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

SAN DIMAS COMMUNITY HOSPITAL

San Dimas, CA · CCN 050588 · Rates published

3,825 distinct procedures filed
40 distinct payers
393,689 rate rows
2026-09-01 last MRF observed
Data quality

393,480 of 393,689 rate rows are consumer-grade (99.9%)

209 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 107
per-diem day rate — not a per-procedure price 59
exceeds 10× this hospital's gross charge — excluded from medians 21
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 13
percent-of-charges filed in the dollar field — excluded from medians 5
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sandimashospital.com/wp-content/uploads/2026/09/930000139_SanDimasCommunityHospital_standardcharges.json
Found on page https://sandimashospital.com/patients-visitors/price-transparency/
Discovered viaCMS hospital list
Last fetch success · 2026-09-21
Content fingerprint 4f4fbea4c7fe9edb… · 41,646,730 bytes · first seen 2026-09-21

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate W Ecmo - Soi : 4 8 $756,651.89 $809,617.52 $756,651.89 nat. median
$390,362
1.9× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 4 8 $478,232.31 $511,708.57 $478,232.31 nat. median
$286,698
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 $398,768.00 $733,458.12 $404,778.21 nat. median
$168,055
outlier · 2.4×
5833
APR_DRG 		Neonate W Ecmo - Soi : 3 8 $356,911.82 $381,895.65 $356,911.82 nat. median
$268,208
1.3× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 8 $336,295.95 $359,836.67 $336,295.95 nat. median
$198,578
1.7× median
5914
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 8 $329,053.34 $352,087.07 $329,053.34 nat. median
$171,497
1.9× median
5934
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 8 $290,458.92 $310,791.04 $290,458.92 nat. median
$168,439
1.7× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 8 $287,025.89 $307,117.70 $287,025.89 nat. median
$181,762
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 25 $258,869.00 $476,138.59 $262,769.64 nat. median
$186,516
1.4× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 8 $243,895.93 $260,968.65 $243,895.93 nat. median
$187,567
1.3× median
24
APR_DRG 		Heart &or Lung Transplant - Soi : 4 8 $243,231.46 $260,257.66 $243,231.46 nat. median
$225,531
1.1× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 3 8 $241,856.51 $258,786.47 $241,856.51 nat. median
$173,134
1.4× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 2 8 $233,256.45 $249,584.40 $233,256.45 nat. median
$152,383
1.5× median
5832
APR_DRG 		Neonate W Ecmo - Soi : 2 8 $223,969.98 $239,647.88 $223,969.98 nat. median
$201,678
1.1× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 8 $212,147.21 $226,997.51 $212,147.21 nat. median
$124,731
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems- Soi : 4 8 $202,241.64 $216,398.55 $202,241.64 nat. median
$202,242
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 $197,282.00 $430,360.84 $200,253.22 nat. median
$131,925
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 $196,125.00 $360,731.89 $199,079.41 nat. median
$145,435
1.4× median
5893
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 8 $198,433.49 $212,323.83 $198,433.49 nat. median
$77,096
outlier · 2.6×
5891
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 8 $198,433.49 $212,323.83 $198,433.49 nat. median
$99,483
2.0× median
5892
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 8 $198,433.49 $212,323.83 $198,433.49 nat. median
$96,548
outlier · 2.1×
5913
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 8 $195,328.73 $209,001.74 $195,328.73 nat. median
$120,079
1.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 8 $194,638.60 $208,263.30 $194,638.60 nat. median
$152,792
1.3× median
5831
APR_DRG 		Neonate W Ecmo - Soi : 1 8 $188,974.75 $202,202.98 $188,974.75 nat. median
$173,909
1.1× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft - Soi : 4 8 $173,017.86 $185,129.11 $173,017.86 nat. median
$173,018
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems- Soi : 3 8 $162,739.13 $174,130.87 $162,739.13 nat. median
$155,539
1.0× median
5933
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 8 $162,107.84 $173,455.39 $162,107.84 nat. median
$114,205
1.4× median
5912
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 8 $158,604.21 $169,706.50 $158,604.21 nat. median
$85,835
1.8× median
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 8 $157,914.19 $168,968.18 $157,914.19 nat. median
$100,752
1.6× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 1 8 $155,141.66 $166,001.58 $155,141.66 nat. median
$130,862
1.2× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4 8 $153,438.03 $164,178.69 $153,438.03 nat. median
$115,963
1.3× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant- Soi : 4 8 $149,835.59 $160,324.08 $149,835.59 nat. median
$149,836
1.0× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4 8 $148,693.87 $159,102.44 $148,693.87 nat. median
$135,630
1.1× median
14
APR_DRG 		Liver Transplant &or Intestinal Transplant - Soi : 4 8 $137,900.99 $147,554.06 $137,900.99 nat. median
$136,566
1.0× median
6114
APR_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 4 8 $133,072.23 $142,387.29 $133,072.23 nat. median
$85,322
1.6× median
23
APR_DRG 		Heart &or Lung Transplant - Soi : 3 8 $131,530.85 $140,738.01 $131,530.85 nat. median
$117,894
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 $128,074.00 $240,008.21 $130,001.66 nat. median
$97,418
1.3× median
8634
APR_DRG 		Neonatal Aftercare - Soi : 4 8 $126,964.36 $135,851.87 $126,964.36 nat. median
$79,210
1.6× median
5932
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 2 8 $126,041.91 $134,864.84 $126,041.91 nat. median
$91,110
1.4× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $106,073.33 $144,680.87 $125,377.10 nat. median
$2,106
outlier · 59.5×
7
MS_DRG 		Lung Transplant 25 $119,757.00 $220,265.29 $121,559.21 nat. median
$70,649
1.7× median
6023
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 8 $115,531.02 $123,618.19 $115,531.02 nat. median
$95,757
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 25 $111,153.00 $204,439.68 $112,825.43 nat. median
$72,715
1.6× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3 8 $110,110.47 $117,818.20 $110,110.47 nat. median
$73,618
1.5× median
1612
APR_DRG 		Implantable Heart Assist Systems- Soi : 2 8 $109,991.74 $117,691.16 $109,991.74 nat. median
$109,992
1.0× median
1611
APR_DRG 		Implantable Heart Assist Systems- Soi : 1 8 $109,991.74 $117,691.16 $109,991.74 nat. median
$108,954
1.0× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 8 $106,925.93 $114,410.75 $106,925.93 nat. median
$106,926
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 $104,821.00 $199,910.51 $106,398.04 nat. median
$65,418
1.6× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 4 8 $105,772.54 $113,176.62 $105,772.54 nat. median
$91,350
1.2× median
6303
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 3 8 $103,484.31 $110,728.21 $103,484.31 nat. median
$95,499
1.1× median

Other procedures at this hospital

Browse this hospital's 3,825 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Neonate W Ecmo - Soi : 4 8 8 — — $756,651.89 $809,617.52 $756,651.89 2026-09-01
5884 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 4 8 8 — — $478,232.31 $511,708.57 $478,232.31 2026-09-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 39 25 — $404,778.00 $398,768.00 $733,458.12 $404,778.21 2026-09-01
5833 APR_DRG Neonate W Ecmo - Soi : 3 8 8 — — $356,911.82 $381,895.65 $356,911.82 2026-09-01
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 8 8 — — $336,295.95 $359,836.67 $336,295.95 2026-09-01
5914 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 8 8 — — $329,053.34 $352,087.07 $329,053.34 2026-09-01
5934 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 8 8 — — $290,458.92 $310,791.04 $290,458.92 2026-09-01
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 8 8 — — $287,025.89 $307,117.70 $287,025.89 2026-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 40 25 — $262,769.00 $258,869.00 $476,138.59 $262,769.64 2026-09-01
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 8 8 — — $243,895.93 $260,968.65 $243,895.93 2026-09-01
24 APR_DRG Heart &or Lung Transplant - Soi : 4 8 8 — — $243,231.46 $260,257.66 $243,231.46 2026-09-01
5883 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 3 8 8 — — $241,856.51 $258,786.47 $241,856.51 2026-09-01
5882 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 2 8 8 — — $233,256.45 $249,584.40 $233,256.45 2026-09-01
5832 APR_DRG Neonate W Ecmo - Soi : 2 8 8 — — $223,969.98 $239,647.88 $223,969.98 2026-09-01
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 8 8 — — $212,147.21 $226,997.51 $212,147.21 2026-09-01
1614 APR_DRG Implantable Heart Assist Systems- Soi : 4 8 8 — — $202,241.64 $216,398.55 $202,241.64 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 40 25 — $200,253.00 $197,282.00 $430,360.84 $200,253.22 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 40 25 — $199,079.00 $196,125.00 $360,731.89 $199,079.41 2026-09-01
5891 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 8 8 — — $198,433.49 $212,323.83 $198,433.49 2026-09-01
5893 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 8 8 — — $198,433.49 $212,323.83 $198,433.49 2026-09-01
5892 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 8 8 — — $198,433.49 $212,323.83 $198,433.49 2026-09-01
5913 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 8 8 — — $195,328.73 $209,001.74 $195,328.73 2026-09-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 8 8 — — $194,638.60 $208,263.30 $194,638.60 2026-09-01
5831 APR_DRG Neonate W Ecmo - Soi : 1 8 8 — — $188,974.75 $202,202.98 $188,974.75 2026-09-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 4 8 8 — — $173,017.86 $185,129.11 $173,017.86 2026-09-01
1613 APR_DRG Implantable Heart Assist Systems- Soi : 3 8 8 — — $162,739.13 $174,130.87 $162,739.13 2026-09-01
5933 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 8 8 — — $162,107.84 $173,455.39 $162,107.84 2026-09-01
5912 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 8 8 — — $158,604.21 $169,706.50 $158,604.21 2026-09-01
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 8 8 — — $157,914.19 $168,968.18 $157,914.19 2026-09-01
5881 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 1 8 8 — — $155,141.66 $166,001.58 $155,141.66 2026-09-01
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4 8 8 — — $153,438.03 $164,178.69 $153,438.03 2026-09-01
74 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 4 8 8 — — $149,835.59 $160,324.08 $149,835.59 2026-09-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4 8 8 — — $148,693.87 $159,102.44 $148,693.87 2026-09-01
14 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 4 8 8 — — $137,900.99 $147,554.06 $137,900.99 2026-09-01
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 4 8 8 — — $133,072.23 $142,387.29 $133,072.23 2026-09-01
23 APR_DRG Heart &or Lung Transplant - Soi : 3 8 8 — — $131,530.85 $140,738.01 $131,530.85 2026-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 40 25 — $130,001.00 $128,074.00 $240,008.21 $130,001.66 2026-09-01
8634 APR_DRG Neonatal Aftercare - Soi : 4 8 8 — — $126,964.36 $135,851.87 $126,964.36 2026-09-01
5932 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 2 8 8 — — $126,041.91 $134,864.84 $126,041.91 2026-09-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $106,073.33 $144,680.87 $125,377.10 2026-09-01
7 MS_DRG Lung Transplant 40 25 — $121,559.00 $119,757.00 $220,265.29 $121,559.21 2026-09-01
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 8 8 — — $115,531.02 $123,618.19 $115,531.02 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 40 25 — $112,825.00 $111,153.00 $204,439.68 $112,825.43 2026-09-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3 8 8 — — $110,110.47 $117,818.20 $110,110.47 2026-09-01
1612 APR_DRG Implantable Heart Assist Systems- Soi : 2 8 8 — — $109,991.74 $117,691.16 $109,991.74 2026-09-01
1611 APR_DRG Implantable Heart Assist Systems- Soi : 1 8 8 — — $109,991.74 $117,691.16 $109,991.74 2026-09-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 8 8 — — $106,925.93 $114,410.75 $106,925.93 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 40 25 — $106,398.00 $104,821.00 $199,910.51 $106,398.04 2026-09-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 4 8 8 — — $105,772.54 $113,176.62 $105,772.54 2026-09-01
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 3 8 8 — — $103,484.31 $110,728.21 $103,484.31 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 39 25 — $102,110.00 $100,597.00 $185,023.88 $102,110.31 2026-09-01
22 APR_DRG Heart &or Lung Transplant - Soi : 2 8 8 — — $101,523.66 $108,630.32 $101,523.66 2026-09-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 3 8 8 — — $98,565.98 $105,465.60 $98,565.98 2026-09-01
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 8 8 — — $97,520.72 $104,347.17 $97,520.72 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 40 25 — $96,830.00 $95,395.50 $175,456.87 $96,830.50 2026-09-01
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly - Soi : 4 8 8 — — $95,464.97 $102,147.52 $95,464.97 2026-09-01
215 MS_DRG Other Heart Assist System Implant 40 25 — $93,518.00 $92,133.10 $169,456.28 $93,518.92 2026-09-01
64 APR_DRG Pancreas Transplant - Soi : 4 8 8 — — $92,994.09 $99,503.68 $92,994.09 2026-09-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $77,263.15 $108,286.15 $92,774.65 2026-09-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns - Soi : 4 8 8 — — $92,524.47 $99,001.18 $92,524.47 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 25 — $91,887.00 $90,525.40 $166,499.26 $91,887.01 2026-09-01
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly - Soi : 4 8 8 — — $91,110.93 $97,488.70 $91,110.93 2026-09-01
73 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 3 8 8 — — $89,273.14 $95,522.26 $89,273.14 2026-09-01
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 8 8 — — $86,639.32 $92,704.07 $86,639.32 2026-09-01
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 4 8 8 — — $84,935.21 $90,880.67 $84,935.21 2026-09-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $69,065.50 $99,861.37 $84,463.43 2026-09-01
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 8 8 — — $84,459.49 $90,371.65 $84,459.49 2026-09-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 4 8 8 — — $80,771.14 $86,425.12 $80,771.14 2026-09-01
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 3 8 8 — — $80,681.56 $86,329.27 $80,681.56 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 40 25 — $79,213.00 $69,738.70 $143,534.03 $79,213.04 2026-09-01
63 APR_DRG Pancreas Transplant - Soi : 3 8 8 — — $79,144.95 $84,685.10 $79,144.95 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 25 — $78,964.00 $77,795.20 $143,084.20 $78,964.79 2026-09-01
21 APR_DRG Heart &or Lung Transplant - Soi : 1 8 8 — — $77,825.12 $83,272.88 $77,825.12 2026-09-01
6084 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 4 8 8 — — $77,329.63 $82,742.70 $77,329.63 2026-09-01
4404 APR_DRG Kidney Transplant - Soi : 4 8 8 — — $76,896.47 $82,279.22 $76,896.47 2026-09-01
13 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 3 8 8 — — $76,155.46 $81,486.34 $76,155.46 2026-09-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 3 8 8 — — $74,623.62 $79,847.27 $74,623.62 2026-09-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 4 8 8 — — $74,045.86 $79,229.07 $74,045.86 2026-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 40 25 — $73,956.00 $72,861.50 $153,309.00 $73,956.66 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 25 — $72,172.00 $71,103.40 $130,775.75 $72,172.05 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 40 25 — $71,861.00 $70,797.90 $130,213.89 $71,861.97 2026-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 40 25 — $71,624.00 $70,564.40 $129,784.43 $71,624.96 2026-09-01
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 4 8 8 — — $71,005.50 $75,975.89 $71,005.50 2026-09-01
10 MS_DRG Pancreas Transplant 40 25 — $67,463.00 $44,834.50 $122,644.50 $67,463.70 2026-09-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 40 25 — $67,435.00 $40,499.20 $122,193.29 $67,435.59 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 39 25 — $67,078.00 $66,085.70 $130,510.59 $67,078.67 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 39 25 — $67,039.00 $66,046.90 $121,475.27 $67,039.33 2026-09-01
62 APR_DRG Pancreas Transplant - Soi : 2 8 8 — — $66,925.17 $71,609.93 $66,925.17 2026-09-01
72 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 2 8 8 — — $66,446.01 $71,097.23 $66,446.01 2026-09-01
1784 APR_DRG External Heart Assist Systems- Soi : 4 8 8 — — $66,228.69 $70,864.70 $66,228.69 2026-09-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 4 8 8 — — $65,108.16 $69,665.73 $65,108.16 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 25 — $64,991.00 $64,029.50 $117,764.56 $64,991.48 2026-09-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Ccmcc 2 2 — — $54,274.77 $75,196.04 $64,735.40 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 40 25 — $64,673.00 $17,762.20 $117,189.12 $64,673.91 2026-09-01
6144 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 4 8 8 — — $64,292.94 $68,793.45 $64,292.94 2026-09-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 4 8 8 — — $63,659.00 $68,115.13 $63,659.00 2026-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 40 25 — $63,298.00 $62,361.80 $117,833.00 $63,298.68 2026-09-01
5931 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 1 8 8 — — $62,482.29 $66,856.05 $62,482.29 2026-09-01
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 3 8 8 — — $62,014.52 $66,355.54 $62,014.52 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 25 — $61,839.00 $60,924.00 $112,052.54 $61,839.15 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 25 — $61,839.00 $60,906.19 $112,052.54 $61,839.15 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 40 25 — $61,615.00 $59,935.32 $111,646.85 $61,615.26 2026-09-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 2 8 8 — — $61,468.84 $65,771.66 $61,468.84 2026-09-01
12 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 2 8 8 — — $61,446.58 $65,747.84 $61,446.58 2026-09-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 25 — $60,522.00 $59,626.40 $112,787.53 $60,522.01 2026-09-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 2 8 8 — — $60,423.58 $64,653.23 $60,423.58 2026-09-01
6083 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 3 8 8 — — $60,413.77 $64,642.73 $60,413.77 2026-09-01
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 8 8 — — $59,013.12 $63,144.04 $59,013.12 2026-09-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 4 8 8 — — $58,768.76 $62,882.57 $58,768.76 2026-09-01
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 3 8 8 — — $57,853.90 $61,903.67 $57,853.90 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 25 — $57,652.00 $49,446.80 $104,466.49 $57,652.59 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 40 25 — $57,586.00 $56,734.10 $112,209.55 $57,586.08 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 40 25 — $57,036.00 $56,192.40 $103,349.56 $57,036.18 2026-09-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma - Soi : 4 8 8 — — $56,988.86 $60,978.08 $56,988.86 2026-09-01
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 8 8 — — $56,955.36 $60,942.24 $56,955.36 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 40 25 — $56,527.00 $52,329.70 $102,427.81 $56,527.49 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 39 25 — $56,511.00 $44,349.70 $102,398.96 $56,511.57 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 25 — $56,104.00 $55,274.10 $101,660.56 $56,104.06 2026-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 38 25 — $55,920.00 $8,646.27 $101,327.86 $55,920.45 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 40 25 — $55,791.00 $54,965.90 $101,093.60 $55,791.17 2026-09-01
71 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 1 8 8 — — $55,309.66 $59,181.34 $55,309.66 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 40 25 — $55,218.00 $54,402.00 $100,056.43 $55,218.78 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 40 25 — $55,183.00 $54,366.90 $99,991.94 $55,183.19 2026-09-01
1664 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx - Soi : 4 8 8 — — $55,046.75 $58,900.02 $55,046.75 2026-09-01
1794 APR_DRG Defibrillator Implants- Soi : 4 8 8 — — $54,992.69 $58,842.18 $54,992.69 2026-09-01
6234 APR_DRG Neonate Bwt 2000-2499g W Congenitalperinatal Infection - Soi : 4 8 8 — — $54,746.96 $58,579.25 $54,746.96 2026-09-01
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma - Soi : 4 8 8 — — $54,718.12 $58,548.39 $54,718.12 2026-09-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 4 8 8 — — $54,426.59 $58,236.45 $54,426.59 2026-09-01
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 8 8 — — $54,075.28 $57,860.55 $54,075.28 2026-09-01
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures - Soi : 4 8 8 — — $54,029.06 $57,811.09 $54,029.06 2026-09-01
61 APR_DRG Pancreas Transplant - Soi : 1 8 8 — — $54,005.73 $57,786.13 $54,005.73 2026-09-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 25 — $53,923.00 $53,125.70 $97,708.82 $53,923.19 2026-09-01
914 APR_DRG Other Major Head & Neck Procedures - Soi : 4 8 8 — — $53,845.66 $57,614.86 $53,845.66 2026-09-01
1783 APR_DRG External Heart Assist Systems- Soi : 3 8 8 — — $53,704.67 $57,464.00 $53,704.67 2026-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 40 25 — $53,634.00 $52,841.40 $97,186.00 $53,634.66 2026-09-01
6804 APR_DRG Major O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 8 8 — — $52,992.28 $56,701.74 $52,992.28 2026-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 40 25 — $52,745.00 $51,965.60 $95,575.08 $52,745.63 2026-09-01
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 3 8 8 — — $52,716.12 $56,406.25 $52,716.12 2026-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 39 25 — $52,385.00 $38,414.40 $94,923.25 $52,385.90 2026-09-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 3 8 8 — — $52,320.18 $55,982.59 $52,320.18 2026-09-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma - Soi : 4 8 8 — — $52,238.55 $55,895.25 $52,238.55 2026-09-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $44,657.47 $59,722.86 $52,190.17 2026-09-01
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition - Soi : 4 8 8 — — $52,004.27 $55,644.57 $52,004.27 2026-09-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 40 25 — $51,981.00 $51,212.50 $111,326.26 $51,981.20 2026-09-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 40 25 — $51,671.00 $50,907.00 $107,200.00 $51,671.12 2026-09-01
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 2 8 8 — — $51,663.97 $55,280.45 $51,663.97 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 40 25 — $51,489.00 $50,728.00 $93,298.76 $51,489.38 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 40 25 — $51,416.00 $50,656.00 $93,166.35 $51,416.31 2026-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 40 25 — $51,335.00 $50,576.70 $93,020.38 $51,335.75 2026-09-01
4403 APR_DRG Kidney Transplant - Soi : 3 8 8 — — $51,187.99 $54,771.15 $51,187.99 2026-09-01
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 40 25 — $51,131.00 $50,148.88 $100,852.43 $51,131.53 2026-09-01
11 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 1 8 8 — — $50,490.44 $54,024.77 $50,490.44 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 25 — $50,199.00 $49,457.20 $90,961.33 $50,199.41 2026-09-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 2 8 8 — — $49,972.05 $53,470.09 $49,972.05 2026-09-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 40 25 — $49,834.00 $49,097.30 $100,271.18 $49,834.06 2026-09-01
1694 APR_DRG Major Abdominal Vascular Procedures - Soi : 4 8 8 — — $49,701.73 $53,180.85 $49,701.73 2026-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 39 24 — $49,670.00 $48,935.80 $90,002.26 $49,670.12 2026-09-01
214 APR_DRG Open Craniotomy Except Trauma- Soi : 4 8 8 — — $49,641.30 $53,116.19 $49,641.30 2026-09-01
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 1 8 8 — — $49,525.22 $52,991.99 $49,525.22 2026-09-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 3 8 8 — — $49,432.46 $52,892.73 $49,432.46 2026-09-01
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 3 8 8 — — $49,060.10 $52,494.31 $49,060.10 2026-09-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 40 25 — $49,005.00 $48,281.40 $88,798.75 $49,005.93 2026-09-01
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 3 8 8 — — $48,931.57 $52,356.78 $48,931.57 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 40 25 — $48,921.00 $43,004.20 $88,645.98 $48,921.62 2026-09-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 1 8 8 — — $48,887.57 $52,309.70 $48,887.57 2026-09-01
1633 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 3 8 8 — — $48,537.74 $51,935.38 $48,537.74 2026-09-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours - Soi : 4 8 8 — — $47,938.78 $51,294.49 $47,938.78 2026-09-01
234 APR_DRG Spinal Procedures - Soi : 4 8 8 — — $47,896.38 $51,249.13 $47,896.38 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 25 — $47,458.00 $46,756.80 $85,994.49 $47,458.33 2026-09-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service - Soi : 4 8 8 — — $47,159.61 $50,460.78 $47,159.61 2026-09-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 3 8 8 — — $46,998.47 $50,288.36 $46,998.47 2026-09-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 40 25 — $46,963.00 $46,269.60 $85,098.22 $46,963.70 2026-09-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures - Soi : 4 8 8 — — $46,961.37 $50,248.67 $46,961.37 2026-09-01
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 3 8 8 — — $46,931.69 $50,216.91 $46,931.69 2026-09-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 40 25 — $46,588.00 $45,900.40 $84,419.23 $46,588.98 2026-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 25 — $46,506.00 $45,819.20 $84,269.85 $46,506.54 2026-09-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 40 25 — $46,348.00 $45,663.20 $83,982.99 $46,348.23 2026-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 40 25 — $46,156.00 $45,474.00 $92,788.48 $46,156.18 2026-09-01
8633 APR_DRG Neonatal Aftercare - Soi : 3 8 8 — — $45,916.91 $49,131.09 $45,916.91 2026-09-01
894 APR_DRG Major Cranialfacial Bone Procedures - Soi : 4 8 8 — — $45,836.60 $49,045.16 $45,836.60 2026-09-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures - Soi : 4 8 8 — — $45,647.91 $48,843.26 $45,647.91 2026-09-01
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure - Soi : 4 8 8 — — $45,534.48 $48,721.89 $45,534.48 2026-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 40 25 — $45,477.00 $44,804.90 $82,404.32 $45,477.00 2026-09-01
4014 APR_DRG Adrenal Procedures - Soi : 4 8 8 — — $45,294.89 $48,465.53 $45,294.89 2026-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 40 25 — $45,248.00 $44,579.80 $81,990.14 $45,248.42 2026-09-01
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 3 8 8 — — $45,194.71 $48,358.34 $45,194.71 2026-09-01
6904 APR_DRG Acute Leukemia - Soi : 4 8 8 — — $45,078.63 $48,234.13 $45,078.63 2026-09-01
1204 APR_DRG Major Respiratory & Chest Procedures - Soi : 4 8 8 — — $44,991.70 $48,141.12 $44,991.70 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 39 24 — $44,840.00 $44,178.30 $81,251.73 $44,840.91 2026-09-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis- Soi : 4 8 8 — — $44,744.70 $47,876.83 $44,744.70 2026-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 39 25 — $44,284.00 $31,149.00 $80,243.44 $44,284.46 2026-09-01
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 2 8 8 — — $44,276.14 $47,375.47 $44,276.14 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 40 25 — $44,194.00 $43,541.50 $80,080.47 $44,194.52 2026-09-01
4402 APR_DRG Kidney Transplant - Soi : 2 8 8 — — $44,182.85 $47,275.65 $44,182.85 2026-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 40 25 — $44,063.00 $43,412.30 $79,842.83 $44,063.37 2026-09-01
204 APR_DRG Open Craniotomy For Trauma- Soi : 4 8 8 — — $43,983.55 $47,062.40 $43,983.55 2026-09-01
6 MS_DRG Liver Transplant Without Mcc 40 25 — $43,681.00 $43,035.80 $79,150.26 $43,681.16 2026-09-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 1 8 8 — — $43,549.97 $46,598.47 $43,549.97 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 39 25 — $43,507.00 $42,865.10 $78,836.22 $43,507.85 2026-09-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses - Soi… 8 8 — — $43,474.70 $46,517.93 $43,474.70 2026-09-01
4414 APR_DRG Major Bladder Procedures - Soi : 4 8 8 — — $43,454.56 $46,496.38 $43,454.56 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 40 25 — $43,301.00 $42,662.00 $78,462.77 $43,301.75 2026-09-01
1782 APR_DRG External Heart Assist Systems- Soi : 2 8 8 — — $43,293.42 $46,323.96 $43,293.42 2026-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 40 25 — $43,192.00 $42,554.00 $78,264.18 $43,192.15 2026-09-01
245 MS_DRG Aicd Generator Procedures 40 25 — $42,982.00 $42,347.30 $77,883.93 $42,982.30 2026-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 40 25 — $42,853.00 $42,220.90 $77,651.38 $42,853.96 2026-09-01
6814 APR_DRG Other O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 8 8 — — $42,835.46 $45,833.94 $42,835.46 2026-09-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 40 25 — $42,835.00 $42,202.40 $77,617.44 $42,835.23 2026-09-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 3 8 8 — — $42,705.07 $45,694.42 $42,705.07 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 40 25 — $42,668.00 $42,038.10 $80,894.20 $42,668.48 2026-09-01
163 MS_DRG Major Chest Procedures With Mcc 40 25 — $42,227.00 $41,603.50 $76,959.37 $42,227.24 2026-09-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 40 25 — $42,215.00 $29,113.60 $76,493.69 $42,215.06 2026-09-01
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 2 8 8 — — $42,209.21 $45,163.85 $42,209.21 2026-09-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 40 25 — $42,050.00 $41,429.00 $76,194.94 $42,050.19 2026-09-01
6143 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 3 8 8 — — $41,632.78 $44,547.07 $41,632.78 2026-09-01
2614 APR_DRG Major Biliary Tract Procedures - Soi : 4 8 8 — — $41,597.26 $44,509.07 $41,597.26 2026-09-01
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 1 8 8 — — $41,585.07 $44,496.02 $41,585.07 2026-09-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 3 8 8 — — $41,408.57 $44,307.17 $41,408.57 2026-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 40 25 — $41,393.00 $38,296.70 $75,005.00 $41,393.49 2026-09-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses - Soi : 4 8 8 — — $40,936.82 $43,802.40 $40,936.82 2026-09-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 39 25 — $40,780.00 $40,178.50 $73,894.85 $40,780.82 2026-09-01
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 2 8 8 — — $40,762.17 $43,615.52 $40,762.17 2026-09-01
1793 APR_DRG Defibrillator Implants- Soi : 3 8 8 — — $40,597.59 $43,439.42 $40,597.59 2026-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 40 25 — $40,457.00 $39,860.10 $73,309.23 $40,457.63 2026-09-01
4401 APR_DRG Kidney Transplant - Soi : 1 8 8 — — $40,365.43 $43,191.01 $40,365.43 2026-09-01
140 MS_DRG Major Head And Neck Procedures With Mcc 39 25 — $40,199.00 $6,136.56 $72,840.71 $40,199.07 2026-09-01
33264 CPT Hc Rem Pac Cvdfb Pls Gen &Repl Plse Gen Multi Lead 52 28 $116,108.00 $40,173.00 65% off $325.02 $60,260.25 $40,173.50 2026-09-01
33249 CPT Hc Insert/Rplacmnt Aicd W Lead Sing/Dual 52 28 $184,039.00 $40,173.00 78% off $1,283.80 $60,260.25 $40,173.50 2026-09-01
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures- Soi… 8 8 — — $40,070.72 $42,875.67 $40,070.72 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 39 25 — $39,969.00 $32,954.89 $72,424.82 $39,969.55 2026-09-01
1663 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx - Soi : 3 8 8 — — $39,961.53 $42,758.84 $39,961.53 2026-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 40 25 — $39,804.00 $8,074.17 $72,126.08 $39,804.68 2026-09-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 40 25 — $39,737.00 $39,150.40 $72,003.86 $39,737.23 2026-09-01
1781 APR_DRG External Heart Assist Systems- Soi : 1 8 8 — — $39,720.89 $42,501.35 $39,720.89 2026-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 40 25 — $39,717.00 $39,131.10 $71,968.22 $39,717.56 2026-09-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 40 25 — $39,602.00 $34,960.60 $71,759.42 $39,602.33 2026-09-01
901 MS_DRG Wound Debridements For Injuries With Mcc 40 25 — $39,555.00 $38,971.40 $71,674.55 $39,555.49 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 40 25 — $39,482.00 $38,899.40 $71,542.15 $39,482.42 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 25 — $39,330.00 $38,749.90 $73,978.04 $39,330.66 2026-09-01
793 MS_DRG Full Term Neonate With Major Problems 38 25 — $39,302.00 $38,722.20 $71,216.22 $39,302.55 2026-09-01
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures - Soi : 4 8 8 — — $39,182.36 $41,925.13 $39,182.36 2026-09-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 40 25 — $39,147.00 $38,569.00 $71,927.10 $39,147.04 2026-09-01
2304 APR_DRG Major Small Bowel Procedures - Soi : 4 8 8 — — $39,041.36 $41,774.26 $39,041.36 2026-09-01
6954 APR_DRG Chemotherapy For Acute Leukemia - Soi : 4 8 8 — — $39,025.46 $41,757.24 $39,025.46 2026-09-01
274 APR_DRG Other Open Craniotomy- Soi : 4 8 8 — — $38,996.84 $41,726.62 $38,996.84 2026-09-01
1814 APR_DRG Lower Extremity Arterial Procedures - Soi : 4 8 8 — — $38,962.92 $41,690.32 $38,962.92 2026-09-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 40 25 — $38,889.00 $38,315.20 $70,467.63 $38,889.42 2026-09-01
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 3 8 8 — — $38,877.05 $41,598.44 $38,877.05 2026-09-01
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment - Soi : 4 8 8 — — $38,747.72 $41,460.06 $38,747.72 2026-09-01
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 2 8 8 — — $38,566.44 $41,266.09 $38,566.44 2026-09-01
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs - Soi : 4 8 8 — — $38,524.03 $41,220.71 $38,524.03 2026-09-01
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy - Soi : 4 8 8 — — $38,336.40 $41,019.95 $38,336.40 2026-09-01
791 MS_DRG Prematurity With Major Problems 38 25 — $38,266.00 $3,413.78 $69,338.81 $38,266.45 2026-09-01
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig - Soi : 4 8 8 — — $38,148.76 $40,819.17 $38,148.76 2026-09-01
1621 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 1 8 8 — — $38,042.75 $40,705.74 $38,042.75 2026-09-01
1214 APR_DRG Other Respiratory & Chest Procedures - Soi : 4 8 8 — — $38,039.57 $40,702.34 $38,039.57 2026-09-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 40 25 — $37,564.00 $35,546.46 $68,067.40 $37,564.79 2026-09-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures- Soi : 4 8 8 — — $37,467.11 $40,089.81 $37,467.11 2026-09-01
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 2 8 8 — — $36,947.67 $39,534.01 $36,947.67 2026-09-01
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure - Soi : 4 8 8 — — $36,901.02 $39,484.09 $36,901.02 2026-09-01
1632 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 2 8 8 — — $36,891.48 $39,473.88 $36,891.48 2026-09-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 25 — $36,888.00 $36,344.00 $66,841.82 $36,888.42 2026-09-01
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 1 8 8 — — $36,886.18 $39,468.21 $36,886.18 2026-09-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders - Soi : 4 8 8 — — $36,731.40 $39,302.60 $36,731.40 2026-09-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 40 25 — $36,722.00 $35,408.90 $66,558.40 $36,722.61 2026-09-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 2 8 8 — — $36,690.06 $39,258.36 $36,690.06 2026-09-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 40 25 — $36,502.00 $35,963.70 $66,142.46 $36,502.46 2026-09-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock - Soi : 4 8 8 — — $36,473.80 $39,026.97 $36,473.80 2026-09-01
4034 APR_DRG Procedures For Obesity - Soi : 4 8 8 — — $36,448.36 $38,999.75 $36,448.36 2026-09-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 40 25 — $36,448.00 $35,910.20 $66,043.99 $36,448.12 2026-09-01
6082 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 2 8 8 — — $36,442.26 $38,993.22 $36,442.26 2026-09-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 40 25 — $36,413.00 $35,876.10 $65,981.19 $36,413.46 2026-09-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 40 25 — $36,208.00 $35,673.90 $65,609.44 $36,208.30 2026-09-01
1754 APR_DRG Percutaneous Coronary Intervention Wo Ami - Soi : 4 8 8 — — $36,057.18 $38,581.18 $36,057.18 2026-09-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures - Soi : 4 8 8 — — $35,933.15 $38,448.47 $35,933.15 2026-09-01
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours - Soi : 3 8 8 — — $35,849.40 $38,358.86 $35,849.40 2026-09-01
294 APR_DRG Other Percutaneous Intracranial Procedures- Soi : 4 8 8 — — $35,821.84 $38,329.37 $35,821.84 2026-09-01
224 APR_DRG Ventricular Shunt Procedures - Soi : 4 8 8 — — $35,795.34 $38,301.01 $35,795.34 2026-09-01
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure - Soi : 4 8 8 — — $35,675.55 $38,172.84 $35,675.55 2026-09-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 40 25 — $35,493.00 $34,969.80 $83,648.10 $35,493.52 2026-09-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 39 25 — $35,339.00 $29,772.80 $64,035.88 $35,339.89 2026-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 40 25 — $35,256.00 $34,736.30 $66,252.06 $35,256.51 2026-09-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 40 25 — $35,252.00 $34,732.60 $63,878.02 $35,252.77 2026-09-01
1651 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 1 8 8 — — $35,209.10 $37,673.74 $35,209.10 2026-09-01
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures - Soi : 4 8 8 — — $35,181.54 $37,644.25 $35,181.54 2026-09-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 40 25 — $35,154.00 $34,635.70 $65,545.10 $35,154.40 2026-09-01
6364 APR_DRG Neonate Birthwt >2499g W Congenitalperinatal Infection - Soi : 4 8 8 — — $35,086.77 $37,542.84 $35,086.77 2026-09-01
6504 APR_DRG Splenectomy - Soi : 4 8 8 — — $35,049.03 $37,502.46 $35,049.03 2026-09-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 39 25 — $34,957.00 $34,441.90 $159,308.00 $34,957.67 2026-09-01
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures - Soi : 4 8 8 — — $34,825.35 $37,263.12 $34,825.35 2026-09-01
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy - Soi : 4 8 8 — — $34,735.24 $37,166.71 $34,735.24 2026-09-01
6122 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 2 8 8 — — $34,706.35 $37,135.79 $34,706.35 2026-09-01
904 MS_DRG Skin Grafts For Injuries With Ccmcc 40 25 — $34,651.00 $34,140.10 $78,013.00 $34,651.34 2026-09-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 40 25 — $34,637.00 $34,126.30 $62,762.77 $34,637.29 2026-09-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 2 8 8 — — $34,562.44 $36,981.81 $34,562.44 2026-09-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 40 25 — $34,233.00 $33,728.50 $62,031.16 $34,233.53 2026-09-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 40 25 — $34,207.00 $26,330.80 $61,983.63 $34,207.30 2026-09-01
913 APR_DRG Other Major Head & Neck Procedures - Soi : 3 8 8 — — $34,200.95 $36,595.02 $34,200.95 2026-09-01
2314 APR_DRG Major Large Bowel Procedures - Soi : 4 8 8 — — $34,163.84 $36,555.31 $34,163.84 2026-09-01
332 MS_DRG Rectal Resection With Mcc 40 25 — $34,160.00 $33,656.50 $61,898.75 $34,160.46 2026-09-01
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