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

Seton Medical Center Coastside

Moss Beach, CA · CCN 050613 · Rates published

Your selected procedure

You selected 482 (MS_DRG)

HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC

This hospital’s price: $18,746 across 24 payers · range $13,069-$42,008

Source: https://www.ahmchealth.com/docs/PricingTransparency-Seton_Medical_Center_-_Coastside-3333-20260331195524.csv · observed 2026-07-15

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.

4,353 distinct procedures filed
52 distinct payers
206,201 rate rows
2026-07-15 last MRF observed
Data quality

178,890 of 206,201 rate rows are consumer-grade (86.8%)

27,311 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 16,996
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,478
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,334
exceeds 10× this hospital's gross charge — excluded from medians 414
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 64
placeholder amount (≤ $0.02) — excluded from medians 23
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ahmchealth.com/docs/PricingTransparency-Seton_Medical_Center_-_Coastside-3333-20260331195524.csv
Found on page https://www.ahmchealth.com/smc/getpage.php?name=Price_Transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-26
Content fingerprint 6aebb65f2c41bd68… · 173,306,865 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 $333,850.38 $1,073,090.50 $506,116.65 nat. median
$359,244
1.4× median
7
MS_DRG 		Lung Transplant 23 $215,107.66 $691,417.48 $319,919.58 nat. median
$117,977
outlier · 2.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 23 $216,823.16 $696,931.58 $309,747.37 nat. median
$248,541
1.2× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $254,329.29 $276,201.61 $254,329.29 nat. median
$134,402
1.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $165,304.29 $531,335.23 $236,148.99 nat. median
$198,115
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $164,336.96 $528,225.93 $234,767.08 nat. median
$190,359
1.2× median
1614
APR_DRG 		Implantable Heart Assist Systems 9 $227,262.67 $246,807.26 $227,262.67 nat. median
$202,649
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $225,389.88 $244,773.41 $225,389.88 nat. median
$154,116
1.5× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $221,000.00 $240,006.00 $221,000.00 nat. median
$247,815
0.9× median
5833
APR_DRG 		Neonate With Ecmo 9 $221,000.00 $240,006.00 $221,000.00 nat. median
$244,017
0.9× median
5834
APR_DRG 		Neonate With Ecmo 9 $221,000.00 $240,006.00 $221,000.00 nat. median
$307,273
0.7× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $213,464.00 $231,821.90 $213,464.00 nat. median
$67,440
outlier · 3.2×
24
APR_DRG 		Heart And/or Lung Transplant 9 $210,006.45 $228,067.00 $210,006.45 nat. median
$241,734
0.9× median
4804
APR_DRG 		Major Male Pelvic Procedures 1 $203,077.60 $203,077.60 $203,077.60 nat. median
$29,394
outlier · 6.9×
5832
APR_DRG 		Neonate With Ecmo 9 $199,338.50 $216,481.61 $199,338.50 nat. median
$159,249
1.3× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 9 $184,079.96 $199,910.84 $184,079.96 nat. median
$94,264
2.0× median
5831
APR_DRG 		Neonate With Ecmo 9 $180,157.09 $195,650.60 $180,157.09 nat. median
$147,206
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $168,218.77 $182,685.58 $168,218.77 nat. median
$158,104
1.1× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $165,000.00 $179,190.00 $165,000.00 nat. median
$165,000
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 9 $163,685.56 $177,762.52 $163,685.56 nat. median
$120,841
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $156,612.88 $170,081.59 $156,612.88 nat. median
$170,172
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $107,410.97 $345,249.56 $153,444.25 nat. median
$126,461
1.2× median
23
APR_DRG 		Heart And/or Lung Transplant 9 $139,975.16 $152,013.02 $139,975.16 nat. median
$110,771
1.3× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $139,000.00 $150,954.00 $139,000.00 nat. median
$163,718
0.8× median
8634
APR_DRG 		Neonatal Aftercare 9 $138,804.09 $150,741.24 $138,804.09 nat. median
$71,102
2.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 24 $93,256.30 $299,752.40 $133,223.29 nat. median
$110,084
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $132,000.00 $143,352.00 $132,000.00 nat. median
$175,429
0.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $130,000.00 $141,180.00 $130,000.00 nat. median
$145,061
0.9× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $128,412.01 $139,455.44 $128,412.01 nat. median
$78,990
1.6× median
1612
APR_DRG 		Implantable Heart Assist Systems 9 $128,273.54 $139,305.06 $128,273.54 nat. median
$85,271
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 $87,959.58 $282,727.24 $125,656.55 nat. median
$103,938
1.2× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 9 $124,698.16 $135,422.20 $124,698.16 nat. median
$98,831
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $121,000.00 $131,406.00 $121,000.00 nat. median
$151,838
0.8× median
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 24 $84,426.13 $271,369.69 $120,608.75 nat. median
$97,137
1.2× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $120,000.00 $130,320.00 $120,000.00 nat. median
$163,528
0.7× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 $120,000.00 $130,320.00 $120,000.00 nat. median
$82,449
1.5× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 9 $120,000.00 $130,320.00 $120,000.00 nat. median
$137,051
0.9× median
22
APR_DRG 		Heart And/or Lung Transplant 9 $118,397.98 $128,580.21 $118,397.98 nat. median
$92,158
1.3× median
1611
APR_DRG 		Implantable Heart Assist Systems 9 $117,988.01 $128,134.98 $117,988.01 nat. median
$77,028
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 23 $80,075.11 $257,384.29 $114,393.02 nat. median
$94,943
1.2× median
6334
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Anomaly 9 $111,331.29 $120,905.78 $111,331.29 nat. median
$59,122
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 29 $14,676.00 $248,612.45 $110,494.42 nat. median
$93,787
1.2× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $110,000.00 $119,460.00 $110,000.00 nat. median
$122,016
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 $35,071.00 $244,289.74 $108,573.22 nat. median
$90,512
1.2× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 9 $107,903.03 $117,182.69 $107,903.03 nat. median
$82,410
1.3× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $104,111.30 $113,064.87 $104,111.30 nat. median
$89,273
1.2× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $100,000.00 $108,600.00 $100,000.00 nat. median
$118,883
0.8× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 $100,000.00 $108,600.00 $100,000.00 nat. median
$96,883
1.0× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $99,000.00 $107,514.00 $99,000.00 nat. median
$108,900
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 31 $17,250.00 $221,425.76 $97,686.14 nat. median
$70,795
1.4× median

Other procedures at this hospital

Browse this hospital's 4,353 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 24 — — $333,850.38 $1,073,090.50 $506,116.65 2026-07-15
7 MS_DRG Lung Transplant 25 23 — — $215,107.66 $691,417.48 $319,919.58 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 23 — — $216,823.16 $696,931.58 $309,747.37 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $254,329.29 $276,201.61 $254,329.29 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 24 — — $165,304.29 $531,335.23 $236,148.99 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 24 — — $164,336.96 $528,225.93 $234,767.08 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 9 9 — — $227,262.67 $246,807.26 $227,262.67 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $225,389.88 $244,773.41 $225,389.88 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $221,000.00 $240,006.00 $221,000.00 2026-07-15
5833 APR_DRG Neonate With Ecmo 9 9 — — $221,000.00 $240,006.00 $221,000.00 2026-07-15
5834 APR_DRG Neonate With Ecmo 9 9 — — $221,000.00 $240,006.00 $221,000.00 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $213,464.00 $231,821.90 $213,464.00 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 9 9 — — $210,006.45 $228,067.00 $210,006.45 2026-07-15
4804 APR_DRG Major Male Pelvic Procedures 1 1 — — $203,077.60 $203,077.60 $203,077.60 2026-07-15
5832 APR_DRG Neonate With Ecmo 9 9 — — $199,338.50 $216,481.61 $199,338.50 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $184,079.96 $199,910.84 $184,079.96 2026-07-15
5831 APR_DRG Neonate With Ecmo 9 9 — — $180,157.09 $195,650.60 $180,157.09 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $168,218.77 $182,685.58 $168,218.77 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $165,000.00 $179,190.00 $165,000.00 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 9 9 — — $163,685.56 $177,762.52 $163,685.56 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $156,612.88 $170,081.59 $156,612.88 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 24 — — $107,410.97 $345,249.56 $153,444.25 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 9 9 — — $139,975.16 $152,013.02 $139,975.16 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $139,000.00 $150,954.00 $139,000.00 2026-07-15
8634 APR_DRG Neonatal Aftercare 9 9 — — $138,804.09 $150,741.24 $138,804.09 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 26 24 — — $93,256.30 $299,752.40 $133,223.29 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $132,000.00 $143,352.00 $132,000.00 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $130,000.00 $141,180.00 $130,000.00 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $128,412.01 $139,455.44 $128,412.01 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 9 9 — — $128,273.54 $139,305.06 $128,273.54 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 23 — — $87,959.58 $282,727.24 $125,656.55 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $124,698.16 $135,422.20 $124,698.16 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $121,000.00 $131,406.00 $121,000.00 2026-07-15
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 26 24 — — $84,426.13 $271,369.69 $120,608.75 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $120,000.00 $130,320.00 $120,000.00 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $120,000.00 $130,320.00 $120,000.00 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $120,000.00 $130,320.00 $120,000.00 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 9 9 — — $118,397.98 $128,580.21 $118,397.98 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 9 9 — — $117,988.01 $128,134.98 $117,988.01 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 23 — — $80,075.11 $257,384.29 $114,393.02 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 9 9 — — $111,331.29 $120,905.78 $111,331.29 2026-07-15
215 MS_DRG Other Heart Assist System Implant 35 29 — — $14,676.00 $248,612.45 $110,494.42 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $110,000.00 $119,460.00 $110,000.00 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 29 — — $35,071.00 $244,289.74 $108,573.22 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 9 — — $107,903.03 $117,182.69 $107,903.03 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $104,111.30 $113,064.87 $104,111.30 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $100,000.00 $108,600.00 $100,000.00 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $100,000.00 $108,600.00 $100,000.00 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $99,000.00 $107,514.00 $99,000.00 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 36 31 — — $17,250.00 $221,425.76 $97,686.14 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $95,000.00 $103,170.00 $95,000.00 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $94,196.17 $102,297.04 $94,196.17 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $94,091.08 $102,182.91 $94,091.08 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 29 — — $35,071.00 $210,718.35 $93,652.60 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 9 — — $93,000.00 $100,998.00 $93,000.00 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 31 — — $17,250.00 $210,060.77 $92,683.39 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $92,000.00 $99,912.00 $92,000.00 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $91,000.00 $98,826.00 $91,000.00 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $91,000.00 $98,826.00 $91,000.00 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 9 — — $90,000.00 $97,740.00 $90,000.00 2026-07-15
4404 APR_DRG Kidney Transplant 9 9 — — $89,677.49 $97,389.75 $89,677.49 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $89,000.00 $96,654.00 $89,000.00 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $88,813.32 $96,451.27 $88,813.32 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $88,000.00 $95,568.00 $88,000.00 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 27 — — $39,137.00 $196,795.01 $87,464.45 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $87,077.55 $94,566.22 $87,077.55 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $87,000.00 $94,482.00 $87,000.00 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $86,000.00 $93,396.00 $86,000.00 2026-07-15
64 APR_DRG Pancreas Transplant 9 9 — — $85,000.00 $92,310.00 $85,000.00 2026-07-15
63 APR_DRG Pancreas Transplant 9 9 — — $85,000.00 $92,310.00 $85,000.00 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 30 — — $14,676.00 $192,067.88 $84,763.09 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 24 — — $59,303.59 $190,618.70 $84,719.42 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 36 30 — — $14,676.00 $191,246.49 $84,401.53 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 24 — — $55,792.00 $179,331.43 $84,325.25 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 9 — — $82,807.37 $89,928.80 $82,807.37 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $80,000.00 $86,880.00 $80,000.00 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $80,000.00 $86,880.00 $80,000.00 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $80,000.00 $86,880.00 $80,000.00 2026-07-15
10 MS_DRG Pancreas Transplant 25 23 — — $55,874.36 $179,596.15 $79,820.51 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 26 24 — — $55,851.19 $179,521.69 $79,787.42 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 24 — — $55,557.07 $178,576.31 $79,367.25 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 26 — — $49,823.00 $178,472.07 $79,320.92 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $79,000.00 $85,794.00 $79,000.00 2026-07-15
62 APR_DRG Pancreas Transplant 9 9 — — $78,048.86 $84,761.06 $78,048.86 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $77,490.05 $84,154.19 $77,490.05 2026-07-15
1784 APR_DRG External Heart Assist Systems 9 9 — — $77,236.61 $83,878.96 $77,236.61 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $77,000.00 $83,622.00 $77,000.00 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 24 — — $53,837.05 $173,047.66 $76,910.07 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 29 — — $14,676.00 $172,206.43 $76,536.19 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 9 — — $75,929.84 $82,459.81 $75,929.84 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 27 — — $31,554.00 $168,563.65 $74,917.18 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 9 — — $74,239.82 $80,624.44 $74,239.82 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 36 31 — — $17,250.00 $166,112.03 $73,337.58 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 30 — — $14,676.00 $164,697.59 $73,198.93 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 29 — — $14,676.00 $164,697.59 $73,198.93 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 24 — — $51,054.75 $164,104.54 $72,935.35 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $72,321.08 $78,540.69 $72,321.08 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $71,659.66 $77,822.39 $71,659.66 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 24 — — $50,153.81 $161,208.67 $71,648.30 2026-07-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $70,000.00 $76,020.00 $70,000.00 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $70,000.00 $76,020.00 $70,000.00 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $70,000.00 $76,020.00 $70,000.00 2026-07-15
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 1 1 — — $68,822.35 $68,822.35 $68,822.35 2026-07-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $68,821.11 $74,739.73 $68,821.11 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 9 9 — — $68,536.76 $74,430.92 $68,536.76 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 29 — — $14,676.00 $153,608.04 $68,270.24 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 36 31 — — $17,250.00 $153,307.78 $67,701.29 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 29 — — $14,676.00 $151,975.24 $67,544.55 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $67,469.84 $73,272.25 $67,469.84 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 28 26 — — $42,227.00 $150,585.66 $66,926.96 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 36 31 — — $17,250.00 $150,627.85 $66,521.61 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 9 9 — — $66,461.02 $72,176.67 $66,461.02 2026-07-15
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $66,421.45 $72,133.69 $66,421.45 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 24 — — $46,361.74 $149,019.86 $66,231.05 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 23 — — $46,255.20 $148,677.43 $66,078.86 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 31 — — $17,250.00 $149,506.20 $66,027.87 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 36 30 — — $14,676.00 $147,161.25 $65,405.00 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 24 — — $45,754.16 $147,066.95 $65,363.09 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 9 9 — — $64,196.11 $69,716.98 $64,196.11 2026-07-15
1794 APR_DRG Defibrillator Implants 9 9 — — $64,133.06 $69,648.50 $64,133.06 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 25 — — $39,137.00 $143,729.44 $63,879.75 2026-07-15
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 9 9 — — $63,846.24 $69,337.02 $63,846.24 2026-07-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 9 9 — — $63,812.86 $69,300.77 $63,812.86 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 24 — — $44,478.04 $142,965.14 $63,540.06 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 9 — — $63,472.88 $68,931.55 $63,472.88 2026-07-15
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 9 9 — — $63,062.43 $68,485.80 $63,062.43 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 9 9 — — $63,009.27 $68,428.07 $63,009.27 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 9 9 — — $62,795.39 $68,195.79 $62,795.39 2026-07-15
1783 APR_DRG External Heart Assist Systems 9 9 — — $62,630.96 $68,017.22 $62,630.96 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 23 — — $43,745.41 $140,610.26 $62,493.45 2026-07-15
278 MS_DRG Cellulitis Age >17 Without Cc 28 26 — — $14,430.94 $139,657.39 $62,069.95 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 9 — — $62,000.00 $67,332.00 $62,000.00 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 9 — — $61,800.16 $67,114.97 $61,800.16 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 31 27 — — $28,110.00 $138,585.42 $61,593.52 2026-07-15
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $61,477.49 $66,764.55 $61,477.49 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 26 24 — — $42,859.93 $137,764.06 $61,228.47 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $61,016.35 $66,263.76 $61,016.35 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 26 24 — — $42,710.15 $137,282.63 $61,014.50 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 36 30 — — $14,676.00 $137,089.08 $60,928.48 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 9 9 — — $60,921.16 $66,160.38 $60,921.16 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 24 — — $42,583.55 $136,875.69 $60,833.64 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 25 23 — — $39,732.42 $127,711.35 $60,733.23 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 9 9 — — $60,647.93 $65,863.65 $60,647.93 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 26 24 — — $42,415.25 $136,334.72 $60,593.21 2026-07-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $60,251.08 $65,432.67 $60,251.08 2026-07-15
4403 APR_DRG Kidney Transplant 9 9 — — $59,695.98 $64,829.83 $59,695.98 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $59,643.74 $64,773.10 $59,643.74 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 30 — — $14,676.00 $133,865.68 $59,495.86 2026-07-15
7543 APR_DRG Depression Except Major Depressive Disorder 1 1 — — $59,197.47 $59,197.47 $59,197.47 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 27 — — $39,137.00 $132,897.94 $59,065.75 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 35 29 — — $14,676.00 $132,463.69 $58,872.75 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $58,277.95 $63,289.85 $58,277.95 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 26 — — $28,116.00 $130,704.37 $58,090.83 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 28 26 — — $11,200.00 $130,481.03 $57,991.57 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 9 9 — — $57,962.69 $62,947.48 $57,962.69 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 9 9 — — $57,892.22 $62,870.95 $57,892.22 2026-07-15
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $57,756.23 $62,723.27 $57,756.23 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $57,648.67 $62,606.46 $57,648.67 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $57,213.49 $62,133.85 $57,213.49 2026-07-15
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 9 — — $57,063.90 $61,971.40 $57,063.90 2026-07-15
2324 APR_DRG Gastric Fundoplication 9 9 — — $56,722.68 $61,600.83 $56,722.68 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 9 — — $56,605.23 $61,473.28 $56,605.23 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 30 — — $14,676.00 $126,605.02 $56,268.90 2026-07-15
4834 APR_DRG Penis, Testes And Scrotal Procedures 9 9 — — $55,967.30 $60,780.49 $55,967.30 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 9 9 — — $55,906.72 $60,714.70 $55,906.72 2026-07-15
234 APR_DRG Spinal Procedures 9 9 — — $55,857.27 $60,661.00 $55,857.27 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 24 — — $38,980.61 $125,294.80 $55,686.58 2026-07-15
Q2043 HCPCS Sipuleucel-t 50m/250 Ml Inj 70 51 $105,172.23 $105,172.23 $3,124.00 $105,172.23 $55,272.32 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 36 30 — — $14,676.00 $124,302.24 $55,245.44 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 24 — — $38,603.87 $124,083.85 $55,148.38 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 9 — — $54,998.04 $59,727.87 $54,998.04 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 24 — — $38,473.41 $123,664.52 $54,962.01 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $54,810.12 $59,523.79 $54,810.12 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 9 9 — — $54,766.85 $59,476.80 $54,766.85 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 24 — — $38,315.14 $123,155.80 $54,735.91 2026-07-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 9 — — $54,732.24 $59,439.21 $54,732.24 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 24 — — $37,567.07 $120,751.29 $53,667.24 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 36 31 — — $17,250.00 $121,356.79 $53,636.77 2026-07-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 9 9 — — $53,455.14 $58,052.28 $53,455.14 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 9 9 — — $53,235.08 $57,813.30 $53,235.08 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 35 29 — — $14,676.00 $119,671.85 $53,187.49 2026-07-15
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 9 9 — — $53,102.79 $57,669.63 $53,102.79 2026-07-15
4014 APR_DRG Adrenal Procedures 9 9 — — $52,823.39 $57,366.20 $52,823.39 2026-07-15
6904 APR_DRG Acute Leukemia 9 9 — — $52,571.18 $57,092.30 $52,571.18 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 24 — — $14,613.00 $118,197.88 $52,532.39 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 9 9 — — $52,469.81 $56,982.21 $52,469.81 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 25 — — $14,613.00 $117,959.71 $52,426.54 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 24 — — $36,590.49 $117,612.29 $52,272.13 2026-07-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 9 9 — — $52,181.75 $56,669.38 $52,181.75 2026-07-15
8602 APR_DRG Rehabilitation 1 1 — — $51,783.10 $51,783.10 $51,783.10 2026-07-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $51,635.31 $56,075.95 $51,635.31 2026-07-15
277 MS_DRG Cellulitis Age >17 W Cc 28 26 — — $31,434.00 $232,912.00 $51,618.13 2026-07-15
4402 APR_DRG Kidney Transplant 9 9 — — $51,526.51 $55,957.79 $51,526.51 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 24 — — $35,962.85 $115,594.88 $51,375.50 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 9 9 — — $51,294.09 $55,705.38 $51,294.09 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 24 — — $35,872.53 $115,304.56 $51,246.47 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 36 31 — — $17,250.00 $115,820.68 $51,199.85 2026-07-15
245 MS_DRG Aicd Generator Procedures 33 28 — — $14,676.00 $114,748.72 $50,999.43 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 24 — — $35,593.84 $114,408.76 $50,848.34 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 27 — — $31,011.00 $114,359.11 $50,826.27 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $50,788.44 $55,156.25 $50,788.44 2026-07-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 9 9 — — $50,700.66 $55,060.92 $50,700.66 2026-07-15
4414 APR_DRG Major Bladder Procedures 9 9 — — $50,677.17 $55,035.41 $50,677.17 2026-07-15
799 MS_DRG Splenectomy With Mcc 26 24 — — $35,440.97 $113,917.41 $50,629.96 2026-07-15
1782 APR_DRG External Heart Assist Systems 9 9 — — $50,489.26 $54,831.34 $50,489.26 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 26 24 — — $35,077.36 $112,748.67 $50,110.52 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 27 — — $27,144.00 $112,716.40 $50,096.18 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $50,021.00 $54,322.81 $50,021.00 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $50,000.00 $54,300.00 $50,000.00 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 9 9 — — $50,000.00 $54,300.00 $50,000.00 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $50,000.00 $54,300.00 $50,000.00 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $50,000.00 $54,300.00 $50,000.00 2026-07-15
5881 APR_DRG Female Reproductive System Reconstructive Procedures 9 9 — — $50,000.00 $54,300.00 $50,000.00 2026-07-15
61 APR_DRG Pancreas Transplant 9 9 — — $50,000.00 $54,300.00 $50,000.00 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $50,000.00 $54,300.00 $50,000.00 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 9 9 — — $49,955.17 $54,251.31 $49,955.17 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 27 — — $14,613.00 $112,279.68 $49,902.08 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 9 — — $49,803.11 $54,086.18 $49,803.11 2026-07-15
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $49,224.52 $53,457.83 $49,224.52 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 25 — — $14,613.00 $110,540.16 $49,128.96 2026-07-15
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 9 9 — — $48,551.97 $52,727.44 $48,551.97 2026-07-15
2614 APR_DRG Major Biliary Tract Procedures 9 9 — — $48,511.18 $52,683.14 $48,511.18 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 44 36 — — $14,676.00 $105,478.04 $48,501.15 2026-07-15
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $48,496.34 $52,667.03 $48,496.34 2026-07-15
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 26 24 — — $33,885.38 $108,917.30 $48,407.69 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 9 9 — — $48,291.11 $52,444.15 $48,291.11 2026-07-15
8604 APR_DRG Rehabilitation 1 1 — — $48,151.57 $48,151.57 $48,151.57 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 24 — — $33,619.05 $108,061.22 $48,027.21 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 9 9 — — $47,740.96 $51,846.68 $47,740.96 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 26 24 — — $33,405.97 $107,376.32 $47,722.81 2026-07-15
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $47,536.97 $51,625.15 $47,536.97 2026-07-15
570 MS_DRG Skin Debridement With Mcc 26 24 — — $31,105.88 $99,983.18 $47,530.76 2026-07-15
1793 APR_DRG Defibrillator Implants 9 9 — — $47,345.34 $51,417.04 $47,345.34 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 35 29 — — $14,676.00 $106,331.67 $47,258.52 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 24 — — $33,025.38 $106,153.02 $47,179.12 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 24 — — $33,009.16 $106,100.87 $47,155.94 2026-07-15
4401 APR_DRG Kidney Transplant 9 9 — — $47,074.60 $51,123.02 $47,074.60 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 24 — — $32,914.21 $105,795.68 $47,020.30 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 26 24 — — $32,875.61 $105,671.61 $46,965.16 2026-07-15
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 9 9 — — $46,730.90 $50,749.76 $46,730.90 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 25 24 — — $32,667.17 $105,001.60 $46,667.38 2026-07-15
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 9 9 — — $46,603.56 $50,611.47 $46,603.56 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 25 — — $14,613.00 $104,589.68 $46,484.30 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 31 — — $17,250.00 $105,076.04 $46,470.16 2026-07-15
1781 APR_DRG External Heart Assist Systems 9 9 — — $46,322.92 $50,306.69 $46,322.92 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 35 29 — — $14,271.00 $103,907.27 $46,181.01 2026-07-15
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 9 9 — — $45,694.88 $49,624.64 $45,694.88 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 9 9 — — $45,530.46 $49,446.08 $45,530.46 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 9 9 — — $45,511.91 $49,425.93 $45,511.91 2026-07-15
274 APR_DRG Other Open Craniotomy 9 9 — — $45,478.53 $49,389.68 $45,478.53 2026-07-15
791 MS_DRG Prematurity With Major Problems 25 24 — — $31,813.33 $102,257.12 $45,447.61 2026-07-15
1814 APR_DRG Lower Extremity Arterial Procedures 9 9 — — $45,438.97 $49,346.72 $45,438.97 2026-07-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 9 9 — — $45,338.83 $49,237.97 $45,338.83 2026-07-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 9 9 — — $45,188.00 $49,074.17 $45,188.00 2026-07-15
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 9 — — $44,976.59 $48,844.58 $44,976.59 2026-07-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 9 9 — — $44,927.14 $48,790.87 $44,927.14 2026-07-15
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 9 9 — — $44,708.32 $48,553.24 $44,708.32 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 24 — — $31,235.09 $100,398.51 $44,621.56 2026-07-15
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 9 9 — — $44,489.49 $48,315.59 $44,489.49 2026-07-15
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $44,365.86 $48,181.32 $44,365.86 2026-07-15
1214 APR_DRG Other Respiratory And Chest Procedures 9 9 — — $44,362.15 $48,177.29 $44,362.15 2026-07-15
2344 APR_DRG Appendectomy Without Complex Principal Diagnosis 9 9 — — $44,101.29 $47,894.00 $44,101.29 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 25 — — $30,677.71 $98,606.93 $43,825.30 2026-07-15
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 9 9 — — $43,694.55 $47,452.28 $43,694.55 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 26 24 — — $30,541.08 $98,167.75 $43,630.11 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 33 28 — — $14,271.00 $97,584.59 $43,370.93 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 24 — — $2,397.40 $97,440.66 $43,306.96 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 29 25 — — $30,286.31 $97,348.86 $43,266.16 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $43,088.76 $46,794.39 $43,088.76 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 9 9 — — $43,034.37 $46,735.33 $43,034.37 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 25 — — $14,613.00 $96,805.42 $43,024.63 2026-07-15
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 9 — — $43,023.24 $46,723.24 $43,023.24 2026-07-15
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $43,017.06 $46,716.53 $43,017.06 2026-07-15
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 9 9 — — $42,836.56 $46,520.50 $42,836.56 2026-07-15
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $42,788.34 $46,468.14 $42,788.34 2026-07-15
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 9 9 — — $42,536.14 $46,194.25 $42,536.14 2026-07-15
4034 APR_DRG Procedures For Obesity 9 9 — — $42,506.47 $46,162.03 $42,506.47 2026-07-15
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $42,499.05 $46,153.97 $42,499.05 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 24 — — $29,528.20 $94,912.06 $42,183.14 2026-07-15
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 9 9 — — $42,050.27 $45,666.59 $42,050.27 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 24 — — $29,401.59 $94,505.11 $42,002.27 2026-07-15
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 9 9 — — $41,905.62 $45,509.50 $41,905.62 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 24 — — $29,332.88 $94,284.25 $41,904.11 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 31 26 — — $25,846.00 $94,274.32 $41,899.70 2026-07-15
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 9 9 — — $41,807.96 $45,403.44 $41,807.96 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 24 — — $29,248.74 $94,013.80 $41,783.91 2026-07-15
294 APR_DRG Other Percutaneous Intracranial Procedures 9 9 — — $41,775.81 $45,368.53 $41,775.81 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 9 9 — — $41,744.91 $45,334.97 $41,744.91 2026-07-15
1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $41,685.56 $45,270.52 $41,685.56 2026-07-15
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 9 9 — — $41,605.20 $45,183.25 $41,605.20 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 25 23 — — $29,086.62 $93,492.70 $41,552.31 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 26 24 — — $28,834.17 $92,681.26 $41,191.67 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 26 — — $17,106.00 $92,644.04 $41,175.13 2026-07-15
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 9 — — $41,061.23 $44,592.50 $41,061.23 2026-07-15
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 9 9 — — $41,029.09 $44,557.59 $41,029.09 2026-07-15
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 9 9 — — $40,917.82 $44,436.75 $40,917.82 2026-07-15
6504 APR_DRG Splenectomy 9 9 — — $40,874.55 $44,389.76 $40,874.55 2026-07-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 36 31 — — $17,250.00 $92,304.09 $40,848.07 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 24 — — $28,489.85 $91,574.53 $40,699.79 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 24 — — $28,468.24 $91,505.07 $40,668.92 2026-07-15
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