Price Transparency 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

SHERMAN OAKS HOSPITAL

Sherman Oaks, CA · CCN 050755 · Rates published

4,571 distinct procedures filed
40 distinct payers
283,816 rate rows
2026-03-17 last MRF observed
Data quality

283,549 of 283,816 rate rows are consumer-grade (99.9%)

267 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
exceeds 10× this hospital's gross charge — excluded from medians 203
percent-of-charges filed in the dollar field — excluded from medians 42
per-diem day rate — not a per-procedure price 15
exceeds 3× this hospital's gross charge for a DRG stay — excluded 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://shermanoakshospital.org/wp-content/uploads/2026/04/202546649_ShermanOaksHospital_standardcharges.JSON
Found on page https://shermanoakshospital.org/patients-visitors/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint fcf796160039711b… · 58,265,568 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 8 $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 8 $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 34 $348,087.00 $743,758.47 $416,619.95 nat. median
$370,174
1.1× median
5833
APR_DRG 		Neonate W Ecmo 8 $337,098.00 $381,895.65 $356,911.82 nat. median
$244,017
1.5× median
612
OTHER 		UnGrouped 1 $324,382.00 $324,382.00 $324,382.00 nat. median
$2,164
outlier · 149.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 34 $266,446.51 $519,550.00 $298,105.51 nat. median
$265,286
1.1× median
636
OTHER 		UnGrouped 1 $297,662.00 $297,662.00 $297,662.00 nat. median
$53
outlier · 5667.6×
5934
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure 8 $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 8 $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 8 $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 8 $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 8 $262,779.00 $359,836.67 $281,173.00 nat. median
$162,982
1.7× median
633
OTHER 		UnGrouped 1 $267,431.00 $267,431.00 $267,431.00 nat. median
$4,769
outlier · 56.1×
631
OTHER 		UnGrouped 1 $260,524.00 $260,524.00 $260,524.00 nat. median
$5,302
outlier · 49.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 $203,046.00 $437,615.00 $241,509.00 nat. median
$206,474
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 $201,855.87 $395,386.00 $226,341.85 nat. median
$202,976
1.1× median
5832
APR_DRG 		Neonate W Ecmo 8 $211,538.00 $239,647.88 $223,969.98 nat. median
$156,126
1.4× median
24
APR_DRG 		Heart &or Lung Transplant 8 $206,387.00 $260,257.66 $220,834.00 nat. median
$234,729
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 8 $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 8 $197,214.00 $226,997.51 $211,019.00 nat. median
$118,620
1.8× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 8 $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 8 $180,248.00 $249,584.40 $192,866.00 nat. median
$145,336
1.3× median
5831
APR_DRG 		Neonate W Ecmo 8 $171,307.00 $202,202.98 $183,298.00 nat. median
$144,745
1.3× median
359
OTHER 		UnGrouped 1 $167,730.00 $167,730.00 $167,730.00 nat. median
$2,225
outlier · 75.4×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 8 $153,008.00 $185,129.11 $163,718.00 nat. median
$160,267
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 8 $161,433.00 $174,130.87 $162,739.13 nat. median
$119,796
1.4× median
114
APR_DRG 		UnGrouped 8 $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 8 $153,305.00 $168,968.18 $157,914.19 nat. median
$95,507
1.7× median
681
OTHER 		UnGrouped 1 $153,497.00 $153,497.00 $153,497.00 nat. median
$0
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition 11 $2,117.70 $219,372.00 $153,438.03 nat. median
$109,499
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 $131,801.52 $260,811.00 $148,533.86 nat. median
$133,161
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 8 $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 8 $134,969.00 $159,102.44 $144,417.00 nat. median
$105,658
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $133,615.00 $160,324.08 $142,968.00 nat. median
$187,061
0.8× median
7
MS_DRG 		Lung Transplant 34 $123,239.73 $241,252.00 $138,148.65 nat. median
$122,708
1.1× median
14
APR_DRG 		Liver Transplant &or Intestinal Transplant 8 $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 8 $127,840.00 $173,455.39 $136,789.00 nat. median
$108,996
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 34 $114,382.00 $241,860.00 $133,477.00 nat. median
$117,357
1.1× median
5913
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure 8 $123,021.00 $209,001.74 $131,632.00 nat. median
$102,919
1.3× median
23
APR_DRG 		Heart &or Lung Transplant 8 $130,623.00 $140,738.01 $131,530.85 nat. median
$93,528
1.4× median
453
OTHER 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $130,389.00 $130,389.00 $130,389.00 nat. median
$65,342
2.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 8 $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 8 $119,885.00 $166,001.58 $128,277.00 nat. median
$124,573
1.0× median
8634
APR_DRG 		Neonatal Aftercare 8 $122,117.00 $135,851.87 $126,964.36 nat. median
$69,502
1.8× median
635
OTHER 		UnGrouped 1 $126,856.00 $126,856.00 $126,856.00 nat. median
$666
outlier · 190.5×
6114
APR_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly 8 $116,273.00 $142,387.29 $124,412.00 nat. median
$72,753
1.7× median
1611
APR_DRG 		Implantable Heart Assist Systems 8 $109,991.74 $131,754.00 $123,135.00 nat. median
$76,806
1.6× median
634
OTHER 		UnGrouped 1 $120,408.00 $120,408.00 $120,408.00 nat. median
$414
outlier · 290.8×
613
OTHER 		UnGrouped 1 $115,052.00 $115,052.00 $115,052.00 nat. median
$42,666
outlier · 2.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 34 $107,864.00 $203,485.00 $113,982.50 nat. median
$108,660
1.0× median

Other procedures at this hospital

Browse this hospital's 4,571 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
             
5834 APR_DRG Neonate W Ecmo 17 8 — — $557,398.00 $809,617.52 $596,416.00 2026-03-17
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 17 8 — — $415,747.00 $511,708.57 $444,850.00 2026-03-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 78 34 — $498,953.00 $348,087.00 $743,758.47 $416,619.95 2026-03-17
5833 APR_DRG Neonate W Ecmo 17 8 — — $337,098.00 $381,895.65 $356,911.82 2026-03-17
612 OTHER UnGrouped 1 1 — — $324,382.00 $324,382.00 $324,382.00 2024-12-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 78 34 — $372,745.00 $266,446.51 $519,550.00 $298,105.51 2026-03-17
636 OTHER UnGrouped 1 1 — — $297,662.00 $297,662.00 $297,662.00 2024-12-19
5934 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure 17 8 — — $273,308.00 $310,791.04 $290,458.92 2026-03-17
5914 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure 17 8 — — $270,582.00 $352,087.07 $289,522.00 2026-03-17
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 17 8 — — $265,818.00 $307,117.70 $284,426.00 2026-03-17
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 17 8 — — $243,895.93 $302,363.00 $282,582.00 2026-03-17
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 17 8 — — $262,779.00 $359,836.67 $281,173.00 2026-03-17
633 OTHER UnGrouped 1 1 — — $267,431.00 $267,431.00 $267,431.00 2024-12-19
631 OTHER UnGrouped 1 1 — — $260,524.00 $260,524.00 $260,524.00 2024-12-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 78 34 — $313,962.00 $203,046.00 $437,615.00 $241,509.00 2026-03-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 78 34 — $283,665.00 $201,855.87 $395,386.00 $226,341.85 2026-03-17
5832 APR_DRG Neonate W Ecmo 17 8 — — $211,538.00 $239,647.88 $223,969.98 2026-03-17
24 APR_DRG Heart &or Lung Transplant 17 8 — — $206,387.00 $260,257.66 $220,834.00 2026-03-17
1614 APR_DRG Implantable Heart Assist Systems 17 8 — — $202,241.64 $227,950.00 $213,038.00 2026-03-17
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 17 8 — — $197,214.00 $226,997.51 $211,019.00 2026-03-17
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 17 8 — — $185,173.00 $258,786.47 $198,135.00 2026-03-17
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 17 8 — — $180,248.00 $249,584.40 $192,866.00 2026-03-17
5831 APR_DRG Neonate W Ecmo 17 8 — — $171,307.00 $202,202.98 $183,298.00 2026-03-17
359 OTHER UnGrouped 1 1 — — $167,730.00 $167,730.00 $167,730.00 2024-12-19
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 17 8 — — $153,008.00 $185,129.11 $163,718.00 2026-03-17
1613 APR_DRG Implantable Heart Assist Systems 17 8 — — $161,433.00 $174,130.87 $162,739.13 2026-03-17
114 APR_DRG UnGrouped 9 8 — — $160,319.00 $171,542.00 $160,319.00 2024-12-19
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 17 8 — — $153,305.00 $168,968.18 $157,914.19 2026-03-17
681 OTHER UnGrouped 1 1 — — $153,497.00 $153,497.00 $153,497.00 2024-12-19
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition 23 11 — — $2,117.70 $219,372.00 $153,438.03 2026-03-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 78 34 — $187,115.00 $131,801.52 $260,811.00 $148,533.86 2026-03-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 17 8 — — $137,513.00 $208,263.30 $147,139.00 2026-03-17
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 17 8 — — $134,969.00 $159,102.44 $144,417.00 2026-03-17
74 APR_DRG Allogeneic Bone Marrow Transplant 17 8 — — $133,615.00 $160,324.08 $142,968.00 2026-03-17
7 MS_DRG Lung Transplant 78 34 — $173,083.00 $123,239.73 $241,252.00 $138,148.65 2026-03-17
14 APR_DRG Liver Transplant &or Intestinal Transplant 17 8 — — $129,535.00 $147,554.06 $137,900.99 2026-03-17
5933 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure 17 8 — — $127,840.00 $173,455.39 $136,789.00 2026-03-17
14 MS_DRG Allogeneic Bone Marrow Transplant 78 34 — $173,519.00 $114,382.00 $241,860.00 $133,477.00 2026-03-17
5913 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure 17 8 — — $123,021.00 $209,001.74 $131,632.00 2026-03-17
23 APR_DRG Heart &or Lung Transplant 17 8 — — $130,623.00 $140,738.01 $131,530.85 2026-03-17
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $130,389.00 $130,389.00 $130,389.00 2024-12-19
1612 APR_DRG Implantable Heart Assist Systems 17 8 — — $109,991.74 $138,523.00 $129,460.00 2026-03-17
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 17 8 — — $119,885.00 $166,001.58 $128,277.00 2026-03-17
8634 APR_DRG Neonatal Aftercare 17 8 — — $122,117.00 $135,851.87 $126,964.36 2026-03-17
635 OTHER UnGrouped 1 1 — — $126,856.00 $126,856.00 $126,856.00 2024-12-19
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 17 8 — — $116,273.00 $142,387.29 $124,412.00 2026-03-17
1611 APR_DRG Implantable Heart Assist Systems 17 8 — — $109,991.74 $131,754.00 $123,135.00 2026-03-17
634 OTHER UnGrouped 1 1 — — $120,408.00 $120,408.00 $120,408.00 2024-12-19
613 OTHER UnGrouped 1 1 — — $115,052.00 $115,052.00 $115,052.00 2024-12-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 78 34 — $145,988.00 $107,864.00 $203,485.00 $113,982.50 2026-03-17
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 78 34 — $144,324.00 $10,735.20 $201,166.00 $112,684.00 2026-03-17
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond 17 8 — — $97,520.72 $119,585.00 $111,762.00 2026-03-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 78 34 — $141,091.00 $98,161.40 $196,660.00 $111,303.51 2026-03-17
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 17 8 — — $103,459.00 $123,618.19 $110,701.00 2026-03-17
215 MS_DRG Other Heart Assist System Implant 78 34 — $140,369.00 $94,803.00 $195,654.00 $108,565.71 2026-03-17
426 MS_DRG UnGrouped 41 32 — $138,790.00 $17,775.00 $193,453.00 $107,830.00 2024-12-19
5932 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure 17 8 — — $99,399.40 $134,864.84 $106,357.00 2026-03-17
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 17 8 — — $103,484.31 $113,743.00 $106,302.00 2026-03-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 17 8 — — $97,139.40 $114,410.75 $103,939.00 2026-03-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 78 34 — $127,890.00 $93,148.00 $178,260.00 $103,266.88 2026-03-17
64 APR_DRG Pancreas Transplant 17 8 — — $92,994.09 $110,433.00 $103,209.00 2026-03-17
22 APR_DRG Heart &or Lung Transplant 17 8 — — $94,013.50 $108,630.32 $100,594.00 2026-03-17
54 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 17 8 — — $92,671.30 $113,176.62 $99,158.30 2026-03-17
632 OTHER UnGrouped 1 1 — — $96,697.50 $96,697.50 $96,697.50 2024-12-19
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 17 8 — — $89,206.20 $105,465.60 $95,450.60 2026-03-17
850 MS_DRG UnGrouped 40 31 — $122,083.00 $93,910.20 $170,165.00 $95,318.85 2024-12-19
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection 17 8 — — $84,935.21 $101,360.00 $94,729.20 2026-03-17
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 17 8 — — $85,461.60 $102,147.52 $91,444.00 2026-03-17
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 17 8 — — $90,816.10 $97,488.70 $91,110.93 2026-03-17
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 17 8 — — $83,517.10 $99,001.18 $89,363.30 2026-03-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 78 34 — $112,324.00 $71,167.30 $156,563.00 $87,699.60 2026-03-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 78 34 — $112,262.00 $71,597.30 $156,477.00 $86,787.55 2026-03-17
429 MS_DRG UnGrouped 40 31 — $110,562.00 $85,047.70 $154,106.00 $86,323.45 2024-12-19
113 APR_DRG UnGrouped 9 8 — — $86,144.50 $92,174.60 $86,144.50 2024-12-19
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 17 8 — — $80,114.50 $92,704.07 $85,722.60 2026-03-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 78 34 — $106,866.00 $74,964.19 $156,450.00 $84,654.04 2026-03-17
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom 17 8 — — $80,262.20 $90,371.65 $84,459.49 2026-03-17
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 17 8 — — $74,045.86 $90,286.50 $84,379.90 2026-03-17
6084 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition 17 8 — — $77,329.63 $89,585.60 $83,724.90 2026-03-17
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 17 8 — — $80,771.14 $88,886.70 $83,071.70 2026-03-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 78 34 — $103,630.00 $72,839.89 $144,445.00 $82,173.79 2026-03-17
73 APR_DRG Allogeneic Bone Marrow Transplant 17 8 — — $76,591.90 $95,522.26 $81,953.30 2026-03-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 78 34 — $102,587.00 $73,154.36 $142,991.00 $81,943.74 2026-03-17
63 APR_DRG Pancreas Transplant 17 8 — — $79,144.95 $87,429.10 $81,709.50 2026-03-17
10 MS_DRG Pancreas Transplant 78 34 — $105,701.00 $62,503.30 $147,331.00 $81,308.60 2026-03-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 78 34 — $105,096.00 $67,988.97 $146,489.00 $80,843.80 2026-03-17
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 17 8 — — $79,594.10 $86,329.27 $80,681.56 2026-03-17
6144 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition 17 8 — — $64,292.94 $84,887.70 $79,334.30 2026-03-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 78 34 — $98,973.00 $72,599.50 $137,954.00 $78,887.60 2026-03-17
361 OTHER UnGrouped 1 1 — — $78,336.40 $78,336.40 $78,336.40 2024-12-19
4404 APR_DRG Kidney Transplant 17 8 — — $76,896.47 $83,784.60 $78,303.40 2026-03-17
21 APR_DRG Heart &or Lung Transplant 17 8 — — $77,288.50 $83,272.88 $77,825.12 2026-03-17
5912 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure 17 8 — — $72,719.10 $169,706.50 $77,809.50 2026-03-17
647 OTHER UnGrouped 1 1 — — $77,772.60 $77,772.60 $77,772.60 2024-12-19
13 APR_DRG Liver Transplant &or Intestinal Transplant 17 8 — — $73,704.30 $81,486.34 $76,155.46 2026-03-17
360 OTHER UnGrouped 1 1 — — $75,760.50 $75,760.50 $75,760.50 2024-12-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 78 34 — $92,259.00 $65,872.27 $128,596.00 $73,741.49 2026-03-17
8514 APR_DRG UnGrouped 9 8 — — $73,525.10 $78,671.90 $73,525.10 2024-12-19
5891 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 17 8 — — $68,694.30 $212,323.83 $73,502.90 2026-03-17
427 MS_DRG UnGrouped 41 32 — $94,193.00 $17,109.40 $131,291.00 $73,180.80 2024-12-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 78 34 — $93,721.00 $60,981.40 $130,633.00 $73,174.55 2026-03-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 78 34 — $90,564.00 $64,155.50 $147,140.00 $72,097.91 2026-03-17
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $71,376.20 $71,376.20 $71,376.20 2024-12-19
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx 17 8 — — $70,285.20 $75,975.89 $71,005.50 2026-03-17
53 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 17 8 — — $65,623.00 $79,847.27 $70,216.60 2026-03-17
646 OTHER UnGrouped 1 1 — — $69,746.60 $69,746.60 $69,746.60 2024-12-19
447 MS_DRG UnGrouped 40 31 — $88,930.00 $68,408.00 $123,955.00 $69,434.05 2024-12-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 78 34 — $88,589.00 $41,328.70 $123,851.90 $69,271.40 2026-03-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 78 34 — $85,789.00 $61,339.60 $119,578.00 $68,619.58 2026-03-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 78 34 — $88,439.00 $18,126.10 $123,271.00 $68,370.75 2026-03-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 78 34 — $81,703.00 $62,448.30 $113,883.00 $67,648.64 2026-03-17
1784 APR_DRG External Heart Assist Systems 17 8 — — $66,228.69 $72,260.00 $67,532.70 2026-03-17
62 APR_DRG Pancreas Transplant 17 8 — — $66,925.17 $71,816.60 $67,118.40 2026-03-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 78 34 — $85,666.00 $62,675.37 $119,406.00 $66,886.10 2026-03-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 17 8 — — $62,272.00 $117,818.20 $66,631.00 2026-03-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 78 34 — $78,941.00 $60,724.30 $113,567.77 $66,577.30 2026-03-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 78 34 — $83,900.00 $58,362.17 $116,944.00 $66,181.18 2026-03-17
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 17 8 — — $64,857.30 $69,665.73 $65,108.16 2026-03-17
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 17 8 — — $63,659.00 $69,659.70 $65,102.50 2026-03-17
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 17 8 — — $54,029.06 $69,530.10 $64,981.40 2026-03-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 78 34 — $81,049.00 $57,804.50 $112,970.00 $64,744.87 2026-03-17
72 APR_DRG Allogeneic Bone Marrow Transplant 17 8 — — $60,331.30 $71,097.23 $64,554.40 2026-03-17
317 MS_DRG UnGrouped 41 32 — $82,076.00 $63,136.00 $114,402.00 $64,398.70 2024-12-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc 78 34 — $82,182.00 $45,258.10 $114,550.00 $63,533.50 2026-03-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 78 34 — $81,419.00 $52,678.06 $113,486.00 $62,630.50 2026-03-17
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond 17 8 — — $56,955.36 $66,973.30 $62,591.90 2026-03-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 78 34 — $78,080.00 $55,961.40 $108,833.00 $62,529.71 2026-03-17
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 78 34 — $80,086.00 $56,541.89 $111,629.00 $62,529.30 2026-03-17
28 MS_DRG Spinal Procedures With Mcc 78 34 — $80,663.00 $49,862.50 $112,432.00 $62,358.95 2026-03-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 78 34 — $76,166.00 $56,859.20 $106,164.00 $62,290.29 2026-03-17
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 17 8 — — $60,538.20 $66,355.54 $62,014.52 2026-03-17
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 78 34 — $80,086.00 $51,816.37 $111,629.00 $61,605.20 2026-03-17
112 APR_DRG UnGrouped 9 8 — — $61,532.30 $65,839.60 $61,532.30 2024-12-19
12 APR_DRG Liver Transplant &or Intestinal Transplant 17 8 — — $61,446.58 $65,797.80 $61,493.30 2026-03-17
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 17 8 — — $58,078.20 $65,771.66 $61,468.84 2026-03-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 78 34 — $79,490.00 $50,459.60 $110,797.00 $61,452.20 2026-03-17
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 17 8 — — $54,426.59 $65,578.30 $61,288.10 2026-03-17
790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 40 32 — $78,882.00 $8,155.80 $109,950.00 $60,981.95 2024-12-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 78 34 — $75,712.00 $54,647.50 $105,532.00 $60,851.68 2026-03-17
6083 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition 17 8 — — $56,846.10 $64,642.73 $60,413.77 2026-03-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 17 8 — — $58,768.76 $64,601.60 $60,375.30 2026-03-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 78 34 — $77,262.00 $55,925.30 $107,692.00 $60,324.05 2026-03-17
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition 17 8 — — $52,004.27 $64,378.60 $60,166.90 2026-03-17
6234 APR_DRG Neonate Bwt 2000-2499g W Congenitalperinatal Infection 17 8 — — $54,746.96 $64,097.10 $59,903.90 2026-03-17
459 OTHER Spinal Fusion Except Cervical With Mcc 1 1 — — $59,665.30 $59,665.30 $59,665.30 2024-12-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 78 34 — $71,691.00 $54,354.89 $99,926.80 $59,107.38 2026-03-17
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom 17 8 — — $58,284.90 $63,144.04 $59,013.12 2026-03-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 78 34 — $72,221.00 $53,453.30 $100,666.00 $58,801.48 2026-03-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 78 34 — $73,361.00 $52,363.60 $109,395.00 $58,627.55 2026-03-17
1794 APR_DRG Defibrillator Implants 17 8 — — $54,992.69 $61,904.90 $57,855.00 2026-03-17
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 17 8 — — $56,264.60 $61,903.67 $57,853.90 2026-03-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 37 30 — $56,673.00 $8,823.38 $102,691.48 $57,806.46 2026-03-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 17 8 — — $56,988.86 $61,812.80 $57,768.90 2026-03-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 78 34 — $71,623.00 $52,023.48 $99,832.80 $57,752.04 2026-03-17
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 17 8 — — $49,432.46 $61,728.20 $57,689.90 2026-03-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 78 34 — $73,361.00 $50,500.56 $106,408.00 $57,565.62 2026-03-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 78 34 — $70,622.00 $52,105.18 $98,437.60 $57,405.90 2026-03-17
1664 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx 17 8 — — $55,046.75 $61,319.10 $57,307.50 2026-03-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 78 34 — $72,057.00 $52,179.29 $100,437.00 $57,103.05 2026-03-17
653 MS_DRG Major Bladder Procedures With Mcc 78 34 — $73,986.00 $43,885.10 $103,126.00 $56,913.00 2026-03-17
428 MS_DRG UnGrouped 41 32 — $73,054.00 $13,535.70 $101,827.00 $56,757.90 2024-12-19
430 MS_DRG UnGrouped 40 31 — $72,610.00 $55,854.20 $101,208.00 $56,692.00 2024-12-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 78 34 — $70,312.00 $50,871.08 $98,004.40 $56,580.57 2026-03-17
6804 APR_DRG Major O.r. Procedures For Lymphatichematopoieticother Neoplasms 17 8 — — $52,992.28 $60,497.60 $56,539.80 2026-03-17
914 APR_DRG Other Major Head & Neck Procedures 17 8 — — $53,845.66 $59,802.60 $55,890.30 2026-03-17
61 APR_DRG Pancreas Transplant 17 8 — — $54,005.73 $59,658.00 $55,755.10 2026-03-17
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Syndoth Maj Resp Cond 17 8 — — $54,075.28 $59,314.40 $55,434.10 2026-03-17
608 OTHER UnGrouped 1 1 — — $55,350.00 $55,350.00 $55,350.00 2024-12-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 78 34 — $71,616.00 $46,770.69 $99,821.70 $55,089.30 2026-03-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 78 34 — $67,639.00 $49,660.70 $94,279.60 $54,842.26 2026-03-17
11 APR_DRG Liver Transplant &or Intestinal Transplant 17 8 — — $50,490.44 $58,645.90 $54,809.30 2026-03-17
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma 17 8 — — $51,481.30 $58,548.39 $54,718.12 2026-03-17
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 17 8 — — $47,159.61 $57,735.60 $53,958.50 2026-03-17
1783 APR_DRG External Heart Assist Systems 17 8 — — $51,747.50 $57,464.00 $53,704.67 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 8 — — $50,028.70 $212,323.83 $53,530.80 2026-03-17
648 OTHER UnGrouped 1 1 — — $53,471.30 $53,471.30 $53,471.30 2024-12-19
450 OTHER UnGrouped 40 31 — $68,373.00 $52,595.20 $95,302.50 $53,384.10 2024-12-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 78 34 — $66,432.00 $39,201.30 $96,196.33 $53,353.94 2026-03-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 78 34 — $66,406.00 $47,126.00 $92,559.90 $52,913.47 2026-03-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 78 34 — $66,168.00 $47,209.60 $92,228.20 $52,867.73 2026-03-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 78 34 — $68,147.00 $4,387.07 $94,987.30 $52,683.30 2026-03-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 78 34 — $67,433.00 $47,589.60 $93,992.00 $52,650.05 2026-03-17
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 17 8 — — $50,296.20 $55,982.59 $52,320.18 2026-03-17
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 17 8 — — $51,543.30 $55,895.25 $52,238.55 2026-03-17
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond 17 8 — — $48,811.40 $56,406.25 $52,228.20 2026-03-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 78 34 — $66,484.00 $45,850.09 $92,668.70 $52,216.80 2026-03-17
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Ccmcc 1 1 — — $51,954.10 $51,954.10 $51,954.10 2024-12-19
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 17 8 — — $40,762.17 $55,493.30 $51,862.90 2026-03-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 78 34 — $66,876.00 $46,965.40 $93,216.10 $51,701.00 2026-03-17
1694 APR_DRG Major Abdominal Vascular Procedures 17 8 — — $49,701.73 $54,962.90 $51,367.20 2026-03-17
4403 APR_DRG Kidney Transplant 17 8 — — $48,930.00 $54,771.15 $51,187.99 2026-03-17
71 APR_DRG Allogeneic Bone Marrow Transplant 17 8 — — $47,581.80 $59,181.34 $50,912.50 2026-03-17
6 MS_DRG Liver Transplant Without Mcc 78 34 — $64,394.00 $44,260.67 $89,756.60 $50,457.16 2026-03-17
471 MS_DRG Cervical Spinal Fusion With Mcc 78 34 — $64,501.00 $46,081.90 $89,905.90 $50,361.20 2026-03-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 78 34 — $63,420.00 $44,648.29 $88,398.20 $50,329.82 2026-03-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 78 34 — $63,134.00 $44,781.29 $88,000.10 $50,293.58 2026-03-17
214 APR_DRG Open Craniotomy Except Trauma 17 8 — — $49,641.30 $53,805.20 $50,285.20 2026-03-17
245 MS_DRG Aicd Generator Procedures 78 34 — $64,892.00 $43,551.90 $90,449.60 $50,166.60 2026-03-17
234 APR_DRG Spinal Procedures 17 8 — — $47,896.38 $53,513.90 $50,013.00 2026-03-17
318 OTHER UnGrouped 1 1 — — $49,391.10 $49,391.10 $49,391.10 2024-12-19
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 78 34 — $61,785.00 $44,084.90 $86,120.20 $49,367.50 2026-03-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 78 34 — $62,150.00 $43,764.75 $86,628.90 $49,328.21 2026-03-17
1204 APR_DRG Major Respiratory & Chest Procedures 17 8 — — $44,991.70 $52,776.00 $49,323.30 2026-03-17
799 MS_DRG Splenic Procedures With Mcc 78 34 — $63,146.00 $43,233.67 $88,016.70 $49,286.38 2026-03-17
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition 23 11 — — $529.50 $73,561.80 $49,060.10 2026-03-17
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection 17 8 — — $47,198.70 $52,356.78 $48,931.57 2026-03-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 78 34 — $61,001.00 $46,924.50 $87,141.35 $48,812.67 2026-03-17
677 OTHER UnGrouped 1 1 — — $48,693.80 $48,693.80 $48,693.80 2024-12-19
691 OTHER UnGrouped 1 1 — — $48,640.00 $48,640.00 $48,640.00 2024-12-19
1633 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx 17 8 — — $46,299.60 $51,935.38 $48,537.74 2026-03-17
6814 APR_DRG Other O.r. Procedures For Lymphatichematopoieticother Neoplasms 17 8 — — $42,835.46 $51,842.10 $48,450.60 2026-03-17
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 17 8 — — $45,194.71 $51,835.90 $48,444.80 2026-03-17
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 17 8 — — $45,647.91 $51,826.00 $48,435.60 2026-03-17
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 17 8 — — $45,225.70 $55,280.45 $48,391.50 2026-03-17
362 OTHER UnGrouped 1 1 — — $48,366.30 $48,366.30 $48,366.30 2024-12-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 78 34 — $62,484.00 $4,861.57 $87,093.30 $48,305.05 2026-03-17
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 17 8 — — $46,961.37 $51,437.30 $48,072.20 2026-03-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 78 34 — $59,411.00 $43,402.78 $82,810.00 $48,047.04 2026-03-17
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 17 8 — — $46,004.40 $51,294.49 $47,938.78 2026-03-17
163 MS_DRG Major Chest Procedures With Mcc 78 34 — $61,221.00 $42,786.20 $85,333.20 $47,756.65 2026-03-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 78 34 — $60,992.00 $43,875.90 $85,014.30 $47,621.15 2026-03-17
894 APR_DRG Major Cranialfacial Bone Procedures 17 8 — — $45,836.60 $50,736.90 $47,417.60 2026-03-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 78 34 — $61,196.00 $24,999.70 $85,298.20 $47,309.40 2026-03-17
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 17 8 — — $43,474.70 $50,580.50 $47,271.50 2026-03-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 17 8 — — $44,744.70 $50,547.30 $47,240.50 2026-03-17
204 APR_DRG Open Craniotomy For Trauma 17 8 — — $43,983.55 $50,539.80 $47,233.50 2026-03-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 78 34 — $58,359.00 $42,606.60 $81,344.70 $47,180.83 2026-03-17
396 OTHER UnGrouped 1 1 — — $47,101.80 $47,101.80 $47,101.80 2024-12-19
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 17 8 — — $45,882.30 $50,288.36 $46,998.47 2026-03-17
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 17 8 — — $46,725.00 $50,216.91 $46,931.69 2026-03-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 78 34 — $59,575.00 $40,991.57 $83,038.50 $46,730.39 2026-03-17
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 17 8 — — $40,936.82 $49,916.50 $46,650.90 2026-03-17
52 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure 17 8 — — $43,531.10 $53,470.09 $46,578.30 2026-03-17
4414 APR_DRG Major Bladder Procedures 17 8 — — $43,454.56 $49,770.90 $46,514.80 2026-03-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 78 34 — $59,930.00 $37,111.70 $83,534.30 $46,331.10 2026-03-17
1782 APR_DRG External Heart Assist Systems 17 8 — — $43,293.42 $49,144.30 $45,929.30 2026-03-17
8633 APR_DRG Neonatal Aftercare 17 8 — — $45,164.40 $49,131.09 $45,916.91 2026-03-17
6364 APR_DRG Neonate Birthwt >2499g W Congenitalperinatal Infection 17 8 — — $35,086.77 $49,103.20 $45,890.90 2026-03-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 78 34 — $56,595.00 $41,319.30 $78,886.00 $45,755.07 2026-03-17
901 MS_DRG Wound Debridements For Injuries With Mcc 78 34 — $58,858.00 $40,076.68 $82,039.60 $45,707.91 2026-03-17
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 17 8 — — $43,255.90 $48,721.89 $45,534.48 2026-03-17
4014 APR_DRG Adrenal Procedures 17 8 — — $42,748.40 $48,465.53 $45,294.89 2026-03-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 78 34 — $57,370.00 $39,848.67 $79,966.10 $45,220.74 2026-03-17
6904 APR_DRG Acute Leukemia - Soi : 4 8 7 — — $45,078.63 $48,234.13 $45,078.63 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 8 — — $42,012.80 $212,323.83 $44,953.70 2026-03-17
274 APR_DRG Other Open Craniotomy 17 8 — — $38,996.84 $47,701.80 $44,581.10 2026-03-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 78 34 — $54,617.00 $40,241.00 $76,128.80 $44,364.33 2026-03-17
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 17 8 — — $43,960.50 $47,375.47 $44,276.14 2026-03-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 78 34 — $56,679.00 $39,081.20 $79,002.10 $44,249.65 2026-03-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 78 34 — $54,648.00 $40,002.57 $76,171.10 $44,240.37 2026-03-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 78 34 — $57,488.00 $37,203.70 $80,130.10 $44,221.90 2026-03-17
4402 APR_DRG Kidney Transplant 17 8 — — $43,019.70 $47,275.65 $44,182.85 2026-03-17
363 OTHER UnGrouped 1 1 — — $43,950.30 $43,950.30 $43,950.30 2024-12-19
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 78 34 — $54,057.00 $39,662.46 $96,846.10 $43,814.60 2026-03-17
2614 APR_DRG Major Biliary Tract Procedures 17 8 — — $41,597.26 $46,797.90 $43,736.30 2026-03-17
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 41 32 — $55,672.00 $42,825.30 $77,599.50 $43,636.80 2024-12-19
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 17 8 — — $42,036.80 $46,598.47 $43,549.97 2026-03-17
793 MS_DRG Full Term Neonate With Major Problems 77 34 — $55,420.00 $39,820.16 $77,247.50 $43,483.70 2026-03-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 78 34 — $55,686.00 $28,312.50 $77,618.00 $43,446.59 2026-03-17
140 MS_DRG Major Head And Neck Procedures With Mcc 78 34 — $56,196.00 $5,998.70 $78,329.40 $43,444.25 2026-03-17
1814 APR_DRG Lower Extremity Arterial Procedures 17 8 — — $38,962.92 $46,377.00 $43,343.00 2026-03-17
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 17 8 — — $33,931.68 $45,894.00 $42,891.60 2026-03-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 78 34 — $51,979.00 $39,401.20 $72,451.80 $42,850.74 2026-03-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 78 34 — $55,290.00 $5,298.00 $77,066.90 $42,744.05 2026-03-17
6143 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition 17 8 — — $41,632.78 $45,712.70 $42,722.20 2026-03-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 37 30 — $37,371.00 $37,371.90 $67,717.88 $42,603.97 2026-03-17
448 MS_DRG UnGrouped 77 34 — $54,269.00 $40,496.60 $75,644.00 $42,581.10 2026-03-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 78 34 — $54,537.00 $40,260.99 $76,016.30 $42,580.85 2026-03-17
460 OTHER Spinal Fusion Except Cervical Without Mcc 1 1 — — $42,192.10 $42,192.10 $42,192.10 2024-12-19
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 9 8 — — $42,072.80 $45,017.90 $42,072.80 2024-12-19
1781 APR_DRG External Heart Assist Systems 17 8 — — $39,720.89 $44,928.00 $41,988.80 2026-03-17
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 17 8 — — $36,947.67 $44,793.00 $41,862.60 2026-03-17
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 17 8 — — $38,867.90 $45,694.42 $41,588.70 2026-03-17
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 17 8 — — $41,024.40 $44,496.02 $41,585.07 2026-03-17
791 MS_DRG Prematurity With Major Problems 77 34 — $53,957.00 $3,483.70 $75,209.10 $41,506.10 2026-03-17
1833 APR_DRG Percutaneous Structural Cardiac Procedures 17 8 — — $40,327.30 $44,307.17 $41,408.57 2026-03-17
6954 APR_DRG Chemotherapy For Acute Leukemia 17 8 — — $39,025.46 $44,251.10 $41,356.20 2026-03-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 78 34 — $52,950.00 $36,682.17 $73,804.60 $41,342.00 2026-03-17
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 17 8 — — $38,747.72 $44,026.20 $41,146.00 2026-03-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 37 30 — $40,124.00 $35,676.70 $72,705.01 $40,926.68 2026-03-17
6082 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition 17 8 — — $36,442.26 $43,739.50 $40,878.00 2026-03-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 78 34 — $52,234.00 $36,925.38 $72,807.50 $40,783.40 2026-03-17
2304 APR_DRG Major Small Bowel Procedures 17 8 — — $39,041.36 $43,607.50 $40,754.70 2026-03-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 78 34 — $52,913.00 $34,245.30 $73,753.00 $40,702.50 2026-03-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 78 34 — $52,447.00 $35,613.37 $73,104.20 $40,673.57 2026-03-17
1793 APR_DRG Defibrillator Implants 17 8 — — $40,380.30 $43,439.42 $40,597.59 2026-03-17
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 17 8 — — $40,070.72 $43,330.10 $40,495.40 2026-03-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 78 34 — $51,186.00 $35,716.90 $71,345.90 $40,439.44 2026-03-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 78 34 — $50,817.00 $35,957.29 $102,144.00 $40,431.75 2026-03-17
402 MS_DRG UnGrouped 41 32 — $52,004.00 $15,316.10 $72,486.80 $40,403.80 2024-12-19
4401 APR_DRG Kidney Transplant 17 8 — — $38,573.70 $43,191.01 $40,365.43 2026-03-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 78 34 — $51,694.00 $36,980.48 $72,053.60 $40,361.20 2026-03-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 78 34 — $47,675.00 $36,673.60 $68,960.79 $40,313.43 2026-03-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 78 34 — $52,340.00 $34,166.40 $72,954.90 $40,262.10 2026-03-17
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures 17 8 — — $39,182.36 $43,028.10 $40,213.20 2026-03-17
904 MS_DRG Skin Grafts For Injuries With Ccmcc 78 34 — $51,329.00 $35,103.20 $79,611.00 $40,017.65 2026-03-17
6394 APR_DRG Neonate Birthwt >2499g W Other Significant Condition 17 8 — — $30,420.63 $42,791.80 $39,992.40 2026-03-17
1663 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx 17 8 — — $38,970.00 $42,758.84 $39,961.53 2026-03-17
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 17 8 — — $38,877.05 $42,667.20 $39,875.90 2026-03-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 78 34 — $50,152.00 $36,890.20 $69,904.60 $39,872.80 2026-03-17
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