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

LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL

Loma Linda, CA · CCN 050778 · Rates published

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You selected 470 (MS_DRG)

MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $38,246 across 9 payers · range $23,467-$57,161

Source: https://pricetransparency.healthcare/llu-ch/charges/export · observed 2026-02-19

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

8,873 distinct procedures filed
27 distinct payers
819,676 rate rows
2026-02-19 last MRF observed
Data quality

795,270 of 819,676 rate rows are consumer-grade (97.0%)

24,406 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 11,440
placeholder amount (≤ $0.02) — excluded from medians 5,842
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3,776
exceeds 10× this hospital's gross charge — excluded from medians 1,994
template filing: same amount across many unrelated codes — excluded 1,298
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 48
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.healthcare/llu-ch/charges/export
Found on page https://pricetransparency.healthcare/llu-ch/charges/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-12
Content fingerprint ce48347358f472aa… · 220,218,070 bytes · first seen 2026-05-08

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 		Apr-DRG 41.00: Neonate With Ecmo 3 $1,080,809.83 $1,958,633.96 $1,353,238.01 nat. median
$311,018
outlier · 4.4×
5884
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $806,145.44 $1,460,889.59 $1,009,341.90 nat. median
$254,667
outlier · 4.0×
5833
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 3 $716,164.94 $1,297,827.74 $896,680.98 nat. median
$250,089
outlier · 3.6×
6304
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 $547,934.92 $992,962.80 $686,047.02 nat. median
$160,171
outlier · 4.3×
5934
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $529,950.94 $960,372.38 $663,530.01 nat. median
$156,285
outlier · 4.2×
5914
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $524,665.44 $950,794.05 $656,912.25 nat. median
$168,361
outlier · 3.9×
6314
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $515,428.92 $934,055.70 $645,347.58 nat. median
$147,677
outlier · 4.4×
6094
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $509,535.56 $923,375.81 $637,968.74 nat. median
$168,174
outlier · 3.8×
1614
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 3 $565,747.87 $708,349.89 $633,786.74 nat. median
$209,486
outlier · 3.0×
24
APR_DRG 		Apr-DRG 41.00: Heart And/or Lung Transplant 3 $361,176.52 $686,235.39 $581,042.72 nat. median
$243,231
outlier · 2.4×
5832
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 3 $449,411.87 $814,420.20 $562,690.32 nat. median
$169,230
outlier · 3.3×
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $415,088.75 $1,143,301.24 $558,294.37 nat. median
$370,165
1.5× median
6034
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 3 $397,540.93 $720,420.14 $497,744.82 nat. median
$109,499
outlier · 4.5×
5883
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $393,399.52 $712,915.11 $492,559.53 nat. median
$180,995
outlier · 2.7×
5882
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $382,937.57 $693,956.06 $479,460.55 nat. median
$147,847
outlier · 3.2×
6024
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 $382,404.07 $692,989.25 $478,792.57 nat. median
$123,690
outlier · 3.9×
114
APR_DRG 		Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $425,747.57 $533,061.21 $476,949.50 nat. median
$119,243
outlier · 4.0×
5831
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 3 $363,940.74 $659,530.16 $455,675.39 nat. median
$154,685
outlier · 2.9×
8414
APR_DRG 		Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 3 $406,330.76 $508,750.21 $455,197.56 nat. median
$165,646
outlier · 2.7×
94
APR_DRG 		Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 3 $365,182.03 $457,229.57 $409,100.14 nat. median
$165,599
outlier · 2.5×
44
APR_DRG 		Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $358,428.02 $448,773.14 $401,533.86 nat. median
$127,600
outlier · 3.1×
74
APR_DRG 		Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 3 $233,826.50 $444,270.35 $376,168.38 nat. median
$175,480
outlier · 2.1×
6074
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 3 $297,263.14 $538,697.61 $372,191.08 nat. median
$99,613
outlier · 3.7×
14
APR_DRG 		Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 3 $226,687.08 $430,705.45 $364,682.84 nat. median
$137,901
outlier · 2.6×
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 7 $267,937.62 $719,180.40 $360,376.10 nat. median
$205,166
1.8× median
1613
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 3 $306,218.53 $383,403.76 $343,045.47 nat. median
$127,938
outlier · 2.7×
5933
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $271,595.97 $492,183.81 $340,054.27 nat. median
$112,711
outlier · 3.0×
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 7 $243,838.06 $649,720.39 $327,962.19 nat. median
$199,832
1.6× median
5913
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $261,357.31 $473,629.39 $327,234.85 nat. median
$108,751
outlier · 3.0×
5881
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 3 $254,696.32 $461,558.41 $318,894.90 nat. median
$120,928
outlier · 2.6×
64
APR_DRG 		Apr-DRG 41.00: Pancreas Transplant 3 $180,615.41 $343,169.28 $290,565.04 nat. median
$92,994
outlier · 3.1×
1604
APR_DRG 		Apr-DRG 41.00: Major Cardiothoracic Repair Of Heart Anomaly 3 $257,965.68 $322,988.33 $288,989.56 nat. median
$101,315
outlier · 2.9×
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $125,000.00 $853,950.18 $288,191.00 nat. median
$261,939
1.1× median
6303
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 3 $225,838.25 $409,262.07 $282,762.88 nat. median
$80,447
outlier · 3.5×
6114
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 $225,456.48 $408,570.22 $282,284.88 nat. median
$79,344
outlier · 3.6×
54
APR_DRG 		Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $246,100.30 $308,132.18 $275,697.21 nat. median
$88,000
outlier · 3.1×
6023
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 3 $219,799.24 $398,318.22 $275,201.68 nat. median
$92,000
outlier · 3.0×
1612
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 3 $245,570.21 $307,468.47 $275,103.37 nat. median
$93,192
outlier · 3.0×
6124
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 3 $216,709.03 $392,718.18 $271,332.56 nat. median
$69,517
outlier · 3.9×
8634
APR_DRG 		Apr-DRG 41.00: Neonatal Aftercare 3 $236,789.05 $296,473.93 $265,266.15 nat. median
$72,289
outlier · 3.7×
5932
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $211,173.98 $382,687.61 $264,402.35 nat. median
$89,063
outlier · 3.0×
23
APR_DRG 		Apr-DRG 41.00: Heart And/or Lung Transplant 3 $163,279.32 $310,230.71 $262,675.60 nat. median
$116,111
outlier · 2.3×
1611
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 3 $233,571.17 $292,444.96 $261,661.28 nat. median
$82,164
outlier · 3.2×
3034
APR_DRG 		Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 $224,081.30 $280,563.08 $251,030.13 nat. median
$84,380
outlier · 3.0×
8424
APR_DRG 		Apr-DRG 41.00: Burns With Skin Graft Except Extensive Third Degree Burns 3 $221,790.09 $277,694.35 $248,463.36 nat. median
$83,517
outlier · 3.0×
1624
APR_DRG 		Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 $220,607.28 $276,213.39 $247,138.30 nat. median
$82,636
outlier · 3.0×
4404
APR_DRG 		Apr-DRG 41.00: Kidney Transplant 3 $207,944.50 $260,358.84 $234,322.96 nat. median
$80,513
outlier · 2.9×
6134
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 3 $183,682.51 $332,867.81 $229,981.40 nat. median
$58,488
outlier · 3.9×
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 7 $167,037.57 $428,365.08 $224,665.53 nat. median
$132,706
1.7× median
6214
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 $176,094.86 $319,117.53 $220,481.21 nat. median
$69,851
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 8,873 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 Apr-DRG 41.00: Neonate With Ecmo 6 3 — — $1,080,809.83 $1,958,633.96 $1,353,238.01 2026-02-19
5884 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $806,145.44 $1,460,889.59 $1,009,341.90 2026-02-19
5833 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 6 3 — — $716,164.94 $1,297,827.74 $896,680.98 2026-02-19
6304 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 3 — — $547,934.92 $992,962.80 $686,047.02 2026-02-19
5934 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 3 — — $529,950.94 $960,372.38 $663,530.01 2026-02-19
5914 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $524,665.44 $950,794.05 $656,912.25 2026-02-19
6314 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 3 — — $515,428.92 $934,055.70 $645,347.58 2026-02-19
6094 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $509,535.56 $923,375.81 $637,968.74 2026-02-19
1614 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 6 3 — — $565,747.87 $708,349.89 $633,786.74 2026-02-19
24 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 8 3 — — $361,176.52 $686,235.39 $581,042.72 2026-02-19
5832 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 6 3 — — $449,411.87 $814,420.20 $562,690.32 2026-02-19
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 7 — — $415,088.75 $1,143,301.24 $558,294.37 2026-02-19
6034 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 3 — — $397,540.93 $720,420.14 $497,744.82 2026-02-19
5883 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $393,399.52 $712,915.11 $492,559.53 2026-02-19
5882 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $382,937.57 $693,956.06 $479,460.55 2026-02-19
6024 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 3 — — $382,404.07 $692,989.25 $478,792.57 2026-02-19
114 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $425,747.57 $533,061.21 $476,949.50 2026-02-19
5831 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 6 3 — — $363,940.74 $659,530.16 $455,675.39 2026-02-19
8414 APR_DRG Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 6 3 — — $406,330.76 $508,750.21 $455,197.56 2026-02-19
94 APR_DRG Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $365,182.03 $457,229.57 $409,100.14 2026-02-19
44 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $358,428.02 $448,773.14 $401,533.86 2026-02-19
74 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 8 3 — — $233,826.50 $444,270.35 $376,168.38 2026-02-19
6074 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 3 — — $297,263.14 $538,697.61 $372,191.08 2026-02-19
14 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 8 3 — — $226,687.08 $430,705.45 $364,682.84 2026-02-19
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 16 7 — — $267,937.62 $719,180.40 $360,376.10 2026-02-19
1613 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 6 3 — — $306,218.53 $383,403.76 $343,045.47 2026-02-19
5933 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 3 — — $271,595.97 $492,183.81 $340,054.27 2026-02-19
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 16 7 — — $243,838.06 $649,720.39 $327,962.19 2026-02-19
5913 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $261,357.31 $473,629.39 $327,234.85 2026-02-19
5881 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $254,696.32 $461,558.41 $318,894.90 2026-02-19
64 APR_DRG Apr-DRG 41.00: Pancreas Transplant 8 3 — — $180,615.41 $343,169.28 $290,565.04 2026-02-19
1604 APR_DRG Apr-DRG 41.00: Major Cardiothoracic Repair Of Heart Anomaly 6 3 — — $257,965.68 $322,988.33 $288,989.56 2026-02-19
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 38 13 — — $125,000.00 $853,950.18 $288,191.00 2026-02-19
6303 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 3 — — $225,838.25 $409,262.07 $282,762.88 2026-02-19
6114 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 3 — — $225,456.48 $408,570.22 $282,284.88 2026-02-19
54 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $246,100.30 $308,132.18 $275,697.21 2026-02-19
6023 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 3 — — $219,799.24 $398,318.22 $275,201.68 2026-02-19
1612 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 6 3 — — $245,570.21 $307,468.47 $275,103.37 2026-02-19
6124 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 6 3 — — $216,709.03 $392,718.18 $271,332.56 2026-02-19
8634 APR_DRG Apr-DRG 41.00: Neonatal Aftercare 6 3 — — $236,789.05 $296,473.93 $265,266.15 2026-02-19
5932 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 3 — — $211,173.98 $382,687.61 $264,402.35 2026-02-19
23 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 8 3 — — $163,279.32 $310,230.71 $262,675.60 2026-02-19
1611 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 6 3 — — $233,571.17 $292,444.96 $261,661.28 2026-02-19
3034 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $224,081.30 $280,563.08 $251,030.13 2026-02-19
8424 APR_DRG Apr-DRG 41.00: Burns With Skin Graft Except Extensive Third Degree Burns 6 3 — — $221,790.09 $277,694.35 $248,463.36 2026-02-19
1624 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $220,607.28 $276,213.39 $247,138.30 2026-02-19
4404 APR_DRG Apr-DRG 41.00: Kidney Transplant 8 3 — — $207,944.50 $260,358.84 $234,322.96 2026-02-19
6134 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 6 3 — — $183,682.51 $332,867.81 $229,981.40 2026-02-19
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 16 7 — — $167,037.57 $428,365.08 $224,665.53 2026-02-19
6214 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 3 — — $176,094.86 $319,117.53 $220,481.21 2026-02-19
6022 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 3 — — $170,516.98 $309,009.36 $213,497.38 2026-02-19
6073 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 3 — — $170,203.33 $308,440.96 $213,104.67 2026-02-19
6093 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $169,097.60 $306,437.17 $211,720.23 2026-02-19
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 38 13 — — $125,000.00 $334,073.23 $210,000.00 2026-02-19
7 MS_DRG Ms-DRG 42.00: Lung Transplant 16 7 — — $155,875.54 $396,193.74 $209,652.60 2026-02-19
1634 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 6 3 — — $186,651.13 $233,698.29 $209,098.47 2026-02-19
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 20 8 — — $156,222.65 $397,194.17 $208,794.17 2026-02-19
6334 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 6 3 — — $165,712.50 $300,302.72 $207,481.88 2026-02-19
6084 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 6 3 — — $162,344.88 $294,199.95 $203,265.42 2026-02-19
1784 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 6 3 — — $179,341.59 $224,546.31 $200,909.86 2026-02-19
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 40 14 — — $120,000.00 $322,847.21 $197,931.24 2026-02-19
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 30 10 — — $129,853.26 $321,191.96 $195,906.61 2026-02-19
1654 APR_DRG Apr-DRG 41.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 6 3 — — $172,887.93 $216,465.94 $193,680.05 2026-02-19
5912 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $154,491.80 $279,968.67 $193,432.90 2026-02-19
1674 APR_DRG Apr-DRG 41.00: Other Cardiothoracic And Thoracic Vascular Procedures 6 3 — — $172,566.31 $216,063.25 $193,319.75 2026-02-19
6144 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 6 3 — — $153,831.48 $278,772.04 $192,606.14 2026-02-19
43 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $169,213.04 $211,864.76 $189,563.21 2026-02-19
22 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 8 3 — — $117,516.92 $223,282.15 $189,055.35 2026-02-19
113 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $163,405.28 $204,593.10 $183,056.99 2026-02-19
6033 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 3 — — $146,057.93 $264,684.89 $182,873.20 2026-02-19
5891 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 3 — — $145,940.98 $264,472.95 $182,726.76 2026-02-19
84 APR_DRG Apr-DRG 41.00: Autologous Bone Marrow Transplant 8 3 — — $113,500.31 $215,650.59 $182,593.62 2026-02-19
3044 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 3 — — $162,758.23 $203,782.96 $182,332.12 2026-02-19
1834 APR_DRG Apr-DRG 41.00: Percutaneous Structural Cardiac Procedures 6 3 — — $160,334.13 $200,747.84 $179,616.49 2026-02-19
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 16 7 — — $132,999.27 $330,259.47 $178,884.02 2026-02-19
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 16 7 — — $128,597.36 $317,572.23 $172,963.45 2026-02-19
1794 APR_DRG Apr-DRG 41.00: Defibrillator Implants 6 3 — — $153,641.25 $192,367.95 $172,118.69 2026-02-19
9104 APR_DRG Apr-DRG 41.00: Craniotomy For Multiple Significant Trauma 6 3 — — $153,412.65 $192,081.73 $171,862.61 2026-02-19
1664 APR_DRG Apr-DRG 41.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 3 — — $152,187.31 $190,547.54 $170,489.91 2026-02-19
6804 APR_DRG Apr-DRG 41.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 6 3 — — $150,148.61 $187,994.97 $168,206.02 2026-02-19
914 APR_DRG Apr-DRG 41.00: Other Major Head And Neck Procedures 6 3 — — $148,423.56 $185,835.11 $166,273.52 2026-02-19
63 APR_DRG Apr-DRG 41.00: Pancreas Transplant 8 3 — — $102,136.84 $194,060.00 $164,312.64 2026-02-19
6313 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 3 — — $128,613.38 $233,072.02 $161,031.57 2026-02-19
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 26 9 — — $30,123.00 $292,582.75 $155,615.00 2026-02-19
21 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 8 3 — — $96,610.62 $183,560.18 $155,422.33 2026-02-19
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 16 7 — — $115,307.48 $279,267.96 $155,088.56 2026-02-19
6072 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 3 — — $123,826.29 $224,396.89 $155,037.85 2026-02-19
73 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 8 3 — — $95,739.84 $181,905.70 $154,021.47 2026-02-19
9124 APR_DRG Apr-DRG 41.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 6 3 — — $136,879.81 $171,381.63 $153,341.46 2026-02-19
9114 APR_DRG Apr-DRG 41.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 6 3 — — $136,715.00 $171,175.29 $153,156.84 2026-02-19
1694 APR_DRG Apr-DRG 41.00: Major Abdominal Vascular Procedures 6 3 — — $136,411.99 $170,795.90 $152,817.39 2026-02-19
6224 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Sy… 6 3 — — $121,367.40 $219,940.93 $151,959.19 2026-02-19
6083 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 6 3 — — $120,769.57 $218,857.54 $151,210.66 2026-02-19
1204 APR_DRG Apr-DRG 41.00: Major Respiratory And Chest Procedures 6 3 — — $134,726.73 $168,685.86 $150,929.45 2026-02-19
214 APR_DRG Apr-DRG 41.00: Open Craniotomy Except Trauma 6 3 — — $133,538.68 $167,198.35 $149,598.52 2026-02-19
234 APR_DRG Apr-DRG 41.00: Spinal Procedures 6 3 — — $132,815.70 $166,293.13 $148,788.59 2026-02-19
13 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 8 3 — — $92,130.34 $175,047.65 $148,214.68 2026-02-19
6254 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 6 3 — — $116,665.29 $211,419.81 $146,071.87 2026-02-19
6234 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 6 3 — — $116,155.26 $210,495.53 $145,433.28 2026-02-19
6814 APR_DRG Apr-DRG 41.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 6 3 — — $128,666.53 $161,098.13 $144,140.43 2026-02-19
2204 APR_DRG Apr-DRG 41.00: Major Stomach, Esophageal And Duodenal Procedures 6 3 — — $128,626.67 $161,048.22 $144,095.77 2026-02-19
6904 APR_DRG Apr-DRG 41.00: Acute Leukemia 6 3 — — $127,685.73 $159,870.10 $143,041.67 2026-02-19
2604 APR_DRG Apr-DRG 41.00: Major Pancreas, Liver And Shunt Procedures 6 3 — — $127,661.81 $159,840.16 $143,014.88 2026-02-19
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 7 — — $106,142.87 $252,853.63 $142,762.16 2026-02-19
894 APR_DRG Apr-DRG 41.00: Major Cranial Or Facial Bone Procedures 6 3 — — $125,923.47 $157,663.65 $141,067.48 2026-02-19
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 40 14 — — $69,419.25 $285,000.00 $141,004.17 2026-02-19
1304 APR_DRG Apr-DRG 41.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 3 — — $125,660.93 $157,334.93 $140,773.36 2026-02-19
3124 APR_DRG Apr-DRG 41.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 6 3 — — $125,535.40 $157,177.77 $140,632.74 2026-02-19
9504 APR_DRG Apr-DRG 41.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 3 — — $125,453.00 $157,074.60 $140,540.43 2026-02-19
204 APR_DRG Apr-DRG 41.00: Open Craniotomy For Trauma 6 3 — — $125,434.40 $157,051.30 $140,519.59 2026-02-19
53 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $124,478.64 $155,854.64 $139,448.89 2026-02-19
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 16 7 — — $103,203.01 $244,380.31 $138,808.04 2026-02-19
3614 APR_DRG Apr-DRG 41.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 3 — — $123,887.43 $155,114.40 $138,786.57 2026-02-19
4414 APR_DRG Apr-DRG 41.00: Major Bladder Procedures 6 3 — — $123,525.93 $154,661.79 $138,381.60 2026-02-19
6302 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 3 — — $110,182.70 $199,672.11 $137,955.28 2026-02-19
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 12 — — $90,300.00 $240,324.03 $136,915.15 2026-02-19
62 APR_DRG Apr-DRG 41.00: Pancreas Transplant 8 3 — — $83,897.94 $159,406.09 $134,970.81 2026-02-19
6344 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr… 6 3 — — $107,488.15 $194,789.07 $134,581.54 2026-02-19
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 26 9 — — $30,123.00 $234,570.05 $133,731.04 2026-02-19
5892 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 3 — — $106,286.05 $192,610.63 $133,076.44 2026-02-19
274 APR_DRG Apr-DRG 41.00: Other Open Craniotomy 6 3 — — $118,390.65 $148,232.11 $132,628.73 2026-02-19
93 APR_DRG Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $118,122.18 $147,895.98 $132,327.98 2026-02-19
112 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $116,719.13 $146,139.28 $130,756.20 2026-02-19
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 7 — — $96,924.64 $226,284.69 $130,363.64 2026-02-19
2614 APR_DRG Apr-DRG 41.00: Major Biliary Tract Procedures 6 3 — — $116,147.28 $145,423.28 $130,115.57 2026-02-19
6123 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 6 3 — — $103,699.80 $187,923.86 $129,838.30 2026-02-19
02WA3RS OTHER 02wa3rs 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
02WA3RZ OTHER 02wa3rz 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
5A02216 OTHER 5a02216 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
02WA4QZ OTHER 02wa4qz 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
02HA0QZ OTHER 02ha0qz 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
02HA3RZ OTHER 02ha3rz 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
02WA0RZ OTHER 02wa0rz 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
02HA3QZ OTHER 02ha3qz 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
02WA4RZ OTHER 02wa4rz 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
02HA4QZ OTHER 02ha4qz 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
02WA4RS OTHER 02wa4rs 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
5A02116 OTHER 5a02116 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
02WA0RS OTHER 02wa0rs 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
02HA0RZ OTHER 02ha0rz 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
02WA3QZ OTHER 02wa3qz 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
02WA0QZ OTHER 02wa0qz 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
02HA4RZ OTHER 02ha4rz 2 1 — — $129,104.00 $129,104.00 $129,104.00 2026-02-19
1814 APR_DRG Apr-DRG 41.00: Lower Extremity Arterial Procedures 6 3 — — $115,102.68 $144,115.38 $128,945.34 2026-02-19
6113 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 3 — — $102,921.01 $186,512.54 $128,863.21 2026-02-19
1764 APR_DRG Apr-DRG 41.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 6 3 — — $113,903.91 $142,614.46 $127,602.41 2026-02-19
4014 APR_DRG Apr-DRG 41.00: Adrenal Procedures 6 3 — — $113,523.83 $142,138.56 $127,176.61 2026-02-19
6133 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 6 3 — — $100,273.62 $181,714.97 $125,548.52 2026-02-19
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 16 7 — — $93,122.26 $215,325.45 $125,249.44 2026-02-19
5104 APR_DRG Apr-DRG 41.00: Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynec… 6 3 — — $111,729.67 $139,892.17 $125,166.68 2026-02-19
8514 APR_DRG Apr-DRG 41.00: Gender Related Procedures 6 3 — — $111,574.35 $139,697.71 $124,992.69 2026-02-19
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 7 — — $92,746.75 $214,243.17 $124,744.38 2026-02-19
12 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 8 3 — — $76,866.62 $146,046.58 $123,659.18 2026-02-19
42 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $110,167.13 $137,935.78 $123,416.23 2026-02-19
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 16 7 — — $91,584.48 $210,893.25 $123,181.12 2026-02-19
6954 APR_DRG Apr-DRG 41.00: Chemotherapy For Acute Leukemia 6 3 — — $109,826.53 $137,509.33 $123,034.66 2026-02-19
3033 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $109,430.48 $137,013.45 $122,590.98 2026-02-19
7924 APR_DRG Apr-DRG 41.00: Extensive O.r. Procedures For Other Complications Of Treatment 6 3 — — $109,268.35 $136,810.45 $122,409.35 2026-02-19
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 32 13 — — $60,000.00 $241,709.47 $122,277.00 2026-02-19
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 16 7 — — $90,236.04 $207,006.74 $121,367.47 2026-02-19
72 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 8 3 — — $75,414.06 $143,286.71 $121,322.37 2026-02-19
2304 APR_DRG Apr-DRG 41.00: Major Small Bowel Procedures 6 3 — — $108,229.06 $135,509.20 $121,245.07 2026-02-19
1214 APR_DRG Apr-DRG 41.00: Other Respiratory And Chest Procedures 6 3 — — $107,985.89 $135,204.74 $120,972.66 2026-02-19
3214 APR_DRG Apr-DRG 41.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc … 6 3 — — $107,540.63 $134,647.24 $120,473.85 2026-02-19
6092 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $96,081.92 $174,118.81 $120,300.27 2026-02-19
5114 APR_DRG Apr-DRG 41.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 6 3 — — $107,125.99 $134,128.09 $120,009.34 2026-02-19
924 APR_DRG Apr-DRG 41.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 6 3 — — $106,791.07 $133,708.76 $119,634.15 2026-02-19
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 16 7 — — $88,935.98 $203,259.69 $119,618.89 2026-02-19
1623 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $106,726.90 $133,628.41 $119,562.26 2026-02-19
C2624 HCPCS Hc Impl Stj Cardiomems Sensor 70 20 $193,000.00 $86,850.00 55% off $38,600.00 $164,050.00 $119,467.00 2026-02-19
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 16 7 — — $88,664.60 $202,477.53 $119,253.89 2026-02-19
2324 APR_DRG Apr-DRG 41.00: Gastric Fundoplication 6 3 — — $104,428.10 $130,750.17 $116,987.00 2026-02-19
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 16 7 — — $86,437.88 $196,059.64 $116,258.95 2026-02-19
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 26 9 — — $30,123.00 $195,777.70 $115,695.67 2026-02-19
222 MS_DRG Ms-DRG 29.00: Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 8 2 — — $12,764.00 $124,263.00 $114,737.00 2026-02-19
304 APR_DRG Apr-DRG 41.00: Percutaneous Intracranial And Extracranial Vascular Procedures 6 3 — — $102,336.24 $128,131.04 $114,643.56 2026-02-19
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 16 7 — — $84,934.81 $191,727.48 $114,237.32 2026-02-19
1704 APR_DRG Apr-DRG 41.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh… 6 3 — — $101,722.24 $127,362.28 $113,955.73 2026-02-19
6143 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 6 3 — — $90,763.24 $164,480.33 $113,640.96 2026-02-19
3254 APR_DRG Apr-DRG 41.00: Non-elective Or Complex Knee Joint Replacement 6 3 — — $101,440.49 $127,009.51 $113,640.09 2026-02-19
2644 APR_DRG Apr-DRG 41.00: Other Hepatobiliary, Pancreas And Abdominal Procedures 6 3 — — $100,778.65 $126,180.84 $112,898.65 2026-02-19
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 16 7 — — $83,568.48 $187,789.43 $112,399.60 2026-02-19
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 7 — — $83,484.33 $187,546.90 $112,286.43 2026-02-19
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 24 10 — — $81,901.34 $214,200.00 $112,184.08 2026-02-19
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 24 10 — — $81,901.34 $214,200.00 $112,184.08 2026-02-19
61 APR_DRG Apr-DRG 41.00: Pancreas Transplant 8 3 — — $69,693.92 $132,418.45 $112,120.09 2026-02-19
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 7 — — $83,187.72 $186,691.99 $111,887.48 2026-02-19
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 26 9 — — $25,651.00 $202,134.96 $111,805.00 2026-02-19
5893 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 6 3 — — $89,256.15 $161,749.20 $111,753.99 2026-02-19
4054 APR_DRG Apr-DRG 41.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 6 3 — — $99,707.46 $124,839.65 $111,698.64 2026-02-19
6364 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal In… 6 3 — — $88,983.67 $161,255.41 $111,412.83 2026-02-19
4044 APR_DRG Apr-DRG 41.00: Thyroid, Parathyroid And Thyroglossal Procedures 6 3 — — $99,340.65 $124,380.38 $111,287.71 2026-02-19
7104 APR_DRG Apr-DRG 41.00: Infectious And Parasitic Diseases Including HIV With O.r. Procedu… 6 3 — — $99,199.78 $124,204.01 $111,129.90 2026-02-19
5124 APR_DRG Apr-DRG 41.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mal… 6 3 — — $99,154.59 $124,147.43 $111,079.27 2026-02-19
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 26 9 — — $25,651.00 $216,703.00 $110,774.84 2026-02-19
6514 APR_DRG Apr-DRG 41.00: Other Procedures Of Blood And Blood-forming Organs 6 3 — — $98,880.82 $123,804.65 $110,772.58 2026-02-19
1824 APR_DRG Apr-DRG 41.00: Other Peripheral Vascular And Related Procedures 6 3 — — $98,458.19 $123,275.50 $110,299.13 2026-02-19
11 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 8 3 — — $68,511.61 $130,172.06 $110,218.05 2026-02-19
1783 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 6 3 — — $98,158.59 $122,900.38 $109,963.50 2026-02-19
1754 APR_DRG Apr-DRG 41.00: Percutaneous Cardiac Intervention Without Ami 6 3 — — $98,051.52 $122,766.32 $109,843.54 2026-02-19
6091 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $87,156.31 $157,943.89 $109,124.87 2026-02-19
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 7 — — $80,943.11 $180,222.56 $108,868.49 2026-02-19
4034 APR_DRG Apr-DRG 41.00: Procedures For Obesity 6 3 — — $97,129.18 $121,611.49 $108,810.29 2026-02-19
6082 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 6 3 — — $86,845.33 $157,380.33 $108,735.50 2026-02-19
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 26 9 — — $30,123.00 $180,358.98 $108,527.19 2026-02-19
264 APR_DRG Apr-DRG 41.00: Other Nervous System And Related Procedures 6 3 — — $96,874.01 $121,292.01 $108,524.43 2026-02-19
2314 APR_DRG Apr-DRG 41.00: Major Large Bowel Procedures 6 3 — — $96,302.54 $120,576.49 $107,884.23 2026-02-19
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 26 9 — — $33,409.00 $256,894.75 $107,544.97 2026-02-19
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 26 9 — — $29,434.00 $256,752.27 $107,495.52 2026-02-19
8633 APR_DRG Apr-DRG 41.00: Neonatal Aftercare 6 3 — — $95,951.69 $120,137.21 $107,491.19 2026-02-19
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 7 — — $79,654.62 $176,508.85 $107,135.46 2026-02-19
8413 APR_DRG Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 6 3 — — $95,405.65 $119,453.53 $106,879.48 2026-02-19
6504 APR_DRG Apr-DRG 41.00: Splenectomy 6 3 — — $95,372.23 $119,411.69 $106,842.04 2026-02-19
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 38 11 — — $63,280.00 $285,000.00 $106,785.00 2026-02-19
4474 APR_DRG Apr-DRG 41.00: Other Kidney, Urinary Tract And Related Procedures 6 3 — — $95,034.67 $118,989.04 $106,463.88 2026-02-19
5144 APR_DRG Apr-DRG 41.00: Female Reproductive System Reconstructive Procedures 6 3 — — $94,986.82 $118,929.13 $106,410.28 2026-02-19
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 26 9 — — $33,409.00 $236,961.98 $106,219.00 2026-02-19
4424 APR_DRG Apr-DRG 41.00: Kidney And Urinary Tract Procedures For Malignancy 6 3 — — $94,643.94 $118,499.83 $106,026.16 2026-02-19
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 16 7 — — $78,421.88 $172,955.81 $105,288.67 2026-02-19
224 APR_DRG Apr-DRG 41.00: Ventricular Shunt Procedures 6 3 — — $93,974.12 $117,661.17 $105,275.78 2026-02-19
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 38 11 — — $54,938.69 $285,000.00 $105,272.31 2026-02-19
4403 APR_DRG Apr-DRG 41.00: Kidney Transplant 8 3 — — $92,814.09 $116,208.75 $104,587.88 2026-02-19
244 APR_DRG Apr-DRG 41.00: Open Extracranial Vascular Procedures 6 3 — — $92,908.25 $116,326.65 $104,081.74 2026-02-19
3094 APR_DRG Apr-DRG 41.00: Other Significant Hip And Femur Surgery 6 3 — — $92,871.05 $116,280.06 $104,040.05 2026-02-19
294 APR_DRG Apr-DRG 41.00: Other Percutaneous Intracranial Procedures 6 3 — — $92,203.89 $115,444.74 $103,292.66 2026-02-19
3134 APR_DRG Apr-DRG 41.00: Knee And Lower Leg Procedures Except Foot 6 3 — — $92,137.44 $115,361.54 $103,218.22 2026-02-19
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 16 7 — — $77,049.24 $168,999.57 $103,162.47 2026-02-19
2294 APR_DRG Apr-DRG 41.00: Other Digestive System And Abdominal Procedures 6 3 — — $91,810.50 $114,952.18 $102,851.96 2026-02-19
9514 APR_DRG Apr-DRG 41.00: Moderately Extensive O.r. Procedure Unrelated To Principal Diagno… 6 3 — — $91,778.60 $114,912.25 $102,816.22 2026-02-19
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 16 7 — — $76,551.72 $167,565.63 $102,391.83 2026-02-19
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 16 7 — — $76,551.72 $167,565.63 $102,391.83 2026-02-19
4804 APR_DRG Apr-DRG 41.00: Major Male Pelvic Procedures 6 3 — — $91,254.97 $114,256.63 $102,229.62 2026-02-19
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 16 7 — — $76,307.69 $166,862.30 $102,013.83 2026-02-19
6122 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 6 3 — — $81,260.84 $147,260.16 $101,743.38 2026-02-19
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 7 — — $75,954.29 $165,843.68 $101,466.40 2026-02-19
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 30 13 — — $75,645.03 $171,250.00 $101,364.34 2026-02-19
7114 APR_DRG Apr-DRG 41.00: Post-operative, Post-trauma, Other Device Infections With O.r. Pr… 6 3 — — $90,460.22 $113,261.57 $101,339.29 2026-02-19
2244 APR_DRG Apr-DRG 41.00: Peritoneal Adhesiolysis 6 3 — — $89,968.49 $112,645.89 $100,788.43 2026-02-19
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 16 7 — — $75,514.61 $164,576.47 $100,785.36 2026-02-19
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 16 7 — — $75,169.61 $163,582.10 $100,250.97 2026-02-19
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 7 — — $75,163.30 $163,563.91 $100,241.19 2026-02-19
3104 APR_DRG Apr-DRG 41.00: Vertebral And Intervertebral Spinal Procedures Including Disc Pro… 6 3 — — $88,889.34 $111,294.72 $99,579.49 2026-02-19
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 26 9 — — $30,123.00 $160,574.76 $99,329.11 2026-02-19
1653 APR_DRG Apr-DRG 41.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 6 3 — — $88,631.51 $110,971.91 $99,290.66 2026-02-19
1744 APR_DRG Apr-DRG 41.00: Percutaneous Cardiac Intervention With Ami 6 3 — — $88,110.54 $110,319.62 $98,707.03 2026-02-19
1633 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 6 3 — — $87,824.61 $109,961.63 $98,386.72 2026-02-19
5194 APR_DRG Apr-DRG 41.00: Uterine And Adnexa Procedures For Leiomyoma 6 3 — — $87,454.01 $109,497.61 $97,971.54 2026-02-19
1782 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 6 3 — — $87,122.13 $109,082.08 $97,599.75 2026-02-19
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 26 9 — — $33,409.00 $161,287.18 $97,568.00 2026-02-19
1603 APR_DRG Apr-DRG 41.00: Major Cardiothoracic Repair Of Heart Anomaly 6 3 — — $87,032.90 $108,970.36 $97,499.79 2026-02-19
4844 APR_DRG Apr-DRG 41.00: Other Male Reproductive System And Related Procedures 6 3 — — $86,986.20 $108,911.88 $97,447.47 2026-02-19
5184 APR_DRG Apr-DRG 41.00: Other Female Reproductive System And Related Procedures 6 3 — — $86,951.64 $108,868.61 $97,408.76 2026-02-19
224 MS_DRG Ms-DRG 29.00: Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 8 2 — — $12,764.00 $113,336.00 $97,245.50 2026-02-19
6394 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Significant Conditio… 6 3 — — $77,546.30 $140,528.71 $97,092.57 2026-02-19
3154 APR_DRG Apr-DRG 41.00: Shoulder, Upper Arm And Forearm Procedures Except Joint Replaceme… 6 3 — — $86,587.50 $108,412.69 $97,000.83 2026-02-19
453 MS_DRG Ms-DRG 29.00: Combined Anterior/posterior Spinal Fusion W Mcc 10 2 — — $29,434.00 $152,808.00 $96,665.00 2026-02-19
3054 APR_DRG Apr-DRG 41.00: Amputation Of Lower Limb Except Toes 6 3 — — $86,175.50 $107,896.84 $96,539.28 2026-02-19
7934 APR_DRG Apr-DRG 41.00: Moderately Extensive O.r. Procedures For Other Complications Of T… 6 3 — — $86,170.19 $107,890.19 $96,533.33 2026-02-19
2224 APR_DRG Apr-DRG 41.00: Other Stomach, Esophageal And Duodenal Procedures 6 3 — — $85,723.65 $107,331.10 $96,033.09 2026-02-19
3204 APR_DRG Apr-DRG 41.00: Other Musculoskeletal System And Connective Tissue Procedures 6 3 — — $85,604.03 $107,181.32 $95,899.07 2026-02-19
984 APR_DRG Apr-DRG 41.00: Other Ear, Nose, Mouth And Throat Procedures 6 3 — — $85,524.30 $107,081.49 $95,809.76 2026-02-19
9524 APR_DRG Apr-DRG 41.00: Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 6 3 — — $85,489.74 $107,038.23 $95,771.05 2026-02-19
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 16 7 — — $72,584.22 $156,130.43 $95,720.48 2026-02-19
71 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 8 3 — — $59,477.23 $113,006.74 $95,683.99 2026-02-19
1714 APR_DRG Apr-DRG 41.00: Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or… 6 3 — — $85,351.51 $106,865.16 $95,616.19 2026-02-19
3224 APR_DRG Apr-DRG 41.00: Shoulder And Elbow Joint Replacement 6 3 — — $85,120.28 $106,575.64 $95,357.15 2026-02-19
225 MS_DRG Ms-DRG 29.00: Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 8 2 — — $12,764.00 $101,501.00 $95,247.00 2026-02-19
2274 APR_DRG Apr-DRG 41.00: Hernia Procedures Except Inguinal, Femoral And Umbilical 6 3 — — $84,936.87 $106,346.00 $95,151.69 2026-02-19
2234 APR_DRG Apr-DRG 41.00: Other Small And Large Bowel Procedures 6 3 — — $84,639.17 $105,973.26 $94,818.18 2026-02-19
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 16 7 — — $71,836.37 $153,974.96 $94,399.01 2026-02-19
6312 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 3 — — $75,041.09 $135,988.79 $93,955.89 2026-02-19
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 16 7 — — $71,393.55 $152,698.66 $93,616.52 2026-02-19
6233 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 6 3 — — $74,682.24 $135,338.50 $93,506.60 2026-02-19
1622 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $83,387.63 $104,406.25 $93,416.12 2026-02-19
652 MS_DRG Ms-DRG 42.00: Kidney Transplant 42 12 — — $50,719.81 $322,497.00 $93,112.56 2026-02-19
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 16 7 — — $71,081.14 $151,798.28 $93,064.52 2026-02-19
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 16 7 — — $71,040.12 $151,680.04 $92,992.04 2026-02-19
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 7 — — $71,019.08 $151,619.41 $92,954.86 2026-02-19
52 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $82,573.14 $103,386.47 $92,503.68 2026-02-19
3634 APR_DRG Apr-DRG 41.00: Breast Procedures Except Mastectomy 6 3 — — $82,403.79 $103,174.43 $92,313.96 2026-02-19
3624 APR_DRG Apr-DRG 41.00: Mastectomy Procedures 6 3 — — $82,300.13 $103,044.64 $92,197.83 2026-02-19
504 APR_DRG Apr-DRG 41.00: Non-bacterial Infections Of Nervous System Except Viral Meningiti… 6 3 — — $82,260.25 $102,994.71 $92,153.16 2026-02-19
4402 APR_DRG Apr-DRG 41.00: Kidney Transplant 8 3 — — $81,602.96 $102,171.74 $91,954.57 2026-02-19
8504 APR_DRG Apr-DRG 41.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 6 3 — — $81,882.05 $102,521.19 $91,729.48 2026-02-19
6032 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 3 — — $73,252.24 $132,747.07 $91,716.15 2026-02-19
1804 APR_DRG Apr-DRG 41.00: Other Circulatory System Procedures 6 3 — — $81,601.06 $102,169.37 $91,414.70 2026-02-19
3234 APR_DRG Apr-DRG 41.00: Non-elective Or Complex Hip Joint Replacement 6 3 — — $81,545.24 $102,099.48 $91,352.17 2026-02-19
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 26 9 — — $25,651.00 $162,712.00 $90,985.16 2026-02-19
3244 APR_DRG Apr-DRG 41.00: Elective Hip Joint Replacement 6 3 — — $80,902.01 $101,294.11 $90,631.57 2026-02-19
223 MS_DRG Ms-DRG 29.00: Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 8 2 — — $12,764.00 $106,570.00 $90,583.00 2026-02-19
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 18 8 — — $9,547.00 $148,148.23 $90,360.97 2026-02-19
906811453 CDM Hc Tavi Tavr 66 18 $140,080.00 $63,036.00 55% off $4,560.14 $119,068.00 $89,651.20 2026-02-19
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 26 9 — — $30,123.00 $171,252.00 $89,405.13 2026-02-19
41 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $79,738.55 $99,837.40 $89,328.20 2026-02-19
1781 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 6 3 — — $79,647.41 $99,723.29 $89,226.10 2026-02-19
3032 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $79,408.20 $99,423.77 $88,958.11 2026-02-19
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 16 7 — — $68,644.05 $144,774.06 $88,758.11 2026-02-19
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 16 7 — — $68,426.32 $144,146.52 $88,373.38 2026-02-19
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 16 7 — — $68,416.86 $144,119.23 $88,356.65 2026-02-19
4444 APR_DRG Apr-DRG 41.00: Renal Dialysis Access Device Procedures 6 3 — — $78,650.66 $98,475.29 $88,109.47 2026-02-19
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