Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MONTCLAIR HOSPITAL MEDICAL CENTER

Montclair, CA · CCN 050758 · Rates published

3,537 distinct procedures filed
39 distinct payers
281,727 rate rows
2026-09-01 last MRF observed
Data quality

281,619 of 281,727 rate rows are consumer-grade (100.0%)

108 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 84
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 7 $756,651.89 $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 7 $478,232.31 $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 24 $414,022.00 $833,399.58 $416,699.79 nat. median
$168,055
outlier · 2.5×
5833
APR_DRG 		Neonate W Ecmo - Soi : 3 7 $356,911.82 $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 7 $336,295.95 $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 7 $329,053.34 $444,222.01 $329,053.34 nat. median
$171,497
1.9× median
5934
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 7 $290,458.92 $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 7 $287,025.89 $387,484.95 $287,025.89 nat. median
$181,762
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 24 $268,904.00 $541,282.72 $270,641.36 nat. median
$186,516
1.5× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 7 $243,895.93 $329,259.51 $243,895.93 nat. median
$187,567
1.3× median
24
APR_DRG 		Heart &or Lung Transplant - Soi : 4 7 $243,231.46 $328,362.47 $243,231.46 nat. median
$225,531
1.1× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 3 7 $241,856.51 $326,506.29 $241,856.51 nat. median
$173,134
1.4× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 2 7 $233,256.45 $314,896.21 $233,256.45 nat. median
$152,383
1.5× median
5832
APR_DRG 		Neonate W Ecmo - Soi : 2 7 $223,969.98 $302,359.47 $223,969.98 nat. median
$201,678
1.1× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 7 $212,147.21 $286,398.73 $212,147.21 nat. median
$124,731
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $205,018.00 $425,696.63 $206,342.08 nat. median
$131,925
1.6× 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
1614
APR_DRG 		Implantable Heart Assist Systems- Soi : 4 7 $202,241.64 $273,026.21 $202,241.64 nat. median
$202,242
1.0× median
5892
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 7 $198,433.49 $267,885.21 $198,433.49 nat. median
$96,548
outlier · 2.1×
5891
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 7 $198,433.49 $267,885.21 $198,433.49 nat. median
$99,483
2.0× median
5893
APR_DRG 		Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 7 $198,433.49 $267,885.21 $198,433.49 nat. median
$77,096
outlier · 2.6×
5913
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 7 $195,328.73 $263,693.79 $195,328.73 nat. median
$120,079
1.6× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 7 $194,638.60 $262,762.11 $194,638.60 nat. median
$152,792
1.3× median
5831
APR_DRG 		Neonate W Ecmo - Soi : 1 7 $188,974.75 $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 7 $173,017.86 $233,574.11 $173,017.86 nat. median
$173,018
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems- Soi : 3 7 $162,739.13 $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 7 $162,107.84 $218,845.58 $162,107.84 nat. median
$114,205
1.4× median
5912
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 7 $158,604.21 $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 7 $157,914.19 $213,184.16 $157,914.19 nat. median
$100,752
1.6× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 1 7 $155,141.66 $209,441.24 $155,141.66 nat. median
$130,862
1.2× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4 7 $153,438.03 $207,141.34 $153,438.03 nat. median
$115,963
1.3× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant- Soi : 4 7 $149,835.59 $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 7 $148,693.87 $200,736.72 $148,693.87 nat. median
$135,630
1.1× median
14
APR_DRG 		Liver Transplant &or Intestinal Transplant - Soi : 4 7 $137,900.99 $186,166.34 $137,900.99 nat. median
$136,566
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $133,228.00 $268,174.12 $134,087.06 nat. median
$97,418
1.4× median
6114
APR_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 4 7 $133,072.23 $179,647.51 $133,072.23 nat. median
$85,322
1.6× median
23
APR_DRG 		Heart &or Lung Transplant - Soi : 3 7 $131,530.85 $177,566.65 $131,530.85 nat. median
$117,894
1.1× median
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 7 $126,964.36 $171,401.89 $126,964.36 nat. median
$79,210
1.6× median
5932
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 2 7 $126,041.91 $170,156.58 $126,041.91 nat. median
$91,110
1.4× median
7
MS_DRG 		Lung Transplant 24 $124,601.00 $250,807.70 $125,403.85 nat. median
$70,649
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 24 $115,676.00 $235,106.82 $116,420.99 nat. median
$72,715
1.6× median
6023
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 7 $115,531.02 $155,966.88 $115,531.02 nat. median
$95,757
1.2× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3 7 $110,110.47 $148,649.13 $110,110.47 nat. median
$73,618
1.5× median
1612
APR_DRG 		Implantable Heart Assist Systems- Soi : 2 7 $109,991.74 $148,488.85 $109,991.74 nat. median
$109,992
1.0× median
1611
APR_DRG 		Implantable Heart Assist Systems- Soi : 1 7 $109,991.74 $148,488.85 $109,991.74 nat. median
$108,954
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 $109,108.00 $219,620.62 $109,810.31 nat. median
$65,418
1.7× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 7 $106,925.93 $144,350.01 $106,925.93 nat. median
$106,926
1.0× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 4 7 $105,772.54 $142,792.93 $105,772.54 nat. median
$91,350
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valveâ Procedures 24 $104,726.00 $210,800.58 $105,400.29 nat. median
$74,509
1.4× median

Other procedures at this hospital

Browse this hospital's 3,537 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
             
901 MS_DRG Wound Debridements For Injuries With Mcc 32 24 — $41,061.00 $40,801.30 $82,123.02 $41,061.51 2026-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 24 — $55,542.00 $55,188.80 $111,084.38 $55,542.19 2026-09-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 24 — $43,796.00 $30,304.70 $87,593.86 $43,796.93 2026-09-01
224 APR_DRG Ventricular Shunt Procedures - Soi : 4 7 7 — — $35,795.34 $48,323.71 $35,795.34 2026-09-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 24 — $35,067.00 $34,845.90 $70,658.74 $35,067.48 2026-09-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 32 24 — $35,147.00 $34,925.30 $71,435.74 $35,147.45 2026-09-01
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy - Soi : 4 7 7 — — $38,336.40 $51,754.14 $38,336.40 2026-09-01
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig - Soi : 4 7 7 — — $38,148.76 $51,500.83 $38,148.76 2026-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 24 — $54,257.00 $39,985.90 $108,515.66 $54,257.83 2026-09-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 24 — $35,374.00 $35,151.20 $70,749.68 $35,374.84 2026-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 24 — $134,087.00 $133,228.00 $268,174.12 $134,087.06 2026-09-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 4 7 7 — — $105,772.54 $142,792.93 $105,772.54 2026-09-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 3 7 7 — — $74,623.62 $100,741.89 $74,623.62 2026-09-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 2 7 7 — — $49,972.05 $67,462.27 $49,972.05 2026-09-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4 7 7 — — $148,693.87 $200,736.72 $148,693.87 2026-09-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 3 7 7 — — $98,565.98 $133,064.07 $98,565.98 2026-09-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 2 7 7 — — $61,468.84 $82,982.93 $61,468.84 2026-09-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 1 7 7 — — $43,549.97 $58,792.46 $43,549.97 2026-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 24 — $53,177.00 $52,839.60 $106,355.46 $53,177.73 2026-09-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 32 24 — $41,248.00 $40,987.00 $82,496.86 $41,248.43 2026-09-01
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures - Soi : 4 7 7 — — $35,181.54 $47,495.08 $35,181.54 2026-09-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 24 — $48,681.00 $48,371.80 $97,362.00 $48,681.00 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 32 24 — $44,263.00 $43,982.50 $88,526.56 $44,263.28 2026-09-01
6504 APR_DRG Splenectomy - Soi : 4 7 7 — — $35,049.03 $47,316.19 $35,049.03 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 32 24 — $58,517.00 $54,470.50 $117,035.06 $58,517.53 2026-09-01
234 APR_DRG Spinal Procedures - Soi : 4 7 7 — — $47,896.38 $64,660.11 $47,896.38 2026-09-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $53,517.04 $53,517.04 $53,517.04 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 24 — $81,594.00 $81,073.70 $163,189.40 $81,594.70 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 24 — $58,082.00 $57,712.30 $116,164.04 $58,082.02 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 24 — $40,830.00 $40,571.60 $81,660.54 $40,830.27 2026-09-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $97,034.11 $97,034.11 $97,034.11 2026-09-01
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures- Soi… 7 7 — — $40,070.72 $54,095.47 $40,070.72 2026-09-01
904 MS_DRG Skin Grafts For Injuries With Ccmcc 32 24 — $36,017.00 $35,789.80 $81,204.60 $36,017.51 2026-09-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses - Soi… 7 7 — — $43,474.70 $58,690.85 $43,474.70 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 24 — $63,750.00 $63,344.20 $127,500.78 $63,750.39 2026-09-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses - Soi : 4 7 7 — — $40,936.82 $55,264.71 $40,936.82 2026-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 24 — $47,850.00 $47,546.60 $96,816.61 $47,850.45 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 24 — $69,369.00 $68,927.30 $142,252.39 $69,369.61 2026-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 24 — $54,627.00 $54,280.30 $109,255.64 $54,627.82 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 24 — $67,222.00 $66,794.40 $134,445.80 $67,222.90 2026-09-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 24 — $50,781.00 $50,458.70 $101,562.92 $50,781.46 2026-09-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 24 — $62,625.00 $62,227.00 $125,251.92 $62,625.96 2026-09-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours - Soi : 4 7 7 — — $47,938.78 $64,717.35 $47,938.78 2026-09-01
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours - Soi : 3 7 7 — — $35,849.40 $48,396.69 $35,849.40 2026-09-01
332 MS_DRG Rectal Resection With Mcc 32 24 — $35,512.00 $35,288.10 $71,025.24 $35,512.62 2026-09-01
4034 APR_DRG Procedures For Obesity - Soi : 4 7 7 — — $36,448.36 $49,205.29 $36,448.36 2026-09-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service - Soi : 4 7 7 — — $47,159.61 $63,665.47 $47,159.61 2026-09-01
791 MS_DRG Prematurity With Major Problems 32 24 — $39,735.00 $3,553.44 $79,471.42 $39,735.71 2026-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 24 — $44,454.00 $44,172.00 $88,908.10 $44,454.05 2026-09-01
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure - Soi : 4 7 7 — — $35,675.55 $48,161.99 $35,675.55 2026-09-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock - Soi : 4 7 7 — — $36,473.80 $49,239.63 $36,473.80 2026-09-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 24 — $35,032.00 $34,811.40 $70,065.58 $35,032.79 2026-09-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 32 24 — $37,829.00 $37,590.50 $75,659.76 $37,829.88 2026-09-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 4 7 7 — — $58,768.76 $79,337.83 $58,768.76 2026-09-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 3 7 7 — — $41,408.57 $55,901.57 $41,408.57 2026-09-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures- Soi : 4 7 7 — — $37,467.11 $50,580.60 $37,467.11 2026-09-01
1754 APR_DRG Percutaneous Coronary Intervention Wo Ami - Soi : 4 7 7 — — $36,057.18 $48,677.19 $36,057.18 2026-09-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 32 24 — $40,376.00 $40,120.70 $80,752.90 $40,376.45 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 24 — $53,335.00 $52,996.60 $106,671.48 $53,335.74 2026-09-01
64 APR_DRG Pancreas Transplant - Soi : 4 7 7 — — $92,994.09 $125,542.02 $92,994.09 2026-09-01
63 APR_DRG Pancreas Transplant - Soi : 3 7 7 — — $79,144.95 $106,845.68 $79,144.95 2026-09-01
62 APR_DRG Pancreas Transplant - Soi : 2 7 7 — — $66,925.17 $90,348.98 $66,925.17 2026-09-01
61 APR_DRG Pancreas Transplant - Soi : 1 7 7 — — $54,005.73 $72,907.74 $54,005.73 2026-09-01
10 MS_DRG Pancreas Transplant 32 24 — $69,765.00 $69,320.70 $143,072.46 $69,765.62 2026-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 24 — $36,639.00 $36,408.20 $73,279.88 $36,639.94 2026-09-01
1214 APR_DRG Other Respiratory & Chest Procedures - Soi : 4 7 7 — — $38,039.57 $51,353.42 $38,039.57 2026-09-01
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs - Soi : 4 7 7 — — $38,524.03 $52,007.44 $38,524.03 2026-09-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders - Soi : 4 7 7 — — $36,731.40 $49,587.39 $36,731.40 2026-09-01
294 APR_DRG Other Percutaneous Intracranial Procedures- Soi : 4 7 7 — — $35,821.84 $48,359.48 $35,821.84 2026-09-01
274 APR_DRG Other Open Craniotomy- Soi : 4 7 7 — — $38,996.84 $52,645.73 $38,996.84 2026-09-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 24 — $39,014.00 $38,767.00 $78,028.08 $39,014.04 2026-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 24 — $74,045.00 $73,573.10 $148,091.12 $74,045.56 2026-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 32 24 — $41,228.00 $40,966.90 $82,456.40 $41,228.20 2026-09-01
6814 APR_DRG Other O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 7 7 — — $42,835.46 $57,827.87 $42,835.46 2026-09-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 24 — $37,618.00 $37,380.80 $75,237.74 $37,618.87 2026-09-01
914 APR_DRG Other Major Head & Neck Procedures - Soi : 4 7 7 — — $53,845.66 $72,691.64 $53,845.66 2026-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 31 23 — $51,464.00 $51,137.50 $102,929.18 $51,464.59 2026-09-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 24 — $41,109.00 $36,390.80 $82,219.38 $41,109.69 2026-09-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures - Soi : 4 7 7 — — $35,933.15 $48,509.75 $35,933.15 2026-09-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 32 24 — $40,641.00 $40,383.90 $81,282.84 $40,641.42 2026-09-01
215 MS_DRG Other Heart Assist System Implant 32 24 — $96,563.00 $95,946.60 $193,127.78 $96,563.89 2026-09-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 24 — $43,627.00 $43,350.70 $87,254.72 $43,627.36 2026-09-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 24 — $36,534.00 $36,303.80 $73,069.82 $36,534.91 2026-09-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 32 24 — $36,725.00 $30,990.80 $73,451.38 $36,725.69 2026-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 24 — $42,951.00 $39,863.40 $85,903.86 $42,951.93 2026-09-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 24 — $48,295.00 $47,988.80 $96,591.18 $48,295.59 2026-09-01
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures - Soi : 4 7 7 — — $54,029.06 $72,939.23 $54,029.06 2026-09-01
204 APR_DRG Open Craniotomy For Trauma- Soi : 4 7 7 — — $43,983.55 $59,377.79 $43,983.55 2026-09-01
214 APR_DRG Open Craniotomy Except Trauma- Soi : 4 7 7 — — $49,641.30 $67,015.76 $49,641.30 2026-09-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 32 24 — $37,865.00 $37,625.90 $75,731.06 $37,865.53 2026-09-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 24 — $35,587.00 $35,362.80 $71,175.56 $35,587.78 2026-09-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 24 — $35,426.00 $32,283.60 $70,853.74 $35,426.87 2026-09-01
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 7 7 — — $54,075.28 $73,001.63 $54,075.28 2026-09-01
5834 APR_DRG Neonate W Ecmo - Soi : 4 7 7 — — $756,651.89 $1,021,480.05 $756,651.89 2026-09-01
5833 APR_DRG Neonate W Ecmo - Soi : 3 7 7 — — $356,911.82 $481,830.96 $356,911.82 2026-09-01
5832 APR_DRG Neonate W Ecmo - Soi : 2 7 7 — — $223,969.98 $302,359.47 $223,969.98 2026-09-01
5831 APR_DRG Neonate W Ecmo - Soi : 1 7 7 — — $188,974.75 $255,115.91 $188,974.75 2026-09-01
5884 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 4 7 7 — — $478,232.31 $645,613.62 $478,232.31 2026-09-01
5883 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 3 7 7 — — $241,856.51 $326,506.29 $241,856.51 2026-09-01
5882 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 2 7 7 — — $233,256.45 $314,896.21 $233,256.45 2026-09-01
5881 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 1 7 7 — — $155,141.66 $209,441.24 $155,141.66 2026-09-01
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 7 7 — — $56,955.36 $76,889.74 $56,955.36 2026-09-01
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition - Soi : 4 7 7 — — $52,004.27 $70,205.76 $52,004.27 2026-09-01
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly - Soi : 4 7 7 — — $91,110.93 $122,999.76 $91,110.93 2026-09-01
6234 APR_DRG Neonate Bwt 2000-2499g W Congenitalperinatal Infection - Soi : 4 7 7 — — $54,746.96 $73,908.40 $54,746.96 2026-09-01
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 7 7 — — $336,295.95 $453,999.53 $336,295.95 2026-09-01
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 3 7 7 — — $80,681.56 $108,920.11 $80,681.56 2026-09-01
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 2 7 7 — — $51,663.97 $69,746.36 $51,663.97 2026-09-01
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 1 7 7 — — $41,585.07 $56,139.84 $41,585.07 2026-09-01
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 7 7 — — $97,520.72 $131,652.97 $97,520.72 2026-09-01
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 3 7 7 — — $52,716.12 $71,166.76 $52,716.12 2026-09-01
6144 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 4 7 7 — — $64,292.94 $86,795.47 $64,292.94 2026-09-01
6143 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 3 7 7 — — $41,632.78 $56,204.25 $41,632.78 2026-09-01
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 7 7 — — $157,914.19 $213,184.16 $157,914.19 2026-09-01
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 7 7 — — $86,639.32 $116,963.08 $86,639.32 2026-09-01
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 7 7 — — $59,013.12 $79,667.71 $59,013.12 2026-09-01
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 1 7 7 — — $36,886.18 $49,796.34 $36,886.18 2026-09-01
6084 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 4 7 7 — — $77,329.63 $104,395.00 $77,329.63 2026-09-01
6083 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 3 7 7 — — $60,413.77 $81,558.59 $60,413.77 2026-09-01
6082 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 2 7 7 — — $36,442.26 $49,197.05 $36,442.26 2026-09-01
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 7 7 — — $212,147.21 $286,398.73 $212,147.21 2026-09-01
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 7 7 — — $115,531.02 $155,966.88 $115,531.02 2026-09-01
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 7 7 — — $84,459.49 $114,020.31 $84,459.49 2026-09-01
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 1 7 7 — — $49,525.22 $66,859.05 $49,525.22 2026-09-01
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 7 7 — — $287,025.89 $387,484.95 $287,025.89 2026-09-01
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 3 7 7 — — $62,014.52 $83,719.60 $62,014.52 2026-09-01
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 7 7 — — $243,895.93 $329,259.51 $243,895.93 2026-09-01
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 3 7 7 — — $103,484.31 $139,703.82 $103,484.31 2026-09-01
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 2 7 7 — — $40,762.17 $55,028.93 $40,762.17 2026-09-01
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly - Soi : 4 7 7 — — $95,464.97 $128,877.71 $95,464.97 2026-09-01
6364 APR_DRG Neonate Birthwt >2499g W Congenitalperinatal Infection - Soi : 4 7 7 — — $35,086.77 $47,367.14 $35,086.77 2026-09-01
5934 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 7 7 — — $290,458.92 $392,119.54 $290,458.92 2026-09-01
5933 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 7 7 — — $162,107.84 $218,845.58 $162,107.84 2026-09-01
5932 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 2 7 7 — — $126,041.91 $170,156.58 $126,041.91 2026-09-01
5931 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 1 7 7 — — $62,482.29 $84,351.09 $62,482.29 2026-09-01
5914 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 7 7 — — $329,053.34 $444,222.01 $329,053.34 2026-09-01
5913 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 7 7 — — $195,328.73 $263,693.79 $195,328.73 2026-09-01
5912 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 7 7 — — $158,604.21 $214,115.68 $158,604.21 2026-09-01
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 4 7 7 — — $133,072.23 $179,647.51 $133,072.23 2026-09-01
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 3 7 7 — — $45,194.71 $61,012.86 $45,194.71 2026-09-01
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 4 7 7 — — $84,935.21 $114,662.53 $84,935.21 2026-09-01
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 3 7 7 — — $48,931.57 $66,057.62 $48,931.57 2026-09-01
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4 7 7 — — $153,438.03 $207,141.34 $153,438.03 2026-09-01
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 3 7 7 — — $49,060.10 $66,231.14 $49,060.10 2026-09-01
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 2 7 7 — — $42,209.21 $56,982.43 $42,209.21 2026-09-01
8634 APR_DRG Neonatal Aftercare - Soi : 4 7 7 — — $126,964.36 $171,401.89 $126,964.36 2026-09-01
8633 APR_DRG Neonatal Aftercare - Soi : 3 7 7 — — $45,916.91 $61,987.83 $45,916.91 2026-09-01
5893 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 7 7 — — $198,433.49 $267,885.21 $198,433.49 2026-09-01
5891 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 7 7 — — $198,433.49 $267,885.21 $198,433.49 2026-09-01
5892 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 7 7 — — $198,433.49 $267,885.21 $198,433.49 2026-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 24 — $45,697.00 $45,407.90 $91,395.90 $45,697.95 2026-09-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma - Soi : 4 7 7 — — $52,238.55 $70,522.04 $52,238.55 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 31 23 — $41,487.00 $41,224.50 $82,974.78 $41,487.39 2026-09-01
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure - Soi : 4 7 7 — — $45,534.48 $61,471.55 $45,534.48 2026-09-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures - Soi : 4 7 7 — — $45,647.91 $61,624.68 $45,647.91 2026-09-01
2304 APR_DRG Major Small Bowel Procedures - Soi : 4 7 7 — — $39,041.36 $52,705.84 $39,041.36 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 24 — $44,914.00 $44,629.60 $89,829.22 $44,914.61 2026-09-01
1204 APR_DRG Major Respiratory & Chest Procedures - Soi : 4 7 7 — — $44,991.70 $60,738.79 $44,991.70 2026-09-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures - Soi : 4 7 7 — — $46,961.37 $63,397.85 $46,961.37 2026-09-01
6804 APR_DRG Major O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 7 7 — — $52,992.28 $71,539.58 $52,992.28 2026-09-01
140 MS_DRG Major Head And Neck Procedures With Mcc 32 24 — $41,723.00 $6,387.60 $83,446.90 $41,723.45 2026-09-01
894 APR_DRG Major Cranialfacial Bone Procedures - Soi : 4 7 7 — — $45,836.60 $61,879.41 $45,836.60 2026-09-01
163 MS_DRG Major Chest Procedures With Mcc 32 24 — $43,809.00 $43,531.60 $87,618.92 $43,809.46 2026-09-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 7 7 — — $106,925.93 $144,350.01 $106,925.93 2026-09-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 3 7 7 — — $46,998.47 $63,447.93 $46,998.47 2026-09-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 2 7 7 — — $36,690.06 $49,531.58 $36,690.06 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 32 24 — $50,694.00 $44,763.50 $101,389.50 $50,694.75 2026-09-01
4414 APR_DRG Major Bladder Procedures - Soi : 4 7 7 — — $43,454.56 $58,663.66 $43,454.56 2026-09-01
2614 APR_DRG Major Biliary Tract Procedures - Soi : 4 7 7 — — $41,597.26 $56,156.30 $41,597.26 2026-09-01
1694 APR_DRG Major Abdominal Vascular Procedures - Soi : 4 7 7 — — $49,701.73 $67,097.34 $49,701.73 2026-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 24 — $44,801.00 $44,517.60 $89,603.76 $44,801.88 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 24 — $57,134.00 $56,771.30 $114,269.78 $57,134.89 2026-09-01
7 MS_DRG Lung Transplant 32 24 — $125,403.00 $124,601.00 $250,807.70 $125,403.85 2026-09-01
1814 APR_DRG Lower Extremity Arterial Procedures - Soi : 4 7 7 — — $38,962.92 $52,599.94 $38,962.92 2026-09-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 24 — $36,003.00 $35,775.40 $72,006.10 $36,003.05 2026-09-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 32 24 — $35,560.00 $27,408.00 $71,121.60 $35,560.80 2026-09-01
6 MS_DRG Liver Transplant Without Mcc 32 24 — $45,304.00 $45,017.30 $90,609.68 $45,304.84 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 24 — $99,969.00 $99,330.70 $199,939.84 $99,969.92 2026-09-01
14 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 4 7 7 — — $137,900.99 $186,166.34 $137,900.99 2026-09-01
13 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 3 7 7 — — $76,155.46 $102,809.87 $76,155.46 2026-09-01
12 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 2 7 7 — — $61,446.58 $82,952.88 $61,446.58 2026-09-01
11 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 1 7 7 — — $50,490.44 $68,162.09 $50,490.44 2026-09-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 24 — $36,883.00 $36,650.40 $87,070.20 $36,883.71 2026-09-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 32 24 — $36,332.00 $36,102.80 $165,825.00 $36,332.58 2026-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 24 — $45,925.00 $32,423.30 $91,850.68 $45,925.34 2026-09-01
4404 APR_DRG Kidney Transplant - Soi : 4 7 7 — — $76,896.47 $103,810.23 $76,896.47 2026-09-01
4403 APR_DRG Kidney Transplant - Soi : 3 7 7 — — $51,187.99 $69,103.79 $51,187.99 2026-09-01
4402 APR_DRG Kidney Transplant - Soi : 2 7 7 — — $44,182.85 $59,646.85 $44,182.85 2026-09-01
4401 APR_DRG Kidney Transplant - Soi : 1 7 7 — — $40,365.43 $54,493.33 $40,365.43 2026-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 24 — $76,443.00 $75,955.90 $159,581.00 $76,443.75 2026-09-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 24 — $51,633.00 $51,305.00 $103,266.42 $51,633.21 2026-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 24 — $48,210.00 $47,904.60 $96,421.60 $48,210.80 2026-09-01
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure - Soi : 4 7 7 — — $36,901.02 $49,816.38 $36,901.02 2026-09-01
1614 APR_DRG Implantable Heart Assist Systems- Soi : 4 7 7 — — $202,241.64 $273,026.21 $202,241.64 2026-09-01
1613 APR_DRG Implantable Heart Assist Systems- Soi : 3 7 7 — — $162,739.13 $219,697.83 $162,739.13 2026-09-01
1612 APR_DRG Implantable Heart Assist Systems- Soi : 2 7 7 — — $109,991.74 $148,488.85 $109,991.74 2026-09-01
1611 APR_DRG Implantable Heart Assist Systems- Soi : 1 7 7 — — $109,991.74 $148,488.85 $109,991.74 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 24 — $59,606.00 $59,226.80 $119,212.60 $59,606.30 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 24 — $109,810.00 $109,108.00 $219,620.62 $109,810.31 2026-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 24 — $270,641.00 $268,904.00 $541,282.72 $270,641.36 2026-09-01
24 APR_DRG Heart &or Lung Transplant - Soi : 4 7 7 — — $243,231.46 $328,362.47 $243,231.46 2026-09-01
23 APR_DRG Heart &or Lung Transplant - Soi : 3 7 7 — — $131,530.85 $177,566.65 $131,530.85 2026-09-01
22 APR_DRG Heart &or Lung Transplant - Soi : 2 7 7 — — $101,523.66 $137,056.94 $101,523.66 2026-09-01
21 APR_DRG Heart &or Lung Transplant - Soi : 1 7 7 — — $77,825.12 $105,063.91 $77,825.12 2026-09-01
33264 CPT Hc Rem Pac Cvdfb Pls Gen &Repl Plse Gen Multi Lead 41 28 $116,108.00 $40,173.00 65% off $325.02 $80,347.00 $40,173.50 2026-09-01
33249 CPT Hc Insert/Rplacmnt Aicd W Lead Sing/Dual 41 28 $184,039.00 $40,173.00 78% off $1,283.80 $80,347.00 $40,173.50 2026-09-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 32 24 — $69,736.00 $42,156.00 $139,473.42 $69,736.71 2026-09-01
793 MS_DRG Full Term Neonate With Major Problems 32 24 — $40,801.00 $40,542.80 $81,602.72 $40,801.36 2026-09-01
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures - Soi : 4 7 7 — — $39,182.36 $52,896.19 $39,182.36 2026-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 24 — $57,893.00 $8,999.99 $115,786.34 $57,893.17 2026-09-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 7 7 — — $194,638.60 $262,762.11 $194,638.60 2026-09-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3 7 7 — — $110,110.47 $148,649.13 $110,110.47 2026-09-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 2 7 7 — — $60,423.58 $81,571.83 $60,423.58 2026-09-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 1 7 7 — — $48,887.57 $65,998.22 $48,887.57 2026-09-01
1784 APR_DRG External Heart Assist Systems- Soi : 4 7 7 — — $66,228.69 $89,408.73 $66,228.69 2026-09-01
1783 APR_DRG External Heart Assist Systems- Soi : 3 7 7 — — $53,704.67 $72,501.30 $53,704.67 2026-09-01
1782 APR_DRG External Heart Assist Systems- Soi : 2 7 7 — — $43,293.42 $58,446.12 $43,293.42 2026-09-01
1781 APR_DRG External Heart Assist Systems- Soi : 1 7 7 — — $39,720.89 $53,623.20 $39,720.89 2026-09-01
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment - Soi : 4 7 7 — — $38,747.72 $52,309.42 $38,747.72 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 24 — $45,832.00 $45,541.90 $91,665.68 $45,832.84 2026-09-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis- Soi : 4 7 7 — — $44,744.70 $60,405.35 $44,744.70 2026-09-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 32 24 — $38,147.00 $37,906.40 $77,644.58 $38,147.84 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 24 — $206,342.00 $205,018.00 $425,696.63 $206,342.08 2026-09-01
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma - Soi : 4 7 7 — — $54,718.12 $73,869.46 $54,718.12 2026-09-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 4 7 7 — — $173,017.86 $233,574.11 $173,017.86 2026-09-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 3 7 7 — — $52,320.18 $70,632.24 $52,320.18 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 23 — $46,497.00 $46,202.50 $92,995.34 $46,497.67 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 24 — $59,674.00 $51,469.70 $119,349.42 $59,674.71 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 24 — $205,134.00 $203,819.00 $410,269.60 $205,134.80 2026-09-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 4 7 7 — — $74,045.86 $99,961.91 $74,045.86 2026-09-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 3 7 7 — — $49,432.46 $66,733.82 $49,432.46 2026-09-01
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 2 7 7 — — $36,947.67 $49,879.35 $36,947.67 2026-09-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 4 7 7 — — $54,426.59 $73,475.90 $54,426.59 2026-09-01
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 3 7 7 — — $38,877.05 $52,484.02 $38,877.05 2026-09-01
1794 APR_DRG Defibrillator Implants- Soi : 4 7 7 — — $54,992.69 $74,240.13 $54,992.69 2026-09-01
1793 APR_DRG Defibrillator Implants- Soi : 3 7 7 — — $40,597.59 $54,806.75 $40,597.59 2026-09-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 24 — $55,838.00 $55,483.70 $111,677.92 $55,838.96 2026-09-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 24 — $38,318.00 $38,075.80 $76,636.76 $38,318.38 2026-09-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma - Soi : 4 7 7 — — $56,988.86 $76,934.96 $56,988.86 2026-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 24 — $65,481.00 $65,064.50 $130,963.66 $65,481.83 2026-09-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 24 — $44,434.00 $44,152.90 $88,869.56 $44,434.78 2026-09-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 24 — $42,321.00 $42,053.50 $84,643.58 $42,321.79 2026-09-01
1664 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx - Soi : 4 7 7 — — $55,046.75 $74,313.11 $55,046.75 2026-09-01
1663 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx - Soi : 3 7 7 — — $39,961.53 $53,948.07 $39,961.53 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 24 — $40,986.00 $40,726.70 $81,972.72 $40,986.36 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 24 — $57,171.00 $56,807.70 $114,343.00 $57,171.50 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 24 — $59,040.00 $58,664.80 $118,081.44 $59,040.72 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 24 — $81,850.00 $72,591.80 $163,700.08 $81,850.04 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 24 — $53,260.00 $52,921.90 $106,521.18 $53,260.59 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 24 — $74,289.00 $73,815.30 $148,578.66 $74,289.33 2026-09-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 4 7 7 — — $63,659.00 $85,939.65 $63,659.00 2026-09-01
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 3 7 7 — — $46,931.69 $63,357.78 $46,931.69 2026-09-01
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 2 7 7 — — $38,566.44 $52,064.69 $38,566.44 2026-09-01
1651 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 1 7 7 — — $35,209.10 $47,532.29 $35,209.10 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 32 24 — $105,400.00 $104,726.00 $210,800.58 $105,400.29 2026-09-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Ccmcc 1 1 — — $67,382.40 $67,382.40 $67,382.40 2026-09-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $129,647.04 $129,647.04 $129,647.04 2026-09-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $89,484.75 $89,484.75 $89,484.75 2026-09-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 24 — $416,699.00 $414,022.00 $833,399.58 $416,699.79 2026-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 24 — $46,916.00 $46,618.90 $93,833.60 $46,916.80 2026-09-01
6954 APR_DRG Chemotherapy For Acute Leukemia - Soi : 4 7 7 — — $39,025.46 $52,684.37 $39,025.46 2026-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 32 24 — $47,151.00 $46,852.50 $94,303.80 $47,151.90 2026-09-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 24 — $37,921.00 $37,681.40 $75,842.82 $37,921.41 2026-09-01
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 4 7 7 — — $71,005.50 $95,857.43 $71,005.50 2026-09-01
1633 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 3 7 7 — — $48,537.74 $65,525.95 $48,537.74 2026-09-01
1632 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 2 7 7 — — $36,891.48 $49,803.50 $36,891.48 2026-09-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 4 7 7 — — $80,771.14 $109,041.04 $80,771.14 2026-09-01
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 3 7 7 — — $57,853.90 $78,102.77 $57,853.90 2026-09-01
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 2 7 7 — — $44,276.14 $59,772.79 $44,276.14 2026-09-01
1621 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 1 7 7 — — $38,042.75 $51,357.71 $38,042.75 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 24 — $74,608.00 $74,132.20 $149,216.50 $74,608.25 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 24 — $52,008.00 $51,678.30 $104,017.96 $52,008.98 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 24 — $49,189.00 $48,877.20 $98,379.46 $49,189.73 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 24 — $94,885.00 $94,278.90 $189,770.88 $94,885.44 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 24 — $63,980.00 $63,573.00 $127,961.34 $63,980.67 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 24 — $63,980.00 $63,573.00 $127,961.34 $63,980.67 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 24 — $45,126.00 $44,840.20 $90,253.18 $45,126.59 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 32 24 — $58,501.00 $46,164.00 $117,002.30 $58,501.15 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 24 — $69,329.00 $68,887.10 $138,658.28 $69,329.14 2026-09-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns - Soi : 4 7 7 — — $92,524.47 $124,908.03 $92,524.47 2026-09-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 24 — $53,841.00 $53,499.20 $110,120.75 $53,841.59 2026-09-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 24 — $36,636.00 $36,404.40 $73,272.16 $36,636.08 2026-09-01
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 32 24 — $52,967.00 $52,630.90 $108,311.93 $52,967.68 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 32 24 — $57,760.00 $57,392.60 $115,520.42 $57,760.21 2026-09-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 4 7 7 — — $65,108.16 $87,896.02 $65,108.16 2026-09-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 3 7 7 — — $42,705.07 $57,651.84 $42,705.07 2026-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 24 — $41,317.00 $8,404.48 $82,635.62 $41,317.81 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 24 — $66,896.00 $18,488.90 $133,792.54 $66,896.27 2026-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 24 — $41,989.00 $41,723.20 $83,978.76 $41,989.38 2026-09-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 24 — $48,047.00 $47,742.80 $96,095.94 $48,047.97 2026-09-01
74 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 4 7 7 — — $149,835.59 $202,278.05 $149,835.59 2026-09-01
73 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 3 7 7 — — $89,273.14 $120,518.74 $89,273.14 2026-09-01
72 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 2 7 7 — — $66,446.01 $89,702.11 $66,446.01 2026-09-01
71 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 1 7 7 — — $55,309.66 $74,668.04 $55,309.66 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 32 24 — $116,420.00 $115,676.00 $235,106.82 $116,420.99 2026-09-01
265 MS_DRG Aicd Lead Procedures 32 24 — $35,488.00 $35,264.20 $70,977.08 $35,488.54 2026-09-01
245 MS_DRG Aicd Generator Procedures 32 24 — $44,586.00 $44,303.20 $89,172.10 $44,586.05 2026-09-01
4014 APR_DRG Adrenal Procedures - Soi : 4 7 7 — — $45,294.89 $61,148.10 $45,294.89 2026-09-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 32 24 — $53,522.00 $53,182.30 $111,585.00 $53,522.66 2026-09-01
6904 APR_DRG Acute Leukemia - Soi : 4 7 7 — — $45,078.63 $60,856.15 $45,078.63 2026-09-01
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