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 →

Export CSV
Hospital

MONTCLAIR HOSPITAL MEDICAL CENTER

Montclair, CA · CCN 050758 · Rates published

4,194 distinct procedures filed
39 distinct payers
281,727 rate rows
2026-09-01 last MRF observed
Data quality

281,600 of 281,727 rate rows are consumer-grade (100.0%)

127 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 103
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 10
per-diem day rate — not a per-procedure price 9
percent-of-charges filed in the dollar field — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://montclair-hospital.org/wp-content/uploads/2026/09/240000141_MontclairHospitalMedicalCenter_standardcharges.json
Found on page https://montclair-hospital.org/patients-visitors/price-transparency/
Discovered viaCMS hospital list
Last fetch success · 2026-09-21
Content fingerprint 666606e212387259… · 28,207,209 bytes · first seen 2026-09-21

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate W Ecmo - Soi : 4 8 $557,398.00 $1,021,480.05 $756,651.89 nat. median
$390,362
1.9× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 4 8 $415,747.00 $645,613.62 $478,232.31 nat. median
$286,698
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 $348,183.00 $833,399.58 $416,699.79 nat. median
$168,055
outlier · 2.5×
5833
APR_DRG 		Neonate W Ecmo - Soi : 3 8 $337,098.00 $481,830.96 $356,911.82 nat. median
$268,208
1.3× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 8 $262,779.00 $453,999.53 $336,295.95 nat. median
$198,578
1.7× median
5914
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 8 $270,582.00 $444,222.01 $329,053.34 nat. median
$171,497
1.9× median
612
OTHER 		UnGrouped 1 $324,470.00 $324,470.00 $324,470.00 nat. median
$6,246
outlier · 51.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 30 $268,904.00 $596,329.00 $298,164.00 nat. median
$186,516
1.6× median
636
OTHER 		UnGrouped 1 $297,744.00 $297,744.00 $297,744.00 nat. median
$6,011
outlier · 49.5×
5934
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 8 $273,308.00 $392,119.54 $290,458.92 nat. median
$168,439
1.7× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 8 $265,818.00 $387,484.95 $287,025.89 nat. median
$181,762
1.6× median
633
OTHER 		UnGrouped 1 $267,504.00 $267,504.00 $267,504.00 nat. median
$1,441
outlier · 185.7×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 8 $243,895.93 $329,259.51 $260,968.65 nat. median
$187,567
1.4× median
631
OTHER 		UnGrouped 1 $260,595.00 $260,595.00 $260,595.00 nat. median
$5,475
outlier · 47.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 $205,018.00 $502,391.00 $251,195.00 nat. median
$131,925
1.9× median
24
APR_DRG 		Heart &or Lung Transplant - Soi : 4 8 $206,387.00 $328,362.47 $243,231.46 nat. median
$225,531
1.1× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 3 8 $185,173.00 $326,506.29 $241,856.51 nat. median
$173,134
1.4× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 2 8 $180,248.00 $314,896.21 $233,256.45 nat. median
$152,383
1.5× median
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 $226,988.00 $453,975.00 $226,988.00 nat. median
$119,739
1.9× median
5832
APR_DRG 		Neonate W Ecmo - Soi : 2 8 $211,538.00 $302,359.47 $223,969.98 nat. median
$201,678
1.1× median
1614
APR_DRG 		Implantable Heart Assist Systems- Soi : 4 8 $202,241.64 $273,026.21 $213,038.00 nat. median
$202,242
1.1× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 8 $197,214.00 $286,398.73 $212,147.21 nat. median
$124,731
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $203,819.00 $410,269.60 $205,134.80 nat. median
$145,435
1.4× median
5893
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 8 $42,012.80 $267,885.21 $198,433.49 nat. median
$77,096
outlier · 2.6×
5891
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 8 $68,694.30 $267,885.21 $198,433.49 nat. median
$99,483
2.0× median
5892
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 8 $50,028.70 $267,885.21 $198,433.49 nat. median
$96,548
outlier · 2.1×
5913
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 8 $123,021.00 $263,693.79 $195,328.73 nat. median
$120,079
1.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 8 $137,513.00 $262,762.11 $194,638.60 nat. median
$152,792
1.3× median
5831
APR_DRG 		Neonate W Ecmo - Soi : 1 8 $171,307.00 $255,115.91 $188,974.75 nat. median
$173,909
1.1× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft - Soi : 4 8 $153,008.00 $233,574.11 $173,017.86 nat. median
$173,018
1.0× median
359
OTHER 		UnGrouped 1 $167,776.00 $167,776.00 $167,776.00 nat. median
$13,185
outlier · 12.7×
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4 8 $153,438.03 $219,372.00 $164,178.69 nat. median
$115,963
1.4× median
1613
APR_DRG 		Implantable Heart Assist Systems- Soi : 3 8 $161,433.00 $219,697.83 $162,739.13 nat. median
$155,539
1.0× median
5933
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 8 $127,840.00 $218,845.58 $162,107.84 nat. median
$114,205
1.4× median
114
APR_DRG 		UnGrouped 8 $160,319.00 $171,542.00 $160,319.00 nat. median
$135,803
1.2× median
5912
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 8 $72,719.10 $214,115.68 $158,604.21 nat. median
$85,835
1.8× median
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 8 $153,305.00 $213,184.16 $157,914.19 nat. median
$100,752
1.6× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 1 8 $119,885.00 $209,441.24 $155,141.66 nat. median
$130,862
1.2× median
681
OTHER 		UnGrouped 1 $153,539.00 $153,539.00 $153,539.00 nat. median
$220,794
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 $133,228.00 $299,685.00 $149,843.00 nat. median
$97,418
1.5× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant- Soi : 4 8 $133,615.00 $202,278.05 $149,835.59 nat. median
$149,836
1.0× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4 8 $134,969.00 $200,736.72 $148,693.87 nat. median
$135,630
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 30 $115,676.00 $277,958.00 $138,979.00 nat. median
$72,715
1.9× median
7
MS_DRG 		Lung Transplant 30 $124,601.00 $277,261.00 $138,631.00 nat. median
$70,649
2.0× median
14
APR_DRG 		Liver Transplant &or Intestinal Transplant - Soi : 4 8 $129,535.00 $186,166.34 $137,900.99 nat. median
$136,566
1.0× median
6114
APR_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 4 8 $116,273.00 $179,647.51 $133,072.23 nat. median
$85,322
1.6× median
23
APR_DRG 		Heart &or Lung Transplant - Soi : 3 8 $130,623.00 $177,566.65 $131,530.85 nat. median
$117,894
1.1× median
453
OTHER 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $129,647.00 $130,424.00 $130,035.50 nat. median
$55,290
outlier · 2.4×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $129,647.04 $129,647.04 $129,647.04 nat. median
$2,106
outlier · 61.6×
8634
APR_DRG 		Neonatal Aftercare - Soi : 4 8 $122,117.00 $171,401.89 $126,964.36 nat. median
$79,210
1.6× median

Other procedures at this hospital

Browse this hospital's 4,194 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
             
5931 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 1 22 8 — — $1,931.74 $84,351.09 $62,482.29 2026-09-01
791 MS_DRG Prematurity With Major Problems 99 30 — $39,735.00 $3,538.42 $86,894.00 $43,447.00 2026-09-01
140 MS_DRG Major Head And Neck Procedures With Mcc 100 30 — $41,723.00 $6,000.34 $90,471.40 $45,235.70 2026-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 99 30 — $57,893.00 $8,158.03 $126,724.00 $63,361.90 2026-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 99 30 — $41,317.00 $8,404.48 $89,024.00 $44,512.00 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 100 30 — $105,400.00 $10,738.10 $231,303.00 $115,652.00 2026-09-01
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 1 22 8 — — $12,764.00 $66,859.05 $49,525.22 2026-09-01
428 MS_DRG UnGrouped 35 25 — $76,317.00 $13,539.40 $117,411.00 $58,705.70 2024-12-19
402 MS_DRG UnGrouped 35 25 — $54,452.00 $15,320.30 $83,772.90 $41,886.50 2024-12-19
427 MS_DRG UnGrouped 35 25 — $98,274.00 $17,114.10 $151,191.00 $75,595.70 2024-12-19
426 MS_DRG UnGrouped 35 25 — $144,598.00 $17,779.90 $222,460.00 $111,230.00 2024-12-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 100 30 — $66,896.00 $18,488.90 $141,997.00 $70,998.60 2026-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 100 30 — $45,925.00 $25,006.50 $98,461.10 $49,230.60 2026-09-01
031 OTHER Ventricular Shunt Procedures With Mcc 36 26 — $58,276.00 $28,320.30 $89,655.80 $44,827.90 2024-12-19
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 100 30 — $34,228.00 $30,085.30 $82,775.50 $41,387.80 2026-09-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 64 24 — $43,796.00 $30,304.70 $87,593.86 $43,796.93 2026-09-01
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 2 22 8 — — $34,479.80 $56,982.43 $42,209.21 2026-09-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 1 22 8 — — $34,539.10 $65,998.22 $48,887.57 2026-09-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 100 30 — $35,067.00 $34,845.90 $84,309.70 $42,154.80 2026-09-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 100 30 — $35,147.00 $34,925.30 $85,224.60 $42,612.30 2026-09-01
904 MS_DRG Skin Grafts For Injuries With Ccmcc 100 30 — $36,017.00 $35,789.80 $82,693.10 $41,346.60 2026-09-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 100 30 — $36,534.00 $36,303.80 $84,480.80 $42,240.40 2026-09-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 2 22 8 — — $36,357.70 $81,571.83 $60,423.58 2026-09-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 100 30 — $41,109.00 $36,390.80 $89,634.70 $44,817.30 2026-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 100 30 — $36,639.00 $36,408.20 $82,464.90 $41,232.40 2026-09-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 100 30 — $36,883.00 $36,650.40 $102,172.00 $40,937.70 2026-09-01
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 36 26 — $62,685.00 $37,121.90 $96,438.80 $48,219.40 2024-12-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 100 30 — $37,618.00 $37,380.80 $85,283.80 $42,641.90 2026-09-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 100 30 — $37,865.00 $37,625.90 $84,140.60 $42,070.30 2026-09-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 100 30 — $37,921.00 $37,681.40 $83,276.40 $41,638.20 2026-09-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 100 30 — $38,147.00 $37,906.40 $92,535.90 $46,268.00 2026-09-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 100 30 — $38,318.00 $38,075.80 $81,437.90 $40,719.00 2026-09-01
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment - Soi : 4 22 8 — — $38,747.72 $52,309.42 $41,146.00 2026-09-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 3 22 8 — — $38,867.90 $57,651.84 $42,705.07 2026-09-01
1814 APR_DRG Lower Extremity Arterial Procedures - Soi : 4 22 8 — — $38,962.92 $52,599.94 $41,690.32 2026-09-01
274 APR_DRG Other Open Craniotomy- Soi : 4 22 8 — — $38,996.84 $52,645.73 $41,726.62 2026-09-01
6954 APR_DRG Chemotherapy For Acute Leukemia - Soi : 4 22 8 — — $39,025.46 $52,684.37 $41,356.20 2026-09-01
2304 APR_DRG Major Small Bowel Procedures - Soi : 4 22 8 — — $39,041.36 $52,705.84 $40,754.70 2026-09-01
1781 APR_DRG External Heart Assist Systems- Soi : 1 22 8 — — $39,720.89 $53,623.20 $41,988.80 2026-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 100 30 — $42,951.00 $39,863.40 $91,242.70 $45,621.40 2026-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 100 30 — $54,257.00 $39,985.90 $108,515.66 $54,257.83 2026-09-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 100 30 — $40,376.00 $40,120.70 $83,732.80 $41,866.40 2026-09-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 3 22 8 — — $40,327.30 $55,901.57 $41,408.57 2026-09-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 100 30 — $40,641.00 $40,383.90 $96,872.60 $43,526.20 2026-09-01
793 MS_DRG Full Term Neonate With Major Problems 99 30 — $40,801.00 $40,542.80 $89,231.00 $44,615.50 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 100 30 — $40,830.00 $40,571.60 $92,347.90 $46,173.90 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 100 30 — $40,986.00 $40,726.70 $87,997.00 $43,998.50 2026-09-01
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 2 22 8 — — $40,762.17 $55,493.30 $43,615.52 2026-09-01
901 MS_DRG Wound Debridements For Injuries With Mcc 100 30 — $41,061.00 $40,801.30 $94,725.10 $47,362.60 2026-09-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses - Soi : 4 22 8 — — $40,936.82 $55,264.71 $43,802.40 2026-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 100 30 — $41,228.00 $40,966.90 $87,948.40 $43,974.20 2026-09-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 100 30 — $41,248.00 $40,987.00 $87,819.50 $43,909.80 2026-09-01
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 1 22 8 — — $41,024.40 $56,139.84 $41,585.07 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 96 29 — $41,487.00 $41,224.50 $87,392.70 $43,696.30 2026-09-01
2614 APR_DRG Major Biliary Tract Procedures - Soi : 4 22 8 — — $41,597.26 $56,156.30 $43,736.30 2026-09-01
6143 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 3 22 8 — — $41,632.78 $56,204.25 $42,722.20 2026-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 100 30 — $41,989.00 $41,723.20 $95,870.40 $47,935.20 2026-09-01
5893 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 22 8 — — $42,012.80 $267,885.21 $198,433.49 2026-09-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 1 22 8 — — $42,036.80 $58,792.46 $43,549.97 2026-09-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 100 30 — $42,321.00 $42,053.50 $91,109.60 $45,554.80 2026-09-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 8 8 — — $42,072.80 $45,017.90 $42,072.80 2024-12-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 100 30 — $69,736.00 $42,156.00 $142,236.00 $71,118.00 2026-09-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 2 — — $42,203.70 $53,517.04 $53,517.02 2026-09-01
4014 APR_DRG Adrenal Procedures - Soi : 4 22 8 — — $42,748.40 $61,148.10 $45,294.89 2026-09-01
6814 APR_DRG Other O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 22 8 — — $42,835.46 $57,827.87 $45,833.94 2026-09-01
4402 APR_DRG Kidney Transplant - Soi : 2 22 8 — — $43,019.70 $59,646.85 $44,182.85 2026-09-01
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure - Soi : 4 22 8 — — $43,255.90 $61,471.55 $45,534.48 2026-09-01
1782 APR_DRG External Heart Assist Systems- Soi : 2 22 8 — — $43,293.42 $58,446.12 $45,929.30 2026-09-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 100 30 — $43,627.00 $43,350.70 $93,928.50 $46,964.20 2026-09-01
4414 APR_DRG Major Bladder Procedures - Soi : 4 22 8 — — $43,454.56 $58,663.66 $46,496.38 2026-09-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses - Soi… 22 8 — — $43,474.70 $58,690.85 $46,517.93 2026-09-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 2 22 8 — — $43,531.10 $67,462.27 $49,972.05 2026-09-01
163 MS_DRG Major Chest Procedures With Mcc 100 30 — $43,809.00 $43,531.60 $98,501.20 $49,250.60 2026-09-01
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 2 22 8 — — $43,960.50 $59,772.79 $44,276.14 2026-09-01
363 OTHER UnGrouped 1 1 — — $43,962.30 $43,962.30 $43,962.30 2024-12-19
799 MS_DRG Splenic Procedures With Mcc 64 24 — $44,263.00 $43,982.50 $88,526.56 $44,263.28 2026-09-01
204 APR_DRG Open Craniotomy For Trauma- Soi : 4 22 8 — — $43,983.55 $59,377.79 $47,062.40 2026-09-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 100 30 — $44,434.00 $44,152.90 $95,608.40 $47,804.20 2026-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 64 24 — $44,454.00 $44,172.00 $88,908.10 $44,454.05 2026-09-01
245 MS_DRG Aicd Generator Procedures 100 30 — $44,586.00 $44,303.20 $104,367.00 $52,183.60 2026-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 100 30 — $44,801.00 $44,517.60 $99,986.70 $49,993.40 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 100 30 — $44,914.00 $44,629.60 $98,135.60 $49,067.80 2026-09-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis- Soi : 4 22 8 — — $44,744.70 $60,405.35 $47,240.50 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 100 30 — $50,694.00 $44,763.50 $118,901.00 $59,450.60 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 100 30 — $45,126.00 $44,840.20 $99,403.50 $49,701.70 2026-09-01
1204 APR_DRG Major Respiratory & Chest Procedures - Soi : 4 22 8 — — $44,991.70 $60,738.79 $48,141.12 2026-09-01
6 MS_DRG Liver Transplant Without Mcc 100 30 — $45,304.00 $45,017.30 $103,573.00 $51,786.30 2026-09-01
6904 APR_DRG Acute Leukemia - Soi : 4 22 8 — — $45,078.63 $60,856.15 $48,081.20 2026-09-01
8633 APR_DRG Neonatal Aftercare - Soi : 3 22 8 — — $45,164.40 $61,987.83 $45,916.91 2026-09-01
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 3 22 8 — — $45,194.71 $61,012.86 $48,358.34 2026-09-01
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 2 22 8 — — $45,225.70 $69,746.36 $51,663.97 2026-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 100 30 — $45,697.00 $45,407.90 $102,015.00 $51,007.70 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 100 30 — $45,832.00 $45,541.90 $101,559.00 $50,779.40 2026-09-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures - Soi : 4 22 8 — — $45,647.91 $61,624.68 $48,435.60 2026-09-01
894 APR_DRG Major Cranialfacial Bone Procedures - Soi : 4 22 8 — — $45,836.60 $61,879.41 $47,417.60 2026-09-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 3 22 8 — — $45,882.30 $63,447.93 $46,998.47 2026-09-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours - Soi : 4 22 8 — — $46,004.40 $64,717.35 $47,938.78 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 100 30 — $58,501.00 $46,164.00 $131,998.00 $65,999.10 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 97 29 — $46,497.00 $46,202.50 $100,519.00 $50,259.60 2026-09-01
1633 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 3 22 8 — — $46,299.60 $65,525.95 $48,537.74 2026-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 100 30 — $46,916.00 $46,618.90 $106,911.00 $53,455.70 2026-09-01
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 3 22 8 — — $46,725.00 $63,357.78 $46,931.69 2026-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 100 30 — $47,151.00 $46,852.50 $103,744.00 $51,871.90 2026-09-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures - Soi : 4 22 8 — — $46,961.37 $63,397.85 $48,072.20 2026-09-01
396 OTHER UnGrouped 1 1 — — $47,114.60 $47,114.60 $47,114.60 2024-12-19
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service - Soi : 4 22 8 — — $47,159.61 $63,665.47 $50,460.78 2026-09-01
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 3 22 8 — — $47,198.70 $66,057.62 $48,931.57 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 100 30 — $49,189.00 $47,486.70 $98,379.46 $49,189.73 2026-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 100 30 — $47,850.00 $47,546.60 $115,112.00 $57,556.20 2026-09-01
71 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 1 22 8 — — $47,581.80 $74,668.04 $55,309.66 2026-09-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 100 30 — $48,047.00 $47,742.80 $107,539.00 $53,769.50 2026-09-01
234 APR_DRG Spinal Procedures - Soi : 4 22 8 — — $47,896.38 $64,660.11 $50,013.00 2026-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 100 30 — $48,210.00 $47,904.60 $106,787.00 $53,393.30 2026-09-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 100 30 — $48,295.00 $47,988.80 $106,406.00 $53,203.20 2026-09-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 100 30 — $48,681.00 $48,371.80 $108,429.00 $54,214.30 2026-09-01
362 OTHER UnGrouped 1 1 — — $48,379.50 $48,379.50 $48,379.50 2024-12-19
691 OTHER UnGrouped 1 1 — — $48,653.30 $48,653.30 $48,653.30 2024-12-19
677 OTHER UnGrouped 1 1 — — $48,707.20 $48,707.20 $48,707.20 2024-12-19
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 3 22 8 — — $48,811.40 $71,166.76 $52,716.12 2026-09-01
4403 APR_DRG Kidney Transplant - Soi : 3 22 8 — — $48,930.00 $69,103.79 $51,187.99 2026-09-01
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 3 22 8 — — $49,060.10 $73,561.80 $52,494.31 2026-09-01
318 OTHER UnGrouped 1 1 — — $49,404.60 $49,404.60 $49,404.60 2024-12-19
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 3 22 8 — — $49,432.46 $66,733.82 $52,892.73 2026-09-01
214 APR_DRG Open Craniotomy Except Trauma- Soi : 4 22 8 — — $49,641.30 $67,015.76 $50,285.20 2026-09-01
1694 APR_DRG Major Abdominal Vascular Procedures - Soi : 4 22 8 — — $49,701.73 $67,097.34 $51,367.20 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 100 30 — $58,517.00 $49,876.10 $129,570.00 $64,785.10 2026-09-01
5892 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 22 8 — — $50,028.70 $267,885.21 $198,433.49 2026-09-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 3 22 8 — — $50,296.20 $70,632.24 $52,320.18 2026-09-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 100 30 — $50,781.00 $50,458.70 $108,758.00 $54,379.10 2026-09-01
11 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 1 22 8 — — $50,490.44 $68,162.09 $54,024.77 2026-09-01
799 OTHER Splenic Procedures With Mcc 36 26 — $66,025.00 $50,788.90 $101,578.00 $50,788.90 2024-12-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 97 29 — $51,464.00 $51,137.50 $109,570.00 $54,784.80 2026-09-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 100 30 — $51,633.00 $51,305.00 $117,902.00 $58,950.80 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 64 24 — $59,674.00 $51,469.70 $119,349.42 $59,674.71 2026-09-01
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma - Soi : 4 22 8 — — $51,481.30 $73,869.46 $54,718.12 2026-09-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma - Soi : 4 22 8 — — $51,543.30 $70,522.04 $52,238.55 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 100 30 — $52,008.00 $51,678.30 $113,029.00 $56,514.40 2026-09-01
1783 APR_DRG External Heart Assist Systems- Soi : 3 22 8 — — $51,747.50 $72,501.30 $53,704.67 2026-09-01
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Ccmcc 2 2 — — $51,968.30 $67,382.40 $59,675.35 2024-12-19
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition - Soi : 4 22 8 — — $52,004.27 $70,205.76 $55,644.57 2026-09-01
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 100 30 — $52,967.00 $52,630.90 $128,649.00 $64,324.40 2026-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 100 30 — $53,177.00 $52,839.60 $115,125.00 $57,562.50 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 100 30 — $53,260.00 $52,921.90 $113,525.00 $56,762.70 2026-09-01
6804 APR_DRG Major O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 22 8 — — $52,992.28 $71,539.58 $56,539.80 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 100 30 — $53,335.00 $52,996.60 $115,818.00 $57,909.10 2026-09-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 100 30 — $53,522.00 $53,182.30 $117,902.00 $58,950.80 2026-09-01
648 OTHER UnGrouped 1 1 — — $53,485.90 $53,485.90 $53,485.90 2024-12-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 100 30 — $53,841.00 $53,499.20 $130,779.00 $65,389.40 2026-09-01
914 APR_DRG Other Major Head & Neck Procedures - Soi : 4 22 8 — — $53,845.66 $72,691.64 $55,890.30 2026-09-01
61 APR_DRG Pancreas Transplant - Soi : 1 22 8 — — $54,005.73 $72,907.74 $55,755.10 2026-09-01
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures - Soi : 4 22 8 — — $54,029.06 $72,939.23 $57,811.09 2026-09-01
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 22 8 — — $54,075.28 $73,001.63 $55,434.10 2026-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 100 30 — $54,627.00 $54,280.30 $116,080.00 $58,040.10 2026-09-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 4 22 8 — — $54,426.59 $73,475.90 $58,236.45 2026-09-01
6234 APR_DRG Neonate Bwt 2000-2499g W Congenitalperinatal Infection - Soi : 4 22 8 — — $54,746.96 $73,908.40 $58,579.25 2026-09-01
450 MS_DRG UnGrouped 34 24 — $71,455.00 $54,965.50 $109,931.00 $54,965.50 2024-12-19
1794 APR_DRG Defibrillator Implants- Soi : 4 22 8 — — $54,992.69 $74,240.13 $57,855.00 2026-09-01
1664 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx - Soi : 4 22 8 — — $55,046.75 $74,313.11 $57,307.50 2026-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 100 30 — $55,542.00 $55,188.80 $115,233.00 $57,616.40 2026-09-01
608 OTHER UnGrouped 1 1 — — $55,365.10 $55,365.10 $55,365.10 2024-12-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 100 30 — $55,838.00 $55,483.70 $121,659.00 $60,829.30 2026-09-01
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 3 22 8 — — $56,264.60 $78,102.77 $57,853.90 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 100 30 — $57,134.00 $56,771.30 $124,135.00 $62,067.60 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 100 30 — $57,171.00 $56,807.70 $125,443.00 $62,721.60 2026-09-01
6083 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 3 22 8 — — $56,846.10 $81,558.59 $60,413.77 2026-09-01
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 22 8 — — $56,955.36 $76,889.74 $60,942.24 2026-09-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma - Soi : 4 22 8 — — $56,988.86 $76,934.96 $57,768.90 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 100 30 — $57,760.00 $57,392.60 $128,649.00 $64,324.40 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 100 30 — $58,082.00 $57,712.30 $122,383.00 $61,191.70 2026-09-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 2 22 8 — — $58,078.20 $82,982.93 $61,468.84 2026-09-01
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 22 8 — — $58,284.90 $79,667.71 $59,013.12 2026-09-01
430 MS_DRG UnGrouped 34 24 — $75,855.00 $58,350.70 $116,701.00 $58,350.70 2024-12-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 100 30 — $59,040.00 $58,664.80 $130,187.00 $65,093.60 2026-09-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 4 22 8 — — $58,768.76 $79,337.83 $60,375.30 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 100 30 — $59,606.00 $59,226.80 $134,743.00 $67,371.50 2026-09-01
459 OTHER Spinal Fusion Except Cervical With Mcc 2 2 — — $59,681.70 $97,034.10 $78,357.90 2024-12-19
72 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 2 22 8 — — $60,331.30 $89,702.11 $66,446.01 2026-09-01
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 3 22 8 — — $60,538.20 $83,719.60 $62,014.52 2026-09-01
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 26 — $83,002.00 $60,563.90 $127,696.00 $63,847.90 2024-12-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 100 30 — $69,329.00 $60,998.00 $150,437.00 $75,218.50 2026-09-01
12 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 2 22 8 — — $61,446.58 $82,952.88 $61,493.30 2026-09-01
112 APR_DRG UnGrouped 8 8 — — $61,532.30 $65,839.60 $61,532.30 2024-12-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 100 30 — $62,625.00 $62,227.00 $137,763.00 $68,881.30 2026-09-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3 22 8 — — $62,272.00 $148,649.13 $110,110.47 2026-09-01
10 MS_DRG Pancreas Transplant 100 30 — $69,765.00 $62,520.30 $169,582.00 $84,790.90 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 100 30 — $63,750.00 $63,344.20 $131,233.00 $65,616.60 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 100 30 — $63,980.00 $63,409.40 $127,961.34 $63,980.67 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 100 30 — $63,980.00 $63,573.00 $137,566.00 $68,783.00 2026-09-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 4 22 8 — — $63,659.00 $85,939.65 $65,102.50 2026-09-01
6144 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 4 22 8 — — $64,292.94 $86,795.47 $68,793.45 2026-09-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 4 22 8 — — $64,857.30 $87,896.02 $65,108.16 2026-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 100 30 — $65,481.00 $65,064.50 $147,180.00 $72,696.50 2026-09-01
317 MS_DRG UnGrouped 35 25 — $85,688.00 $65,453.80 $131,829.00 $65,914.50 2024-12-19
53 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 3 22 8 — — $65,623.00 $100,741.89 $74,623.62 2026-09-01
1784 APR_DRG External Heart Assist Systems- Soi : 4 22 8 — — $66,228.69 $89,408.73 $67,532.70 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 100 30 — $67,222.00 $66,794.40 $148,102.00 $74,051.00 2026-09-01
62 APR_DRG Pancreas Transplant - Soi : 2 22 8 — — $66,925.17 $90,348.98 $67,118.40 2026-09-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Ccmcc 2 1 — — $67,382.40 $67,382.40 $67,382.40 2026-09-01
5891 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 22 8 — — $68,694.30 $267,885.21 $198,433.49 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 100 30 — $69,369.00 $68,927.30 $168,616.00 $84,308.00 2026-09-01
646 OTHER UnGrouped 1 1 — — $69,765.70 $69,765.70 $69,765.70 2024-12-19
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 4 22 8 — — $70,285.20 $95,857.43 $71,005.50 2026-09-01
447 MS_DRG UnGrouped 34 24 — $92,807.00 $71,390.60 $142,781.00 $71,390.60 2024-12-19
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 2 — — $71,395.70 $89,484.80 $89,484.75 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 100 30 — $81,594.00 $71,616.80 $180,067.00 $90,033.50 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 100 30 — $81,850.00 $72,591.80 $180,166.00 $90,083.10 2026-09-01
5912 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 22 8 — — $72,719.10 $214,115.68 $158,604.21 2026-09-01
8514 APR_DRG UnGrouped 8 8 — — $73,525.10 $78,671.90 $73,525.10 2024-12-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 100 30 — $74,045.00 $73,573.10 $158,830.00 $79,415.10 2026-09-01
13 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 3 22 8 — — $73,704.30 $102,809.87 $76,155.46 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 100 30 — $74,289.00 $73,815.30 $166,273.00 $83,136.30 2026-09-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 4 22 8 — — $74,045.86 $99,961.91 $79,229.07 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 100 30 — $74,608.00 $74,132.20 $164,605.00 $82,302.70 2026-09-01
360 OTHER UnGrouped 1 1 — — $75,781.30 $75,781.30 $75,781.30 2024-12-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 64 24 — $76,443.00 $75,955.90 $159,581.00 $76,443.75 2026-09-01
73 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 3 22 8 — — $76,591.90 $120,518.74 $89,273.14 2026-09-01
4404 APR_DRG Kidney Transplant - Soi : 4 22 8 — — $76,896.47 $103,810.23 $78,303.40 2026-09-01
21 APR_DRG Heart &or Lung Transplant - Soi : 1 22 8 — — $77,288.50 $105,063.91 $77,825.12 2026-09-01
6084 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 4 22 8 — — $77,329.63 $104,395.00 $82,742.70 2026-09-01
647 OTHER UnGrouped 1 1 — — $77,793.90 $77,793.90 $77,793.90 2024-12-19
361 OTHER UnGrouped 1 1 — — $78,357.80 $78,357.80 $78,357.80 2024-12-19
63 APR_DRG Pancreas Transplant - Soi : 3 22 8 — — $79,144.95 $106,845.68 $81,709.50 2026-09-01
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 3 22 8 — — $79,594.10 $108,920.11 $80,681.56 2026-09-01
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 22 8 — — $80,114.50 $116,963.08 $86,639.32 2026-09-01
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 22 8 — — $80,262.20 $114,020.31 $84,459.49 2026-09-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 4 22 8 — — $80,771.14 $109,041.04 $83,071.70 2026-09-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns - Soi : 4 22 8 — — $83,517.10 $124,908.03 $92,524.47 2026-09-01
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 4 22 8 — — $84,935.21 $114,662.53 $90,880.67 2026-09-01
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly - Soi : 4 22 8 — — $85,461.60 $128,877.71 $95,464.97 2026-09-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 36 26 — $111,438.00 $85,721.70 $171,443.00 $85,721.70 2024-12-19
113 APR_DRG UnGrouped 8 8 — — $86,144.50 $92,174.60 $86,144.50 2024-12-19
429 MS_DRG UnGrouped 34 24 — $115,277.00 $88,674.70 $177,349.00 $88,674.70 2024-12-19
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 3 22 8 — — $89,206.20 $133,064.07 $98,565.98 2026-09-01
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly - Soi : 4 22 8 — — $90,816.10 $122,999.76 $91,110.93 2026-09-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 4 22 8 — — $92,671.30 $142,792.93 $105,772.54 2026-09-01
64 APR_DRG Pancreas Transplant - Soi : 4 22 8 — — $92,994.09 $125,542.02 $99,503.68 2026-09-01
22 APR_DRG Heart &or Lung Transplant - Soi : 2 22 8 — — $94,013.50 $137,056.94 $101,523.66 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 100 30 — $94,885.00 $94,278.90 $205,042.00 $102,521.00 2026-09-01
215 MS_DRG Other Heart Assist System Implant 100 30 — $96,563.00 $95,946.60 $224,983.00 $112,492.00 2026-09-01
632 OTHER UnGrouped 1 1 — — $96,723.90 $96,723.90 $96,723.90 2024-12-19
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $97,034.11 $97,034.11 $97,034.11 2026-09-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 22 8 — — $97,139.40 $144,350.01 $106,925.93 2026-09-01
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 22 8 — — $97,520.72 $131,652.97 $104,347.17 2026-09-01
850 MS_DRG UnGrouped 34 24 — $127,244.00 $97,880.40 $195,761.00 $97,880.40 2024-12-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 100 30 — $99,969.00 $99,330.70 $226,137.00 $113,068.00 2026-09-01
5932 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 2 22 8 — — $99,399.40 $170,156.58 $126,041.91 2026-09-01
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 22 8 — — $103,459.00 $155,966.88 $115,531.02 2026-09-01
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 3 22 8 — — $103,484.31 $139,703.82 $106,302.00 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 100 30 — $109,810.00 $109,108.00 $233,962.00 $116,981.00 2026-09-01
1612 APR_DRG Implantable Heart Assist Systems- Soi : 2 22 8 — — $109,991.74 $148,488.85 $117,691.16 2026-09-01
1611 APR_DRG Implantable Heart Assist Systems- Soi : 1 22 8 — — $109,991.74 $148,488.85 $117,691.16 2026-09-01
613 OTHER UnGrouped 1 1 — — $115,083.00 $115,083.00 $115,083.00 2024-12-19
14 MS_DRG Allogeneic Bone Marrow Transplant 100 30 — $116,420.00 $115,676.00 $277,958.00 $138,979.00 2026-09-01
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 4 22 8 — — $116,273.00 $179,647.51 $133,072.23 2026-09-01
5881 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 1 22 8 — — $119,885.00 $209,441.24 $155,141.66 2026-09-01
634 OTHER UnGrouped 1 1 — — $120,441.00 $120,441.00 $120,441.00 2024-12-19
8634 APR_DRG Neonatal Aftercare - Soi : 4 22 8 — — $122,117.00 $171,401.89 $126,964.36 2026-09-01
5913 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 22 8 — — $123,021.00 $263,693.79 $195,328.73 2026-09-01
7 MS_DRG Lung Transplant 100 30 — $125,403.00 $124,601.00 $277,261.00 $138,631.00 2026-09-01
635 OTHER UnGrouped 1 1 — — $126,891.00 $126,891.00 $126,891.00 2024-12-19
5933 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 22 8 — — $127,840.00 $218,845.58 $162,107.84 2026-09-01
14 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 4 22 8 — — $129,535.00 $186,166.34 $137,900.99 2026-09-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $129,647.00 $130,424.00 $130,035.50 2024-12-19
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $129,647.04 $129,647.04 $129,647.04 2026-09-01
23 APR_DRG Heart &or Lung Transplant - Soi : 3 22 8 — — $130,623.00 $177,566.65 $131,530.85 2026-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 100 30 — $134,087.00 $133,228.00 $299,685.00 $149,843.00 2026-09-01
74 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 4 22 8 — — $133,615.00 $202,278.05 $149,835.59 2026-09-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4 22 8 — — $134,969.00 $200,736.72 $148,693.87 2026-09-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 22 8 — — $137,513.00 $262,762.11 $194,638.60 2026-09-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 4 22 8 — — $153,008.00 $233,574.11 $173,017.86 2026-09-01
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 22 8 — — $153,305.00 $213,184.16 $157,914.19 2026-09-01
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4 22 8 — — $153,438.03 $219,372.00 $164,178.69 2026-09-01
681 OTHER UnGrouped 1 1 — — $153,539.00 $153,539.00 $153,539.00 2024-12-19
114 APR_DRG UnGrouped 8 8 — — $160,319.00 $171,542.00 $160,319.00 2024-12-19
1613 APR_DRG Implantable Heart Assist Systems- Soi : 3 22 8 — — $161,433.00 $219,697.83 $162,739.13 2026-09-01
359 OTHER UnGrouped 1 1 — — $167,776.00 $167,776.00 $167,776.00 2024-12-19
5831 APR_DRG Neonate W Ecmo - Soi : 1 22 8 — — $171,307.00 $255,115.91 $188,974.75 2026-09-01
5882 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 2 22 8 — — $180,248.00 $314,896.21 $233,256.45 2026-09-01
5883 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 3 22 8 — — $185,173.00 $326,506.29 $241,856.51 2026-09-01
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 22 8 — — $197,214.00 $286,398.73 $212,147.21 2026-09-01
1614 APR_DRG Implantable Heart Assist Systems- Soi : 4 22 8 — — $202,241.64 $273,026.21 $213,038.00 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 64 24 — $205,134.00 $203,819.00 $410,269.60 $205,134.80 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 100 30 — $206,342.00 $205,018.00 $502,391.00 $251,195.00 2026-09-01
24 APR_DRG Heart &or Lung Transplant - Soi : 4 22 8 — — $206,387.00 $328,362.47 $243,231.46 2026-09-01
5832 APR_DRG Neonate W Ecmo - Soi : 2 22 8 — — $211,538.00 $302,359.47 $223,969.98 2026-09-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 36 26 — $295,084.00 $226,988.00 $453,975.00 $226,988.00 2024-12-19
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 22 8 — — $243,895.93 $329,259.51 $260,968.65 2026-09-01
631 OTHER UnGrouped 1 1 — — $260,595.00 $260,595.00 $260,595.00 2024-12-19
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 22 8 — — $262,779.00 $453,999.53 $336,295.95 2026-09-01
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 22 8 — — $265,818.00 $387,484.95 $287,025.89 2026-09-01
633 OTHER UnGrouped 1 1 — — $267,504.00 $267,504.00 $267,504.00 2024-12-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 100 30 — $270,641.00 $268,904.00 $596,329.00 $298,164.00 2026-09-01
5914 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 22 8 — — $270,582.00 $444,222.01 $329,053.34 2026-09-01
5934 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 22 8 — — $273,308.00 $392,119.54 $290,458.92 2026-09-01
636 OTHER UnGrouped 1 1 — — $297,744.00 $297,744.00 $297,744.00 2024-12-19
612 OTHER UnGrouped 1 1 — — $324,470.00 $324,470.00 $324,470.00 2024-12-19
5833 APR_DRG Neonate W Ecmo - Soi : 3 22 8 — — $337,098.00 $481,830.96 $356,911.82 2026-09-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 100 30 — $416,699.00 $348,183.00 $833,399.58 $416,699.79 2026-09-01
5884 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 4 22 8 — — $415,747.00 $645,613.62 $478,232.31 2026-09-01
5834 APR_DRG Neonate W Ecmo - Soi : 4 22 8 — — $557,398.00 $1,021,480.05 $756,651.89 2026-09-01
See an error in this hospital's data? Submit a correction