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

Your selected procedure

You selected 27447 (CPT)

Total knee arthroplasty

This hospital’s price: $16,432 across 39 payers · range $1,395-$29,812

Source: https://sandimashospital.com/wp-content/uploads/2024/12/262583397_SanDimasCommunityHospital_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.

4,564 distinct procedures filed
40 distinct payers
393,689 rate rows
2026-09-01 last MRF observed
Data quality

393,455 of 393,689 rate rows are consumer-grade (99.9%)

234 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 132
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/2026/04/262583397_SanDimasCommunityHospital_standardcharges.JSON
Found on page https://sandimashospital.com/patients-visitors/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 75961c463713102e… · 41,646,730 bytes · first seen 2026-05-05

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 9 $557,398.00 $809,617.52 $756,651.89 nat. median
$390,362
1.9× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 4 9 $415,747.00 $511,708.57 $478,232.31 nat. median
$286,698
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 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 9 $337,098.00 $381,895.65 $356,911.82 nat. median
$268,208
1.3× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 9 $262,779.00 $359,836.67 $336,295.95 nat. median
$198,578
1.7× median
5914
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 9 $270,582.00 $352,087.07 $329,053.34 nat. median
$171,497
1.9× median
612
OTHER 		UnGrouped 1 $317,883.00 $317,883.00 $317,883.00 nat. median
$6,246
outlier · 50.9×
636
OTHER 		UnGrouped 1 $291,699.00 $291,699.00 $291,699.00 nat. median
$6,011
outlier · 48.5×
5934
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 9 $273,308.00 $310,791.04 $290,458.92 nat. median
$168,439
1.7× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 9 $265,818.00 $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
633
OTHER 		UnGrouped 1 $262,074.00 $262,074.00 $262,074.00 nat. median
$1,441
outlier · 181.9×
631
OTHER 		UnGrouped 1 $255,305.00 $255,305.00 $255,305.00 nat. median
$5,475
outlier · 46.6×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 9 $243,895.93 $302,363.00 $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 9 $185,173.00 $258,786.47 $241,856.51 nat. median
$173,134
1.4× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 2 9 $180,248.00 $249,584.40 $233,256.45 nat. median
$152,383
1.5× median
5832
APR_DRG 		Neonate W Ecmo - Soi : 2 9 $211,538.00 $239,647.88 $223,969.98 nat. median
$201,678
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 $197,282.00 $491,118.00 $223,917.00 nat. median
$131,925
1.7× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 9 $197,214.00 $226,997.51 $212,147.21 nat. median
$124,731
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems- Soi : 4 9 $202,241.64 $227,950.00 $202,241.64 nat. median
$202,242
1.0× 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
5891
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 9 $68,694.30 $212,323.83 $198,433.49 nat. median
$99,483
2.0× median
5893
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 9 $42,012.80 $212,323.83 $198,433.49 nat. median
$77,096
outlier · 2.6×
5892
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 9 $50,028.70 $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 9 $123,021.00 $209,001.74 $195,328.73 nat. median
$120,079
1.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 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 9 $171,307.00 $202,202.98 $188,974.75 nat. median
$173,909
1.1× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft - Soi : 4 9 $153,008.00 $185,129.11 $173,017.86 nat. median
$173,018
1.0× median
359
OTHER 		UnGrouped 1 $164,370.00 $164,370.00 $164,370.00 nat. median
$13,185
outlier · 12.5×
1613
APR_DRG 		Implantable Heart Assist Systems- Soi : 3 9 $161,433.00 $174,130.87 $162,739.13 nat. median
$155,539
1.0× median
5933
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 9 $127,840.00 $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 9 $72,719.10 $169,706.50 $158,604.21 nat. median
$85,835
1.8× median
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 9 $153,305.00 $168,968.18 $157,914.19 nat. median
$100,752
1.6× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 1 9 $119,885.00 $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 9 $153,438.03 $219,372.00 $153,438.03 nat. median
$115,963
1.3× median
681
OTHER 		UnGrouped 1 $150,422.00 $150,422.00 $150,422.00 nat. median
$220,794
0.7× 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 9 $116,273.00 $142,387.29 $133,072.23 nat. median
$85,322
1.6× median
23
APR_DRG 		Heart &or Lung Transplant - Soi : 3 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
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $73,880.00 $165,106.00 $127,777.00 nat. median
$2,106
outlier · 60.7×
8634
APR_DRG 		Neonatal Aftercare - Soi : 4 9 $122,117.00 $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 9 $99,399.40 $134,864.84 $126,041.91 nat. median
$91,110
1.4× median
635
OTHER 		UnGrouped 1 $124,315.00 $124,315.00 $124,315.00 nat. median
$91
outlier · 1370.8×
7
MS_DRG 		Lung Transplant 25 $119,757.00 $220,265.29 $121,559.21 nat. median
$70,649
1.7× median
634
OTHER 		UnGrouped 1 $117,996.00 $117,996.00 $117,996.00 nat. median
$55,344
outlier · 2.1×
6023
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 9 $103,459.00 $123,618.19 $115,531.02 nat. median
$95,757
1.2× median

Other procedures at this hospital

Browse this hospital's 4,564 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
5834 APR_DRG Neonate W Ecmo - Soi : 4 25 9 — — $557,398.00 $809,617.52 $756,651.89 2026-09-01
5884 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 4 25 9 — — $415,747.00 $511,708.57 $478,232.31 2026-09-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 78 25 — $404,778.00 $398,768.00 $733,458.12 $404,778.21 2026-09-01
5833 APR_DRG Neonate W Ecmo - Soi : 3 25 9 — — $337,098.00 $381,895.65 $356,911.82 2026-09-01
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 25 9 — — $262,779.00 $359,836.67 $336,295.95 2026-09-01
5914 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 25 9 — — $270,582.00 $352,087.07 $329,053.34 2026-09-01
612 OTHER UnGrouped 1 1 — — $317,883.00 $317,883.00 $317,883.00 2024-12-19
636 OTHER UnGrouped 1 1 — — $291,699.00 $291,699.00 $291,699.00 2024-12-19
5934 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 25 9 — — $273,308.00 $310,791.04 $290,458.92 2026-09-01
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 25 9 — — $265,818.00 $307,117.70 $287,025.89 2026-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 80 25 — $262,769.00 $258,869.00 $476,138.59 $262,769.64 2026-09-01
633 OTHER UnGrouped 1 1 — — $262,074.00 $262,074.00 $262,074.00 2024-12-19
631 OTHER UnGrouped 1 1 — — $255,305.00 $255,305.00 $255,305.00 2024-12-19
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 25 9 — — $243,895.93 $302,363.00 $243,895.93 2026-09-01
24 APR_DRG Heart &or Lung Transplant - Soi : 4 16 8 — — $243,231.46 $260,257.66 $243,231.46 2026-09-01
5883 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 3 25 9 — — $185,173.00 $258,786.47 $241,856.51 2026-09-01
5882 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 2 25 9 — — $180,248.00 $249,584.40 $233,256.45 2026-09-01
5832 APR_DRG Neonate W Ecmo - Soi : 2 25 9 — — $211,538.00 $239,647.88 $223,969.98 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 125 32 — $200,253.00 $197,282.00 $491,118.00 $223,917.00 2026-09-01
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 25 9 — — $197,214.00 $226,997.51 $212,147.21 2026-09-01
1614 APR_DRG Implantable Heart Assist Systems- Soi : 4 25 9 — — $202,241.64 $227,950.00 $202,241.64 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 80 25 — $199,079.00 $196,125.00 $360,731.89 $199,079.41 2026-09-01
5892 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 25 9 — — $50,028.70 $212,323.83 $198,433.49 2026-09-01
5893 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 25 9 — — $42,012.80 $212,323.83 $198,433.49 2026-09-01
5891 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 25 9 — — $68,694.30 $212,323.83 $198,433.49 2026-09-01
5913 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 25 9 — — $123,021.00 $209,001.74 $195,328.73 2026-09-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 16 8 — — $194,638.60 $208,263.30 $194,638.60 2026-09-01
5831 APR_DRG Neonate W Ecmo - Soi : 1 25 9 — — $171,307.00 $202,202.98 $188,974.75 2026-09-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 4 25 9 — — $153,008.00 $185,129.11 $173,017.86 2026-09-01
359 OTHER UnGrouped 1 1 — — $164,370.00 $164,370.00 $164,370.00 2024-12-19
1613 APR_DRG Implantable Heart Assist Systems- Soi : 3 25 9 — — $161,433.00 $174,130.87 $162,739.13 2026-09-01
5933 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 25 9 — — $127,840.00 $173,455.39 $162,107.84 2026-09-01
5912 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 25 9 — — $72,719.10 $169,706.50 $158,604.21 2026-09-01
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 25 9 — — $153,305.00 $168,968.18 $157,914.19 2026-09-01
5881 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 1 25 9 — — $119,885.00 $166,001.58 $155,141.66 2026-09-01
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4 25 9 — — $153,438.03 $219,372.00 $153,438.03 2026-09-01
681 OTHER UnGrouped 1 1 — — $150,422.00 $150,422.00 $150,422.00 2024-12-19
74 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 4 16 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 16 8 — — $148,693.87 $159,102.44 $148,693.87 2026-09-01
14 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 4 16 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 25 9 — — $116,273.00 $142,387.29 $133,072.23 2026-09-01
23 APR_DRG Heart &or Lung Transplant - Soi : 3 16 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… 80 25 — $130,001.00 $128,074.00 $240,008.21 $130,001.66 2026-09-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 9 5 — — $73,880.00 $165,106.00 $127,777.00 2026-09-01
8634 APR_DRG Neonatal Aftercare - Soi : 4 25 9 — — $122,117.00 $135,851.87 $126,964.36 2026-09-01
5932 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 2 25 9 — — $99,399.40 $134,864.84 $126,041.91 2026-09-01
635 OTHER UnGrouped 1 1 — — $124,315.00 $124,315.00 $124,315.00 2024-12-19
7 MS_DRG Lung Transplant 80 25 — $121,559.00 $119,757.00 $220,265.29 $121,559.21 2026-09-01
634 OTHER UnGrouped 1 1 — — $117,996.00 $117,996.00 $117,996.00 2024-12-19
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 25 9 — — $103,459.00 $123,618.19 $115,531.02 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 80 25 — $112,825.00 $111,153.00 $204,439.68 $112,825.43 2026-09-01
613 OTHER UnGrouped 1 1 — — $112,747.00 $112,747.00 $112,747.00 2024-12-19
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3 16 8 — — $110,110.47 $117,818.20 $110,110.47 2026-09-01
1612 APR_DRG Implantable Heart Assist Systems- Soi : 2 25 9 — — $109,991.74 $138,523.00 $109,991.74 2026-09-01
1611 APR_DRG Implantable Heart Assist Systems- Soi : 1 25 9 — — $109,991.74 $131,754.00 $109,991.74 2026-09-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 25 9 — — $97,139.40 $114,410.75 $106,925.93 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 80 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 16 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 25 9 — — $103,484.31 $113,743.00 $103,484.31 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 122 32 — $102,110.00 $10,520.10 $206,555.00 $102,930.00 2026-09-01
22 APR_DRG Heart &or Lung Transplant - Soi : 2 16 8 — — $101,523.66 $108,630.32 $101,523.66 2026-09-01
215 MS_DRG Other Heart Assist System Implant 126 32 — $93,518.00 $92,133.10 $200,887.00 $100,109.00 2026-09-01
426 MS_DRG UnGrouped 43 26 — $128,677.00 $17,418.90 $198,752.00 $98,982.90 2024-12-19
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 3 16 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 25 9 — — $97,520.72 $119,585.00 $97,520.72 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 80 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 25 9 — — $85,461.60 $102,147.52 $95,464.97 2026-09-01
632 OTHER UnGrouped 1 1 — — $94,760.40 $94,760.40 $94,760.40 2024-12-19
222 MS_DRG UnGrouped 2 2 — — $93,713.00 $94,093.70 $93,903.35 2024-12-19
230 MS_DRG UnGrouped 1 1 — — $93,713.00 $93,713.00 $93,713.00 2024-12-19
64 APR_DRG Pancreas Transplant - Soi : 4 16 8 — — $92,994.09 $99,503.68 $92,994.09 2026-09-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns - Soi : 4 25 9 — — $83,517.10 $99,001.18 $92,524.47 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 126 32 — $91,887.00 $90,525.40 $182,991.00 $91,887.01 2026-09-01
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly - Soi : 4 25 9 — — $90,816.10 $97,488.70 $91,110.93 2026-09-01
73 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 3 16 8 — — $89,273.14 $95,522.26 $89,273.14 2026-09-01
224 MS_DRG UnGrouped 2 2 — — $83,399.60 $93,713.00 $88,556.30 2024-12-19
850 MS_DRG UnGrouped 42 25 — $113,187.00 $71,786.80 $174,665.00 $87,067.00 2024-12-19
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 25 9 — — $80,114.50 $92,704.07 $86,639.32 2026-09-01
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 4 25 9 — — $84,935.21 $101,360.00 $84,935.21 2026-09-01
226 MS_DRG UnGrouped 2 2 — — $75,410.50 $93,713.00 $84,561.75 2024-12-19
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 25 9 — — $80,262.20 $90,371.65 $84,459.49 2026-09-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 4 25 9 — — $80,771.14 $88,886.70 $80,771.14 2026-09-01
223 MS_DRG UnGrouped 2 2 — — $67,688.70 $93,713.00 $80,700.85 2024-12-19
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 3 25 9 — — $79,594.10 $86,329.27 $80,681.56 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 126 32 — $79,213.00 $69,738.70 $160,673.00 $80,107.00 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 125 32 — $78,964.00 $70,162.90 $160,582.00 $80,062.70 2026-09-01
63 APR_DRG Pancreas Transplant - Soi : 3 16 8 — — $79,144.95 $84,685.10 $79,144.95 2026-09-01
429 MS_DRG UnGrouped 42 25 — $102,504.00 $65,011.80 $158,143.00 $78,849.90 2024-12-19
225 MS_DRG UnGrouped 2 2 — — $63,695.90 $93,713.00 $78,704.45 2024-12-19
21 APR_DRG Heart &or Lung Transplant - Soi : 1 16 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 25 9 — — $77,329.63 $89,585.60 $77,329.63 2026-09-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 9 5 — — $58,470.10 $123,574.00 $77,263.15 2026-09-01
4404 APR_DRG Kidney Transplant - Soi : 4 25 9 — — $76,896.47 $83,784.60 $76,896.47 2026-09-01
361 OTHER UnGrouped 1 1 — — $76,767.10 $76,767.10 $76,767.10 2024-12-19
227 MS_DRG UnGrouped 2 2 — — $58,964.50 $93,713.00 $76,338.75 2024-12-19
647 OTHER UnGrouped 1 1 — — $76,214.60 $76,214.60 $76,214.60 2024-12-19
13 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 3 16 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 16 8 — — $74,623.62 $79,847.27 $74,623.62 2026-09-01
360 OTHER UnGrouped 1 1 — — $74,242.80 $74,242.80 $74,242.80 2024-12-19
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 4 25 9 — — $74,045.86 $90,286.50 $74,045.86 2026-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 80 25 — $73,956.00 $72,861.50 $153,309.00 $73,956.66 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 126 32 — $71,861.00 $70,797.90 $148,203.00 $73,906.30 2026-09-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 9 5 — — $69,065.50 $113,959.00 $73,880.00 2026-09-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Ccmcc 9 5 — — $50,913.30 $85,811.90 $73,880.00 2026-09-01
8514 APR_DRG UnGrouped 9 9 — — $73,525.10 $78,671.90 $73,525.10 2024-12-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 126 32 — $72,172.00 $71,103.40 $146,709.00 $73,162.20 2026-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 125 32 — $71,624.00 $70,564.40 $141,527.00 $71,624.96 2026-09-01
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 4 25 9 — — $70,285.20 $75,975.89 $71,005.50 2026-09-01
646 OTHER UnGrouped 1 1 — — $68,349.40 $68,349.40 $68,349.40 2024-12-19
10 MS_DRG Pancreas Transplant 80 25 — $67,463.00 $44,834.50 $122,644.50 $67,463.70 2026-09-01
427 MS_DRG UnGrouped 43 26 — $87,328.00 $16,766.70 $134,606.00 $67,175.50 2024-12-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 125 32 — $67,435.00 $40,499.20 $128,928.00 $67,101.67 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 78 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 122 32 — $67,039.00 $59,759.70 $133,995.00 $67,039.33 2026-09-01
62 APR_DRG Pancreas Transplant - Soi : 2 16 8 — — $66,925.17 $71,609.93 $66,925.17 2026-09-01
72 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 2 16 8 — — $66,446.01 $71,097.23 $66,446.01 2026-09-01
1784 APR_DRG External Heart Assist Systems- Soi : 4 25 9 — — $66,228.69 $72,260.00 $66,228.69 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 125 32 — $64,991.00 $64,029.50 $131,909.00 $65,796.70 2026-09-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 4 16 8 — — $65,108.16 $69,665.73 $65,108.16 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 80 25 — $64,673.00 $17,762.20 $117,189.12 $64,673.91 2026-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 125 32 — $63,298.00 $62,361.80 $144,193.00 $64,587.70 2026-09-01
6144 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 4 25 9 — — $64,292.94 $84,887.70 $64,292.94 2026-09-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 4 25 9 — — $63,659.00 $69,659.70 $63,659.00 2026-09-01
447 MS_DRG UnGrouped 42 25 — $82,448.00 $52,291.40 $127,125.00 $63,422.00 2024-12-19
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 45 26 — $81,993.00 $19,088.00 $127,717.00 $63,072.10 2024-12-19
5931 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 1 25 9 — — $1,931.74 $66,856.05 $62,482.29 2026-09-01
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 3 25 9 — — $60,538.20 $66,355.54 $62,014.52 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 80 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… 126 32 — $61,839.00 $56,297.90 $112,807.00 $61,533.24 2026-09-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 2 16 8 — — $61,468.84 $65,771.66 $61,468.84 2026-09-01
12 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 2 16 8 — — $61,446.58 $65,747.84 $61,446.58 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 125 32 — $61,615.00 $58,268.00 $116,764.00 $61,310.43 2026-09-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 125 32 — $60,522.00 $59,626.40 $128,710.00 $61,182.20 2026-09-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 26 — $79,422.00 $61,094.50 $122,445.00 $61,094.50 2024-12-19
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 2 16 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 25 9 — — $56,846.10 $64,642.73 $60,413.77 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 125 32 — $57,586.00 $56,734.10 $128,051.00 $59,834.50 2026-09-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 9 5 — — $41,346.90 $73,880.00 $59,722.86 2026-09-01
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 25 9 — — $58,284.90 $63,144.04 $59,013.12 2026-09-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 4 25 9 — — $58,768.76 $64,601.60 $58,768.76 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 122 32 — $56,511.00 $44,349.70 $117,451.00 $58,609.40 2026-09-01
317 MS_DRG UnGrouped 43 26 — $76,094.00 $48,261.30 $117,299.00 $58,534.00 2024-12-19
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 46 26 — $75,484.00 $6,500.00 $127,043.00 $58,065.30 2024-12-19
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 3 25 9 — — $56,264.60 $61,903.67 $57,853.90 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 126 32 — $57,036.00 $56,192.40 $115,826.00 $57,801.20 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 125 32 — $57,652.00 $49,446.80 $116,378.00 $57,652.59 2026-09-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma - Soi : 4 25 9 — — $56,988.86 $61,812.80 $56,988.86 2026-09-01
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 25 9 — — $56,955.36 $66,973.30 $56,955.36 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 80 25 — $56,527.00 $52,329.70 $102,427.81 $56,527.49 2026-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 118 32 — $55,920.00 $1,349.00 $111,794.00 $56,255.50 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 80 25 — $56,104.00 $55,274.10 $101,660.56 $56,104.06 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 80 25 — $55,791.00 $54,965.90 $101,093.60 $55,791.17 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 126 32 — $55,218.00 $54,402.00 $111,569.00 $55,684.00 2026-09-01
71 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 1 16 8 — — $55,309.66 $59,181.34 $55,309.66 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 125 32 — $55,183.00 $54,366.90 $112,663.00 $55,183.19 2026-09-01
1664 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx - Soi : 4 25 9 — — $55,046.75 $61,319.10 $55,046.75 2026-09-01
1794 APR_DRG Defibrillator Implants- Soi : 4 25 9 — — $54,992.69 $61,904.90 $54,992.69 2026-09-01
6234 APR_DRG Neonate Bwt 2000-2499g W Congenitalperinatal Infection - Soi : 4 25 9 — — $54,746.96 $64,097.10 $54,746.96 2026-09-01
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma - Soi : 4 25 9 — — $51,481.30 $58,548.39 $54,718.12 2026-09-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 4 25 9 — — $54,426.59 $65,578.30 $54,426.59 2026-09-01
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 45 26 — $70,613.00 $54,318.40 $113,196.00 $54,318.40 2024-12-19
608 OTHER UnGrouped 1 1 — — $54,241.10 $54,241.10 $54,241.10 2024-12-19
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 25 9 — — $54,075.28 $59,314.40 $54,075.28 2026-09-01
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures - Soi : 4 25 9 — — $54,029.06 $69,530.10 $54,029.06 2026-09-01
61 APR_DRG Pancreas Transplant - Soi : 1 16 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… 80 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 16 8 — — $53,845.66 $57,614.86 $53,845.66 2026-09-01
1783 APR_DRG External Heart Assist Systems- Soi : 3 25 9 — — $51,747.50 $57,464.00 $53,704.67 2026-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 125 32 — $53,634.00 $51,127.00 $105,527.00 $53,634.66 2026-09-01
6804 APR_DRG Major O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 25 9 — — $52,992.28 $60,497.60 $52,992.28 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 125 32 — $48,921.00 $43,004.20 $105,698.00 $52,764.20 2026-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 80 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 25 9 — — $48,811.40 $56,406.25 $52,716.12 2026-09-01
648 OTHER UnGrouped 1 1 — — $52,400.10 $52,400.10 $52,400.10 2024-12-19
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 3 25 9 — — $50,296.20 $55,982.59 $52,320.18 2026-09-01
834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 45 26 — $68,013.00 $52,318.10 $104,801.00 $52,318.10 2024-12-19
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma - Soi : 4 25 9 — — $51,543.30 $55,895.25 $52,238.55 2026-09-01
428 MS_DRG UnGrouped 43 26 — $67,729.00 $13,264.50 $104,390.00 $52,099.30 2024-12-19
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition - Soi : 4 25 9 — — $52,004.27 $64,378.60 $52,004.27 2026-09-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 80 25 — $51,981.00 $51,212.50 $111,326.26 $51,981.20 2026-09-01
430 MS_DRG UnGrouped 42 25 — $67,317.00 $42,694.60 $103,724.00 $51,782.40 2024-12-19
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 80 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 25 9 — — $45,225.70 $55,280.45 $51,663.97 2026-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 122 32 — $52,385.00 $38,414.40 $94,923.25 $51,611.20 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 125 32 — $51,489.00 $50,728.00 $102,933.00 $51,489.38 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 126 32 — $51,416.00 $50,365.00 $100,876.00 $51,416.31 2026-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 80 25 — $51,335.00 $50,576.70 $93,020.38 $51,335.75 2026-09-01
4403 APR_DRG Kidney Transplant - Soi : 3 25 9 — — $48,930.00 $54,771.15 $51,187.99 2026-09-01
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 80 25 — $51,131.00 $50,148.88 $100,852.43 $51,131.53 2026-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 125 32 — $46,156.00 $45,474.00 $105,888.00 $51,073.30 2026-09-01
11 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 1 16 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… 80 25 — $50,199.00 $49,457.20 $90,961.33 $50,199.41 2026-09-01
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 26 — $65,186.00 $50,143.40 $100,428.00 $50,143.40 2024-12-19
52 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 2 16 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 80 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 25 9 — — $49,701.73 $54,962.90 $49,701.73 2026-09-01
214 APR_DRG Open Craniotomy Except Trauma- Soi : 4 16 8 — — $49,641.30 $53,116.19 $49,641.30 2026-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 122 31 — $49,670.00 $48,599.50 $97,328.10 $49,620.81 2026-09-01
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 1 25 9 — — $12,764.00 $52,991.99 $49,525.22 2026-09-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 3 25 9 — — $49,432.46 $61,728.20 $49,432.46 2026-09-01
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 3 25 9 — — $49,060.10 $73,561.80 $49,060.10 2026-09-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 126 32 — $49,005.00 $6,500.00 $96,637.20 $49,005.93 2026-09-01
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 3 25 9 — — $47,198.70 $52,356.78 $48,931.57 2026-09-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 1 16 8 — — $48,887.57 $52,309.70 $48,887.57 2026-09-01
450 MS_DRG UnGrouped 42 25 — $63,389.00 $40,203.30 $97,648.60 $48,760.80 2024-12-19
1633 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 3 25 9 — — $46,299.60 $51,935.38 $48,537.74 2026-09-01
318 OTHER UnGrouped 1 1 — — $48,401.60 $48,401.60 $48,401.60 2024-12-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 125 32 — $46,963.00 $46,269.60 $96,302.30 $48,090.30 2026-09-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours - Soi : 4 25 9 — — $46,004.40 $51,294.49 $47,938.78 2026-09-01
234 APR_DRG Spinal Procedures - Soi : 4 16 8 — — $47,896.38 $51,249.13 $47,896.38 2026-09-01
677 OTHER UnGrouped 1 1 — — $47,718.40 $47,718.40 $47,718.40 2024-12-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 125 32 — $46,348.00 $45,663.20 $95,502.10 $47,693.30 2026-09-01
691 OTHER UnGrouped 1 1 — — $47,665.60 $47,665.60 $47,665.60 2024-12-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 126 32 — $47,458.00 $43,503.10 $93,713.00 $47,458.33 2026-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 125 32 — $45,248.00 $44,579.80 $94,938.90 $47,413.20 2026-09-01
362 OTHER UnGrouped 1 1 — — $47,397.40 $47,397.40 $47,397.40 2024-12-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 125 32 — $46,506.00 $45,819.20 $94,838.40 $47,357.50 2026-09-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 126 32 — $46,588.00 $45,900.40 $94,485.80 $47,187.70 2026-09-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service - Soi : 4 25 9 — — $47,159.61 $57,735.60 $47,159.61 2026-09-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 3 25 9 — — $45,882.30 $50,288.36 $46,998.47 2026-09-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures - Soi : 4 25 9 — — $46,961.37 $51,437.30 $46,961.37 2026-09-01
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 3 25 9 — — $46,725.00 $50,216.91 $46,931.69 2026-09-01
245 MS_DRG Aicd Generator Procedures 125 32 — $42,982.00 $42,347.30 $92,657.80 $46,277.70 2026-09-01
396 OTHER UnGrouped 1 1 — — $46,158.20 $46,158.20 $46,158.20 2024-12-19
471 MS_DRG Cervical Spinal Fusion With Mcc 126 32 — $45,477.00 $44,804.90 $92,098.40 $45,999.40 2026-09-01
8633 APR_DRG Neonatal Aftercare - Soi : 3 25 9 — — $45,164.40 $49,131.09 $45,916.91 2026-09-01
894 APR_DRG Major Cranialfacial Bone Procedures - Soi : 4 16 8 — — $45,836.60 $49,045.16 $45,836.60 2026-09-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures - Soi : 4 25 9 — — $45,647.91 $51,826.00 $45,647.91 2026-09-01
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure - Soi : 4 25 9 — — $43,255.90 $48,721.89 $45,534.48 2026-09-01
4014 APR_DRG Adrenal Procedures - Soi : 4 25 9 — — $42,748.40 $48,465.53 $45,294.89 2026-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 125 32 — $44,063.00 $43,412.30 $90,547.30 $45,228.00 2026-09-01
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 3 25 9 — — $45,194.71 $51,835.90 $45,194.71 2026-09-01
6904 APR_DRG Acute Leukemia - Soi : 4 25 9 — — $45,078.63 $51,446.90 $45,078.63 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 125 32 — $42,668.00 $42,038.10 $92,314.60 $45,032.80 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 125 32 — $44,194.00 $43,541.50 $90,151.00 $45,024.30 2026-09-01
1204 APR_DRG Major Respiratory & Chest Procedures - Soi : 4 25 9 — — $44,991.70 $52,776.00 $44,991.70 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 122 31 — $44,840.00 $44,178.30 $90,928.30 $44,840.91 2026-09-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis- Soi : 4 25 9 — — $44,744.70 $50,547.30 $44,744.70 2026-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 125 32 — $43,192.00 $42,554.00 $88,727.00 $44,322.70 2026-09-01
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 2 25 9 — — $43,960.50 $47,375.47 $44,276.14 2026-09-01
4402 APR_DRG Kidney Transplant - Soi : 2 25 9 — — $43,019.70 $47,275.65 $44,182.85 2026-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 122 32 — $44,284.00 $24,498.80 $87,357.90 $44,066.40 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 122 32 — $43,507.00 $42,865.10 $89,106.10 $44,062.40 2026-09-01
204 APR_DRG Open Craniotomy For Trauma- Soi : 4 16 8 — — $43,983.55 $47,062.40 $43,983.55 2026-09-01
6 MS_DRG Liver Transplant Without Mcc 80 25 — $43,681.00 $43,035.80 $79,150.26 $43,681.16 2026-09-01
163 MS_DRG Major Chest Procedures With Mcc 125 32 — $42,227.00 $41,603.50 $87,824.20 $43,659.70 2026-09-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 1 16 8 — — $43,549.97 $46,598.47 $43,549.97 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 125 32 — $43,301.00 $42,662.00 $87,067.80 $43,496.50 2026-09-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses - Soi… 25 9 — — $43,474.70 $50,580.50 $43,474.70 2026-09-01
4414 APR_DRG Major Bladder Procedures - Soi : 4 25 9 — — $43,454.56 $49,770.90 $43,454.56 2026-09-01
1782 APR_DRG External Heart Assist Systems- Soi : 2 25 9 — — $43,293.42 $49,144.30 $43,293.42 2026-09-01
363 OTHER UnGrouped 1 1 — — $43,069.90 $43,069.90 $43,069.90 2024-12-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 125 32 — $42,853.00 $36,368.30 $85,543.30 $42,853.96 2026-09-01
6814 APR_DRG Other O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 25 9 — — $42,835.46 $51,842.10 $42,835.46 2026-09-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 80 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 16 8 — — $42,705.07 $45,694.42 $42,705.07 2026-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 125 32 — $40,457.00 $39,860.10 $85,033.20 $42,485.50 2026-09-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 80 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 25 9 — — $34,479.80 $45,163.85 $42,209.21 2026-09-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 9 9 — — $42,072.80 $45,017.90 $42,072.80 2024-12-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 125 32 — $42,050.00 $41,429.00 $83,290.60 $42,050.19 2026-09-01
901 MS_DRG Wound Debridements For Injuries With Mcc 125 32 — $39,555.00 $38,971.40 $84,005.40 $41,974.40 2026-09-01
6143 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 3 25 9 — — $41,632.78 $45,712.70 $41,632.78 2026-09-01
2614 APR_DRG Major Biliary Tract Procedures - Soi : 4 25 9 — — $41,597.26 $46,797.90 $41,597.26 2026-09-01
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 1 25 9 — — $41,024.40 $44,496.02 $41,585.07 2026-09-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 3 25 9 — — $40,327.30 $44,307.17 $41,408.57 2026-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 125 32 — $41,393.00 $38,296.70 $80,880.50 $41,228.60 2026-09-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 125 32 — $36,722.00 $35,408.90 $82,042.90 $40,997.30 2026-09-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses - Soi : 4 25 9 — — $40,936.82 $49,916.50 $40,936.82 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 125 32 — $39,330.00 $38,749.90 $84,422.00 $40,913.40 2026-09-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 122 32 — $40,780.00 $40,178.50 $80,762.90 $40,780.82 2026-09-01
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 2 25 9 — — $40,762.17 $55,493.30 $40,762.17 2026-09-01
1793 APR_DRG Defibrillator Implants- Soi : 3 25 9 — — $40,380.30 $43,439.42 $40,597.59 2026-09-01
4401 APR_DRG Kidney Transplant - Soi : 1 25 9 — — $38,573.70 $43,191.01 $40,365.43 2026-09-01
140 MS_DRG Major Head And Neck Procedures With Mcc 78 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 169 39 $116,108.00 $40,173.00 65% off $325.02 $74,309.10 $40,173.50 2026-09-01
33249 CPT Hc Insert/Rplacmnt Aicd W Lead Sing/Dual 169 39 $184,039.00 $40,173.00 78% off $1,283.80 $88,442.10 $40,173.50 2026-09-01
140 OTHER Major Head And Neck Procedures With Mcc 44 26 — $52,098.00 $5,878.53 $80,190.30 $40,075.90 2024-12-19
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures- Soi… 25 9 — — $40,070.72 $43,330.10 $40,070.72 2026-09-01
1663 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx - Soi : 3 25 9 — — $38,970.00 $42,758.84 $39,961.53 2026-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 124 32 — $39,804.00 $8,074.17 $78,889.50 $39,804.68 2026-09-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 80 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 25 9 — — $39,720.89 $44,928.00 $39,720.89 2026-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 125 32 — $39,717.00 $38,949.90 $77,924.30 $39,717.56 2026-09-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 125 32 — $39,602.00 $34,960.60 $79,450.80 $39,702.50 2026-09-01
793 MS_DRG Full Term Neonate With Major Problems 118 32 — $39,302.00 $1,349.00 $78,428.10 $39,522.30 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 126 32 — $39,482.00 $38,899.40 $93,713.00 $39,482.42 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 120 32 — $39,969.00 $31,909.70 $77,425.60 $39,379.30 2026-09-01
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures - Soi : 4 16 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 125 32 — $39,147.00 $38,550.00 $94,905.90 $39,147.04 2026-09-01
2304 APR_DRG Major Small Bowel Procedures - Soi : 4 25 9 — — $39,041.36 $43,607.50 $39,041.36 2026-09-01
6954 APR_DRG Chemotherapy For Acute Leukemia - Soi : 4 25 9 — — $39,025.46 $44,251.10 $39,025.46 2026-09-01
274 APR_DRG Other Open Craniotomy- Soi : 4 16 8 — — $38,996.84 $41,726.62 $38,996.84 2026-09-01
1814 APR_DRG Lower Extremity Arterial Procedures - Soi : 4 25 9 — — $38,962.92 $46,377.00 $38,962.92 2026-09-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 126 32 — $38,889.00 $34,186.00 $74,141.40 $38,889.42 2026-09-01
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 3 25 9 — — $38,877.05 $42,667.20 $38,877.05 2026-09-01
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment - Soi : 4 25 9 — — $38,747.72 $44,026.20 $38,747.72 2026-09-01
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 2 25 9 — — $38,566.44 $41,585.50 $38,566.44 2026-09-01
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs - Soi : 4 25 9 — — $37,234.50 $41,220.71 $38,524.03 2026-09-01
649 OTHER UnGrouped 1 1 — — $38,500.50 $38,500.50 $38,500.50 2024-12-19
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