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

4,573 distinct procedures filed
40 distinct payers
272,042 rate rows
2026-03-17 last MRF observed
Data quality

271,970 of 272,042 rate rows are consumer-grade (100.0%)

72 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
per-diem day rate — not a per-procedure price 44
exceeds 10× this hospital's gross charge — excluded from medians 21
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 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sandimashospital.com/wp-content/uploads/2024/12/262583397_SanDimasCommunityHospital_standardcharges.json
Found on page https://sandimashospital.com/patients-visitors/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint e06217ea0559a2f1… · 36,085,061 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate W Ecmo 9 $557,398.00 $809,617.52 $596,416.00 nat. median
$309,665
1.9× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $415,747.00 $511,708.57 $444,850.00 nat. median
$246,434
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 $341,114.00 $733,458.12 $398,768.00 nat. median
$370,174
1.1× median
5833
APR_DRG 		Neonate W Ecmo 9 $337,098.00 $381,895.65 $356,911.82 nat. median
$244,017
1.5× median
612
OTHER 		UnGrouped 1 $317,883.00 $317,883.00 $317,883.00 nat. median
$2,164
outlier · 146.9×
636
OTHER 		UnGrouped 1 $291,699.00 $291,699.00 $291,699.00 nat. median
$53
outlier · 5554.1×
5934
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure 9 $273,308.00 $310,791.04 $290,458.92 nat. median
$151,838
1.9× median
5914
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure 9 $270,582.00 $352,087.07 $289,522.00 nat. median
$164,289
1.8× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 9 $265,818.00 $307,117.70 $284,426.00 nat. median
$122,924
outlier · 2.3×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 9 $243,895.93 $302,363.00 $282,582.00 nat. median
$150,721
1.9× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 9 $262,779.00 $359,836.67 $281,173.00 nat. median
$162,982
1.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 32 $258,869.00 $534,091.00 $265,842.00 nat. median
$265,286
1.0× median
633
OTHER 		UnGrouped 1 $262,074.00 $262,074.00 $262,074.00 nat. median
$4,769
outlier · 55.0×
631
OTHER 		UnGrouped 1 $255,305.00 $255,305.00 $255,305.00 nat. median
$5,302
outlier · 48.2×
5832
APR_DRG 		Neonate W Ecmo 9 $211,538.00 $239,647.88 $223,969.98 nat. median
$156,126
1.4× 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
$206,474
1.1× median
24
APR_DRG 		Heart &or Lung Transplant 9 $206,387.00 $260,257.66 $220,834.00 nat. median
$234,729
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 9 $202,241.64 $227,950.00 $213,038.00 nat. median
$207,730
1.0× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 9 $197,214.00 $226,997.51 $211,019.00 nat. median
$118,620
1.8× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition 9 $153,438.03 $219,372.00 $205,021.00 nat. median
$109,499
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 $196,125.00 $406,359.00 $202,309.00 nat. median
$202,976
1.0× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $185,173.00 $258,786.47 $198,135.00 nat. median
$182,665
1.1× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $180,248.00 $249,584.40 $192,866.00 nat. median
$145,336
1.3× median
5831
APR_DRG 		Neonate W Ecmo 9 $171,307.00 $202,202.98 $183,298.00 nat. median
$144,745
1.3× median
359
OTHER 		UnGrouped 1 $164,370.00 $164,370.00 $164,370.00 nat. median
$2,225
outlier · 73.9×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 9 $153,008.00 $185,129.11 $163,718.00 nat. median
$160,267
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 9 $161,433.00 $174,130.87 $162,739.13 nat. median
$119,796
1.4× median
114
APR_DRG 		UnGrouped 9 $160,319.00 $171,542.00 $160,319.00 nat. median
$117,173
1.4× median
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 9 $153,305.00 $168,968.18 $157,914.19 nat. median
$95,507
1.7× median
681
OTHER 		UnGrouped 1 $150,422.00 $150,422.00 $150,422.00 nat. median
$0
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $137,513.00 $208,263.30 $147,139.00 nat. median
$164,834
0.9× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 9 $134,969.00 $159,102.44 $144,417.00 nat. median
$105,658
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $133,615.00 $160,324.08 $142,968.00 nat. median
$187,061
0.8× median
14
APR_DRG 		Liver Transplant &or Intestinal Transplant 9 $129,535.00 $147,554.06 $137,900.99 nat. median
$129,535
1.1× median
5933
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure 9 $127,840.00 $173,455.39 $136,789.00 nat. median
$108,996
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 $128,074.00 $273,892.00 $133,449.00 nat. median
$133,161
1.0× median
5913
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure 9 $123,021.00 $209,001.74 $131,632.00 nat. median
$102,919
1.3× median
23
APR_DRG 		Heart &or Lung Transplant 9 $130,623.00 $140,738.01 $131,530.85 nat. median
$93,528
1.4× median
1612
APR_DRG 		Implantable Heart Assist Systems 9 $109,991.74 $138,523.00 $129,460.00 nat. median
$85,444
1.5× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $119,885.00 $166,001.58 $128,277.00 nat. median
$124,573
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $73,880.00 $165,106.00 $127,777.00 nat. median
$87,428
1.5× median
8634
APR_DRG 		Neonatal Aftercare 9 $122,117.00 $135,851.87 $126,964.36 nat. median
$69,502
1.8× median
6114
APR_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly 9 $116,273.00 $142,387.29 $124,412.00 nat. median
$72,753
1.7× median
635
OTHER 		UnGrouped 1 $124,315.00 $124,315.00 $124,315.00 nat. median
$666
outlier · 186.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 32 $111,153.00 $248,419.00 $123,752.00 nat. median
$117,357
1.1× median
7
MS_DRG 		Lung Transplant 32 $119,757.00 $247,794.00 $123,441.00 nat. median
$122,708
1.0× median
1611
APR_DRG 		Implantable Heart Assist Systems 9 $109,991.74 $131,754.00 $123,135.00 nat. median
$76,806
1.6× median
634
OTHER 		UnGrouped 1 $117,996.00 $117,996.00 $117,996.00 nat. median
$414
outlier · 285.0×
613
OTHER 		UnGrouped 1 $112,747.00 $112,747.00 $112,747.00 nat. median
$42,666
outlier · 2.6×
6124
APR_DRG 		Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond 9 $97,520.72 $119,585.00 $111,762.00 nat. median
$66,146
1.7× median

Other procedures at this hospital

Browse this hospital's 4,573 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 85 32 — $345,594.00 $258,869.00 $534,091.00 $265,842.00 2026-03-17
10 MS_DRG Pancreas Transplant 85 32 — $97,998.00 $44,834.50 $151,176.00 $75,383.10 2026-03-17
11 APR_DRG Liver Transplant &or Intestinal Transplant 17 9 — — $50,490.44 $58,645.90 $54,809.30 2026-03-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 85 32 — $66,402.00 $50,576.70 $102,311.00 $51,082.47 2026-03-17
112 APR_DRG UnGrouped 9 9 — — $61,532.30 $65,839.60 $61,532.30 2024-12-19
113 APR_DRG UnGrouped 9 9 — — $86,144.50 $92,174.60 $86,144.50 2024-12-19
114 APR_DRG UnGrouped 9 9 — — $160,319.00 $171,542.00 $160,319.00 2024-12-19
12 APR_DRG Liver Transplant &or Intestinal Transplant 17 9 — — $61,446.58 $65,797.80 $61,493.30 2026-03-17
1204 APR_DRG Major Respiratory & Chest Procedures 17 9 — — $44,991.70 $52,776.00 $49,323.30 2026-03-17
1214 APR_DRG Other Respiratory & Chest Procedures 17 9 — — $38,039.57 $42,300.90 $39,533.60 2026-03-17
13 APR_DRG Liver Transplant &or Intestinal Transplant 17 9 — — $73,704.30 $81,486.34 $76,155.46 2026-03-17
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 17 9 — — $46,004.40 $51,294.49 $47,938.78 2026-03-17
14 APR_DRG Liver Transplant &or Intestinal Transplant 17 9 — — $129,535.00 $147,554.06 $137,900.99 2026-03-17
14 MS_DRG Allogeneic Bone Marrow Transplant 85 32 — $160,877.00 $111,153.00 $248,419.00 $123,752.00 2026-03-17
140 MS_DRG Major Head And Neck Procedures With Mcc 39 25 — $40,199.00 $6,136.56 $72,840.71 $40,199.07 2026-03-17
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
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 85 32 — $74,249.00 $54,965.90 $115,090.00 $57,114.60 2026-03-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 17 9 — — $45,882.30 $50,288.36 $46,998.47 2026-03-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 17 9 — — $97,139.40 $114,410.75 $103,939.00 2026-03-17
1611 APR_DRG Implantable Heart Assist Systems 17 9 — — $109,991.74 $131,754.00 $123,135.00 2026-03-17
1612 APR_DRG Implantable Heart Assist Systems 17 9 — — $109,991.74 $138,523.00 $129,460.00 2026-03-17
1613 APR_DRG Implantable Heart Assist Systems 17 9 — — $161,433.00 $174,130.87 $162,739.13 2026-03-17
1614 APR_DRG Implantable Heart Assist Systems 17 9 — — $202,241.64 $227,950.00 $213,038.00 2026-03-17
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 17 9 — — $43,960.50 $47,375.47 $44,276.14 2026-03-17
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 17 9 — — $56,264.60 $61,903.67 $57,853.90 2026-03-17
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 17 9 — — $80,771.14 $88,886.70 $83,071.70 2026-03-17
163 MS_DRG Major Chest Procedures With Mcc 85 32 — $56,757.00 $41,603.50 $87,824.20 $43,659.70 2026-03-17
1633 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx 17 9 — — $46,299.60 $51,935.38 $48,537.74 2026-03-17
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx 17 9 — — $70,285.20 $75,975.89 $71,005.50 2026-03-17
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 17 9 — — $46,725.00 $50,216.91 $46,931.69 2026-03-17
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 17 9 — — $63,659.00 $69,659.70 $65,102.50 2026-03-17
1663 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx 17 9 — — $38,970.00 $42,758.84 $39,961.53 2026-03-17
1664 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx 17 9 — — $55,046.75 $61,319.10 $57,307.50 2026-03-17
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 17 9 — — $54,029.06 $69,530.10 $64,981.40 2026-03-17
1694 APR_DRG Major Abdominal Vascular Procedures 17 9 — — $49,701.73 $54,962.90 $51,367.20 2026-03-17
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 85 32 — $74,249.00 $50,148.88 $115,090.00 $57,114.60 2026-03-17
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 17 9 — — $33,931.68 $45,894.00 $42,891.60 2026-03-17
1781 APR_DRG External Heart Assist Systems 17 9 — — $39,720.89 $44,928.00 $41,988.80 2026-03-17
1782 APR_DRG External Heart Assist Systems 17 9 — — $43,293.42 $49,144.30 $45,929.30 2026-03-17
1783 APR_DRG External Heart Assist Systems 17 9 — — $51,747.50 $57,464.00 $53,704.67 2026-03-17
1784 APR_DRG External Heart Assist Systems 17 9 — — $66,228.69 $72,260.00 $67,532.70 2026-03-17
1793 APR_DRG Defibrillator Implants 17 9 — — $40,380.30 $43,439.42 $40,597.59 2026-03-17
1794 APR_DRG Defibrillator Implants 17 9 — — $54,992.69 $61,904.90 $57,855.00 2026-03-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 83 32 — $462,610.00 $341,114.00 $733,458.12 $398,768.00 2026-03-17
1814 APR_DRG Lower Extremity Arterial Procedures 17 9 — — $38,962.92 $46,377.00 $43,343.00 2026-03-17
1833 APR_DRG Percutaneous Structural Cardiac Procedures 17 9 — — $40,327.30 $44,307.17 $41,408.57 2026-03-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 17 9 — — $58,768.76 $64,601.60 $60,375.30 2026-03-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 83 32 — $97,437.00 $66,085.70 $150,306.00 $74,952.10 2026-03-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 85 32 — $135,350.00 $104,116.00 $228,133.00 $105,157.00 2026-03-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 86 32 — $99,078.00 $51,818.00 $157,486.00 $76,214.00 2026-03-17
204 APR_DRG Open Craniotomy For Trauma 17 9 — — $43,983.55 $50,539.80 $47,233.50 2026-03-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 85 32 — $79,536.00 $59,626.40 $128,710.00 $61,182.20 2026-03-17
21 APR_DRG Heart &or Lung Transplant 17 9 — — $77,288.50 $83,272.88 $77,825.12 2026-03-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 86 32 — $68,013.00 $49,097.30 $114,427.00 $52,318.10 2026-03-17
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 83 32 — $133,808.00 $10,520.10 $206,555.00 $102,930.00 2026-03-17
214 APR_DRG Open Craniotomy Except Trauma 17 9 — — $49,641.30 $53,805.20 $50,285.20 2026-03-17
215 MS_DRG Other Heart Assist System Implant 86 32 — $130,141.00 $92,133.10 $200,887.00 $100,109.00 2026-03-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 86 32 — $118,571.00 $90,525.40 $182,991.00 $91,658.83 2026-03-17
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 2026-03-17
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
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 86 32 — $73,187.00 $56,297.90 $112,807.00 $60,924.00 2026-03-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 86 32 — $95,110.00 $71,103.40 $146,709.00 $73,162.20 2026-03-17
22 APR_DRG Heart &or Lung Transplant 17 9 — — $94,013.50 $108,630.32 $100,594.00 2026-03-17
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 2026-03-17
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
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 17 9 — — $45,647.91 $51,826.00 $48,435.60 2026-03-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 86 32 — $56,554.00 $43,503.10 $93,713.00 $46,756.80 2026-03-17
222 MS_DRG UnGrouped 2 2 — — $93,713.00 $94,093.70 $93,903.35 2024-12-19
223 MS_DRG UnGrouped 2 2 — — $67,688.70 $93,713.00 $80,700.85 2024-12-19
224 MS_DRG UnGrouped 2 2 — — $83,399.60 $93,713.00 $88,556.30 2024-12-19
225 MS_DRG UnGrouped 2 2 — — $63,695.90 $93,713.00 $78,704.45 2024-12-19
226 MS_DRG UnGrouped 2 2 — — $75,410.50 $93,713.00 $84,561.75 2024-12-19
227 MS_DRG UnGrouped 2 2 — — $58,964.50 $93,713.00 $76,338.75 2024-12-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 86 32 — $61,344.00 $45,900.40 $94,485.80 $47,187.70 2026-03-17
23 APR_DRG Heart &or Lung Transplant 17 9 — — $130,623.00 $140,738.01 $131,530.85 2026-03-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 85 32 — $70,193.00 $53,125.70 $108,173.00 $53,994.90 2026-03-17
230 MS_DRG UnGrouped 1 1 — — $93,713.00 $93,713.00 $93,713.00 2024-12-19
2304 APR_DRG Major Small Bowel Procedures 17 9 — — $39,041.36 $43,607.50 $40,754.70 2026-03-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 86 32 — $104,139.00 $69,738.70 $160,673.00 $80,107.00 2026-03-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 86 32 — $75,141.00 $56,192.40 $115,826.00 $57,801.20 2026-03-17
2324 APR_DRG Gastric Fundoplication 17 9 — — $27,793.70 $42,076.00 $39,323.40 2026-03-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 86 32 — $96,078.00 $70,797.90 $148,203.00 $73,906.30 2026-03-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 86 32 — $65,474.00 $50,365.00 $100,876.00 $51,015.58 2026-03-17
234 APR_DRG Spinal Procedures 17 9 — — $47,896.38 $53,513.90 $50,013.00 2026-03-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 86 32 — $72,389.00 $54,402.00 $111,569.00 $55,684.00 2026-03-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 86 32 — $50,663.00 $38,899.40 $93,713.00 $39,324.85 2026-03-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 85 32 — $62,001.00 $45,663.20 $95,502.10 $47,693.30 2026-03-17
24 APR_DRG Heart &or Lung Transplant 17 9 — — $206,387.00 $260,257.66 $220,834.00 2026-03-17
245 MS_DRG Aicd Generator Procedures 85 32 — $60,160.00 $42,347.30 $92,657.80 $46,277.70 2026-03-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 86 32 — $55,079.00 $42,202.40 $84,798.10 $42,708.36 2026-03-17
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 17 9 — — $46,961.37 $51,437.30 $48,072.20 2026-03-17
2614 APR_DRG Major Biliary Tract Procedures 17 9 — — $41,597.26 $46,797.90 $43,736.30 2026-03-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 85 32 — $73,696.00 $49,446.80 $116,378.00 $56,799.60 2026-03-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 85 32 — $57,928.00 $4,763.99 $90,928.30 $44,560.30 2026-03-17
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 2026-03-17
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
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 85 32 — $51,258.00 $5,191.86 $78,889.50 $39,429.90 2026-03-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 85 32 — $63,179.00 $4,299.01 $97,328.10 $48,935.80 2026-03-17
274 APR_DRG Other Open Craniotomy 17 9 — — $38,996.84 $47,701.80 $44,581.10 2026-03-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 83 32 — $86,890.00 $59,759.70 $133,995.00 $66,838.80 2026-03-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc 83 32 — $76,192.00 $44,349.70 $117,451.00 $58,609.40 2026-03-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 83 32 — $57,281.00 $42,865.10 $89,106.10 $44,062.40 2026-03-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 83 32 — $61,589.00 $38,414.40 $94,923.25 $51,611.20 2026-03-17
28 MS_DRG Spinal Procedures With Mcc 86 32 — $74,783.00 $48,863.60 $115,272.00 $57,525.80 2026-03-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 85 32 — $263,001.00 $196,125.00 $406,359.00 $202,309.00 2026-03-17
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 17 9 — — $36,947.67 $44,793.00 $41,862.60 2026-03-17
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 17 9 — — $49,432.46 $61,728.20 $57,689.90 2026-03-17
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 17 9 — — $74,045.86 $90,286.50 $84,379.90 2026-03-17
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 17 9 — — $38,877.05 $42,667.20 $39,875.90 2026-03-17
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 17 9 — — $54,426.59 $65,578.30 $61,288.10 2026-03-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 86 32 — $51,625.00 $27,745.30 $79,456.50 $41,591.50 2026-03-17
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 17 9 — — $43,474.70 $50,580.50 $47,271.50 2026-03-17
317 MS_DRG UnGrouped 43 26 — $76,094.00 $48,261.30 $117,299.00 $58,534.00 2024-12-19
318 OTHER UnGrouped 1 1 — — $48,401.60 $48,401.60 $48,401.60 2024-12-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 85 32 — $54,104.00 $41,429.00 $83,290.60 $41,843.29 2026-03-17
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 17 9 — — $40,070.72 $43,330.10 $40,495.40 2026-03-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 83 32 — $52,469.00 $40,178.50 $80,762.90 $40,360.80 2026-03-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 85 32 — $62,517.00 $46,269.60 $96,302.30 $48,090.30 2026-03-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 85 32 — $56,545.00 $42,662.00 $87,067.80 $43,496.50 2026-03-17
33249 CPT Hc Insertrplacmnt Aicd W Lead Singdual 117 39 $110,553.00 $53,436.00 52% off $1,283.80 $88,442.10 $41,105.20 2026-03-17
33264 CPT Hc Rem Pac Cvdfb Pls Gen &repl Plse Gen Multi Lead 117 39 $92,886.40 $53,436.00 42% off $325.02 $74,309.10 $40,976.97 2026-03-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 85 32 — $52,546.00 $38,296.70 $80,880.50 $40,782.10 2026-03-17
359 OTHER UnGrouped 1 1 — — $164,370.00 $164,370.00 $164,370.00 2024-12-19
360 OTHER UnGrouped 1 1 — — $74,242.80 $74,242.80 $74,242.80 2024-12-19
361 OTHER UnGrouped 1 1 — — $76,767.10 $76,767.10 $76,767.10 2024-12-19
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 17 9 — — $40,936.82 $49,916.50 $46,650.90 2026-03-17
362 OTHER UnGrouped 1 1 — — $47,397.40 $47,397.40 $47,397.40 2024-12-19
363 OTHER UnGrouped 1 1 — — $43,069.90 $43,069.90 $43,069.90 2024-12-19
396 OTHER UnGrouped 1 1 — — $46,158.20 $46,158.20 $46,158.20 2024-12-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 85 32 — $173,483.00 $128,074.00 $273,892.00 $133,449.00 2026-03-17
4014 APR_DRG Adrenal Procedures 17 9 — — $42,748.40 $48,465.53 $45,294.89 2026-03-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 85 32 — $66,804.00 $50,728.00 $102,933.00 $51,388.20 2026-03-17
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 17 9 — — $42,036.80 $46,598.47 $43,549.97 2026-03-17
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 17 9 — — $58,078.20 $65,771.66 $61,468.84 2026-03-17
426 MS_DRG UnGrouped 43 26 — $128,677.00 $17,418.90 $198,752.00 $98,982.90 2024-12-19
427 MS_DRG UnGrouped 43 26 — $87,328.00 $16,766.70 $134,606.00 $67,175.50 2024-12-19
428 MS_DRG UnGrouped 43 26 — $67,729.00 $13,264.50 $104,390.00 $52,099.30 2024-12-19
429 MS_DRG UnGrouped 42 25 — $102,504.00 $65,011.80 $158,143.00 $78,849.90 2024-12-19
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 17 9 — — $89,206.20 $105,465.60 $95,450.60 2026-03-17
430 MS_DRG UnGrouped 42 25 — $67,317.00 $42,694.60 $103,724.00 $51,782.40 2024-12-19
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 17 9 — — $134,969.00 $159,102.44 $144,417.00 2026-03-17
4401 APR_DRG Kidney Transplant 17 9 — — $38,573.70 $43,191.01 $40,365.43 2026-03-17
4402 APR_DRG Kidney Transplant 17 9 — — $43,019.70 $47,275.65 $44,182.85 2026-03-17
4403 APR_DRG Kidney Transplant 17 9 — — $48,930.00 $54,771.15 $51,187.99 2026-03-17
4404 APR_DRG Kidney Transplant 17 9 — — $76,896.47 $83,784.60 $78,303.40 2026-03-17
4414 APR_DRG Major Bladder Procedures 17 9 — — $43,454.56 $49,770.90 $46,514.80 2026-03-17
447 MS_DRG UnGrouped 42 25 — $82,448.00 $52,291.40 $127,125.00 $63,422.00 2024-12-19
448 MS_DRG UnGrouped 81 32 — $50,312.00 $31,909.70 $77,425.60 $39,379.30 2026-03-17
450 MS_DRG UnGrouped 42 25 — $63,389.00 $40,203.30 $97,648.60 $48,760.80 2024-12-19
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 7 5 — — $73,880.00 $165,106.00 $127,777.00 2026-03-17
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 5 — — $69,065.50 $113,959.00 $73,880.00 2026-03-17
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Ccmcc 7 5 — — $50,913.30 $85,811.90 $73,880.00 2026-03-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 85 32 — $104,081.00 $70,162.90 $160,582.00 $80,062.70 2026-03-17
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 2026-03-17
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
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 85 32 — $53,187.00 $38,749.90 $84,422.00 $40,913.40 2026-03-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 7 5 — — $58,470.10 $123,574.00 $77,263.15 2026-03-17
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 7 5 — — $41,346.90 $73,880.00 $59,722.86 2026-03-17
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
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 2026-03-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 85 32 — $66,465.00 $51,127.00 $105,527.00 $52,841.40 2026-03-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 86 32 — $62,708.00 $6,500.00 $96,637.20 $48,500.60 2026-03-17
471 MS_DRG Cervical Spinal Fusion With Mcc 86 32 — $59,799.00 $44,804.90 $92,098.40 $45,999.40 2026-03-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 85 32 — $55,231.00 $39,860.10 $85,033.20 $42,485.50 2026-03-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 85 32 — $130,811.00 $95,395.50 $201,919.00 $100,624.00 2026-03-17
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
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 17 9 — — $38,336.40 $43,163.00 $40,339.30 2026-03-17
52 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 17 9 — — $43,531.10 $53,470.09 $46,578.30 2026-03-17
53 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 17 9 — — $65,623.00 $79,847.27 $70,216.60 2026-03-17
54 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 17 9 — — $92,671.30 $113,176.62 $99,158.30 2026-03-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 85 32 — $75,748.00 $58,268.00 $116,764.00 $60,703.40 2026-03-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 85 32 — $66,395.00 $45,474.00 $105,888.00 $51,073.30 2026-03-17
5831 APR_DRG Neonate W Ecmo 17 9 — — $171,307.00 $202,202.98 $183,298.00 2026-03-17
5832 APR_DRG Neonate W Ecmo 17 9 — — $211,538.00 $239,647.88 $223,969.98 2026-03-17
5833 APR_DRG Neonate W Ecmo 17 9 — — $337,098.00 $381,895.65 $356,911.82 2026-03-17
5834 APR_DRG Neonate W Ecmo 17 9 — — $557,398.00 $809,617.52 $596,416.00 2026-03-17
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 17 9 — — $119,885.00 $166,001.58 $128,277.00 2026-03-17
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 17 9 — — $180,248.00 $249,584.40 $192,866.00 2026-03-17
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 17 9 — — $185,173.00 $258,786.47 $198,135.00 2026-03-17
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 17 9 — — $415,747.00 $511,708.57 $444,850.00 2026-03-17
5891 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 17 9 — — $68,694.30 $212,323.83 $73,502.90 2026-03-17
5892 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 17 9 — — $50,028.70 $212,323.83 $53,530.80 2026-03-17
5893 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 17 9 — — $42,012.80 $212,323.83 $44,953.70 2026-03-17
5912 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure 17 9 — — $72,719.10 $169,706.50 $77,809.50 2026-03-17
5913 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure 17 9 — — $123,021.00 $209,001.74 $131,632.00 2026-03-17
5914 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure 17 9 — — $270,582.00 $352,087.07 $289,522.00 2026-03-17
5932 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure 17 9 — — $99,399.40 $134,864.84 $106,357.00 2026-03-17
5933 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure 17 9 — — $127,840.00 $173,455.39 $136,789.00 2026-03-17
5934 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure 17 9 — — $273,308.00 $310,791.04 $290,458.92 2026-03-17
6 MS_DRG Liver Transplant Without Mcc 85 32 — $59,699.00 $43,035.80 $91,944.80 $45,923.10 2026-03-17
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 17 9 — — $80,262.20 $90,371.65 $84,459.49 2026-03-17
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 17 9 — — $103,459.00 $123,618.19 $110,701.00 2026-03-17
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 17 9 — — $197,214.00 $226,997.51 $211,019.00 2026-03-17
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition 17 9 — — $49,060.10 $73,561.80 $68,749.30 2026-03-17
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition 17 9 — — $153,438.03 $219,372.00 $205,021.00 2026-03-17
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 17 9 — — $58,284.90 $63,144.04 $59,013.12 2026-03-17
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 17 9 — — $80,114.50 $92,704.07 $85,722.60 2026-03-17
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 17 9 — — $153,305.00 $168,968.18 $157,914.19 2026-03-17
608 OTHER UnGrouped 1 1 — — $54,241.10 $54,241.10 $54,241.10 2024-12-19
6082 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition 17 9 — — $36,442.26 $43,739.50 $40,878.00 2026-03-17
6083 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition 17 9 — — $56,846.10 $64,642.73 $60,413.77 2026-03-17
6084 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition 17 9 — — $77,329.63 $89,585.60 $83,724.90 2026-03-17
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 17 9 — — $41,024.40 $44,496.02 $41,585.07 2026-03-17
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 17 9 — — $45,225.70 $55,280.45 $48,391.50 2026-03-17
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 17 9 — — $79,594.10 $86,329.27 $80,681.56 2026-03-17
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 17 9 — — $262,779.00 $359,836.67 $281,173.00 2026-03-17
61 APR_DRG Pancreas Transplant 17 9 — — $54,005.73 $59,658.00 $55,755.10 2026-03-17
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 17 9 — — $45,194.71 $51,835.90 $48,444.80 2026-03-17
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 17 9 — — $116,273.00 $142,387.29 $124,412.00 2026-03-17
612 OTHER UnGrouped 1 1 — — $317,883.00 $317,883.00 $317,883.00 2024-12-19
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond 17 9 — — $48,811.40 $56,406.25 $52,228.20 2026-03-17
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond 17 9 — — $97,520.72 $119,585.00 $111,762.00 2026-03-17
613 OTHER UnGrouped 1 1 — — $112,747.00 $112,747.00 $112,747.00 2024-12-19
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection 17 9 — — $47,198.70 $52,356.78 $48,931.57 2026-03-17
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection 17 9 — — $84,935.21 $101,360.00 $94,729.20 2026-03-17
6143 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition 17 9 — — $41,632.78 $45,712.70 $42,722.20 2026-03-17
6144 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition 17 9 — — $64,292.94 $84,887.70 $79,334.30 2026-03-17
62 APR_DRG Pancreas Transplant 17 9 — — $66,925.17 $71,816.60 $67,118.40 2026-03-17
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 17 9 — — $90,816.10 $97,488.70 $91,110.93 2026-03-17
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond 17 9 — — $56,955.36 $66,973.30 $62,591.90 2026-03-17
6234 APR_DRG Neonate Bwt 2000-2499g W Congenitalperinatal Infection 17 9 — — $54,746.96 $64,097.10 $59,903.90 2026-03-17
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition 17 9 — — $52,004.27 $64,378.60 $60,166.90 2026-03-17
63 APR_DRG Pancreas Transplant 17 9 — — $79,144.95 $87,429.10 $81,709.50 2026-03-17
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 17 9 — — $40,762.17 $55,493.30 $51,862.90 2026-03-17
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 17 9 — — $103,484.31 $113,743.00 $106,302.00 2026-03-17
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 17 9 — — $243,895.93 $302,363.00 $282,582.00 2026-03-17
631 OTHER UnGrouped 1 1 — — $255,305.00 $255,305.00 $255,305.00 2024-12-19
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 17 9 — — $60,538.20 $66,355.54 $62,014.52 2026-03-17
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 17 9 — — $265,818.00 $307,117.70 $284,426.00 2026-03-17
632 OTHER UnGrouped 1 1 — — $94,760.40 $94,760.40 $94,760.40 2024-12-19
633 OTHER UnGrouped 1 1 — — $262,074.00 $262,074.00 $262,074.00 2024-12-19
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 17 9 — — $85,461.60 $102,147.52 $91,444.00 2026-03-17
634 OTHER UnGrouped 1 1 — — $117,996.00 $117,996.00 $117,996.00 2024-12-19
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Syndoth Maj Resp Cond 17 9 — — $54,075.28 $59,314.40 $55,434.10 2026-03-17
635 OTHER UnGrouped 1 1 — — $124,315.00 $124,315.00 $124,315.00 2024-12-19
636 OTHER UnGrouped 1 1 — — $291,699.00 $291,699.00 $291,699.00 2024-12-19
6364 APR_DRG Neonate Birthwt >2499g W Congenitalperinatal Infection 17 9 — — $35,086.77 $49,103.20 $45,890.90 2026-03-17
6394 APR_DRG Neonate Birthwt >2499g W Other Significant Condition 17 9 — — $30,420.63 $42,791.80 $39,992.40 2026-03-17
64 APR_DRG Pancreas Transplant 17 9 — — $92,994.09 $110,433.00 $103,209.00 2026-03-17
646 OTHER UnGrouped 1 1 — — $68,349.40 $68,349.40 $68,349.40 2024-12-19
647 OTHER UnGrouped 1 1 — — $76,214.60 $76,214.60 $76,214.60 2024-12-19
648 OTHER UnGrouped 1 1 — — $52,400.10 $52,400.10 $52,400.10 2024-12-19
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 83 32 — $56,734.00 $24,498.80 $87,357.90 $43,641.80 2026-03-17
653 MS_DRG Major Bladder Procedures With Mcc 85 32 — $68,593.00 $43,004.20 $105,698.00 $52,764.20 2026-03-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 85 32 — $51,613.00 $34,960.60 $79,450.80 $39,702.50 2026-03-17
677 OTHER UnGrouped 1 1 — — $47,718.40 $47,718.40 $47,718.40 2024-12-19
6804 APR_DRG Major O.r. Procedures For Lymphatichematopoieticother Neoplasms 17 9 — — $52,992.28 $60,497.60 $56,539.80 2026-03-17
681 OTHER UnGrouped 1 1 — — $150,422.00 $150,422.00 $150,422.00 2024-12-19
6814 APR_DRG Other O.r. Procedures For Lymphatichematopoieticother Neoplasms 17 9 — — $42,835.46 $51,842.10 $48,450.60 2026-03-17
6904 APR_DRG Acute Leukemia 17 9 — — $45,078.63 $51,446.90 $48,081.20 2026-03-17
691 OTHER UnGrouped 1 1 — — $47,665.60 $47,665.60 $47,665.60 2024-12-19
6954 APR_DRG Chemotherapy For Acute Leukemia 17 9 — — $39,025.46 $44,251.10 $41,356.20 2026-03-17
7 MS_DRG Lung Transplant 85 32 — $160,473.00 $119,757.00 $247,794.00 $123,441.00 2026-03-17
71 APR_DRG Allogeneic Bone Marrow Transplant 17 9 — — $47,581.80 $59,181.34 $50,912.50 2026-03-17
72 APR_DRG Allogeneic Bone Marrow Transplant 17 9 — — $60,331.30 $71,097.23 $64,554.40 2026-03-17
73 APR_DRG Allogeneic Bone Marrow Transplant 17 9 — — $76,591.90 $95,522.26 $81,953.30 2026-03-17
74 APR_DRG Allogeneic Bone Marrow Transplant 17 9 — — $133,615.00 $160,324.08 $142,968.00 2026-03-17
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 17 9 — — $43,255.90 $48,721.89 $45,534.48 2026-03-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 80 32 — $73,132.00 $1,349.00 $111,794.00 $56,255.50 2026-03-17
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 17 9 — — $38,747.72 $44,026.20 $41,146.00 2026-03-17
793 MS_DRG Full Term Neonate With Major Problems 80 32 — $51,379.00 $1,349.00 $78,428.10 $39,522.30 2026-03-17
799 MS_DRG Splenic Procedures With Mcc 85 32 — $58,542.00 $42,038.10 $92,314.60 $45,032.80 2026-03-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 85 32 — $66,956.00 $51,505.20 $103,168.00 $52,020.20 2026-03-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 85 32 — $71,630.00 $54,366.90 $112,663.00 $55,100.20 2026-03-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 85 32 — $57,619.00 $42,554.00 $88,727.00 $44,322.70 2026-03-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 85 32 — $58,796.00 $43,412.30 $90,547.30 $45,228.00 2026-03-17
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 17 9 — — $38,867.90 $45,694.42 $41,588.70 2026-03-17
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
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 2026-03-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 85 32 — $61,637.00 $44,579.80 $94,938.90 $47,413.20 2026-03-17
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 17 9 — — $64,857.30 $69,665.73 $65,108.16 2026-03-17
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 17 9 — — $50,296.20 $55,982.59 $52,320.18 2026-03-17
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 17 9 — — $153,008.00 $185,129.11 $163,718.00 2026-03-17
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 17 9 — — $83,517.10 $99,001.18 $89,363.30 2026-03-17
850 MS_DRG UnGrouped 42 25 — $113,187.00 $71,786.80 $174,665.00 $87,067.00 2024-12-19
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 17 9 — — $47,159.61 $57,735.60 $53,958.50 2026-03-17
8514 APR_DRG UnGrouped 9 9 — — $73,525.10 $78,671.90 $73,525.10 2024-12-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 85 32 — $61,564.00 $45,819.20 $94,838.40 $47,357.50 2026-03-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 85 32 — $55,560.00 $36,368.30 $85,543.30 $42,739.20 2026-03-17
8633 APR_DRG Neonatal Aftercare 17 9 — — $45,164.40 $49,131.09 $45,916.91 2026-03-17
8634 APR_DRG Neonatal Aftercare 17 9 — — $122,117.00 $135,851.87 $126,964.36 2026-03-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 85 32 — $85,535.00 $64,029.50 $131,909.00 $65,796.70 2026-03-17
894 APR_DRG Major Cranialfacial Bone Procedures 17 9 — — $45,836.60 $50,736.90 $47,417.60 2026-03-17
901 MS_DRG Wound Debridements For Injuries With Mcc 85 32 — $54,566.00 $38,971.40 $84,005.40 $41,974.40 2026-03-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 17 9 — — $56,988.86 $61,812.80 $57,768.90 2026-03-17
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma 17 9 — — $51,481.30 $58,548.39 $54,718.12 2026-03-17
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 17 9 — — $51,543.30 $55,895.25 $52,238.55 2026-03-17
914 APR_DRG Other Major Head & Neck Procedures 17 9 — — $53,845.66 $59,802.60 $55,890.30 2026-03-17
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures 17 9 — — $39,182.36 $43,028.10 $40,213.20 2026-03-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 85 32 — $291,092.00 $197,282.00 $491,118.00 $223,917.00 2026-03-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 85 32 — $82,132.00 $40,499.20 $128,928.00 $66,437.30 2026-03-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 17 9 — — $62,272.00 $117,818.20 $66,631.00 2026-03-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 85 32 — $53,296.00 $35,408.90 $82,042.90 $40,997.30 2026-03-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 17 9 — — $137,513.00 $208,263.30 $147,139.00 2026-03-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 17 9 — — $44,744.70 $50,547.30 $47,240.50 2026-03-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 85 32 — $83,963.00 $62,361.80 $144,193.00 $64,587.70 2026-03-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 85 32 — $91,760.00 $70,564.40 $141,527.00 $71,270.04 2026-03-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 85 32 — $50,634.00 $38,949.90 $77,924.30 $39,339.40 2026-03-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 85 32 — $77,784.00 $56,734.10 $128,051.00 $59,834.50 2026-03-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 85 32 — $58,531.00 $43,541.50 $90,151.00 $45,024.30 2026-03-17
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