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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

CHILDREN'S HOSPITAL OF ORANGE COUNTY

Orange, CA · CCN 053304 · Rates published

Your selected procedure

You selected 507 (MS_DRG)

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC

This facility filed a payer-negotiated range for this code ($1,004 to $11,938), not a single rate. The comparison board shows the midpoint estimate.

11,297 distinct procedures filed
94 distinct payers
1,258,732 rate rows
2026-11-02 last MRF observed
Data quality

1,162,468 of 1,258,732 rate rows are consumer-grade (92.4%)

96,264 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 65,164
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 17,313
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 12,555
exceeds 10× this hospital's gross charge — excluded from medians 688
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 371
template filing: same amount across many unrelated codes — excluded 86
placeholder amount (≤ $0.02) — excluded from medians 77
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://choc.org/files/charges/952321786_Childrens-Hospital-of-Orange_standardcharges.csv
Found on page https://choc.org/patients/billing/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-05
Content fingerprint a0568567b0921ebc… · 568,640,055 bytes · first seen 2026-11-02

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
496
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$18,258
outlier · 30.2×
805
MS_DRG 		Vaginal Delivery Without Sterilization Or D&c With Mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$9,891
outlier · 55.7×
786
MS_DRG 		Cesarean Section Without Sterilization With Mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$14,838
outlier · 37.1×
621
MS_DRG 		O.r. Procedures For Obesity Without Cc/mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$15,362
outlier · 35.9×
669
MS_DRG 		Transurethral Procedures With Cc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$15,143
outlier · 36.4×
713
MS_DRG 		Transurethral Prostatectomy With Cc/mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$14,654
outlier · 37.6×
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$30,337
outlier · 18.2×
707
MS_DRG 		Major Male Pelvic Procedures With Cc/mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$19,399
outlier · 28.4×
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$26,737
outlier · 20.6×
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$16,449
outlier · 33.5×
415
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$19,757
outlier · 27.9×
620
MS_DRG 		O.r. Procedures For Obesity With Cc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$16,356
outlier · 33.7×
505
MS_DRG 		Foot Procedures Without Cc/mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$17,206
outlier · 32.0×
116
MS_DRG 		Intraocular Procedures With Cc/mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$17,276
outlier · 31.9×
507
MS_DRG 		Major Shoulder Or Elbow Joint Procedures With Cc/mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$18,247
outlier · 30.2×
416
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$13,773
outlier · 40.0×
714
MS_DRG 		Transurethral Prostatectomy Without Cc/mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$10,495
outlier · 52.5×
473
MS_DRG 		Cervical Spinal Fusion Without Cc/mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$23,474
outlier · 23.5×
436
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas With Cc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$11,428
outlier · 48.2×
708
MS_DRG 		Major Male Pelvic Procedures Without Cc/mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$15,257
outlier · 36.1×
746
MS_DRG 		Vagina, Cervix And Vulva Procedures With Cc/mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$16,525
outlier · 33.3×
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$25,369
outlier · 21.7×
584
MS_DRG 		Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$20,209
outlier · 27.3×
414
MS_DRG 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$33,241
outlier · 16.6×
748
MS_DRG 		Female Reproductive System Reconstructive Procedures 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$13,838
outlier · 39.8×
495
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$33,725
outlier · 16.3×
321
MS_DRG 		Kidney & Urinary Tract Infections Age >17 Without Cc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$26,514
outlier · 20.8×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$50,653
outlier · 10.9×
309
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Cc 2 $1,935.00 $927,534.21 $464,734.60 nat. median
$7,892
outlier · 58.9×
3E0F7SD
OTHER 		Nitric Oxide Therapy 1 $237,639.48 $501,032.00 $369,335.74 nat. median
$512,505
0.7× median
3E0F8SD
OTHER 		Nitric Oxide Therapy 1 $237,639.48 $501,032.00 $369,335.74 nat. median
$494,743
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $266,938.77 $400,408.16 $333,673.46 nat. median
$138,094
outlier · 2.4×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $235,881.75 $353,822.63 $294,852.19 nat. median
$154,211
1.9× median
668
MS_DRG 		Transurethral Procedures With Mcc 2 $34,453.00 $550,840.00 $292,646.50 nat. median
$27,296
outlier · 10.7×
62
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$17,305
outlier · 16.0×
185
MS_DRG 		Major Chest Trauma Without Cc/mcc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$8,258
outlier · 33.5×
263
MS_DRG 		Vein Ligation And Stripping 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$27,055
outlier · 10.2×
437
MS_DRG 		Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$8,904
outlier · 31.0×
600
MS_DRG 		Non-malignant Breast Disorders With Cc/mcc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$10,253
outlier · 27.0×
68
MS_DRG 		Nonspecific Cva And Precerebral Occlusion Without Infarction Without Mcc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$9,188
outlier · 30.1×
334
MS_DRG 		Rectal Resection Without Cc/mcc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$16,268
outlier · 17.0×
78
MS_DRG 		Hypertensive Encephalopathy With Cc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$9,918
outlier · 27.9×
977
MS_DRG 		HIV With Or Without Other Related Condition 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$13,492
outlier · 20.5×
941
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$18,995
outlier · 14.6×
594
MS_DRG 		Skin Ulcers Without Cc/mcc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$9,004
outlier · 30.7×
715
MS_DRG 		Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$21,327
outlier · 13.0×
672
MS_DRG 		Urethral Procedures Without Cc/mcc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$11,164
outlier · 24.8×
940
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$21,594
outlier · 12.8×
827
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$22,371
outlier · 12.4×
598
MS_DRG 		Malignant Breast Disorders With Cc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$11,390
outlier · 24.3×

Other procedures at this hospital

Browse this hospital's 11,297 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
             
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
786 MS_DRG Cesarean Section Without Sterilization With Mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
669 MS_DRG Transurethral Procedures With Cc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
713 MS_DRG Transurethral Prostatectomy With Cc/mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
620 MS_DRG O.r. Procedures For Obesity With Cc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
505 MS_DRG Foot Procedures Without Cc/mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
116 MS_DRG Intraocular Procedures With Cc/mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
714 MS_DRG Transurethral Prostatectomy Without Cc/mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
748 MS_DRG Female Reproductive System Reconstructive Procedures 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
321 MS_DRG Kidney & Urinary Tract Infections Age >17 Without Cc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 2 2 — — $1,935.00 $927,534.21 $464,734.60 2026-07-15
3E0F7SD OTHER Nitric Oxide Therapy 2 1 — — $237,639.48 $501,032.00 $369,335.74 2026-07-15
3E0F8SD OTHER Nitric Oxide Therapy 2 1 — — $237,639.48 $501,032.00 $369,335.74 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $266,938.77 $400,408.16 $333,673.46 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $235,881.75 $353,822.63 $294,852.19 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 2 2 — — $34,453.00 $550,840.00 $292,646.50 2026-07-15
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
185 MS_DRG Major Chest Trauma Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
263 MS_DRG Vein Ligation And Stripping 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
437 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
600 MS_DRG Non-malignant Breast Disorders With Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
68 MS_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction Without Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
334 MS_DRG Rectal Resection Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
78 MS_DRG Hypertensive Encephalopathy With Cc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
977 MS_DRG HIV With Or Without Other Related Condition 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
594 MS_DRG Skin Ulcers Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
672 MS_DRG Urethral Procedures Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
598 MS_DRG Malignant Breast Disorders With Cc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
756 MS_DRG Malignancy, Female Reproductive System Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
506 MS_DRG Major Thumb Or Joint Procedures 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
976 MS_DRG HIV With Major Related Condition Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
725 MS_DRG Benign Prostatic Hypertrophy With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
324 MS_DRG Urinary Stones Without Cc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
665 MS_DRG Prostatectomy With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
147 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Cc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
833 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
597 MS_DRG Malignant Breast Disorders With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
667 MS_DRG Prostatectomy Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
697 MS_DRG Urethral Stricture 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
718 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
727 MS_DRG Inflammation Of The Male Reproductive System With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
332 MS_DRG Rectal Resection With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
754 MS_DRG Malignancy, Female Reproductive System With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
666 MS_DRG Prostatectomy With Cc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
537 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
624 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
570 MS_DRG Skin Debridement With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
726 MS_DRG Benign Prostatic Hypertrophy Without Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
935 MS_DRG Non-extensive Burns 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
592 MS_DRG Skin Ulcers With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
38 MS_DRG Extracranial Procedures With Cc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
776 MS_DRG Postpartum And Post Abortion Diagnoses Without O.r. Procedures 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
251 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent Without Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
148 MS_DRG Ear, Nose, Mouth And Throat Malignancy Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
538 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
188 MS_DRG Pleural Effusion Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
652 MS_DRG Kidney Transplant 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
183 MS_DRG Major Chest Trauma With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
946 MS_DRG Rehabilitation Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
181 MS_DRG Respiratory Neoplasms With Cc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
77 MS_DRG Hypertensive Encephalopathy With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
79 MS_DRG Hypertensive Encephalopathy Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
548 MS_DRG Septic Arthritis With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
695 MS_DRG Kidney And Urinary Tract Signs And Symptoms With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
376 MS_DRG Digestive Malignancy Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
5833 APR_DRG Neonate With Ecmo 9 9 — — $221,000.00 $331,500.00 $276,250.00 2026-07-15
5834 APR_DRG Neonate With Ecmo 9 9 — — $221,000.00 $331,500.00 $276,250.00 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $221,000.00 $331,500.00 $276,250.00 2026-07-15
5832 APR_DRG Neonate With Ecmo 9 9 — — $219,000.00 $328,500.00 $273,750.00 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $204,845.53 $307,268.29 $256,056.91 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $202,229.14 $303,343.71 $252,786.43 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 9 9 — — $201,233.44 $301,850.16 $251,541.80 2026-07-15
5831 APR_DRG Neonate With Ecmo 9 9 — — $197,064.59 $295,596.89 $246,330.74 2026-07-15
3E0F3SD OTHER Nitric Oxide Therapy 1 1 — — $237,639.48 $237,639.48 $237,639.48 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 9 9 — — $187,130.82 $280,696.23 $233,913.53 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $165,000.00 $247,500.00 $206,250.00 2026-07-15
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 2 2 — — $1,935.00 $404,340.00 $203,137.50 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 9 9 — — $151,356.52 $227,034.78 $189,195.65 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 9 9 — — $147,450.15 $221,175.22 $184,312.69 2026-07-15
8634 APR_DRG Neonatal Aftercare 9 9 — — $144,854.87 $217,282.30 $181,068.59 2026-07-15
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 2 — — $1,935.00 $351,600.00 $176,767.50 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $141,385.49 $212,078.23 $176,731.86 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $139,000.00 $208,500.00 $173,750.00 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $167,596.00 $167,596.00 $167,596.00 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $1,935.00 $328,160.00 $165,047.50 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $132,000.00 $198,000.00 $165,000.00 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $130,000.00 $195,000.00 $162,500.00 2026-07-15
4804 APR_DRG Major Male Pelvic Procedures 2 2 — — $142,154.32 $182,769.84 $162,462.08 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $1,935.00 $322,718.57 $162,326.79 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $160,488.39 $160,488.39 $160,488.39 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 9 9 — — $127,234.43 $190,851.64 $159,043.04 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 9 9 — — $125,297.46 $187,946.19 $156,621.83 2026-07-15
30233Y1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 2026-07-15
30243G2 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 2026-07-15
30260Y1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 2026-07-15
30240Y1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 2026-07-15
30230Y1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 2026-07-15
30250Y1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 2026-07-15
30253Y1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 2026-07-15
30263Y1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 2026-07-15
30243Y1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $121,000.00 $181,500.00 $151,250.00 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $120,000.00 $180,000.00 $150,000.00 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $120,000.00 $180,000.00 $150,000.00 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $120,000.00 $180,000.00 $150,000.00 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 — — $1,935.00 $289,270.91 $145,602.95 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $112,953.66 $169,430.49 $141,192.08 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $140,640.00 $140,640.00 $140,640.00 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $110,110.47 $165,165.71 $137,638.09 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $110,000.00 $165,000.00 $137,500.00 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 9 9 — — $109,991.74 $164,987.61 $137,489.68 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 9 9 — — $109,991.74 $164,987.61 $137,489.68 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 4 4 — — $72,452.00 $550,840.00 $137,481.00 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $72,452.00 $550,840.00 $137,481.00 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 5 — — $34,453.00 $550,840.00 $137,481.00 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 5 — — $34,453.00 $550,840.00 $137,481.00 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $106,925.93 $160,388.89 $133,657.41 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 4 4 — — $72,452.00 $137,481.00 $127,340.50 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 5 5 — — $1,935.00 $223,668.00 $127,000.00 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 9 9 — — $101,523.66 $152,285.49 $126,904.58 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $100,000.00 $150,000.00 $125,000.00 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $100,000.00 $150,000.00 $125,000.00 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $99,000.00 $148,500.00 $123,750.00 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $95,000.00 $142,500.00 $118,750.00 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 9 — — $93,000.00 $139,500.00 $116,250.00 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 9 9 — — $92,524.47 $138,786.71 $115,655.59 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $92,000.00 $138,000.00 $115,000.00 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $91,000.00 $136,500.00 $113,750.00 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $91,000.00 $136,500.00 $113,750.00 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 9 — — $90,000.00 $135,000.00 $112,500.00 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $89,273.14 $133,909.71 $111,591.43 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $89,000.00 $133,500.00 $111,250.00 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $88,000.00 $132,000.00 $110,000.00 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 2 — — $1,935.00 $216,820.00 $109,377.50 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 2 2 — — $1,935.00 $215,809.66 $108,872.33 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $87,000.00 $130,500.00 $108,750.00 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $86,820.07 $130,230.11 $108,525.09 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $86,000.00 $129,000.00 $107,500.00 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $1,935.00 $212,241.88 $107,088.44 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 2 2 — — $1,935.00 $210,960.00 $106,447.50 2026-07-15
64 APR_DRG Pancreas Transplant 9 9 — — $85,000.00 $127,500.00 $106,250.00 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 4 — — $38,090.00 $137,481.00 $104,966.50 2026-07-15
277 MS_DRG Cellulitis Age >17 W Cc 4 4 — — $41,020.00 $137,481.00 $104,966.50 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 4 — — $32,230.00 $137,481.00 $104,966.50 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 4 — — $24,612.00 $137,481.00 $104,966.50 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 6 — — $1,935.00 $178,847.20 $104,966.50 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $102,550.00 $102,550.00 $102,550.00 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $80,771.14 $121,156.71 $100,963.93 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $80,000.00 $120,000.00 $100,000.00 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $80,000.00 $120,000.00 $100,000.00 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $80,000.00 $120,000.00 $100,000.00 2026-07-15
63 APR_DRG Pancreas Transplant 9 9 — — $79,144.95 $118,717.42 $98,931.19 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $79,000.00 $118,500.00 $98,750.00 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $96,974.19 $96,974.19 $96,974.19 2026-07-15
4404 APR_DRG Kidney Transplant 9 9 — — $76,896.47 $115,344.71 $96,120.59 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 5 — — $34,453.00 $137,481.00 $95,225.00 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $76,155.46 $114,233.19 $95,194.33 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 — — $1,935.00 $187,520.00 $94,727.50 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $1,935.00 $185,566.67 $93,750.84 2026-07-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $75,000.00 $112,500.00 $93,750.00 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $74,667.08 $112,000.62 $93,333.85 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $74,623.62 $111,935.43 $93,279.52 2026-07-15
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $73,000.00 $109,500.00 $91,250.00 2026-07-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $72,329.56 $108,494.34 $90,411.95 2026-07-15
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 9 9 — — $71,854.64 $107,781.96 $89,818.30 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 — — $1,935.00 $175,800.00 $88,867.50 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 9 9 — — $71,005.50 $106,508.25 $88,756.88 2026-07-15
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 9 9 — — $70,973.70 $106,460.55 $88,717.13 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 — — $1,935.00 $174,335.00 $88,135.00 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $70,000.00 $105,000.00 $87,500.00 2026-07-15
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $70,000.00 $105,000.00 $87,500.00 2026-07-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $70,000.00 $105,000.00 $87,500.00 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $68,683.88 $103,025.82 $85,854.85 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 9 9 — — $68,255.60 $102,383.40 $85,319.50 2026-07-15
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $67,000.00 $100,500.00 $83,750.00 2026-07-15
62 APR_DRG Pancreas Transplant 9 9 — — $66,925.17 $100,387.76 $83,656.46 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $66,446.01 $99,669.01 $83,057.51 2026-07-15
1784 APR_DRG External Heart Assist Systems 9 9 — — $66,228.69 $99,343.04 $82,785.86 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $34,453.00 $137,481.00 $82,040.00 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 9 9 — — $65,108.16 $97,662.24 $81,385.20 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 9 9 — — $63,659.01 $95,488.51 $79,573.76 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $78,843.64 $78,843.64 $78,843.64 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 9 — — $62,000.00 $93,000.00 $77,500.00 2026-07-15
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 9 — — $62,000.00 $93,000.00 $77,500.00 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $61,468.84 $92,203.26 $76,836.05 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $61,446.58 $92,169.87 $76,808.23 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $1,935.00 $150,406.67 $76,170.84 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $59,643.74 $89,465.61 $74,554.67 2026-07-15
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $59,092.09 $88,638.13 $73,865.11 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 9 9 — — $58,768.76 $88,153.14 $73,460.95 2026-07-15
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 1 — — $73,250.00 $73,250.00 $73,250.00 2026-07-15
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 9 9 — — $58,285.36 $87,428.04 $72,856.70 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 6 — — $12,003.00 $550,840.00 $72,452.00 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $34,453.00 $169,207.50 $72,452.00 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 9 — — $57,853.90 $86,780.85 $72,317.38 2026-07-15
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $57,066.24 $85,599.36 $71,332.80 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 9 9 — — $56,988.86 $85,483.29 $71,236.07 2026-07-15
30233X1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30260G1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30240G1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30240X0 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30243X1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30263G1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30250X0 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30240X1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30250X1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30253G1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30263X1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30243X0 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30233X0 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30250G1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30253X0 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30260X1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30230X1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30243G1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30253X1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30230X0 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30233G1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
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