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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

4,998 distinct procedures filed
54 distinct payers
708,831 rate rows
2026-07-15 last MRF observed
Data quality

696,689 of 708,831 rate rows are consumer-grade (98.3%)

12,142 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 7,888
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,489
exceeds 10× this hospital's gross charge — excluded from medians 414
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 188
template filing: same amount across many unrelated codes — excluded 88
placeholder amount (≤ $0.02) — excluded from medians 43
percent-of-charges filed in the dollar field — excluded from medians 25
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://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 · 2026-10-28
Content fingerprint 31df3cd0d560ebea… · 327,351,355 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
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
$18,290
outlier · 30.1×
805
MS_DRG 		Vaginal Delivery Without Sterilization Or D&c With Mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$9,881
outlier · 55.7×
786
MS_DRG 		Cesarean Section Without Sterilization With Mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$14,836
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
$15,355
outlier · 35.9×
669
MS_DRG 		Transurethral Procedures With Cc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$15,159
outlier · 36.3×
713
MS_DRG 		Transurethral Prostatectomy With Cc/mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$14,657
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
$30,344
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
$26,741
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
$16,463
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
$19,756
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
$17,216
outlier · 32.0×
116
MS_DRG 		Intraocular Procedures With Cc/mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$17,244
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
$18,275
outlier · 30.1×
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
$13,787
outlier · 40.0×
714
MS_DRG 		Transurethral Prostatectomy Without Cc/mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$10,480
outlier · 52.6×
473
MS_DRG 		Cervical Spinal Fusion Without Cc/mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$23,468
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
$11,437
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
$16,534
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
$25,333
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
$13,835
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
$33,724
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
$26,553
outlier · 20.7×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 1 $550,840.00 $550,840.00 $550,840.00 nat. median
$50,728
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
$7,899
outlier · 58.8×
3E0F7SD
OTHER 		Nitric Oxide Therapy Ip 1 $237,639.48 $501,032.00 $369,335.74 nat. median
$530,268
0.7× median
3E0F8SD
OTHER 		Nitric Oxide Therapy Ip 1 $237,639.48 $501,032.00 $369,335.74 nat. median
$530,268
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
$134,402
outlier · 2.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $235,881.75 $353,822.63 $294,852.19 nat. median
$154,116
1.9× median
668
MS_DRG 		Transurethral Procedures With Mcc 2 $34,453.00 $550,840.00 $292,646.50 nat. median
$27,351
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
$17,341
outlier · 15.9×
185
MS_DRG 		Major Chest Trauma Without Cc/mcc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$8,263
outlier · 33.4×
263
MS_DRG 		Vein Ligation And Stripping 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$26,998
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
$8,899
outlier · 31.1×
600
MS_DRG 		Non-malignant Breast Disorders With Cc/mcc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$10,252
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
$9,198
outlier · 30.0×
334
MS_DRG 		Rectal Resection Without Cc/mcc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$16,286
outlier · 17.0×
78
MS_DRG 		Hypertensive Encephalopathy With Cc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$9,988
outlier · 27.7×
977
MS_DRG 		HIV With Or Without Other Related Condition 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$13,520
outlier · 20.4×
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
$19,013
outlier · 14.5×
594
MS_DRG 		Skin Ulcers Without Cc/mcc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$9,006
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
$21,346
outlier · 12.9×
672
MS_DRG 		Urethral Procedures Without Cc/mcc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$11,160
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
$21,577
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
$22,390
outlier · 12.3×
598
MS_DRG 		Malignant Breast Disorders With Cc 2 $1,935.00 $550,840.00 $276,387.50 nat. median
$11,385
outlier · 24.3×

Other procedures at this hospital

Browse this hospital's 4,998 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
             
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
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
116 MS_DRG Intraocular Procedures With Cc/mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 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
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
13 APR_DRG Liver Transplant And/or Intestinal Transplant 9 9 — — $76,155.46 $114,233.19 $95,194.33 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
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 — — $1,935.00 $289,270.91 $145,602.95 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
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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 5 5 — — $1,935.00 $223,668.00 $127,000.00 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
1611 APR_DRG Implantable Heart Assist Systems 9 9 — — $109,991.74 $164,987.61 $137,489.68 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 9 9 — — $109,991.74 $164,987.61 $137,489.68 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 9 9 — — $147,450.15 $221,175.22 $184,312.69 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 9 9 — — $201,233.44 $301,850.16 $251,541.80 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
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
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
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
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
1784 APR_DRG External Heart Assist Systems 9 9 — — $66,228.69 $99,343.04 $82,785.86 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
181 MS_DRG Respiratory Neoplasms With Cc 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
1834 APR_DRG Percutaneous Structural Cardiac Procedures 9 9 — — $58,768.76 $88,153.14 $73,460.95 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
188 MS_DRG Pleural Effusion Without Cc/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
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
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
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
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
22 APR_DRG Heart And/or Lung Transplant 9 9 — — $101,523.66 $152,285.49 $126,904.58 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
23 APR_DRG Heart And/or Lung Transplant 9 9 — — $127,234.43 $190,851.64 $159,043.04 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
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
24 APR_DRG Heart And/or Lung Transplant 9 9 — — $187,130.82 $280,696.23 $233,913.53 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
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
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $78,843.64 $78,843.64 $78,843.64 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
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
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
263 MS_DRG Vein Ligation And Stripping 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
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
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
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
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 4 4 — — $72,452.00 $137,481.00 $127,340.50 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
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
276 MS_DRG Non-maligant Breast Disorders 4 4 — — $72,452.00 $550,840.00 $137,481.00 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
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 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
285 MS_DRG Acute Myocardial Infarction, Expired Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 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
30230X0 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
30230Y1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 2026-07-15
30233G1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30233X0 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30233X1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30233Y1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 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
30240X1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30240Y1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 2026-07-15
30243G1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30243G2 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 2026-07-15
30243X0 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
30243Y1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 2026-07-15
30250G1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30250X0 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
30250Y1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 2026-07-15
30253G1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30253X0 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
30253Y1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 2026-07-15
30260G1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30260X1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $71,000.00 2026-07-15
30260Y1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 2026-07-15
30263G1 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
30263Y1 OTHER Bmt Allo Ip 9 5 — — $30,000.00 $1,184,426.30 $155,000.00 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
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 2 2 — — $1,935.00 $927,534.21 $464,734.60 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
324 MS_DRG Urinary Stones Without Cc 2 2 — — $1,935.00 $550,840.00 $276,387.50 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
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
332 MS_DRG Rectal Resection With 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
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
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 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
376 MS_DRG Digestive Malignancy Without Cc/mcc 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
3E0F3SD OTHER Nitric Oxide Therapy Ip 1 1 — — $237,639.48 $237,639.48 $237,639.48 2026-07-15
3E0F7SD OTHER Nitric Oxide Therapy Ip 2 1 — — $237,639.48 $501,032.00 $369,335.74 2026-07-15
3E0F8SD OTHER Nitric Oxide Therapy Ip 2 1 — — $237,639.48 $501,032.00 $369,335.74 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 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
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
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
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
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
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
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
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 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
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
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
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
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
4404 APR_DRG Kidney Transplant 9 9 — — $76,896.47 $115,344.71 $96,120.59 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
459 MS_DRG Spinal Fusion Except Cervical With 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
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
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 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
4804 APR_DRG Major Male Pelvic Procedures 2 2 — — $142,154.32 $182,769.84 $162,462.08 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
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
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
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
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
505 MS_DRG Foot Procedures Without Cc/mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 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
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
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
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
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
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
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
548 MS_DRG Septic Arthritis With Mcc 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
570 MS_DRG Skin Debridement 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
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
5831 APR_DRG Neonate With Ecmo 9 9 — — $197,064.59 $295,596.89 $246,330.74 2026-07-15
5832 APR_DRG Neonate With Ecmo 9 9 — — $219,000.00 $328,500.00 $273,750.00 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
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
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
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
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
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
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
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
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
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
592 MS_DRG Skin Ulcers With Mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 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
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
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
594 MS_DRG Skin Ulcers Without Cc/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
598 MS_DRG Malignant Breast Disorders With Cc 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 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
62 APR_DRG Pancreas Transplant 9 9 — — $66,925.17 $100,387.76 $83,656.46 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
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
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
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
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
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
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
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
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
63 APR_DRG Pancreas Transplant 9 9 — — $79,144.95 $118,717.42 $98,931.19 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
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
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
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
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
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
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
64 APR_DRG Pancreas Transplant 9 9 — — $85,000.00 $127,500.00 $106,250.00 2026-07-15
652 MS_DRG Kidney Transplant 2 2 — — $1,935.00 $550,840.00 $276,387.50 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
665 MS_DRG Prostatectomy With 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
667 MS_DRG Prostatectomy Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 2 2 — — $34,453.00 $550,840.00 $292,646.50 2026-07-15
669 MS_DRG Transurethral Procedures With Cc 1 1 — — $550,840.00 $550,840.00 $550,840.00 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
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
686 MS_DRG Kidney And Urinary Tract Neoplasms 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
697 MS_DRG Urethral Stricture 2 2 — — $1,935.00 $550,840.00 $276,387.50 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
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $74,667.08 $112,000.62 $93,333.85 2026-07-15
713 MS_DRG Transurethral Prostatectomy With 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
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
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
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
72 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $66,446.01 $99,669.01 $83,057.51 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
726 MS_DRG Benign Prostatic Hypertrophy Without 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
73 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $89,273.14 $133,909.71 $111,591.43 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
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
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
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
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
74 APR_DRG Allogeneic Bone Marrow Transplant 9 9 — — $141,385.49 $212,078.23 $176,731.86 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
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
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
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
748 MS_DRG Female Reproductive System Reconstructive Procedures 1 1 — — $550,840.00 $550,840.00 $550,840.00 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
754 MS_DRG Malignancy, Female Reproductive System With 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
77 MS_DRG Hypertensive Encephalopathy With Mcc 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
78 MS_DRG Hypertensive Encephalopathy With Cc 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
786 MS_DRG Cesarean Section Without Sterilization With Mcc 1 1 — — $550,840.00 $550,840.00 $550,840.00 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
79 MS_DRG Hypertensive Encephalopathy Without Cc/mcc 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
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
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
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
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 2 — — $1,935.00 $351,600.00 $176,767.50 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
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
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
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
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
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
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
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
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 — — $1,935.00 $174,335.00 $88,135.00 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
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
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
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
8634 APR_DRG Neonatal Aftercare 9 9 — — $144,854.87 $217,282.30 $181,068.59 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
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 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
901 MS_DRG Wound Debridements For Injuries With Mcc 2 2 — — $1,935.00 $210,960.00 $106,447.50 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
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 2 2 — — $1,935.00 $550,840.00 $276,387.50 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
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $59,643.74 $89,465.61 $74,554.67 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
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
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
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $110,110.47 $165,165.71 $137,638.09 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
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
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $139,000.00 $208,500.00 $173,750.00 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
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
946 MS_DRG Rehabilitation Without Cc/mcc 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
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
977 MS_DRG HIV With Or Without Other Related Condition 2 2 — — $1,935.00 $550,840.00 $276,387.50 2026-07-15
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