Trauma 38 9 — — $43,983.55 $52,901.50 $47,233.50 2026-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 46 18 — $47,182.00 $47,182.70 $91,954.19 $47,182.70 2026-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 102 24 — $61,149.00 $44,164.10 $85,233.20 $47,038.20 2026-09-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 38 9 — — $45,882.30 $51,388.10 $46,998.47 2026-09-01
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 38 9 — — $46,725.00 $52,332.00 $46,931.69 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 102 24 — $60,791.00 $44,485.65 $84,734.00 $46,762.70 2026-09-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 38 9 — — $40,936.82 $52,249.10 $46,650.90 2026-09-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 38 9 — — $43,531.10 $53,470.09 $46,578.30 2026-09-01
4414 APR_DRG Major Bladder Procedures 38 9 — — $43,454.56 $52,096.60 $46,514.80 2026-09-01
163 MS_DRG Major Chest Procedures With Mcc 102 24 — $60,237.00 $43,181.49 $83,961.60 $46,336.40 2026-09-01
650 OTHER Kidney Transplant With Hemodialysis With Mcc 56 22 — $60,212.00 $25,149.00 $83,927.30 $46,317.50 2024-12-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 102 24 — $60,012.00 $44,275.76 $83,648.70 $46,163.70 2026-09-01
1782 APR_DRG External Heart Assist Systems 38 9 — — $43,293.42 $51,440.80 $45,929.30 2026-09-01
8633 APR_DRG Neonatal Aftercare 38 9 — — $45,164.40 $50,584.10 $45,916.91 2026-09-01
6364 APR_DRG Neonate Birthwt >2499g W Congenitalperinatal Infection 38 9 — — $35,086.77 $51,397.80 $45,890.90 2026-09-01
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 38 9 — — $43,255.90 $48,721.89 $45,534.48 2026-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 102 24 — $58,970.00 $37,333.40 $82,196.30 $45,362.20 2026-09-01
4014 APR_DRG Adrenal Procedures 38 9 — — $42,748.40 $48,465.53 $45,294.89 2026-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 46 18 — $45,276.00 $31,558.60 $82,041.09 $45,276.54 2026-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 102 24 — $58,621.00 $41,379.30 $81,709.70 $45,093.60 2026-09-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 102 24 — $58,460.00 $43,800.66 $81,485.40 $44,969.90 2026-09-01
5893 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 38 9 — — $42,012.80 $212,323.83 $44,953.70 2026-09-01
274 APR_DRG Other Open Craniotomy 38 9 — — $38,996.84 $49,930.80 $44,581.10 2026-09-01
901 MS_DRG Wound Debridements For Injuries With Mcc 102 24 — $57,918.00 $40,460.59 $80,729.30 $44,552.60 2026-09-01
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 38 9 — — $43,960.50 $49,235.80 $44,276.14 2026-09-01
363 OTHER UnGrouped 2 1 — — $44,212.90 $44,212.90 $44,212.90 2024-12-19
4402 APR_DRG Kidney Transplant 38 9 — — $43,019.70 $48,182.00 $44,182.85 2026-09-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 102 24 — $57,429.00 $43,001.18 $80,047.40 $44,176.30 2026-09-01
2614 APR_DRG Major Biliary Tract Procedures 38 9 — — $41,597.26 $48,984.70 $43,736.30 2026-09-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 38 9 — — $42,036.80 $47,081.20 $43,549.97 2026-09-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 102 24 — $56,573.00 $37,575.60 $78,855.40 $43,518.40 2026-09-01
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 22 — $56,458.00 $43,429.60 $78,694.40 $43,429.60 2024-12-19
1814 APR_DRG Lower Extremity Arterial Procedures 38 9 — — $38,962.92 $48,544.10 $43,343.00 2026-09-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 102 24 — $54,805.00 $28,481.70 $78,222.39 $43,169.09 2026-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 102 24 — $55,779.00 $38,800.40 $77,748.40 $42,907.50 2026-09-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 38 9 — — $33,931.68 $48,038.60 $42,891.60 2026-09-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 102 24 — $55,698.00 $41,708.47 $77,634.40 $42,844.60 2026-09-01
6143 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition 38 9 — — $41,632.78 $47,848.80 $42,722.20 2026-09-01
140 MS_DRG Major Head And Neck Procedures With Mcc 102 24 — $55,306.00 $6,034.55 $77,088.20 $42,543.20 2026-09-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 102 24 — $54,792.00 $35,420.40 $76,371.90 $42,147.80 2026-09-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 22 8 — — $42,072.80 $47,121.60 $42,072.80 2024-12-19
1781 APR_DRG External Heart Assist Systems 38 9 — — $39,720.89 $47,027.40 $41,988.80 2026-09-01
793 MS_DRG Full Term Neonate With Major Problems 102 24 — $54,544.00 $40,203.00 $76,026.40 $41,957.20 2026-09-01
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 38 9 — — $36,947.67 $46,886.20 $41,862.60 2026-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 100 24 — $54,417.00 $8,180.36 $75,849.20 $41,859.40 2026-09-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 38 9 — — $38,867.90 $45,694.42 $41,588.70 2026-09-01
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 38 9 — — $41,024.40 $45,947.30 $41,585.07 2026-09-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 38 9 — — $40,327.30 $45,166.50 $41,408.57 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 102 24 — $53,786.00 $40,386.18 $74,970.10 $41,374.20 2026-09-01
6954 APR_DRG Chemotherapy For Acute Leukemia 38 9 — — $39,025.46 $46,318.90 $41,356.20 2026-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 102 24 — $53,756.00 $40,625.60 $74,928.50 $41,351.30 2026-09-01
012 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 56 22 — $53,677.00 $41,290.40 $74,818.10 $41,290.40 2024-12-19
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 38 9 — — $38,747.72 $46,083.50 $41,146.00 2026-09-01
33249 CPT Hc Insertrplacmnt Aicd W Lead Singdual 146 29 $109,148.00 $53,436.00 51% off $1,283.80 $87,318.40 $41,105.20 2026-09-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 146 29 $133,574.00 $53,436.00 60% off $325.02 $106,859.00 $41,105.20 2026-09-01
33270 CPT Insrep Subq Defibrillator 146 29 $74,446.90 $53,436.00 28% off $508.93 $61,657.80 $41,105.20 2026-09-01
448 MS_DRG UnGrouped 96 23 — $53,415.00 $40,882.28 $74,452.80 $41,088.70 2026-09-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 102 24 — $53,206.00 $40,044.60 $97,424.70 $40,928.00 2026-09-01
6082 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition 38 9 — — $36,442.26 $45,783.40 $40,878.00 2026-09-01
791 MS_DRG Prematurity With Major Problems 102 24 — $53,109.00 $3,458.68 $74,025.90 $40,853.20 2026-09-01
2304 APR_DRG Major Small Bowel Procedures 38 9 — — $39,041.36 $45,645.20 $40,754.70 2026-09-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 46 18 — $40,645.00 $40,645.68 $73,649.97 $40,645.70 2026-09-01
1793 APR_DRG Defibrillator Implants 38 9 — — $40,380.30 $45,225.90 $40,597.59 2026-09-01
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 38 9 — — $40,070.72 $45,354.90 $40,495.40 2026-09-01
4401 APR_DRG Kidney Transplant 38 9 — — $38,573.70 $43,202.50 $40,365.43 2026-09-01
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 38 9 — — $38,336.40 $45,180.00 $40,339.30 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 18 — $40,231.00 $40,231.60 $73,312.88 $40,231.63 2026-09-01
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures 38 9 — — $39,182.36 $45,038.70 $40,213.20 2026-09-01
907 OTHER Other O.r. Procedures For Injuries With Mcc 56 22 — $52,120.00 $40,092.50 $72,647.60 $40,092.50 2024-12-19
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 102 24 — $52,083.00 $34,604.75 $72,596.90 $40,064.50 2026-09-01
6394 APR_DRG Neonate Birthwt >2499g W Other Significant Condition 38 9 — — $30,420.63 $44,791.40 $39,992.40 2026-09-01
1663 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx 38 9 — — $38,970.00 $43,646.40 $39,961.53 2026-09-01
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 38 9 — — $38,877.05 $44,661.00 $39,875.90 2026-09-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 102 24 — $51,167.00 $39,359.80 $72,085.49 $39,782.30 2026-09-01
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