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.

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
             
332 MS_DRG Rectal Resection With Mcc 40 25 — $34,160.00 $33,656.50 $61,898.75 $34,160.46 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
913 APR_DRG Other Major Head & Neck Procedures - Soi : 3 8 8 — — $34,200.95 $36,595.02 $34,200.95 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
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
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
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
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
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
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
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
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
6504 APR_DRG Splenectomy - Soi : 4 8 8 — — $35,049.03 $37,502.46 $35,049.03 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
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
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures - Soi : 4 8 8 — — $35,181.54 $37,644.25 $35,181.54 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
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
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
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
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
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
224 APR_DRG Ventricular Shunt Procedures - Soi : 4 8 8 — — $35,795.34 $38,301.01 $35,795.34 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
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
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures - Soi : 4 8 8 — — $35,933.15 $38,448.47 $35,933.15 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
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
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
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
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
4034 APR_DRG Procedures For Obesity - Soi : 4 8 8 — — $36,448.36 $38,999.75 $36,448.36 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
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
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
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
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
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
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
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
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
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
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
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
1214 APR_DRG Other Respiratory & Chest Procedures - Soi : 4 8 8 — — $38,039.57 $40,702.34 $38,039.57 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
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
791 MS_DRG Prematurity With Major Problems 38 25 — $38,266.00 $3,413.78 $69,338.81 $38,266.45 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
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
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
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
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
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
1814 APR_DRG Lower Extremity Arterial Procedures - Soi : 4 8 8 — — $38,962.92 $41,690.32 $38,962.92 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
6954 APR_DRG Chemotherapy For Acute Leukemia - Soi : 4 8 8 — — $39,025.46 $41,757.24 $39,025.46 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
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
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
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
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
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
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
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
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
1781 APR_DRG External Heart Assist Systems- Soi : 1 8 8 — — $39,720.89 $42,501.35 $39,720.89 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
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
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
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
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
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
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
4401 APR_DRG Kidney Transplant - Soi : 1 8 8 — — $40,365.43 $43,191.01 $40,365.43 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
1793 APR_DRG Defibrillator Implants- Soi : 3 8 8 — — $40,597.59 $43,439.42 $40,597.59 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
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
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
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
1833 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 3 8 8 — — $41,408.57 $44,307.17 $41,408.57 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
2614 APR_DRG Major Biliary Tract Procedures - Soi : 4 8 8 — — $41,597.26 $44,509.07 $41,597.26 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
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
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
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
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
799 MS_DRG Splenic Procedures With Mcc 40 25 — $42,668.00 $42,038.10 $80,894.20 $42,668.48 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
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
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
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
245 MS_DRG Aicd Generator Procedures 40 25 — $42,982.00 $42,347.30 $77,883.93 $42,982.30 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
1782 APR_DRG External Heart Assist Systems- Soi : 2 8 8 — — $43,293.42 $46,323.96 $43,293.42 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
4414 APR_DRG Major Bladder Procedures - Soi : 4 8 8 — — $43,454.56 $46,496.38 $43,454.56 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
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
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
6 MS_DRG Liver Transplant Without Mcc 40 25 — $43,681.00 $43,035.80 $79,150.26 $43,681.16 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
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
4402 APR_DRG Kidney Transplant - Soi : 2 8 8 — — $44,182.85 $47,275.65 $44,182.85 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
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
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
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
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
1204 APR_DRG Major Respiratory & Chest Procedures - Soi : 4 8 8 — — $44,991.70 $48,141.12 $44,991.70 2026-09-01
6904 APR_DRG Acute Leukemia - Soi : 4 8 8 — — $45,078.63 $48,234.13 $45,078.63 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
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
4014 APR_DRG Adrenal Procedures - Soi : 4 8 8 — — $45,294.89 $48,465.53 $45,294.89 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
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
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures - Soi : 4 8 8 — — $45,647.91 $48,843.26 $45,647.91 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
8633 APR_DRG Neonatal Aftercare - Soi : 3 8 8 — — $45,916.91 $49,131.09 $45,916.91 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
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
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
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
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
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures - Soi : 4 8 8 — — $46,961.37 $50,248.67 $46,961.37 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
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
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
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
234 APR_DRG Spinal Procedures - Soi : 4 8 8 — — $47,896.38 $51,249.13 $47,896.38 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
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
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 1 8 8 — — $48,887.57 $52,309.70 $48,887.57 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
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
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
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
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
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
214 APR_DRG Open Craniotomy Except Trauma- Soi : 4 8 8 — — $49,641.30 $53,116.19 $49,641.30 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
1694 APR_DRG Major Abdominal Vascular Procedures - Soi : 4 8 8 — — $49,701.73 $53,180.85 $49,701.73 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
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
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
11 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 1 8 8 — — $50,490.44 $54,024.77 $50,490.44 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
4403 APR_DRG Kidney Transplant - Soi : 3 8 8 — — $51,187.99 $54,771.15 $51,187.99 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
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
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
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
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
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
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
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $44,657.47 $59,722.86 $52,190.17 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
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
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
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
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
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
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
1783 APR_DRG External Heart Assist Systems- Soi : 3 8 8 — — $53,704.67 $57,464.00 $53,704.67 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
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
61 APR_DRG Pancreas Transplant - Soi : 1 8 8 — — $54,005.73 $57,786.13 $54,005.73 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
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
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
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
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
1794 APR_DRG Defibrillator Implants- Soi : 4 8 8 — — $54,992.69 $58,842.18 $54,992.69 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
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
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
71 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 1 8 8 — — $55,309.66 $59,181.34 $55,309.66 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
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
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
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
28 MS_DRG Spinal Procedures With Mcc 40 25 — $56,527.00 $52,329.70 $102,427.81 $56,527.49 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
9104 APR_DRG Craniotomy For Multiple Significant Trauma - Soi : 4 8 8 — — $56,988.86 $60,978.08 $56,988.86 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
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
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
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
1834 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 4 8 8 — — $58,768.76 $62,882.57 $58,768.76 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
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
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 2 8 8 — — $60,423.58 $64,653.23 $60,423.58 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
12 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 2 8 8 — — $61,446.58 $65,747.84 $61,446.58 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
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
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
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
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
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
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
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
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
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
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
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
1784 APR_DRG External Heart Assist Systems- Soi : 4 8 8 — — $66,228.69 $70,864.70 $66,228.69 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
62 APR_DRG Pancreas Transplant - Soi : 2 8 8 — — $66,925.17 $71,609.93 $66,925.17 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
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
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
10 MS_DRG Pancreas Transplant 40 25 — $67,463.00 $44,834.50 $122,644.50 $67,463.70 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
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
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
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
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
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
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
13 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 3 8 8 — — $76,155.46 $81,486.34 $76,155.46 2026-09-01
4404 APR_DRG Kidney Transplant - Soi : 4 8 8 — — $76,896.47 $82,279.22 $76,896.47 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
21 APR_DRG Heart &or Lung Transplant - Soi : 1 8 8 — — $77,825.12 $83,272.88 $77,825.12 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
63 APR_DRG Pancreas Transplant - Soi : 3 8 8 — — $79,144.95 $84,685.10 $79,144.95 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
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
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
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
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
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
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
73 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 3 8 8 — — $89,273.14 $95,522.26 $89,273.14 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
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
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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $77,263.15 $108,286.15 $92,774.65 2026-09-01
64 APR_DRG Pancreas Transplant - Soi : 4 8 8 — — $92,994.09 $99,503.68 $92,994.09 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
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
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
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
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
22 APR_DRG Heart &or Lung Transplant - Soi : 2 8 8 — — $101,523.66 $108,630.32 $101,523.66 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
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
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
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
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
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
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3 8 8 — — $110,110.47 $117,818.20 $110,110.47 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
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
7 MS_DRG Lung Transplant 40 25 — $121,559.00 $119,757.00 $220,265.29 $121,559.21 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
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
8634 APR_DRG Neonatal Aftercare - Soi : 4 8 8 — — $126,964.36 $135,851.87 $126,964.36 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
23 APR_DRG Heart &or Lung Transplant - Soi : 3 8 8 — — $131,530.85 $140,738.01 $131,530.85 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
14 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 4 8 8 — — $137,900.99 $147,554.06 $137,900.99 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
74 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 4 8 8 — — $149,835.59 $160,324.08 $149,835.59 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
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
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
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
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
1613 APR_DRG Implantable Heart Assist Systems- Soi : 3 8 8 — — $162,739.13 $174,130.87 $162,739.13 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
5831 APR_DRG Neonate W Ecmo - Soi : 1 8 8 — — $188,974.75 $202,202.98 $188,974.75 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
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
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
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
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
1614 APR_DRG Implantable Heart Assist Systems- Soi : 4 8 8 — — $202,241.64 $216,398.55 $202,241.64 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
5832 APR_DRG Neonate W Ecmo - Soi : 2 8 8 — — $223,969.98 $239,647.88 $223,969.98 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
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
24 APR_DRG Heart &or Lung Transplant - Soi : 4 8 8 — — $243,231.46 $260,257.66 $243,231.46 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
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
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
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
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
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
5833 APR_DRG Neonate W Ecmo - Soi : 3 8 8 — — $356,911.82 $381,895.65 $356,911.82 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
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
5834 APR_DRG Neonate W Ecmo - Soi : 4 8 8 — — $756,651.89 $809,617.52 $756,651.89 2026-09-01
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