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 →

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Hospital

LA PALMA INTERCOMMUNITY HOSPITAL

La Palma, CA · CCN 050580 · Rates published

5,971 distinct procedures filed
31 distinct payers
444,431 rate rows
2026-03-17 last MRF observed
Data quality

444,214 of 444,431 rate rows are consumer-grade (100.0%)

217 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 164
percent-of-charges filed in the dollar field — excluded from medians 36
per-diem day rate — not a per-procedure price 16
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://lapalmaintercommunityhospital.com/wp-content/uploads/2026/04/205253134_LaPalmaIntercommunityHospital_standardcharges.JSON
Found on page https://lapalmaintercommunityhospital.com/patients-visitors/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 4253b65f6084a300… · 35,080,386 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 $557,398.00 nat. median
$309,665
1.8× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $415,747.00 $511,708.57 $415,747.00 nat. median
$246,434
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 $350,167.00 $747,270.67 $380,556.00 nat. median
$370,174
1.0× median
5833
APR_DRG 		Neonate W Ecmo 9 $337,098.00 $381,895.65 $337,098.00 nat. median
$244,017
1.4× median
612
OTHER 		UnGrouped 1 $326,320.00 $326,320.00 $326,320.00 nat. median
$2,164
outlier · 150.8×
636
OTHER 		UnGrouped 1 $299,441.00 $299,441.00 $299,441.00 nat. median
$53
outlier · 5701.5×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 9 $243,895.93 $316,492.00 $282,582.00 nat. median
$150,721
1.9× 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
$265,286
1.1× median
5934
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure 9 $273,308.00 $310,791.04 $273,308.00 nat. median
$151,838
1.8× median
5914
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure 9 $270,582.00 $352,087.07 $270,582.00 nat. median
$164,279
1.6× median
633
OTHER 		UnGrouped 1 $269,029.00 $269,029.00 $269,029.00 nat. median
$4,769
outlier · 56.4×
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 9 $265,818.00 $307,117.70 $265,818.00 nat. median
$122,924
outlier · 2.2×
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 9 $262,779.00 $359,836.67 $262,779.00 nat. median
$162,982
1.6× median
631
OTHER 		UnGrouped 1 $262,080.00 $262,080.00 $262,080.00 nat. median
$5,302
outlier · 49.4×
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
$206,368
1.1× 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
$202,986
1.1× median
1614
APR_DRG 		Implantable Heart Assist Systems 9 $202,241.64 $238,602.00 $213,038.00 nat. median
$207,730
1.0× median
5832
APR_DRG 		Neonate W Ecmo 9 $211,538.00 $239,647.88 $211,538.00 nat. median
$156,126
1.4× median
24
APR_DRG 		Heart &or Lung Transplant 9 $206,387.00 $260,257.66 $206,387.00 nat. median
$234,738
0.9× 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
$109,499
1.9× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 9 $197,214.00 $226,997.51 $197,214.00 nat. median
$118,620
1.7× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $185,173.00 $258,786.47 $185,173.00 nat. median
$182,736
1.0× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $180,248.00 $249,584.40 $180,248.00 nat. median
$145,336
1.2× median
5831
APR_DRG 		Neonate W Ecmo 9 $171,307.00 $202,202.98 $171,307.00 nat. median
$145,122
1.2× median
359
OTHER 		UnGrouped 1 $168,732.00 $168,732.00 $168,732.00 nat. median
$2,225
outlier · 75.8×
1613
APR_DRG 		Implantable Heart Assist Systems 9 $161,433.00 $180,805.00 $161,433.00 nat. median
$119,796
1.3× median
114
APR_DRG 		UnGrouped 8 $160,319.00 $179,557.00 $160,319.00 nat. median
$117,173
1.4× median
681
OTHER 		UnGrouped 1 $154,414.00 $154,414.00 $154,414.00 nat. median
$0
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 9 $153,305.00 $171,702.00 $153,305.00 nat. median
$95,507
1.6× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 9 $153,008.00 $185,129.11 $153,008.00 nat. median
$160,267
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $131,168.00 $143,380.00 $143,379.99 nat. median
$87,411
1.6× 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
$133,176
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $137,513.00 $208,263.30 $137,513.00 nat. median
$164,834
0.8× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 9 $134,969.00 $159,102.44 $134,969.00 nat. median
$105,658
1.3× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $133,615.00 $160,324.08 $133,615.00 nat. median
$187,294
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 24 $115,078.00 $237,576.00 $131,112.00 nat. median
$117,303
1.1× median
7
MS_DRG 		Lung Transplant 24 $123,972.65 $236,979.00 $130,783.00 nat. median
$122,708
1.1× median
23
APR_DRG 		Heart &or Lung Transplant 9 $130,623.00 $146,298.00 $130,623.00 nat. median
$93,528
1.4× median
14
APR_DRG 		Liver Transplant &or Intestinal Transplant 9 $129,535.00 $147,554.06 $129,535.00 nat. median
$129,535
1.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 9 $109,991.74 $144,996.00 $129,460.00 nat. median
$85,406
1.5× median
5933
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure 9 $127,840.00 $173,455.39 $127,840.00 nat. median
$108,996
1.2× median
635
OTHER 		UnGrouped 1 $127,614.00 $127,614.00 $127,614.00 nat. median
$677
outlier · 188.4×
1611
APR_DRG 		Implantable Heart Assist Systems 9 $109,991.74 $137,911.00 $123,135.00 nat. median
$76,806
1.6× median
5913
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure 9 $123,021.00 $209,001.74 $123,021.00 nat. median
$102,636
1.2× median
8634
APR_DRG 		Neonatal Aftercare 9 $122,117.00 $136,772.00 $122,117.00 nat. median
$69,502
1.8× median
634
OTHER 		UnGrouped 1 $121,127.00 $121,127.00 $121,127.00 nat. median
$414
outlier · 292.6×
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $119,885.00 $166,001.58 $119,885.00 nat. median
$124,573
1.0× median
6114
APR_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly 9 $116,273.00 $142,387.29 $116,273.00 nat. median
$72,694
1.6× median
613
OTHER 		UnGrouped 1 $115,739.00 $115,739.00 $115,739.00 nat. median
$42,666
outlier · 2.7×
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
$66,071
1.7× median

Other procedures at this hospital

Browse this hospital's 5,971 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 30 9 — — $557,398.00 $809,617.52 $557,398.00 2026-03-17
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 30 9 — — $415,747.00 $511,708.57 $415,747.00 2026-03-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 79 24 — $489,824.00 $350,167.00 $747,270.67 $380,556.00 2026-03-17
5833 APR_DRG Neonate W Ecmo 30 9 — — $337,098.00 $381,895.65 $337,098.00 2026-03-17
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 30 9 — — $273,308.00 $310,791.04 $273,308.00 2026-03-17
5914 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure 30 9 — — $270,582.00 $352,087.07 $270,582.00 2026-03-17
633 OTHER UnGrouped 2 1 — — $269,029.00 $269,029.00 $269,029.00 2024-12-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 79 24 — $365,964.00 $267,780.00 $510,099.00 $281,511.00 2026-03-17
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 30 9 — — $265,818.00 $307,117.70 $265,818.00 2026-03-17
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 30 9 — — $262,779.00 $359,836.67 $262,779.00 2026-03-17
631 OTHER UnGrouped 2 1 — — $262,080.00 $262,080.00 $262,080.00 2024-12-19
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 30 9 — — $243,895.93 $316,492.00 $282,582.00 2026-03-17
5832 APR_DRG Neonate W Ecmo 30 9 — — $211,538.00 $239,647.88 $211,538.00 2026-03-17
24 APR_DRG Heart &or Lung Transplant 30 9 — — $206,387.00 $260,257.66 $206,387.00 2026-03-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 79 24 — $308,275.00 $204,114.00 $429,688.00 $237,135.00 2026-03-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 79 24 — $278,542.00 $202,918.72 $388,245.00 $214,263.00 2026-03-17
1614 APR_DRG Implantable Heart Assist Systems 30 9 — — $202,241.64 $238,602.00 $213,038.00 2026-03-17
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 30 9 — — $197,214.00 $226,997.51 $197,214.00 2026-03-17
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 30 9 — — $185,173.00 $258,786.47 $185,173.00 2026-03-17
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 30 9 — — $180,248.00 $249,584.40 $180,248.00 2026-03-17
5831 APR_DRG Neonate W Ecmo 30 9 — — $171,307.00 $202,202.98 $171,307.00 2026-03-17
359 OTHER UnGrouped 2 1 — — $168,732.00 $168,732.00 $168,732.00 2024-12-19
1613 APR_DRG Implantable Heart Assist Systems 30 9 — — $161,433.00 $180,805.00 $161,433.00 2026-03-17
114 APR_DRG UnGrouped 22 8 — — $160,319.00 $179,557.00 $160,319.00 2024-12-19
681 OTHER UnGrouped 2 1 — — $154,414.00 $154,414.00 $154,414.00 2024-12-19
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition 30 9 — — $153,438.03 $229,623.00 $205,021.00 2026-03-17
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 30 9 — — $153,305.00 $171,702.00 $153,305.00 2026-03-17
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 30 9 — — $153,008.00 $185,129.11 $153,008.00 2026-03-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 30 9 — — $137,513.00 $208,263.30 $137,513.00 2026-03-17
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 30 9 — — $134,969.00 $159,102.44 $134,969.00 2026-03-17
74 APR_DRG Allogeneic Bone Marrow Transplant 30 9 — — $133,615.00 $160,324.08 $133,615.00 2026-03-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 79 24 — $183,789.00 $132,570.00 $256,174.00 $141,376.00 2026-03-17
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 2 — — $131,168.00 $143,380.00 $143,379.99 2026-03-17
23 APR_DRG Heart &or Lung Transplant 30 9 — — $130,623.00 $146,298.00 $130,623.00 2026-03-17
14 APR_DRG Liver Transplant &or Intestinal Transplant 30 9 — — $129,535.00 $147,554.06 $129,535.00 2026-03-17
5933 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure 30 9 — — $127,840.00 $173,455.39 $127,840.00 2026-03-17
635 OTHER UnGrouped 2 1 — — $127,614.00 $127,614.00 $127,614.00 2024-12-19
7 MS_DRG Lung Transplant 79 24 — $170,017.00 $123,972.65 $236,979.00 $130,783.00 2026-03-17
5913 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure 30 9 — — $123,021.00 $209,001.74 $123,021.00 2026-03-17
8634 APR_DRG Neonatal Aftercare 30 9 — — $122,117.00 $136,772.00 $122,117.00 2026-03-17
634 OTHER UnGrouped 2 1 — — $121,127.00 $121,127.00 $121,127.00 2024-12-19
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 30 9 — — $119,885.00 $166,001.58 $119,885.00 2026-03-17
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 30 9 — — $116,273.00 $142,387.29 $116,273.00 2026-03-17
613 OTHER UnGrouped 2 1 — — $115,739.00 $115,739.00 $115,739.00 2024-12-19
14 MS_DRG Allogeneic Bone Marrow Transplant 79 24 — $170,446.00 $115,078.00 $237,576.00 $131,112.00 2026-03-17
1612 APR_DRG Implantable Heart Assist Systems 30 9 — — $109,991.74 $144,996.00 $129,460.00 2026-03-17
1611 APR_DRG Implantable Heart Assist Systems 30 9 — — $109,991.74 $137,911.00 $123,135.00 2026-03-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 79 24 — $143,426.00 $108,532.61 $199,915.00 $110,328.00 2026-03-17
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 30 9 — — $103,484.31 $119,058.00 $106,302.00 2026-03-17
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 30 9 — — $103,459.00 $123,618.19 $103,459.00 2026-03-17
5932 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure 30 9 — — $99,399.40 $134,864.84 $99,399.40 2026-03-17
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $98,963.49 $98,963.49 $98,963.49 2026-03-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 79 24 — $138,621.00 $98,789.10 $193,217.00 $106,632.00 2026-03-17
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond 30 9 — — $97,520.72 $125,173.00 $111,762.00 2026-03-17
632 OTHER UnGrouped 2 1 — — $97,275.30 $97,275.30 $97,275.30 2024-12-19
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 30 9 — — $97,139.40 $114,410.75 $97,139.40 2026-03-17
215 MS_DRG Other Heart Assist System Implant 79 24 — $137,912.00 $95,416.60 $192,229.00 $106,087.00 2026-03-17
22 APR_DRG Heart &or Lung Transplant 30 9 — — $94,013.50 $108,630.32 $94,013.50 2026-03-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 79 24 — $125,666.00 $93,754.67 $175,160.00 $96,666.40 2026-03-17
64 APR_DRG Pancreas Transplant 30 9 — — $92,994.09 $115,594.00 $103,209.00 2026-03-17
54 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 30 9 — — $92,671.30 $113,176.62 $92,671.30 2026-03-17
850 MS_DRG UnGrouped 52 20 — $119,966.00 $92,282.10 $167,215.00 $92,282.10 2024-12-19
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 30 9 — — $90,816.10 $101,714.00 $90,816.10 2026-03-17
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 30 9 — — $89,206.20 $105,465.60 $89,206.20 2026-03-17
113 APR_DRG UnGrouped 22 8 — — $86,144.50 $96,481.80 $86,144.50 2024-12-19
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 30 9 — — $85,461.60 $102,147.52 $85,461.60 2026-03-17
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection 30 9 — — $84,935.21 $106,097.00 $94,729.20 2026-03-17
429 MS_DRG UnGrouped 52 20 — $108,659.00 $83,584.60 $151,455.00 $83,584.60 2024-12-19
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 30 9 — — $83,517.10 $99,001.18 $83,517.10 2026-03-17
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 30 9 — — $80,771.14 $93,040.30 $83,071.70 2026-03-17
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 30 9 — — $80,262.20 $90,371.65 $80,262.20 2026-03-17
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 30 9 — — $80,114.50 $92,704.07 $80,114.50 2026-03-17
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 30 9 — — $79,594.10 $89,145.40 $79,594.10 2026-03-17
63 APR_DRG Pancreas Transplant 30 9 — — $79,144.95 $91,514.60 $81,709.50 2026-03-17
361 OTHER UnGrouped 2 1 — — $78,804.50 $78,804.50 $78,804.50 2024-12-19
647 OTHER UnGrouped 2 1 — — $78,237.30 $78,237.30 $78,237.30 2024-12-19
6084 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition 30 9 — — $77,329.63 $93,771.90 $83,724.90 2026-03-17
21 APR_DRG Heart &or Lung Transplant 30 9 — — $77,288.50 $86,563.10 $77,288.50 2026-03-17
4404 APR_DRG Kidney Transplant 30 9 — — $76,896.47 $87,699.80 $78,303.40 2026-03-17
73 APR_DRG Allogeneic Bone Marrow Transplant 30 9 — — $76,591.90 $95,522.26 $76,591.90 2026-03-17
360 OTHER UnGrouped 2 1 — — $76,213.20 $76,213.20 $76,213.20 2024-12-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 79 24 — $105,032.00 $75,494.50 $155,325.00 $80,794.50 2026-03-17
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Ccmcc 1 1 — — $74,519.93 $74,519.93 $74,519.93 2026-03-17
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 30 9 — — $74,045.86 $94,505.40 $84,379.90 2026-03-17
13 APR_DRG Liver Transplant &or Intestinal Transplant 30 9 — — $73,704.30 $82,548.80 $73,704.30 2026-03-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 79 24 — $100,833.00 $73,677.09 $140,546.00 $77,564.20 2026-03-17
8514 APR_DRG UnGrouped 22 8 — — $73,525.10 $82,348.10 $73,525.10 2024-12-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 79 24 — $101,857.00 $73,361.30 $141,973.00 $78,351.80 2026-03-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 79 24 — $97,286.00 $73,119.90 $135,603.00 $74,836.00 2026-03-17
5912 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure 30 9 — — $72,719.10 $169,706.50 $72,719.10 2026-03-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 79 24 — $110,328.00 $72,025.00 $153,781.00 $84,868.30 2026-03-17
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 79 24 — $110,389.00 $70,655.90 $153,866.00 $84,915.20 2026-03-17
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx 30 9 — — $70,285.20 $78,719.40 $70,285.20 2026-03-17
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
5891 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 30 9 — — $68,694.30 $212,323.83 $68,694.30 2026-03-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 79 24 — $103,296.00 $68,490.00 $143,979.00 $79,458.80 2026-03-17
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 30 9 — — $66,925.17 $75,172.60 $67,118.40 2026-03-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 18 — $66,364.00 $66,364.40 $120,252.37 $66,364.44 2026-03-17
1784 APR_DRG External Heart Assist Systems 30 9 — — $66,228.69 $75,636.60 $67,532.70 2026-03-17
53 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 30 9 — — $65,623.00 $79,847.27 $65,623.00 2026-03-17
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 30 9 — — $64,857.30 $72,640.20 $64,857.30 2026-03-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 79 24 — $89,034.00 $64,640.50 $148,019.00 $68,488.30 2026-03-17
6144 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition 30 9 — — $64,292.94 $88,854.50 $79,334.30 2026-03-17
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 30 9 — — $63,659.00 $72,914.80 $65,102.50 2026-03-17
10 MS_DRG Pancreas Transplant 79 24 — $103,889.00 $62,876.70 $144,806.00 $79,915.00 2026-03-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 79 24 — $84,228.00 $62,639.00 $117,430.00 $64,790.80 2026-03-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 30 9 — — $62,272.00 $117,818.20 $62,272.00 2026-03-17
317 MS_DRG UnGrouped 54 21 — $80,704.00 $62,080.60 $112,490.00 $62,080.60 2024-12-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 79 24 — $84,348.00 $61,812.76 $117,569.00 $64,883.60 2026-03-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 79 24 — $80,338.00 $61,799.10 $114,022.13 $62,926.10 2026-03-17
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 30 9 — — $61,446.58 $68,872.50 $61,493.30 2026-03-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 79 24 — $92,132.00 $61,345.70 $128,418.00 $70,871.10 2026-03-17
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
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 30 9 — — $60,538.20 $67,802.80 $60,538.20 2026-03-17
72 APR_DRG Allogeneic Bone Marrow Transplant 30 9 — — $60,331.30 $71,097.23 $60,331.30 2026-03-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 2 — — $60,021.80 $107,313.00 $107,312.52 2026-03-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 79 24 — $77,627.00 $59,713.80 $114,435.28 $63,154.10 2026-03-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 79 24 — $82,494.00 $58,822.80 $114,984.00 $63,457.20 2026-03-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 30 9 — — $58,768.76 $67,620.30 $60,375.30 2026-03-17
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 30 9 — — $58,284.90 $65,279.10 $58,284.90 2026-03-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 79 24 — $79,696.00 $58,262.80 $111,085.00 $61,305.00 2026-03-17
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 30 9 — — $58,078.20 $65,771.66 $58,078.20 2026-03-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 79 24 — $74,904.00 $57,313.55 $104,405.00 $57,618.50 2026-03-17
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 23 18 — $56,994.00 $56,994.90 $103,274.78 $56,994.91 2026-03-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 30 9 — — $56,988.86 $64,701.20 $57,768.90 2026-03-17
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond 30 9 — — $56,955.36 $70,102.90 $62,591.90 2026-03-17
6083 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition 30 9 — — $56,846.10 $64,642.73 $56,846.10 2026-03-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 79 24 — $76,783.00 $56,411.99 $107,024.00 $59,063.90 2026-03-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 79 24 — $75,979.00 $56,375.70 $105,904.00 $58,446.00 2026-03-17
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 30 9 — — $56,264.60 $63,016.30 $56,264.60 2026-03-17
608 OTHER UnGrouped 2 1 — — $55,680.70 $55,680.70 $55,680.70 2024-12-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 79 24 — $74,458.00 $55,092.57 $103,784.00 $57,276.10 2026-03-17
1664 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx 30 9 — — $55,046.75 $64,184.40 $57,307.50 2026-03-17
1794 APR_DRG Defibrillator Implants 30 9 — — $54,992.69 $64,797.60 $57,855.00 2026-03-17
430 MS_DRG UnGrouped 52 20 — $71,414.00 $54,934.20 $99,540.80 $54,934.20 2024-12-19
6234 APR_DRG Neonate Bwt 2000-2499g W Congenitalperinatal Infection 30 9 — — $54,746.96 $67,092.30 $59,903.90 2026-03-17
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 30 9 — — $54,426.59 $68,642.70 $61,288.10 2026-03-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 79 24 — $70,512.00 $54,240.50 $99,295.30 $54,798.70 2026-03-17
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
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Syndoth Maj Resp Cond 30 9 — — $54,075.28 $62,086.10 $55,434.10 2026-03-17
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 30 9 — — $54,029.06 $72,779.20 $64,981.40 2026-03-17
61 APR_DRG Pancreas Transplant 30 9 — — $54,005.73 $62,445.80 $55,755.10 2026-03-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 79 24 — $71,032.00 $53,893.30 $99,009.00 $54,640.80 2026-03-17
914 APR_DRG Other Major Head & Neck Procedures 30 9 — — $53,845.66 $62,597.10 $55,890.30 2026-03-17
648 OTHER UnGrouped 2 1 — — $53,790.80 $53,790.80 $53,790.80 2024-12-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 79 24 — $80,059.00 $53,114.86 $111,591.00 $61,584.50 2026-03-17
6804 APR_DRG Major O.r. Procedures For Lymphatichematopoieticother Neoplasms 30 9 — — $52,992.28 $63,324.60 $56,539.80 2026-03-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 79 24 — $72,151.00 $52,799.08 $108,610.00 $55,501.20 2026-03-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 79 24 — $70,872.00 $52,614.00 $98,784.70 $54,517.00 2026-03-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 79 24 — $69,464.00 $52,539.58 $96,822.20 $53,433.90 2026-03-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 79 24 — $70,446.00 $52,457.50 $98,191.50 $54,189.60 2026-03-17
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Ccmcc 4 2 — — $52,264.50 $74,519.90 $63,392.20 2024-12-19
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 79 24 — $78,751.00 $52,249.56 $109,768.00 $60,578.20 2026-03-17
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition 30 9 — — $52,004.27 $67,386.90 $60,166.90 2026-03-17
1783 APR_DRG External Heart Assist Systems 30 9 — — $51,747.50 $57,957.20 $51,747.50 2026-03-17
450 MS_DRG UnGrouped 52 20 — $67,256.00 $51,735.90 $93,745.40 $51,735.90 2024-12-19
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 30 9 — — $51,543.30 $57,728.60 $51,543.30 2026-03-17
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma 30 9 — — $51,481.30 $58,548.39 $51,481.30 2026-03-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 79 24 — $69,159.00 $51,300.30 $96,397.10 $53,199.30 2026-03-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 79 24 — $72,151.00 $50,928.20 $107,044.00 $55,501.20 2026-03-17
11 APR_DRG Liver Transplant &or Intestinal Transplant 30 9 — — $50,490.44 $61,386.40 $54,809.30 2026-03-17
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 30 9 — — $50,296.20 $56,331.80 $50,296.20 2026-03-17
28 MS_DRG Spinal Procedures With Mcc 79 24 — $79,317.00 $50,160.40 $110,556.00 $61,013.50 2026-03-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 79 24 — $78,166.00 $50,097.10 $108,952.00 $60,128.10 2026-03-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 79 24 — $66,536.00 $50,084.86 $92,741.60 $51,181.90 2026-03-17
5892 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 30 9 — — $50,028.70 $212,323.83 $50,028.70 2026-03-17
1694 APR_DRG Major Abdominal Vascular Procedures 30 9 — — $49,701.73 $57,531.30 $51,367.20 2026-03-17
318 OTHER UnGrouped 2 1 — — $49,686.20 $49,686.20 $49,686.20 2024-12-19
214 APR_DRG Open Craniotomy Except Trauma 30 9 — — $49,641.30 $56,319.40 $50,285.20 2026-03-17
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 30 9 — — $49,432.46 $64,612.70 $57,689.90 2026-03-17
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition 30 9 — — $49,060.10 $76,999.20 $68,749.30 2026-03-17
677 OTHER UnGrouped 2 1 — — $48,984.80 $48,984.80 $48,984.80 2024-12-19
691 OTHER UnGrouped 2 1 — — $48,930.70 $48,930.70 $48,930.70 2024-12-19
4403 APR_DRG Kidney Transplant 30 9 — — $48,930.00 $54,801.60 $48,930.00 2026-03-17
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond 30 9 — — $48,811.40 $56,406.25 $48,811.40 2026-03-17
362 OTHER UnGrouped 2 1 — — $48,655.30 $48,655.30 $48,655.30 2024-12-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 79 24 — $66,333.00 $48,005.07 $92,459.40 $51,026.10 2026-03-17
234 APR_DRG Spinal Procedures 30 9 — — $47,896.38 $56,014.50 $50,013.00 2026-03-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 79 24 — $65,092.00 $47,623.46 $90,728.40 $50,070.80 2026-03-17
71 APR_DRG Allogeneic Bone Marrow Transplant 30 9 — — $47,581.80 $59,181.34 $47,581.80 2026-03-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 79 24 — $65,325.00 $47,539.50 $91,053.90 $50,250.50 2026-03-17
396 OTHER UnGrouped 2 1 — — $47,383.20 $47,383.20 $47,383.20 2024-12-19
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection 30 9 — — $47,198.70 $52,862.50 $47,198.70 2026-03-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 79 24 — $65,787.00 $47,197.80 $91,697.90 $50,605.90 2026-03-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 23 18 — $47,182.00 $47,182.70 $91,954.19 $47,182.70 2026-03-17
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 30 9 — — $47,159.61 $60,433.50 $53,958.50 2026-03-17
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 30 9 — — $46,961.37 $53,840.90 $48,072.20 2026-03-17
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 30 9 — — $46,725.00 $52,332.00 $46,725.00 2026-03-17
471 MS_DRG Cervical Spinal Fusion With Mcc 79 24 — $63,456.00 $46,491.00 $88,449.30 $48,813.10 2026-03-17
1633 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx 30 9 — — $46,299.60 $51,935.38 $46,299.60 2026-03-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 79 24 — $65,402.00 $46,258.20 $91,160.70 $50,309.40 2026-03-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 79 24 — $60,021.00 $46,170.70 $87,897.95 $47,757.40 2026-03-17
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 30 9 — — $46,004.40 $51,524.90 $46,004.40 2026-03-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 30 9 — — $45,882.30 $51,388.10 $45,882.30 2026-03-17
894 APR_DRG Major Cranialfacial Bone Procedures 30 9 — — $45,836.60 $53,107.80 $47,417.60 2026-03-17
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 30 9 — — $45,647.91 $54,247.80 $48,435.60 2026-03-17
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 30 9 — — $45,225.70 $55,280.45 $45,225.70 2026-03-17
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 30 9 — — $45,194.71 $54,258.20 $48,444.80 2026-03-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 79 24 — $62,115.00 $45,184.96 $86,578.90 $47,780.90 2026-03-17
8633 APR_DRG Neonatal Aftercare 30 9 — — $45,164.40 $50,584.10 $45,164.40 2026-03-17
6904 APR_DRG Acute Leukemia 30 9 — — $45,078.63 $53,851.00 $48,081.20 2026-03-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 79 24 — $62,395.00 $45,051.39 $86,969.70 $47,996.50 2026-03-17
1204 APR_DRG Major Respiratory & Chest Procedures 30 9 — — $44,991.70 $55,242.20 $49,323.30 2026-03-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc 79 24 — $80,808.00 $44,932.90 $112,635.00 $62,160.40 2026-03-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 30 9 — — $44,744.70 $52,909.30 $47,240.50 2026-03-17
6 MS_DRG Liver Transplant Without Mcc 79 24 — $63,351.00 $44,662.15 $88,302.80 $48,732.20 2026-03-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 79 24 — $60,791.00 $44,485.65 $84,734.00 $46,762.70 2026-03-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 79 24 — $60,012.00 $44,275.76 $83,648.70 $46,163.70 2026-03-17
363 OTHER UnGrouped 2 1 — — $44,212.90 $44,212.90 $44,212.90 2024-12-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 79 24 — $61,149.00 $44,164.10 $85,233.20 $47,038.20 2026-03-17
204 APR_DRG Open Craniotomy For Trauma 30 9 — — $43,983.55 $52,901.50 $47,233.50 2026-03-17
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 30 9 — — $43,960.50 $49,235.80 $43,960.50 2026-03-17
245 MS_DRG Aicd Generator Procedures 79 24 — $63,839.00 $43,950.40 $88,982.90 $49,107.50 2026-03-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 79 24 — $58,460.00 $43,800.66 $81,485.40 $44,969.90 2026-03-17
799 MS_DRG Splenic Procedures With Mcc 79 24 — $62,126.00 $43,630.80 $86,595.20 $47,789.90 2026-03-17
653 MS_DRG Major Bladder Procedures With Mcc 79 24 — $72,765.00 $43,569.80 $101,424.00 $55,973.40 2026-03-17
52 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 30 9 — — $43,531.10 $53,470.09 $43,531.10 2026-03-17
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 30 9 — — $43,474.70 $52,944.10 $47,271.50 2026-03-17
4414 APR_DRG Major Bladder Procedures 30 9 — — $43,454.56 $52,096.60 $46,514.80 2026-03-17
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
1782 APR_DRG External Heart Assist Systems 30 9 — — $43,293.42 $51,440.80 $45,929.30 2026-03-17
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 30 9 — — $43,255.90 $48,721.89 $43,255.90 2026-03-17
163 MS_DRG Major Chest Procedures With Mcc 79 24 — $60,237.00 $43,181.49 $83,961.60 $46,336.40 2026-03-17
4402 APR_DRG Kidney Transplant 30 9 — — $43,019.70 $48,182.00 $43,019.70 2026-03-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 79 24 — $57,429.00 $43,001.18 $80,047.40 $44,176.30 2026-03-17
6814 APR_DRG Other O.r. Procedures For Lymphatichematopoieticother Neoplasms 30 9 — — $42,835.46 $54,264.60 $48,450.60 2026-03-17
4014 APR_DRG Adrenal Procedures 30 9 — — $42,748.40 $48,465.53 $42,748.40 2026-03-17
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 2 — — $42,444.20 $59,185.90 $59,185.87 2026-03-17
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
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 30 9 — — $42,036.80 $47,081.20 $42,036.80 2026-03-17
5893 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 30 9 — — $42,012.80 $212,323.83 $42,012.80 2026-03-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 79 24 — $55,698.00 $41,708.47 $77,634.40 $42,844.60 2026-03-17
6143 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition 30 9 — — $41,632.78 $47,848.80 $42,722.20 2026-03-17
2614 APR_DRG Major Biliary Tract Procedures 30 9 — — $41,597.26 $48,984.70 $43,736.30 2026-03-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 79 24 — $58,621.00 $41,379.30 $81,709.70 $45,093.60 2026-03-17
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
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 79 24 — $87,095.00 $41,031.80 $124,762.56 $67,666.90 2026-03-17
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 30 9 — — $41,024.40 $45,947.30 $41,024.40 2026-03-17
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 30 9 — — $40,936.82 $52,249.10 $46,650.90 2026-03-17
448 MS_DRG UnGrouped 74 23 — $53,415.00 $40,882.28 $74,452.80 $41,088.70 2026-03-17
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 30 9 — — $40,762.17 $58,086.40 $51,862.90 2026-03-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 18 — $40,645.00 $40,645.68 $73,649.97 $40,645.70 2026-03-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 79 24 — $53,756.00 $40,625.60 $74,928.50 $41,351.30 2026-03-17
901 MS_DRG Wound Debridements For Injuries With Mcc 79 24 — $57,918.00 $40,460.59 $80,729.30 $44,552.60 2026-03-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 79 24 — $53,786.00 $40,386.18 $74,970.10 $41,374.20 2026-03-17
1793 APR_DRG Defibrillator Implants 30 9 — — $40,380.30 $45,225.90 $40,380.30 2026-03-17
1833 APR_DRG Percutaneous Structural Cardiac Procedures 30 9 — — $40,327.30 $45,166.50 $40,327.30 2026-03-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 18 — $40,231.00 $40,231.60 $73,312.88 $40,231.63 2026-03-17
793 MS_DRG Full Term Neonate With Major Problems 79 24 — $54,544.00 $40,203.00 $76,026.40 $41,957.20 2026-03-17
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
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 30 9 — — $40,070.72 $45,354.90 $40,495.40 2026-03-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 79 24 — $53,206.00 $40,044.60 $97,424.70 $40,928.00 2026-03-17
1781 APR_DRG External Heart Assist Systems 30 9 — — $39,720.89 $47,027.40 $41,988.80 2026-03-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 79 24 — $51,167.00 $39,359.80 $72,085.49 $39,782.28 2026-03-17
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures 30 9 — — $39,182.36 $45,038.70 $40,213.20 2026-03-17
2304 APR_DRG Major Small Bowel Procedures 30 9 — — $39,041.36 $45,645.20 $40,754.70 2026-03-17
6954 APR_DRG Chemotherapy For Acute Leukemia 30 9 — — $39,025.46 $46,318.90 $41,356.20 2026-03-17
274 APR_DRG Other Open Craniotomy 30 9 — — $38,996.84 $49,930.80 $44,581.10 2026-03-17
1814 APR_DRG Lower Extremity Arterial Procedures 30 9 — — $38,962.92 $48,544.10 $43,343.00 2026-03-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 79 24 — $65,351.00 $38,919.60 $96,990.92 $50,773.20 2026-03-17
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 30 9 — — $38,877.05 $44,661.00 $39,875.90 2026-03-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 79 24 — $55,779.00 $38,800.40 $77,748.40 $42,907.50 2026-03-17
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 30 9 — — $38,747.72 $46,083.50 $41,146.00 2026-03-17
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 30 9 — — $38,336.40 $45,180.00 $40,339.30 2026-03-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 79 24 — $56,573.00 $37,575.60 $78,855.40 $43,518.40 2026-03-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 79 24 — $58,970.00 $37,333.40 $82,196.30 $45,362.20 2026-03-17
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 30 9 — — $36,947.67 $46,886.20 $41,862.60 2026-03-17
6082 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition 30 9 — — $36,442.26 $45,783.40 $40,878.00 2026-03-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 79 24 — $51,627.00 $35,978.56 $71,960.20 $39,713.20 2026-03-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 79 24 — $54,792.00 $35,420.40 $76,371.90 $42,147.80 2026-03-17
6364 APR_DRG Neonate Birthwt >2499g W Congenitalperinatal Infection 30 9 — — $35,086.77 $51,397.80 $45,890.90 2026-03-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 79 24 — $52,083.00 $34,604.75 $72,596.90 $40,064.50 2026-03-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 79 24 — $51,521.00 $34,525.57 $71,813.70 $39,632.30 2026-03-17
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 30 9 — — $33,931.68 $48,038.60 $42,891.60 2026-03-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 18 — $45,276.00 $31,558.60 $82,041.09 $45,276.54 2026-03-17
6394 APR_DRG Neonate Birthwt >2499g W Other Significant Condition 30 9 — — $30,420.63 $44,791.40 $39,992.40 2026-03-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 79 24 — $54,805.00 $28,481.70 $78,222.39 $42,579.40 2026-03-17
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
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 79 24 — $86,949.00 $17,995.80 $121,194.00 $66,884.10 2026-03-17
426 MS_DRG UnGrouped 54 21 — $136,363.00 $17,881.20 $190,069.00 $104,895.00 2024-12-19
427 MS_DRG UnGrouped 54 21 — $92,595.00 $17,211.60 $129,064.00 $71,227.40 2024-12-19
428 MS_DRG UnGrouped 54 21 — $71,850.00 $13,616.60 $100,149.00 $55,269.60 2024-12-19
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 79 24 — $141,794.00 $10,799.30 $197,639.00 $109,072.00 2026-03-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 18 — $57,126.00 $8,759.99 $103,513.33 $57,126.60 2026-03-17
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
140 MS_DRG Major Head And Neck Procedures With Mcc 79 24 — $55,306.00 $6,034.55 $77,088.20 $42,543.20 2026-03-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 79 24 — $54,417.00 $5,329.65 $75,849.20 $41,859.40 2026-03-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 79 24 — $61,476.00 $4,826.64 $85,689.00 $47,289.80 2026-03-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 79 24 — $67,034.00 $4,355.55 $93,436.10 $51,565.20 2026-03-17
791 MS_DRG Prematurity With Major Problems 79 24 — $53,109.00 $3,458.68 $74,025.90 $40,853.20 2026-03-17
33249 CPT Hc Insertrplacmnt Aicd W Lead Singdual 116 29 $109,148.00 $53,436.00 51% off $1,283.80 $87,318.40 $41,105.20 2026-03-17
92925 CPT Hc Prq Trluml Coronry Angioatherec Addl Artbrnch 15 5 $66,544.90 — $1,060.85 $53,236.00 $53,236.00 2026-03-17
33270 CPT Insrep Subq Defibrillator 116 29 $74,446.90 $53,436.00 28% off $508.93 $61,657.80 $41,105.20 2026-03-17
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 116 29 $133,574.00 $53,436.00 60% off $325.02 $106,859.00 $41,105.20 2026-03-17
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