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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

St Johns Hospital Camarillo

Camarillo, CA · CCN 050616 · Rates published

15,308 distinct procedures filed
18 distinct payers
324,339 rate rows
2026-02-28 last MRF observed
Data quality

280,702 of 324,339 rate rows are consumer-grade (86.5%)

43,637 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 27,214
per-diem day rate — not a per-procedure price 13,927
template filing: same amount across many unrelated codes — excluded 1,658
exceeds 10× this hospital's gross charge — excluded from medians 829
placeholder amount (≤ $0.02) — excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dignityhealth.org/content/dam/dignity-health/documents/mrf-json/southern-california/json/941196203_st-johns-hospital-camarillo_standardcharges.json?target=%22_blank%22
Found on page https://www.dignityhealth.org/central-coast/locations/pleasantvalley/patients-and-visitors/for-patients/billing-and-payment/hospital-pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint fb4fb8ed2347f4cd… · 77,099,895 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo 5 $380,887.95 $685,599.54 $533,243.74 nat. median
$309,665
1.7× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $284,094.33 $511,368.81 $397,731.57 nat. median
$246,434
1.6× median
5833
APR_DRG 		Neonate With Ecmo 5 $331,703.94 $414,630.54 $373,167.24 nat. median
$244,017
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $11,763.00 $365,974.57 $358,798.59 nat. median
$370,174
1.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $193,097.70 $347,575.86 $270,336.78 nat. median
$150,721
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $16,550.00 $273,460.43 $268,098.46 nat. median
$265,286
1.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $262,036.74 $262,036.74 $262,036.74 nat. median
$207,730
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $186,760.74 $336,168.84 $261,464.79 nat. median
$151,838
1.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $184,897.29 $332,815.86 $258,856.58 nat. median
$164,289
1.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $181,642.71 $326,956.14 $254,299.42 nat. median
$122,924
outlier · 2.1×
24
APR_DRG 		Heart And/or Lung Transplant 5 $253,856.01 $253,856.01 $253,856.01 nat. median
$234,729
1.1× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $179,565.24 $323,218.17 $251,391.70 nat. median
$162,982
1.5× median
5832
APR_DRG 		Neonate With Ecmo 5 $208,152.90 $260,191.74 $234,172.32 nat. median
$156,126
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $16,550.00 $230,370.53 $225,853.46 nat. median
$206,474
1.1× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $182,209.74 $227,762.79 $204,986.27 nat. median
$182,665
1.1× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $177,364.77 $221,705.04 $199,534.90 nat. median
$145,336
1.4× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $198,562.59 $198,562.59 $198,562.59 nat. median
$119,796
1.7× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 $140,097.00 $252,175.83 $196,136.42 nat. median
$109,499
1.8× median
5831
APR_DRG 		Neonate With Ecmo 5 $168,565.35 $210,707.61 $189,636.48 nat. median
$144,745
1.3× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $134,763.72 $242,573.22 $188,668.47 nat. median
$118,620
1.6× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $188,199.84 $188,199.84 $188,199.84 nat. median
$160,267
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $169,140.99 $169,140.99 $169,140.99 nat. median
$164,834
1.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $166,011.87 $166,011.87 $166,011.87 nat. median
$105,658
1.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $164,346.45 $164,346.45 $164,346.45 nat. median
$187,061
0.9× median
23
APR_DRG 		Heart And/or Lung Transplant 5 $160,666.29 $160,666.29 $160,666.29 nat. median
$93,528
1.7× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 5 $159,328.05 $159,328.05 $159,328.05 nat. median
$129,535
1.2× median
1612
APR_DRG 		Implantable Heart Assist Systems 5 $159,235.80 $159,235.80 $159,235.80 nat. median
$85,444
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 11 $16,550.00 $208,162.10 $158,218.27 nat. median
$202,976
0.8× median
1611
APR_DRG 		Implantable Heart Assist Systems 5 $151,456.05 $151,456.05 $151,456.05 nat. median
$76,806
2.0× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 $104,759.10 $188,565.15 $146,662.12 nat. median
$95,507
1.5× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $125,794.56 $157,243.20 $141,518.88 nat. median
$108,996
1.3× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $121,051.68 $151,315.83 $136,183.76 nat. median
$102,919
1.3× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $117,966.84 $147,458.55 $132,712.70 nat. median
$124,573
1.1× median
64
APR_DRG 		Pancreas Transplant 5 $126,947.07 $126,947.07 $126,947.07 nat. median
$91,009
1.4× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 5 $119,480.97 $119,480.97 $119,480.97 nat. median
$97,957
1.2× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $104,600.43 $130,751.46 $117,675.95 nat. median
$72,936
1.6× median
8634
APR_DRG 		Neonatal Aftercare 5 $83,446.89 $150,203.91 $116,825.40 nat. median
$69,502
1.7× median
22
APR_DRG 		Heart And/or Lung Transplant 5 $115,637.22 $115,637.22 $115,637.22 nat. median
$77,804
1.5× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $101,803.41 $127,254.57 $114,528.99 nat. median
$86,492
1.3× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 $113,985.33 $113,985.33 $113,985.33 nat. median
$68,217
1.7× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 $79,453.08 $143,015.79 $111,234.43 nat. median
$72,753
1.5× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $97,809.60 $122,260.77 $110,035.18 nat. median
$86,338
1.3× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $109,723.38 $109,723.38 $109,723.38 nat. median
$69,926
1.6× median
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 $76,370.70 $137,467.26 $106,918.98 nat. median
$66,146
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 11 $16,550.00 $137,388.24 $105,831.74 nat. median
$133,161
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $16,550.00 $107,240.34 $105,137.58 nat. median
$108,660
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $16,550.00 $106,020.97 $103,942.12 nat. median
$102,358
1.0× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 $103,787.40 $103,787.40 $103,787.40 nat. median
$84,063
1.2× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 5 $102,725.91 $102,725.91 $102,725.91 nat. median
$80,416
1.3× median
32050452
CDM 		Inst/supp Ste31640x-34804 8 $40,364.73 $149,499.00 $102,406.82 nat. median
$104,649
1.0× median

Other procedures at this hospital

Browse this hospital's 15,308 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
             
0266T CPT Imp/rpl Car Sin Bf Ad Tot 26 15 $116,089.00 $48,176.94 58% off $5,816.00 $116,089.00 $57,177.64 2026-02-28
0408T CPT Ins/rpl Crd Mod Sy Pg Tve 26 15 $117,000.00 $48,555.00 58% off $3,977.00 $117,000.00 $40,737.44 2026-02-28
0483T CPT Tmvi Perc Transeptl Punc 15 11 $113,244.00 $46,996.26 58% off $3,977.00 $113,244.00 $62,284.20 2026-02-28
0795T CPT Ins 2chmbr Ldls Pm Cmpl 8 8 $77,500.00 $32,162.50 58% off $20,925.00 $77,500.00 $53,087.50 2026-02-28
0796T CPT Ins 2chmbr Ldls Pm Ra 8 8 $77,500.00 $32,162.50 58% off $20,925.00 $77,500.00 $53,087.50 2026-02-28
0797T CPT Ins 2chmbr Ldls Pm Rv 8 8 $77,500.00 $32,162.50 58% off $20,925.00 $77,500.00 $53,087.50 2026-02-28
0823T CPT Ins Tcat 1chmr Ldls Pm Ra 8 8 $77,419.00 $32,128.89 58% off $20,903.13 $77,419.00 $53,032.01 2026-02-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 11 — — $16,550.00 $273,460.43 $268,098.46 2026-02-28
10 MS_DRG Pancreas Transplant 20 11 — — $16,550.00 $77,708.90 $61,657.32 2026-02-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $67,415.07 $67,415.07 $67,415.07 2026-02-28
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 11 — — $16,550.00 $52,729.26 $43,167.49 2026-02-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $75,636.39 $75,636.39 $75,636.39 2026-02-28
1204 APR_DRG Major Respiratory And Chest Procedures 6 5 — — $60,667.29 $60,667.29 $60,667.29 2026-02-28
1214 APR_DRG Other Respiratory And Chest Procedures 6 5 — — $48,626.82 $48,626.82 $48,626.82 2026-02-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $90,655.92 $90,655.92 $90,655.92 2026-02-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 5 — — $43,284.93 $43,284.93 $43,284.93 2026-02-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 5 — — $56,584.92 $56,584.92 $56,584.92 2026-02-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 5 — — $159,328.05 $159,328.05 $159,328.05 2026-02-28
14 MS_DRG Allogeneic Bone Marrow Transplant 20 11 — — $11,763.00 $127,421.97 $97,257.99 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 18 11 — — $16,550.00 $41,420.52 $40,608.35 2026-02-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 11 — — $11,763.00 $58,932.73 $57,777.18 2026-02-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 5 — — $56,434.86 $56,434.86 $56,434.86 2026-02-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 5 — — $119,480.97 $119,480.97 $119,480.97 2026-02-28
1611 APR_DRG Implantable Heart Assist Systems 6 5 — — $151,456.05 $151,456.05 $151,456.05 2026-02-28
1612 APR_DRG Implantable Heart Assist Systems 6 5 — — $159,235.80 $159,235.80 $159,235.80 2026-02-28
1613 APR_DRG Implantable Heart Assist Systems 6 5 — — $198,562.59 $198,562.59 $198,562.59 2026-02-28
1614 APR_DRG Implantable Heart Assist Systems 6 5 — — $262,036.74 $262,036.74 $262,036.74 2026-02-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $46,952.79 $46,952.79 $46,952.79 2026-02-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $54,072.03 $54,072.03 $54,072.03 2026-02-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $69,205.95 $69,205.95 $69,205.95 2026-02-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 5 — — $102,178.56 $102,178.56 $102,178.56 2026-02-28
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 5 — — $40,649.04 $40,649.04 $40,649.04 2026-02-28
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 5 — — $45,412.83 $45,412.83 $45,412.83 2026-02-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 5 — — $56,949.00 $56,949.00 $56,949.00 2026-02-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 5 — — $86,450.55 $86,450.55 $86,450.55 2026-02-28
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 5 — — $41,169.33 $41,169.33 $41,169.33 2026-02-28
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 5 — — $47,803.95 $47,803.95 $47,803.95 2026-02-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 5 — — $57,471.75 $57,471.75 $57,471.75 2026-02-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 5 — — $80,076.69 $80,076.69 $80,076.69 2026-02-28
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 5 — — $40,555.56 $40,555.56 $40,555.56 2026-02-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 5 — — $47,933.10 $47,933.10 $47,933.10 2026-02-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 5 — — $70,488.84 $70,488.84 $70,488.84 2026-02-28
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 5 — — $48,352.53 $48,352.53 $48,352.53 2026-02-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 5 — — $79,926.63 $79,926.63 $79,926.63 2026-02-28
1693 APR_DRG Major Abdominal Vascular Procedures 6 5 — — $40,243.14 $40,243.14 $40,243.14 2026-02-28
1694 APR_DRG Major Abdominal Vascular Procedures 6 5 — — $63,181.41 $63,181.41 $63,181.41 2026-02-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 11 — — $11,763.00 $58,932.73 $57,777.18 2026-02-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 6 5 — — $47,113.92 $47,113.92 $47,113.92 2026-02-28
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 6 5 — — $40,810.17 $40,810.17 $40,810.17 2026-02-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 6 5 — — $45,414.06 $45,414.06 $45,414.06 2026-02-28
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 5 — — $52,757.16 $52,757.16 $52,757.16 2026-02-28
1781 APR_DRG External Heart Assist Systems 6 5 — — $51,646.47 $51,646.47 $51,646.47 2026-02-28
1782 APR_DRG External Heart Assist Systems 6 5 — — $56,492.67 $56,492.67 $56,492.67 2026-02-28
1783 APR_DRG External Heart Assist Systems 6 5 — — $63,650.04 $63,650.04 $63,650.04 2026-02-28
1784 APR_DRG External Heart Assist Systems 6 5 — — $83,065.59 $83,065.59 $83,065.59 2026-02-28
1792 APR_DRG Defibrillator Implants 6 5 — — $40,882.74 $40,882.74 $40,882.74 2026-02-28
1793 APR_DRG Defibrillator Implants 6 5 — — $49,667.40 $49,667.40 $49,667.40 2026-02-28
1794 APR_DRG Defibrillator Implants 6 5 — — $71,161.65 $71,161.65 $71,161.65 2026-02-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 9 — — $11,763.00 $365,974.57 $358,798.59 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 6 5 — — $53,311.89 $53,311.89 $53,311.89 2026-02-28
1824 APR_DRG Other Peripheral Vascular Procedures 6 5 — — $45,602.25 $45,602.25 $45,602.25 2026-02-28
1831 APR_DRG Percutaneous Structural Cardiac Procedures 6 5 — — $41,834.76 $41,834.76 $41,834.76 2026-02-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 6 5 — — $42,743.73 $42,743.73 $42,743.73 2026-02-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 5 — — $49,602.21 $49,602.21 $49,602.21 2026-02-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 5 — — $74,261.25 $74,261.25 $74,261.25 2026-02-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 11 — — $16,550.00 $77,265.93 $75,750.91 2026-02-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 11 — — $16,550.00 $107,240.34 $105,137.58 2026-02-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 11 — — $10,220.00 $78,562.84 $44,391.42 2026-02-28
204 APR_DRG Open Craniotomy For Trauma 6 5 — — $58,096.59 $58,096.59 $58,096.59 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 11 — — $11,763.00 $63,113.29 $61,875.77 2026-02-28
21 APR_DRG Heart And/or Lung Transplant 6 5 — — $95,064.24 $95,064.24 $95,064.24 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 11 — — $16,550.00 $106,020.97 $103,942.12 2026-02-28
214 APR_DRG Open Craniotomy Except Trauma 6 5 — — $61,850.55 $61,850.55 $61,850.55 2026-02-28
215 MS_DRG Other Heart Assist System Implant 19 12 — — $16,550.00 $103,121.81 $101,099.81 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $16,550.00 $93,974.59 $92,131.95 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $16,550.00 $63,023.14 $61,787.39 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $16,550.00 $58,093.32 $56,954.23 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $16,550.00 $75,426.21 $73,947.26 2026-02-28
22 APR_DRG Heart And/or Lung Transplant 6 5 — — $115,637.22 $115,637.22 $115,637.22 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $16,550.00 $51,767.72 $50,752.66 2026-02-28
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 6 5 — — $59,576.28 $59,576.28 $59,576.28 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $16,550.00 $44,942.93 $44,061.69 2026-02-28
224 APR_DRG Ventricular Shunt Procedures 6 5 — — $43,526.01 $43,526.01 $43,526.01 2026-02-28
2244 APR_DRG Peritoneal Adhesiolysis 6 5 — — $41,669.94 $41,669.94 $41,669.94 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 12 — — $16,550.00 $48,729.95 $47,774.46 2026-02-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 6 5 — — $42,523.56 $42,523.56 $42,523.56 2026-02-28
23 APR_DRG Heart And/or Lung Transplant 6 5 — — $160,666.29 $160,666.29 $160,666.29 2026-02-28
2304 APR_DRG Major Small Bowel Procedures 6 5 — — $50,128.65 $50,128.65 $50,128.65 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 12 — — $16,550.00 $82,564.08 $80,945.17 2026-02-28
2314 APR_DRG Major Large Bowel Procedures 6 5 — — $44,604.72 $44,604.72 $44,604.72 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 12 — — $16,550.00 $59,638.37 $58,468.99 2026-02-28
2324 APR_DRG Gastric Fundoplication 6 5 — — $48,367.29 $48,367.29 $48,367.29 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 12 — — $16,550.00 $76,190.99 $74,697.04 2026-02-28
234 APR_DRG Spinal Procedures 6 5 — — $61,515.99 $61,515.99 $61,515.99 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 12 — — $16,550.00 $51,995.50 $50,975.98 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 12 — — $16,550.00 $57,462.32 $56,335.60 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 11 — — $16,550.00 $49,249.50 $40,591.79 2026-02-28
24 APR_DRG Heart And/or Lung Transplant 6 5 — — $253,856.01 $253,856.01 $253,856.01 2026-02-28
244 APR_DRG Open Extracranial Vascular Procedures 6 5 — — $43,031.55 $43,031.55 $43,031.55 2026-02-28
245 MS_DRG Aicd Generator Procedures 18 11 — — $16,550.00 $47,794.58 $46,857.43 2026-02-28
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 6 5 — — $59,128.56 $59,128.56 $59,128.56 2026-02-28
2614 APR_DRG Major Biliary Tract Procedures 6 5 — — $53,795.28 $53,795.28 $53,795.28 2026-02-28
264 APR_DRG Other Nervous System And Related Procedures 6 5 — — $44,869.17 $44,869.17 $44,869.17 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 6 5 — — $46,677.27 $46,677.27 $46,677.27 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 11 — — $16,550.00 $58,495.58 $57,348.60 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 11 — — $16,550.00 $46,029.50 $45,126.96 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 11 — — $16,550.00 $65,055.75 $63,780.14 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 11 — — $16,550.00 $50,180.99 $49,197.04 2026-02-28
274 APR_DRG Other Open Craniotomy 6 5 — — $54,834.63 $54,834.63 $54,834.63 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 11 — — $16,550.00 $68,927.11 $67,575.59 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 11 — — $16,550.00 $60,469.06 $59,283.39 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 11 — — $16,550.00 $45,517.72 $44,625.21 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 11 — — $16,550.00 $48,923.82 $47,964.52 2026-02-28
294 APR_DRG Other Percutaneous Intracranial Procedures 6 5 — — $42,705.60 $42,705.60 $42,705.60 2026-02-28
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 20 11 — — $16,550.00 $208,162.10 $158,218.27 2026-02-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $43,262.79 $43,262.79 $43,262.79 2026-02-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $51,491.49 $51,491.49 $51,491.49 2026-02-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $70,958.70 $70,958.70 $70,958.70 2026-02-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 5 — — $103,787.40 $103,787.40 $103,787.40 2026-02-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 5 — — $47,399.28 $47,399.28 $47,399.28 2026-02-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 5 — — $49,047.48 $49,047.48 $49,047.48 2026-02-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 5 — — $75,384.24 $75,384.24 $75,384.24 2026-02-28
3094 APR_DRG Other Significant Hip And Femur Surgery 6 5 — — $43,014.33 $43,014.33 $43,014.33 2026-02-28
3104 APR_DRG Intervertebral Disc Excision And Decompression 6 5 — — $41,170.56 $41,170.56 $41,170.56 2026-02-28
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 6 5 — — $58,144.56 $58,144.56 $58,144.56 2026-02-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 6 5 — — $42,674.85 $42,674.85 $42,674.85 2026-02-28
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 6 5 — — $40,104.15 $40,104.15 $40,104.15 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 11 — — $16,550.00 $60,391.51 $59,207.36 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 11 — — $16,550.00 $43,006.29 $42,163.02 2026-02-28
32050452 CDM Inst/supp Ste31640x-34804 8 8 $149,499.00 $62,042.09 58% off $40,364.73 $149,499.00 $102,406.82 2026-02-28
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 6 5 — — $49,808.85 $49,808.85 $49,808.85 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 11 — — $16,550.00 $41,713.25 $40,895.34 2026-02-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 6 5 — — $46,983.54 $46,983.54 $46,983.54 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 20 11 — — $16,550.00 $49,657.57 $40,893.84 2026-02-28
33231 CPT Defib Imp Ins Ex Mul Lead 32 17 $72,026.00 $29,890.79 58% off $491.16 $80,511.58 $40,737.44 2026-02-28
33249 CPT Defib Imp Sys Ins/repl Tv 32 17 $88,896.00 $36,891.84 59% off $1,263.26 $88,896.00 $40,737.44 2026-02-28
33264 CPT Defib Imp Gen Replc Mult 32 17 $67,655.00 $28,076.83 58% off $491.72 $80,511.58 $40,737.44 2026-02-28
33270 CPT Defib Subq Ins/rep W Lead 32 17 $64,572.00 $26,797.38 58% off $769.96 $80,511.58 $40,737.44 2026-02-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 5 — — $57,380.73 $57,380.73 $57,380.73 2026-02-28
38240 CPT Transplt Allo Hct/donor 23 11 — — $147.13 $106,005.84 $46,200.00 2026-02-28
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 20 11 — — $16,550.00 $137,388.24 $105,831.74 2026-02-28
4014 APR_DRG Adrenal Procedures 6 5 — — $52,580.04 $52,580.04 $52,580.04 2026-02-28
4034 APR_DRG Procedures For Obesity 6 5 — — $44,987.25 $44,987.25 $44,987.25 2026-02-28
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 6 5 — — $46,011.84 $46,011.84 $46,011.84 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 20 11 — — $16,550.00 $53,047.19 $43,402.82 2026-02-28
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 6 5 — — $46,181.58 $46,181.58 $46,181.58 2026-02-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $51,705.51 $51,705.51 $51,705.51 2026-02-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $71,435.94 $71,435.94 $71,435.94 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 11 — — $26,739.00 $101,964.47 $99,965.16 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 11 — — $26,739.00 $69,273.14 $67,914.84 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 11 — — $26,739.00 $53,778.04 $52,723.56 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 11 — — $26,739.00 $81,272.01 $79,678.44 2026-02-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $109,723.38 $109,723.38 $109,723.38 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 11 — — $26,739.00 $53,452.35 $52,404.26 2026-02-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 5 — — $166,011.87 $166,011.87 $166,011.87 2026-02-28
4401 APR_DRG Kidney Transplant 6 5 — — $47,446.02 $47,446.02 $47,446.02 2026-02-28
4402 APR_DRG Kidney Transplant 6 5 — — $52,914.60 $52,914.60 $52,914.60 2026-02-28
4403 APR_DRG Kidney Transplant 6 5 — — $60,183.90 $60,183.90 $60,183.90 2026-02-28
4404 APR_DRG Kidney Transplant 6 5 — — $96,312.69 $96,312.69 $96,312.69 2026-02-28
4414 APR_DRG Major Bladder Procedures 6 5 — — $57,213.45 $57,213.45 $57,213.45 2026-02-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 6 5 — — $43,835.97 $43,835.97 $43,835.97 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 11 — — $26,739.00 $65,415.36 $64,132.70 2026-02-28
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 6 5 — — $44,016.78 $44,016.78 $44,016.78 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 17 11 — — $26,739.00 $50,346.74 $49,359.54 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 20 11 — — $17,616.00 $82,518.53 $65,483.89 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 20 11 — — $17,616.00 $56,058.78 $45,898.49 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 11 — — $17,616.00 $59,909.78 $48,748.98 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 11 — — $16,550.00 $52,778.69 $43,204.08 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 11 — — $17,616.00 $49,808.78 $41,272.26 2026-02-28
4804 APR_DRG Major Male Pelvic Procedures 6 5 — — $42,266.49 $42,266.49 $42,266.49 2026-02-28
4844 APR_DRG Other Male Reproductive System And Related Procedures 6 5 — — $40,288.65 $40,288.65 $40,288.65 2026-02-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 11 — — $16,550.00 $103,651.04 $80,859.59 2026-02-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $45,191.43 $45,191.43 $45,191.43 2026-02-28
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 6 5 — — $51,749.79 $51,749.79 $51,749.79 2026-02-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 6 5 — — $49,616.97 $49,616.97 $49,616.97 2026-02-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 6 5 — — $45,925.74 $45,925.74 $45,925.74 2026-02-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 6 5 — — $43,994.64 $43,994.64 $43,994.64 2026-02-28
5184 APR_DRG Other Female Reproductive System And Related Procedures 6 5 — — $40,272.66 $40,272.66 $40,272.66 2026-02-28
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 6 5 — — $40,506.36 $40,506.36 $40,506.36 2026-02-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $53,543.13 $53,543.13 $53,543.13 2026-02-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $80,716.29 $80,716.29 $80,716.29 2026-02-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 5 — — $113,985.33 $113,985.33 $113,985.33 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 11 — — $16,550.00 $60,118.17 $48,636.73 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 11 — — $16,550.00 $52,723.44 $43,163.18 2026-02-28
5831 APR_DRG Neonate With Ecmo 6 5 — — $168,565.35 $210,707.61 $189,636.48 2026-02-28
5832 APR_DRG Neonate With Ecmo 6 5 — — $208,152.90 $260,191.74 $234,172.32 2026-02-28
5833 APR_DRG Neonate With Ecmo 6 5 — — $331,703.94 $414,630.54 $373,167.24 2026-02-28
5834 APR_DRG Neonate With Ecmo 6 5 — — $380,887.95 $685,599.54 $533,243.74 2026-02-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $117,966.84 $147,458.55 $132,712.70 2026-02-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $177,364.77 $221,705.04 $199,534.90 2026-02-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $182,209.74 $227,762.79 $204,986.27 2026-02-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 5 — — $284,094.33 $511,368.81 $397,731.57 2026-02-28
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 5 — — $67,594.65 $84,493.62 $76,044.13 2026-02-28
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 5 — — $49,228.29 $61,535.67 $55,381.98 2026-02-28
5893 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 5 — — $41,340.30 $51,675.99 $46,508.14 2026-02-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 5 — — $71,555.25 $89,444.37 $80,499.81 2026-02-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 5 — — $121,051.68 $151,315.83 $136,183.76 2026-02-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 5 — — $184,897.29 $332,815.86 $258,856.58 2026-02-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 5 — — $97,809.60 $122,260.77 $110,035.18 2026-02-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 5 — — $125,794.56 $157,243.20 $141,518.88 2026-02-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 5 — — $186,760.74 $336,168.84 $261,464.79 2026-02-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $78,978.30 $98,722.26 $88,850.28 2026-02-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $101,803.41 $127,254.57 $114,528.99 2026-02-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $134,763.72 $242,573.22 $188,668.47 2026-02-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 5 — — $67,648.77 $84,561.27 $76,105.02 2026-02-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 5 — — $140,097.00 $252,175.83 $196,136.42 2026-02-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $57,352.44 $71,690.55 $64,521.50 2026-02-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $78,833.16 $98,541.45 $88,687.30 2026-02-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $104,759.10 $188,565.15 $146,662.12 2026-02-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 5 — — $40,223.46 $50,279.94 $45,251.70 2026-02-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 5 — — $55,936.71 $69,920.58 $62,928.64 2026-02-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 5 — — $57,212.22 $102,981.75 $80,096.99 2026-02-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 5 — — $40,368.60 $50,459.52 $45,414.06 2026-02-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 5 — — $44,502.63 $55,627.98 $50,065.31 2026-02-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 5 — — $78,320.25 $97,900.62 $88,110.43 2026-02-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 5 — — $179,565.24 $323,218.17 $251,391.70 2026-02-28
61 APR_DRG Pancreas Transplant 6 5 — — $68,578.65 $68,578.65 $68,578.65 2026-02-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 5 — — $47,669.88 $59,587.35 $53,628.61 2026-02-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 5 — — $79,453.08 $143,015.79 $111,234.43 2026-02-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $37,638.00 $47,046.27 $42,342.14 2026-02-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $48,030.27 $60,037.53 $54,033.90 2026-02-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $76,370.70 $137,467.26 $106,918.98 2026-02-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 5 — — $46,443.57 $58,054.77 $52,249.17 2026-02-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 5 — — $64,731.21 $116,516.67 $90,623.94 2026-02-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 5 — — $42,038.94 $52,548.06 $47,293.50 2026-02-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 5 — — $54,212.25 $97,580.82 $75,896.54 2026-02-28
62 APR_DRG Pancreas Transplant 6 5 — — $82,555.14 $82,555.14 $82,555.14 2026-02-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 5 — — $62,057.19 $111,703.68 $86,880.43 2026-02-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 5 — — $42,770.79 $76,988.16 $59,879.47 2026-02-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 5 — — $40,934.40 $73,681.92 $57,308.16 2026-02-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 5 — — $41,113.98 $74,005.41 $57,559.69 2026-02-28
63 APR_DRG Pancreas Transplant 6 5 — — $100,502.07 $100,502.07 $100,502.07 2026-02-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 5 — — $51,032.70 $63,791.49 $57,412.10 2026-02-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 5 — — $104,600.43 $130,751.46 $117,675.95 2026-02-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 5 — — $193,097.70 $347,575.86 $270,336.78 2026-02-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 5 — — $59,570.13 $74,461.74 $67,015.93 2026-02-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 5 — — $181,642.71 $326,956.14 $254,299.42 2026-02-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 5 — — $58,399.17 $105,118.26 $81,758.71 2026-02-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 6 5 — — $37,880.31 $68,183.82 $53,032.07 2026-02-28
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 6 5 — — $31,358.85 $56,445.93 $43,902.39 2026-02-28
64 APR_DRG Pancreas Transplant 6 5 — — $126,947.07 $126,947.07 $126,947.07 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 11 — — $16,550.00 $45,085.41 $44,201.38 2026-02-28
6504 APR_DRG Splenectomy 6 5 — — $44,172.99 $44,172.99 $44,172.99 2026-02-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 5 — — $45,797.82 $45,797.82 $45,797.82 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 20 11 — — $16,550.00 $54,461.39 $44,449.60 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 5 — — $69,544.20 $69,544.20 $69,544.20 2026-02-28
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 5 — — $59,594.73 $59,594.73 $59,594.73 2026-02-28
6904 APR_DRG Acute Leukemia 6 5 — — $59,139.63 $59,139.63 $59,139.63 2026-02-28
6954 APR_DRG Chemotherapy For Acute Leukemia 6 5 — — $50,867.88 $50,867.88 $50,867.88 2026-02-28
69930 CPT Implant Cochlear Device 23 11 — — $1,591.15 $83,675.94 $40,415.02 2026-02-28
7 MS_DRG Lung Transplant 20 11 — — $16,550.00 $127,102.10 $98,217.98 2026-02-28
71 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $58,525.86 $58,525.86 $58,525.86 2026-02-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 6 5 — — $45,946.65 $45,946.65 $45,946.65 2026-02-28
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 6 5 — — $41,898.72 $41,898.72 $41,898.72 2026-02-28
72 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $74,207.13 $74,207.13 $74,207.13 2026-02-28
73 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $94,208.16 $94,208.16 $94,208.16 2026-02-28
74 APR_DRG Allogeneic Bone Marrow Transplant 6 5 — — $164,346.45 $164,346.45 $164,346.45 2026-02-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 5 — — $53,204.88 $53,204.88 $53,204.88 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 18 11 — — $11,763.00 $58,049.70 $56,911.47 2026-02-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 5 — — $50,609.58 $50,609.58 $50,609.58 2026-02-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 11 — — $16,550.00 $53,167.37 $43,491.78 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 11 — — $16,550.00 $56,862.32 $46,226.76 2026-02-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 5 — — $47,807.64 $47,807.64 $47,807.64 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 18 11 — — $11,763.00 $54,002.91 $52,944.02 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 11 — — $11,763.00 $48,961.62 $48,001.58 2026-02-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 5 — — $79,774.11 $79,774.11 $79,774.11 2026-02-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 5 — — $61,864.08 $61,864.08 $61,864.08 2026-02-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 5 — — $188,199.84 $188,199.84 $188,199.84 2026-02-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 5 — — $102,725.91 $102,725.91 $102,725.91 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 17 11 — — $16,550.00 $89,717.46 $87,958.29 2026-02-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 6 5 — — $66,369.57 $66,369.57 $66,369.57 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 11 — — $16,550.00 $48,904.43 $40,336.36 2026-02-28
8633 APR_DRG Neonatal Aftercare 6 5 — — $44,441.13 $55,551.72 $49,996.43 2026-02-28
8634 APR_DRG Neonatal Aftercare 6 5 — — $83,446.89 $150,203.91 $116,825.40 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 11 — — $11,763.00 $67,856.04 $66,525.52 2026-02-28
893 APR_DRG Major Cranial Or Facial Bone Procedures 6 5 — — $41,095.53 $41,095.53 $41,095.53 2026-02-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 5 — — $58,324.14 $58,324.14 $58,324.14 2026-02-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $42,482.97 $42,482.97 $42,482.97 2026-02-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 6 5 — — $44,303.37 $44,303.37 $44,303.37 2026-02-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 5 — — $71,055.87 $71,055.87 $71,055.87 2026-02-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 5 — — $63,321.63 $63,321.63 $63,321.63 2026-02-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 5 — — $63,397.89 $63,397.89 $63,397.89 2026-02-28
913 APR_DRG Other Major Head And Neck Procedures 6 5 — — $42,876.57 $42,876.57 $42,876.57 2026-02-28
914 APR_DRG Other Major Head And Neck Procedures 6 5 — — $68,744.70 $68,744.70 $68,744.70 2026-02-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $44,720.34 $44,720.34 $44,720.34 2026-02-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 5 — — $49,461.99 $49,461.99 $49,461.99 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 11 — — $16,550.00 $230,370.53 $225,853.46 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 11 — — $16,550.00 $65,165.29 $63,887.53 2026-02-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $76,594.56 $76,594.56 $76,594.56 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 11 — — $11,763.00 $42,367.52 $41,536.78 2026-02-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 5 — — $169,140.99 $169,140.99 $169,140.99 2026-02-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 5 — — $58,105.20 $58,105.20 $58,105.20 2026-02-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 5 — — $42,508.80 $42,508.80 $42,508.80 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 11 — — $16,550.00 $72,777.14 $58,006.85 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 11 — — $16,550.00 $61,728.17 $49,828.45 2026-02-28
C1721 HCPCS Icd Dual 10082x-11090 351 15 $69,746.00 $28,944.59 59% off $7,408.80 $114,905.22 $42,654.34 2026-02-28
C1767 HCPCS Neurstm Nrec 10082x-11090 378 15 $88,612.00 $36,773.99 58% off $9,631.92 $152,936.64 $53,165.29 2026-02-28
C1824 HCPCS Gener Ccm 23772x-26149 27 15 $112,322.00 $46,613.63 58% off $26,957.28 $104,459.46 $75,255.74 2026-02-28
C1825 HCPCS Nrstm Crsn Br26149x-28764 27 15 $123,554.00 $51,274.91 58% off $29,652.96 $114,905.22 $82,781.18 2026-02-28
C1882 HCPCS Icd Not S/d 10082x-11090 351 15 $76,721.00 $31,839.22 58% off $9,631.92 $126,395.37 $46,919.70 2026-02-28
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