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

9,628 distinct procedures filed
27 distinct payers
422,365 rate rows
2026-09-02 last MRF observed
Data quality

409,641 of 422,365 rate rows are consumer-grade (97.0%)

12,724 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 6,479
placeholder amount (≤ $0.02) — excluded from medians 2,907
template filing: same amount across many unrelated codes — excluded 1,573
exceeds 10× this hospital's gross charge — excluded from medians 1,421
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 298
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 21
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 18
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 7
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 success · 2026-11-03
Content fingerprint 792ed92ac745984d… · 242,188,991 bytes · first seen 2026-11-03

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG 		Neonate With Ecmo 3 $1,148,219.24 $2,080,792.70 $1,437,638.59 nat. median
$309,665
outlier · 4.6×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $725,717.53 $1,315,138.85 $908,641.39 nat. median
$249,123
outlier · 3.6×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $711,261.73 $890,541.88 $796,800.62 nat. median
$122,909
outlier · 6.5×
24
APR_DRG 		Heart And/or Lung Transplant 3 $645,931.55 $808,744.61 $723,613.60 nat. median
$243,231
outlier · 3.0×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $512,436.90 $1,309,129.76 $702,038.55 nat. median
$360,195
1.9× median
5833
APR_DRG 		Neonate With Ecmo 3 $541,613.69 $981,507.51 $678,132.46 nat. median
$244,017
outlier · 2.8×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $510,329.10 $924,813.86 $638,962.31 nat. median
$165,846
outlier · 3.9×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $499,338.44 $904,896.69 $625,201.35 nat. median
$165,334
outlier · 3.8×
1614
APR_DRG 		Implantable Heart Assist Systems 3 $537,077.96 $672,453.45 $601,668.88 nat. median
$202,660
outlier · 3.0×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $516,887.13 $647,173.34 $579,049.83 nat. median
$165,169
outlier · 3.5×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $440,771.41 $798,762.03 $551,871.95 nat. median
$152,569
outlier · 3.6×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $435,561.79 $789,321.20 $545,349.19 nat. median
$138,094
outlier · 3.9×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $459,470.56 $575,284.39 $514,728.14 nat. median
$160,390
outlier · 3.2×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $428,251.20 $536,195.90 $479,754.23 nat. median
$67,440
outlier · 7.1×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $370,112.07 $670,713.81 $463,402.27 nat. median
$154,211
outlier · 3.0×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $367,017.25 $665,105.40 $459,527.37 nat. median
$177,531
outlier · 2.6×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $397,907.15 $498,203.35 $445,760.89 nat. median
$171,358
outlier · 2.6×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $353,966.66 $641,455.24 $443,187.26 nat. median
$145,336
outlier · 3.0×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $394,875.15 $494,407.11 $442,364.26 nat. median
$122,016
outlier · 3.6×
5832
APR_DRG 		Neonate With Ecmo 3 $339,874.44 $615,917.44 $425,542.96 nat. median
$159,829
outlier · 2.7×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $366,213.31 $458,520.79 $410,255.44 nat. median
$137,215
outlier · 3.0×
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $361,886.95 $453,103.92 $405,408.78 nat. median
$67,645
outlier · 6.0×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $321,933.39 $583,404.83 $403,079.70 nat. median
$119,800
outlier · 3.4×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $301,122.82 $545,692.10 $377,023.63 nat. median
$71,594
outlier · 5.3×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $301,122.82 $545,692.10 $377,023.63 nat. median
$95,269
outlier · 4.0×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $301,122.82 $545,692.10 $377,023.63 nat. median
$90,073
outlier · 4.2×
1613
APR_DRG 		Implantable Heart Assist Systems 3 $333,391.46 $417,425.88 $373,486.31 nat. median
$121,888
outlier · 3.1×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $296,411.35 $537,154.01 $371,124.59 nat. median
$103,993
outlier · 3.6×
5831
APR_DRG 		Neonate With Ecmo 3 $286,769.18 $519,680.56 $359,052.03 nat. median
$148,245
outlier · 2.4×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 3 $283,955.16 $355,528.70 $318,104.63 nat. median
$99,544
outlier · 3.2×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 $280,892.19 $351,693.69 $314,673.30 nat. median
$82,146
outlier · 3.8×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $245,998.65 $445,796.56 $308,004.90 nat. median
$109,393
outlier · 2.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $11,500.00 $849,572.55 $302,355.50 nat. median
$247,805
1.2× median
23
APR_DRG 		Heart And/or Lung Transplant 3 $269,457.38 $337,376.62 $301,863.29 nat. median
$111,079
outlier · 2.7×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $240,681.89 $436,161.58 $301,348.00 nat. median
$83,372
outlier · 3.6×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 $239,634.78 $434,264.02 $300,036.96 nat. median
$96,980
outlier · 3.1×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $235,427.47 $426,639.57 $294,769.15 nat. median
$122,978
outlier · 2.4×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 $232,842.21 $421,954.58 $291,532.26 nat. median
$107,562
outlier · 2.7×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $7,611.00 $558,729.94 $291,524.88 nat. median
$197,664
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $7,611.00 $643,463.16 $290,109.96 nat. median
$190,274
1.5× median
64
APR_DRG 		Pancreas Transplant 3 $246,957.43 $309,205.35 $276,657.42 nat. median
$92,076
outlier · 3.0×
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 3 $245,710.29 $307,643.86 $275,260.29 nat. median
$83,417
outlier · 3.3×
7
MS_DRG 		Lung Transplant 5 $187,302.23 $392,598.26 $262,223.12 nat. median
$117,943
outlier · 2.2×
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 $201,937.11 $365,948.63 $252,837.24 nat. median
$76,467
outlier · 3.3×
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $225,575.05 $282,433.35 $252,703.52 nat. median
$79,816
outlier · 3.2×
1612
APR_DRG 		Implantable Heart Assist Systems 3 $225,331.81 $282,128.80 $252,431.03 nat. median
$85,665
outlier · 2.9×
1611
APR_DRG 		Implantable Heart Assist Systems 3 $225,331.81 $282,128.80 $252,431.03 nat. median
$77,137
outlier · 3.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $11,500.00 $343,534.85 $243,063.56 nat. median
$103,911
outlier · 2.3×
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 $214,497.85 $268,564.03 $240,294.13 nat. median
$80,771
outlier · 3.0×
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $191,268.60 $346,615.25 $239,479.63 nat. median
$86,338
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 9,628 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
             
S2150 HCPCS Pediatric Autologous Transplant - Outpatient 2 2 — — $105,746.00 $135,000.00 $120,373.00 2026-09-02
J3402 HCPCS Remestemcel-l-rknd 6.68 X 10exp6 Cell/ml Intravenous Suspension [245044] 42 23 $232,800.00 $104,760.00 55% off $46,560.00 $336,038.60 $182,631.60 2026-09-02
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 6 — — $7,611.00 $162,504.79 $103,412.14 2026-09-02
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 5 — — $86,872.96 $143,340.38 $112,952.55 2026-09-02
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 6 — — $7,611.00 $187,871.03 $119,554.29 2026-09-02
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 6 — — $7,611.00 $154,024.53 $98,015.61 2026-09-02
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 6 — — $7,611.00 $231,004.89 $136,476.71 2026-09-02
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 6 — — $7,611.00 $204,060.03 $126,440.24 2026-09-02
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $90,337.85 $113,108.35 $101,202.21 2026-09-02
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $118,825.15 $148,776.14 $133,115.49 2026-09-02
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $516,887.13 $647,173.34 $579,049.83 2026-09-02
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 5 — — $85,879.25 $141,700.76 $110,886.17 2026-09-02
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 5 — — $89,910.01 $148,351.52 $118,093.24 2026-09-02
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $225,575.05 $282,433.35 $252,703.52 2026-09-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 6 — — $7,611.00 $217,447.57 $131,426.88 2026-09-02
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 6 — — $7,611.00 $558,729.94 $291,524.88 2026-09-02
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 3 — — $104,053.64 $130,281.33 $116,567.50 2026-09-02
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $123,785.25 $154,986.48 $138,672.11 2026-09-02
914 APR_DRG Other Major Head And Neck Procedures 3 3 — — $142,993.87 $179,036.81 $160,190.83 2026-09-02
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $138,726.00 $173,693.17 $155,409.68 2026-09-02
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $145,310.81 $181,937.75 $162,786.41 2026-09-02
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $151,341.03 $189,487.95 $169,541.85 2026-09-02
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $100,152.30 $125,396.62 $112,196.97 2026-09-02
901 MS_DRG Wound Debridements For Injuries With Mcc 10 6 — — $7,611.00 $153,717.55 $97,820.26 2026-09-02
900700511 CDM Hc Robotic Surgery Level Vi 1st Hr 35 20 $205,742.00 $92,583.90 55% off $4,753.44 $174,880.70 $131,674.88 2026-09-02
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 — — $121,724.84 $152,406.71 $136,363.90 2026-09-02
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 5 — — $122,362.60 $209,538.13 $167,636.76 2026-09-02
8634 APR_DRG Neonatal Aftercare 3 3 — — $192,668.42 $241,232.28 $215,839.41 2026-09-02
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 6 — — $7,611.00 $159,965.50 $101,796.23 2026-09-02
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 6 — — $7,611.00 $166,884.20 $106,199.04 2026-09-02
8514 APR_DRG Gender Related Procedures 3 3 — — $105,625.75 $132,249.71 $118,328.69 2026-09-02
850 MS_DRG Acute Leukemia With Other Procedures 6 5 — — $141,158.14 $262,521.40 $193,386.65 2026-09-02
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $245,710.29 $307,643.86 $275,260.29 2026-09-02
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $459,470.56 $575,284.39 $514,728.14 2026-09-02
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $107,184.42 $134,201.26 $120,074.81 2026-09-02
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 5 — — $82,819.60 $136,652.34 $104,523.74 2026-09-02
84 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $172,902.86 $216,484.63 $193,696.78 2026-09-02
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 5 — — $99,697.63 $164,501.09 $136,585.75 2026-09-02
834 MS_DRG Acute Leukemia With Mcc 6 5 — — $107,070.87 $176,666.94 $146,687.10 2026-09-02
83 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $87,486.67 $109,538.50 $98,008.13 2026-09-02
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 6 — — $7,611.00 $162,256.36 $103,254.05 2026-09-02
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 6 — — $7,611.00 $160,606.10 $102,203.88 2026-09-02
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 6 — — $7,611.00 $183,319.49 $116,657.86 2026-09-02
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 7 — — $85,000.00 $192,500.00 $131,851.13 2026-09-02
799 MS_DRG Splenic Procedures With Mcc 8 6 — — $10,823.00 $159,614.17 $118,017.75 2026-09-02
793 MS_DRG Full Term Neonate With Major Problems 6 5 — — $92,871.78 $153,238.44 $125,426.89 2026-09-02
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $102,899.40 $128,836.15 $115,274.45 2026-09-02
791 MS_DRG Prematurity With Major Problems 6 5 — — $91,682.34 $151,275.86 $122,953.49 2026-09-02
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 5 — — $111,949.08 $184,715.98 $153,370.24 2026-09-02
74 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $397,907.15 $498,203.35 $445,760.89 2026-09-02
73 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $182,887.19 $228,985.61 $204,881.86 2026-09-02
72 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $136,122.95 $170,434.01 $152,493.59 2026-09-02
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 3 — — $94,740.86 $118,621.18 $106,134.74 2026-09-02
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 3 — — $97,995.28 $122,695.90 $109,780.54 2026-09-02
71 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $113,308.75 $141,869.28 $126,935.67 2026-09-02
7 MS_DRG Lung Transplant 7 5 — — $187,302.23 $392,598.26 $262,223.12 2026-09-02
6954 APR_DRG Chemotherapy For Acute Leukemia 3 3 — — $103,636.99 $129,759.66 $116,100.75 2026-09-02
6904 APR_DRG Acute Leukemia 3 3 — — $119,711.95 $149,886.46 $134,108.94 2026-09-02
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $113,754.93 $142,427.91 $127,435.50 2026-09-02
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $140,727.62 $176,199.33 $157,652.03 2026-09-02
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 6 — — $7,611.00 $153,806.27 $97,876.71 2026-09-02
653 MS_DRG Major Bladder Procedures With Mcc 8 6 — — $10,823.00 $171,458.81 $126,775.60 2026-09-02
652 MS_DRG Kidney Transplant 16 10 — — $70,000.00 $339,097.50 $113,383.29 2026-09-02
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 3 — — $102,305.39 $128,092.41 $114,609.00 2026-09-02
6504 APR_DRG Splenic Procedures 3 3 — — $93,077.08 $116,538.02 $104,270.86 2026-09-02
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 11 — — $7,611.00 $285,000.00 $108,450.09 2026-09-02
64 APR_DRG Pancreas Transplant 3 3 — — $246,957.43 $309,205.35 $276,657.42 2026-09-02
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 3 3 — — $82,059.24 $148,707.02 $102,743.03 2026-09-02
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $144,868.09 $262,528.67 $181,383.44 2026-09-02
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $435,561.79 $789,321.20 $545,349.19 2026-09-02
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $94,107.03 $170,539.93 $117,827.59 2026-09-02
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $370,112.07 $670,713.81 $463,402.27 2026-09-02
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $157,037.44 $284,581.85 $196,620.19 2026-09-02
63 APR_DRG Pancreas Transplant 3 3 — — $162,138.32 $203,006.79 $181,637.66 2026-09-02
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 3 — — $78,916.48 $143,011.74 $98,808.11 2026-09-02
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 3 — — $83,078.51 $150,554.14 $104,019.22 2026-09-02
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $86,429.76 $156,627.24 $108,215.18 2026-09-02
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $138,260.84 $250,555.06 $173,110.77 2026-09-02
62 APR_DRG Pancreas Transplant 3 3 — — $137,104.58 $171,663.06 $153,593.27 2026-09-02
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $97,564.54 $176,805.58 $122,156.59 2026-09-02
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $128,889.18 $233,571.83 $161,376.90 2026-09-02
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $147,987.69 $268,181.98 $185,289.37 2026-09-02
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $79,996.71 $144,969.33 $100,160.63 2026-09-02
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $201,937.11 $365,948.63 $252,837.24 2026-09-02
61 APR_DRG Pancreas Transplant 3 3 — — $110,637.50 $138,524.71 $123,943.16 2026-09-02
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $510,329.10 $924,813.86 $638,962.31 2026-09-02
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $122,434.27 $221,874.29 $153,294.96 2026-09-02
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $78,400.07 $142,075.92 $98,161.54 2026-09-02
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $117,347.71 $212,656.48 $146,926.30 2026-09-02
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $91,677.90 $166,137.87 $114,786.16 2026-09-02
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $239,634.78 $434,264.02 $300,036.96 2026-09-02
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $131,475.17 $238,258.13 $164,614.71 2026-09-02
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $89,552.41 $162,286.08 $112,124.93 2026-09-02
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $232,842.21 $421,954.58 $291,532.26 2026-09-02
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $321,933.39 $583,404.83 $403,079.70 2026-09-02
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $175,318.32 $317,710.30 $219,508.94 2026-09-02
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $128,167.28 $232,263.60 $160,473.03 2026-09-02
6 MS_DRG Liver Transplant Without Mcc 11 7 — — $97,898.41 $285,000.00 $135,095.00 2026-09-02
5A02216 OTHER 5a02216 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
5A02116 OTHER 5a02116 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $440,771.41 $798,762.03 $551,871.95 2026-09-02
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $245,998.65 $445,796.56 $308,004.90 2026-09-02
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $191,268.60 $346,615.25 $239,479.63 2026-09-02
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $94,816.88 $171,826.30 $118,716.35 2026-09-02
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $499,338.44 $904,896.69 $625,201.35 2026-09-02
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $296,411.35 $537,154.01 $371,124.59 2026-09-02
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $240,681.89 $436,161.58 $301,348.00 2026-09-02
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $301,122.82 $545,692.10 $377,023.63 2026-09-02
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $301,122.82 $545,692.10 $377,023.63 2026-09-02
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $301,122.82 $545,692.10 $377,023.63 2026-09-02
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $725,717.53 $1,315,138.85 $908,641.39 2026-09-02
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $367,017.25 $665,105.40 $459,527.37 2026-09-02
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $353,966.66 $641,455.24 $443,187.26 2026-09-02
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $235,427.47 $426,639.57 $294,769.15 2026-09-02
5834 APR_DRG Neonate With Ecmo 3 3 — — $1,148,219.24 $2,080,792.70 $1,437,638.59 2026-09-02
5833 APR_DRG Neonate With Ecmo 3 3 — — $541,613.69 $981,507.51 $678,132.46 2026-09-02
5832 APR_DRG Neonate With Ecmo 3 3 — — $339,874.44 $615,917.44 $425,542.96 2026-09-02
5831 APR_DRG Neonate With Ecmo 3 3 — — $286,769.18 $519,680.56 $359,052.03 2026-09-02
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 6 — — $7,611.00 $166,220.55 $105,776.71 2026-09-02
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 6 — — $12,844.00 $198,612.24 $158,772.18 2026-09-02
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $280,892.19 $351,693.69 $314,673.30 2026-09-02
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $152,875.82 $191,409.59 $171,261.21 2026-09-02
5204 APR_DRG Other GYN Procedures For Malignancy 3 3 — — $114,137.79 $142,907.28 $127,864.41 2026-09-02
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $102,373.99 $128,178.31 $114,685.86 2026-09-02
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 3 — — $101,308.80 $126,844.63 $113,492.56 2026-09-02
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 3 — — $101,807.09 $127,468.51 $114,050.77 2026-09-02
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 7 — — $120,000.00 $312,573.12 $212,944.38 2026-09-02
4854 APR_DRG Prostatectomy Procedures 3 3 — — $110,131.73 $137,891.45 $123,376.57 2026-09-02
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 6 — — $7,611.00 $155,426.37 $98,907.69 2026-09-02
471 MS_DRG Cervical Spinal Fusion With Mcc 11 7 — — $24,564.00 $164,934.07 $99,960.04 2026-09-02
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 6 — — $39,477.00 $171,618.53 $109,211.79 2026-09-02
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 6 — — $34,033.00 $134,519.42 $101,835.66 2026-09-02
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 6 — — $46,778.00 $180,386.25 $116,305.25 2026-09-02
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 6 — — $45,279.00 $177,254.30 $112,798.20 2026-09-02
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 7 — — $29,434.00 $185,063.77 $112,159.86 2026-09-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 7 — — $29,434.00 $254,757.47 $138,403.93 2026-09-02
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 6 5 — — $82,771.21 $136,572.50 $104,423.11 2026-09-02
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 6 5 — — $105,346.93 $173,822.43 $144,325.30 2026-09-02
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 3 3 — — $89,800.14 $112,435.10 $100,599.83 2026-09-02
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 6 5 — — $93,637.51 $154,501.89 $127,019.17 2026-09-02
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 3 3 — — $92,483.05 $115,794.26 $103,605.40 2026-09-02
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 5 — — $119,886.94 $202,559.39 $164,245.11 2026-09-02
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 3 — — $92,243.76 $115,494.65 $103,337.32 2026-09-02
4414 APR_DRG Major Bladder Procedures 3 3 — — $115,399.02 $144,486.41 $129,277.32 2026-09-02
4404 APR_DRG Kidney Transplant 3 3 — — $204,208.20 $255,680.78 $228,767.01 2026-09-02
4403 APR_DRG Kidney Transplant 3 3 — — $104,864.99 $131,297.18 $117,476.43 2026-09-02
4402 APR_DRG Kidney Transplant 3 3 — — $90,514.08 $113,329.00 $101,399.63 2026-09-02
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $394,875.15 $494,407.11 $442,364.26 2026-09-02
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 5 — — $110,052.00 $181,585.80 $150,771.24 2026-09-02
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $201,924.73 $252,821.73 $226,208.92 2026-09-02
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 5 — — $144,923.26 $273,135.03 $198,544.86 2026-09-02
4284 APR_DRG Genetic Disorders 3 3 — — $96,810.07 $121,211.94 $108,452.79 2026-09-02
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 5 — — $108,491.52 $179,011.01 $148,633.39 2026-09-02
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 5 — — $125,662.06 $218,839.08 $172,157.02 2026-09-02
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 5 — — $166,556.90 $334,118.70 $228,182.96 2026-09-02
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 6 — — $7,611.00 $152,943.90 $97,327.93 2026-09-02
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $125,926.60 $157,667.57 $141,070.98 2026-09-02
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $89,217.56 $111,705.67 $99,947.18 2026-09-02
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 3 — — $97,544.84 $122,131.92 $109,275.93 2026-09-02
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 6 — — $10,823.00 $176,322.68 $130,371.92 2026-09-02
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 3 3 — — $93,428.97 $116,978.61 $104,665.07 2026-09-02
4034 APR_DRG Procedures For Obesity 3 3 — — $96,793.18 $121,190.80 $108,433.87 2026-09-02
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 5 — — $91,268.30 $150,592.70 $122,092.50 2026-09-02
4014 APR_DRG Adrenal Procedures 3 3 — — $120,286.25 $150,605.51 $134,752.30 2026-09-02
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 6 — — $7,611.00 $419,919.04 $206,843.83 2026-09-02
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $108,712.85 $136,114.94 $121,787.05 2026-09-02
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 6 5 — — $85,010.29 $140,266.98 $109,079.20 2026-09-02
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 6 — — $7,611.00 $157,199.08 $100,035.78 2026-09-02
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 9 6 — — $8,307.00 $160,813.72 $107,209.15 2026-09-02
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 6 — — $10,823.00 $167,750.17 $124,033.46 2026-09-02
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 3 3 — — $88,845.79 $111,240.19 $99,530.70 2026-09-02
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 6 — — $7,611.00 $156,038.57 $99,297.27 2026-09-02
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 3 3 — — $106,412.81 $133,235.14 $119,210.39 2026-09-02
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 6 — — $56,595.00 $158,442.98 $100,827.35 2026-09-02
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 5 — — $119,939.62 $202,707.93 $164,317.28 2026-09-02
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 3 3 — — $86,934.24 $108,846.82 $97,389.26 2026-09-02
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $115,452.51 $144,553.39 $129,337.24 2026-09-02
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 6 — — $7,611.00 $158,755.31 $101,026.10 2026-09-02
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $144,536.62 $180,968.43 $161,919.12 2026-09-02
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 3 3 — — $99,498.61 $124,578.15 $111,464.66 2026-09-02
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $196,638.04 $246,202.49 $220,286.44 2026-09-02
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $101,268.59 $126,794.28 $113,447.51 2026-09-02
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $134,522.85 $168,430.59 $150,701.06 2026-09-02
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 6 — — $7,611.00 $643,463.16 $290,109.96 2026-09-02
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $177,905.52 $222,748.27 $199,301.08 2026-09-02
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $107,597.05 $134,717.89 $120,537.05 2026-09-02
294 APR_DRG Other Percutaneous Intracranial Procedures 3 3 — — $95,129.37 $119,107.62 $106,569.97 2026-09-02
28 MS_DRG Spinal Procedures With Mcc 11 7 — — $25,608.00 $185,865.85 $112,645.97 2026-09-02
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 6 — — $7,611.00 $178,020.86 $113,286.00 2026-09-02
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 6 — — $8,307.00 $161,204.11 $107,469.41 2026-09-02
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 6 — — $10,823.00 $185,835.67 $137,405.77 2026-09-02
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 6 — — $12,844.00 $216,165.21 $167,116.12 2026-09-02
274 APR_DRG Other Open Craniotomy 3 3 — — $103,560.98 $129,664.49 $116,015.60 2026-09-02
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 11 7 — — $25,651.00 $172,876.64 $104,773.72 2026-09-02
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 7 — — $25,651.00 $208,510.42 $127,168.00 2026-09-02
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 11 7 — — $25,651.00 $163,729.19 $132,967.95 2026-09-02
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 7 — — $25,651.00 $216,703.00 $155,367.00 2026-09-02
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 3 — — $95,424.97 $119,477.72 $106,901.12 2026-09-02
264 APR_DRG Other Nervous System And Related Procedures 3 3 — — $87,075.00 $109,023.06 $97,546.95 2026-09-02
2614 APR_DRG Major Biliary Tract Procedures 3 3 — — $110,466.73 $138,310.90 $123,751.86 2026-09-02
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $124,711.79 $156,146.56 $139,710.08 2026-09-02
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 6 — — $7,611.00 $159,930.03 $101,773.65 2026-09-02
24 APR_DRG Heart And/or Lung Transplant 3 3 — — $645,931.55 $808,744.61 $723,613.60 2026-09-02
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 6 — — $7,611.00 $166,584.31 $106,008.20 2026-09-02
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 7 — — $33,409.00 $183,386.89 $111,143.57 2026-09-02
234 APR_DRG Spinal Procedures 3 3 — — $127,194.82 $159,255.45 $142,491.72 2026-09-02
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 7 — — $33,409.00 $176,184.28 $106,778.35 2026-09-02
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 7 — — $33,409.00 $231,771.88 $143,136.00 2026-09-02
232 MS_DRG Coronary Bypass With Ptca Without Mcc 11 7 — — $33,409.00 $186,829.40 $113,229.94 2026-09-02
2314 APR_DRG Major Large Bowel Procedures 3 3 — — $90,726.35 $113,594.77 $101,637.42 2026-09-02
231 MS_DRG Coronary Bypass With Ptca With Mcc 11 7 — — $33,409.00 $255,560.85 $138,688.93 2026-09-02
2304 APR_DRG Major Small Bowel Procedures 3 3 — — $103,679.21 $129,812.52 $116,148.05 2026-09-02
23 APR_DRG Heart And/or Lung Transplant 3 3 — — $269,457.38 $337,376.62 $301,863.29 2026-09-02
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 6 — — $7,611.00 $180,932.81 $115,139.07 2026-09-02
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 7 — — $25,651.00 $167,040.37 $120,397.00 2026-09-02
224 APR_DRG Ventricular Shunt Procedures 3 3 — — $95,058.99 $119,019.50 $106,491.13 2026-09-02
224 MS_DRG Ms-DRG 29.00: Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 4 2 — — $12,764.00 $113,336.00 $97,245.50 2026-09-02
222 MS_DRG Ms-DRG 29.00: Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 4 2 — — $12,764.00 $124,263.00 $114,737.00 2026-09-02
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 7 — — $30,123.00 $171,252.00 $136,994.36 2026-09-02
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $121,223.73 $151,779.30 $135,802.53 2026-09-02
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 7 — — $30,123.00 $173,879.21 $117,371.00 2026-09-02
22 APR_DRG Heart And/or Lung Transplant 3 3 — — $207,983.91 $260,408.19 $232,996.80 2026-09-02
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 7 — — $30,123.00 $232,775.34 $147,690.00 2026-09-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 7 — — $30,123.00 $199,336.79 $159,116.61 2026-09-02
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 7 — — $30,123.00 $199,336.79 $126,798.00 2026-09-02
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 7 — — $30,123.00 $296,575.36 $155,615.00 2026-09-02
215 MS_DRG Other Heart Assist System Implant 10 6 — — $144,650.00 $301,856.41 $200,732.00 2026-09-02
214 APR_DRG Open Craniotomy Except Trauma 3 3 — — $131,828.68 $165,057.33 $147,682.88 2026-09-02
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 6 5 — — $109,404.58 $180,517.56 $149,884.28 2026-09-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 6 — — $7,611.00 $329,659.22 $173,223.67 2026-09-02
21 APR_DRG Heart And/or Lung Transplant 3 3 — — $159,434.48 $199,621.43 $178,608.65 2026-09-02
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 6 — — $7,611.00 $173,187.17 $110,210.01 2026-09-02
209 MS_DRG Complex Aortic Arch Procedures 6 5 — — $169,757.42 $343,140.74 $232,567.67 2026-09-02
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 5 — — $117,231.66 $195,074.37 $160,607.37 2026-09-02
204 APR_DRG Open Craniotomy For Trauma 3 3 — — $116,803.81 $146,245.30 $130,851.06 2026-09-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 6 — — $7,611.00 $238,550.54 $139,287.33 2026-09-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 12 — — $11,500.00 $343,534.85 $243,063.56 2026-09-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 7 — — $7,611.00 $205,851.86 $137,234.57 2026-09-02
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $156,067.80 $195,406.15 $174,837.08 2026-09-02
1814 APR_DRG Lower Extremity Vascular Procedures 3 3 — — $103,470.89 $129,551.69 $115,914.67 2026-09-02
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 5 — — $512,436.90 $1,309,129.76 $702,038.55 2026-09-02
1794 APR_DRG Defibrillator Implants 3 3 — — $146,039.95 $182,850.68 $163,603.24 2026-09-02
1784 APR_DRG External Heart Assist Devices 3 3 — — $175,878.55 $220,210.38 $197,030.34 2026-09-02
1783 APR_DRG External Heart Assist Devices 3 3 — — $110,020.72 $137,752.47 $123,252.21 2026-09-02
1782 APR_DRG External Heart Assist Devices 3 3 — — $88,691.99 $111,047.63 $99,358.40 2026-09-02
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 3 — — $90,109.82 $112,822.84 $100,946.75 2026-09-02
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 3 3 — — $95,754.36 $119,890.13 $107,270.12 2026-09-02
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 5 — — $80,039.59 $132,065.32 $98,742.79 2026-09-02
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 3 — — $96,860.74 $121,275.38 $108,509.55 2026-09-02
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 12 — — $90,244.00 $229,925.00 $144,661.40 2026-09-02
1694 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $131,989.15 $165,258.24 $147,862.63 2026-09-02
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 3 3 — — $143,480.91 $179,646.61 $160,736.45 2026-09-02
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $146,183.54 $183,030.46 $163,764.09 2026-09-02
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $169,054.45 $211,666.19 $189,385.54 2026-09-02
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $96,145.43 $120,379.78 $107,708.23 2026-09-02
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $188,563.97 $236,093.28 $211,241.35 2026-09-02
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $99,435.63 $124,499.30 $111,394.12 2026-09-02
163 MS_DRG Major Chest Procedures With Mcc 10 6 — — $7,611.00 $158,778.38 $101,040.79 2026-09-02
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $214,497.85 $268,564.03 $240,294.13 2026-09-02
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $118,520.94 $148,395.24 $132,774.69 2026-09-02
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $90,705.19 $113,568.28 $101,613.73 2026-09-02
1614 APR_DRG Implantable Heart Assist Systems 3 3 — — $537,077.96 $672,453.45 $601,668.88 2026-09-02
1613 APR_DRG Implantable Heart Assist Systems 3 3 — — $333,391.46 $417,425.88 $373,486.31 2026-09-02
1612 APR_DRG Implantable Heart Assist Systems 3 3 — — $225,331.81 $282,128.80 $252,431.03 2026-09-02
1611 APR_DRG Implantable Heart Assist Systems 3 3 — — $225,331.81 $282,128.80 $252,431.03 2026-09-02
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $283,955.16 $355,528.70 $318,104.63 2026-09-02
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $96,282.25 $120,551.09 $107,861.50 2026-09-02
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 12 — — $90,244.00 $229,925.00 $149,906.45 2026-09-02
140 MS_DRG Major Head And Neck Procedures With Mcc 10 6 — — $7,611.00 $154,936.63 $98,596.04 2026-09-02
14 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $366,213.31 $458,520.79 $410,255.44 2026-09-02
14 MS_DRG Allogeneic Bone Marrow Transplant 22 11 — — $131,250.00 $364,334.66 $204,520.00 2026-09-02
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $127,307.43 $159,396.45 $142,617.88 2026-09-02
13 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $156,013.99 $195,338.77 $174,776.80 2026-09-02
1214 APR_DRG Other Respiratory And Chest Procedures 3 3 — — $101,018.82 $126,481.56 $113,167.71 2026-09-02
1204 APR_DRG Major Respiratory And Chest Procedures 3 3 — — $119,481.09 $149,597.41 $133,850.32 2026-09-02
12 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $125,881.00 $157,610.47 $141,019.90 2026-09-02
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 6 — — $7,611.00 $154,061.80 $98,039.33 2026-09-02
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $711,261.73 $890,541.88 $796,800.62 2026-09-02
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $428,251.20 $536,195.90 $479,754.23 2026-09-02
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $361,886.95 $453,103.92 $405,408.78 2026-09-02
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $152,880.16 $191,415.02 $171,266.08 2026-09-02
11 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $103,435.99 $129,507.99 $115,875.57 2026-09-02
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 6 — — $7,611.00 $176,031.67 $112,020.15 2026-09-02
10 MS_DRG Pancreas Transplant 11 7 — — $60,000.00 $206,581.15 $133,290.58 2026-09-02
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 12 — — $11,500.00 $849,572.55 $302,355.50 2026-09-02
02WA4RZ OTHER 02wa4rz 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
02WA4RS OTHER 02wa4rs 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
02WA4QZ OTHER 02wa4qz 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
02WA3RZ OTHER 02wa3rz 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
02WA3RS OTHER 02wa3rs 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
02WA3QZ OTHER 02wa3qz 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
02WA0RZ OTHER 02wa0rz 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
02WA0RS OTHER 02wa0rs 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
02WA0QZ OTHER 02wa0qz 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
02HA4RZ OTHER 02ha4rz 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
02HA4QZ OTHER 02ha4qz 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
02HA3RZ OTHER 02ha3rz 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
02HA3QZ OTHER 02ha3qz 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
02HA0RZ OTHER 02ha0rz 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
02HA0QZ OTHER 02ha0qz 1 1 — — $134,914.00 $134,914.00 $134,914.00 2026-09-02
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