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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

Sharp Memorial Hospital-transplant

San Diego, CA · CCN 059800 · Rates published

28,983 distinct procedures filed
22 distinct payers
767,270 rate rows
2026-04-01 last MRF observed
Data quality

721,989 of 767,270 rate rows are consumer-grade (94.1%)

45,281 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
template filing: same amount across many unrelated codes — excluded 34,103
placeholder amount (≤ $0.02) — excluded from medians 10,223
exceeds 10× this hospital's gross charge — excluded from medians 812
per-diem day rate — not a per-procedure price 132
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://downloads.ctfassets.net/pxcfulgsd9e2/7kOO19WgXRFqOFfWyPsSCE/1dd67ee60fbf2a34d729812c39abb1fe/95-3782169_sharp-memorial-hospital_standardcharges.csv
Found on page https://www.sharp.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 338a8fbb287d6fb7… · 204,250,299 bytes · first seen 2026-05-17

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
002 - 4
APR_DRG 		Heart And/or Lung Transplant 3 $1,231,576.58 $3,317,378.00 $3,110,041.88 —
161 - 4
APR_DRG 		Implantable Heart Assist Systems 4 $2,030,514.08 $2,105,718.30 $2,075,636.61 —
002 - 3
APR_DRG 		Heart And/or Lung Transplant 4 $1,200,381.48 $1,875,596.06 $1,719,296.39 —
591 - 4
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $725.00 $1,372,717.50 $1,321,240.59 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $1,164,008.16 $1,164,008.16 $1,164,008.16 nat. median
$265,286
outlier · 4.4×
004 - 4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $1,086,071.32 $1,221,830.24 $1,149,425.48 —
026 - 4
APR_DRG 		Other Nervous System And Related Procedures 3 $803,225.80 $956,221.19 $917,972.34 —
005 - 4
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $833,757.86 $858,280.15 $846,019.01 —
591 - 3
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $758,609.42 $994,897.60 $814,572.41 —
304 - 4
APR_DRG 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 $374,290.23 $847,657.29 $798,118.88 —
602 - 3
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $785,252.50 $785,252.50 $785,252.50 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 3 $610,366.82 $810,221.44 $756,206.67 nat. median
$133,176
outlier · 5.7×
313 - 4
APR_DRG 		Knee And Lower Leg Procedures Except Foot 1 $742,656.37 $742,656.37 $742,656.37 —
309 - 4
APR_DRG 		Other Significant Hip And Femur Surgery 2 $689,121.30 $787,567.20 $738,344.25 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth… 1 $736,655.40 $736,655.40 $736,655.40 nat. median
$202,986
outlier · 3.6×
009 - 4
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $594,571.46 $862,917.88 $698,121.61 —
427 - 4
APR_DRG 		Thyroid Disorders 3 $475,278.78 $693,114.89 $693,114.89 —
163 - 4
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 $289,864.46 $956,455.13 $683,182.24 —
022 - 4
APR_DRG 		Ventricular Shunt Procedures 4 $540,066.40 $771,523.43 $642,936.19 —
165 - 4
APR_DRG 		Coronary Bypass With Ami Or Complex Principal Diagnosis 4 $623,785.17 $706,344.97 $637,545.14 —
910 - 4
APR_DRG 		Craniotomy For Multiple Significant Trauma 3 $499,620.60 $780,657.19 $634,934.51 —
326 - 4
APR_DRG 		Elective Knee Joint Replacement 2 $633,747.09 $633,747.09 $633,747.09 —
162 - 4
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 $551,825.94 $702,596.17 $627,211.05 —
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $280,877.24 $802,506.40 $611,911.13 nat. median
$71,240
outlier · 8.6×
589 - 3
APR_DRG 		Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 4 $503,838.82 $606,390.09 $596,759.18 —
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $130,031.64 $650,158.22 $595,978.37 nat. median
$72,138
outlier · 8.3×
009 - 2
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $241,450.04 $663,987.60 $587,844.60 —
593 - 4
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $454,053.77 $1,001,589.19 $587,598.99 —
912 - 4
APR_DRG 		Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 $239,089.22 $768,501.06 $582,779.97 —
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 3 $417,628.11 $591,639.82 $580,764.09 nat. median
$60,185
outlier · 9.6×
593 - 3
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $323,784.21 $761,845.20 $571,383.90 —
911 - 4
APR_DRG 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 $408,014.20 $714,024.85 $561,019.53 —
405 - 4
APR_DRG 		Other Procedures For Endocrine Nutritional And Metabolic Disorders 3 $47,059.53 $595,690.30 $558,459.66 —
215
MS_DRG 		Other Heart Assist System Implant 5 $14,829.69 $639,854.21 $558,095.06 nat. median
$99,019
outlier · 5.6×
165 - 3
APR_DRG 		Coronary Bypass With Ami Or Complex Principal Diagnosis 1 $554,973.89 $554,973.89 $554,973.89 —
138 - 4
APR_DRG 		Bronchiolitis And Rsv Pneumonia 3 $397,972.26 $591,047.91 $551,644.71 —
222 - 4
APR_DRG 		Other Stomach Esophageal And Duodenal Procedures 1 $539,742.10 $539,742.10 $539,742.10 —
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $259,626.08 $610,884.90 $534,524.29 nat. median
$93,672
outlier · 5.7×
519 - 4
APR_DRG 		Uterine And Adnexa Procedures For Leiomyoma 4 $302,658.37 $712,137.35 $529,474.12 —
162 - 3
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 $505,030.70 $598,554.90 $523,735.54 —
404 - 4
APR_DRG 		Thyroid Parathyroid And Thyroglossal Procedures 4 $441,907.72 $555,359.79 $521,641.51 —
203 - 4
APR_DRG 		Chest Pain 3 $520,924.00 $533,947.10 $520,924.00 —
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $435,990.90 $617,332.25 $511,922.77 nat. median
$77,576
outlier · 6.6×
005 - 3
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 $108,726.90 $535,868.27 $509,463.17 —
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $281,406.67 $562,813.35 $492,461.68 nat. median
$73,807
outlier · 6.7×
006 - 3
APR_DRG 		Pancreas Transplant 3 $63,398.01 $802,506.40 $481,503.84 —
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 3 $124,301.54 $568,235.60 $471,209.37 nat. median
$53,171
outlier · 8.9×
162 - 2
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 $228,702.95 $560,322.23 $468,841.05 —
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 7 $98,399.64 $562,283.65 $463,884.01 nat. median
$64,732
outlier · 7.2×
082 - 4
APR_DRG 		Eye Infections And Other Eye Disorders 4 $117,513.68 $587,568.38 $458,303.34 —

Other procedures at this hospital

Browse this hospital's 28,983 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
             
002 - 3 APR_DRG Heart And/or Lung Transplant 4 4 $2,500,794.75 $1,875,596.06 25% off $1,200,381.48 $1,875,596.06 $1,719,296.39 2026-04-01
002 - 4 APR_DRG Heart And/or Lung Transplant 3 3 $4,146,722.50 $3,110,041.88 25% off $1,231,576.58 $3,317,378.00 $3,110,041.88 2026-04-01
004 - 4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 $1,810,118.88 $1,357,589.16 25% off $1,086,071.32 $1,221,830.24 $1,149,425.48 2026-04-01
005 - 3 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 $776,620.69 $582,465.52 25% off $108,726.90 $535,868.27 $509,463.17 2026-04-01
005 - 4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 $1,226,114.50 $919,585.88 25% off $833,757.86 $858,280.15 $846,019.01 2026-04-01
006 - 2 APR_DRG Pancreas Transplant 2 2 $516,675.72 $387,506.79 25% off $206,670.29 $361,673.00 $284,171.65 2026-04-01
006 - 3 APR_DRG Pancreas Transplant 3 3 $1,003,133.00 $752,349.75 25% off $63,398.01 $802,506.40 $481,503.84 2026-04-01
009 - 2 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 $862,321.56 $646,741.17 25% off $241,450.04 $663,987.60 $587,844.60 2026-04-01
009 - 3 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 $616,433.25 $462,324.94 25% off $209,587.31 $419,174.61 $246,573.30 2026-04-01
009 - 4 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 $1,052,338.88 $789,254.16 25% off $594,571.46 $862,917.88 $698,121.61 2026-04-01
020 - 1 APR_DRG Open Craniotomy For Trauma 1 1 $286,720.13 $215,040.09 25% off $229,376.10 $229,376.10 $229,376.10 2026-04-01
020 - 2 APR_DRG Open Craniotomy For Trauma 3 3 $331,848.78 $248,886.59 25% off $112,828.59 $202,427.76 $187,494.56 2026-04-01
020 - 3 APR_DRG Open Craniotomy For Trauma 5 5 $421,319.09 $315,989.32 25% off $63,197.86 $324,415.70 $275,964.01 2026-04-01
021 - 1 APR_DRG Open Craniotomy Except Trauma 3 3 $276,503.56 $207,377.67 25% off $41,475.53 $185,257.39 $185,257.39 2026-04-01
021 - 2 APR_DRG Open Craniotomy Except Trauma 3 3 $315,647.44 $236,735.58 25% off $126,258.98 $252,517.95 $189,388.46 2026-04-01
021 - 3 APR_DRG Open Craniotomy Except Trauma 4 4 $483,302.00 $362,476.50 25% off $265,816.10 $386,641.60 $299,647.24 2026-04-01
021 - 4 APR_DRG Open Craniotomy Except Trauma 3 3 $694,896.88 $521,172.66 25% off $206,384.37 $521,172.66 $347,448.44 2026-04-01
022 - 4 APR_DRG Ventricular Shunt Procedures 4 4 $857,248.25 $642,936.19 25% off $540,066.40 $771,523.43 $642,936.19 2026-04-01
023 - 3 APR_DRG Spinal Procedures 2 2 $761,351.94 $571,013.95 25% off $725.00 $464,424.68 $232,574.84 2026-04-01
023 - 4 APR_DRG Spinal Procedures 1 1 $573,085.38 $429,814.03 25% off $240,695.86 $240,695.86 $240,695.86 2026-04-01
024 - 3 APR_DRG Open Extracranial Vascular Procedures 3 3 $250,564.31 $187,923.23 25% off $85,191.87 $225,507.88 $175,395.02 2026-04-01
024 - 4 APR_DRG Open Extracranial Vascular Procedures 2 2 $306,601.88 $229,951.41 25% off $153,300.94 $245,281.50 $199,291.22 2026-04-01
026 - 3 APR_DRG Other Nervous System And Related Procedures 5 5 $275,739.59 $206,804.70 25% off $41,360.94 $220,591.68 $182,925.65 2026-04-01
026 - 4 APR_DRG Other Nervous System And Related Procedures 3 3 $1,912,442.38 $1,434,331.78 25% off $803,225.80 $956,221.19 $917,972.34 2026-04-01
027 - 4 APR_DRG Other Open Craniotomy 2 2 $677,650.56 $508,237.92 25% off $324,662.38 $542,120.45 $433,391.41 2026-04-01
029 - 4 APR_DRG Other Percutaneous Intracranial Procedures 3 3 $605,743.63 $454,307.72 25% off $184,751.81 $454,307.72 $417,963.10 2026-04-01
030 - 3 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 3 3 $296,946.13 $222,709.59 25% off $167,774.56 $207,862.29 $188,560.79 2026-04-01
041 - 4 APR_DRG Nervous System Malignancy 3 3 $381,804.50 $286,353.38 25% off $113,395.94 $343,624.05 $255,809.02 2026-04-01
045 - 4 APR_DRG Cva And Precerebral Occlusion With Infarction 4 4 $306,002.41 $229,501.80 25% off $90,882.71 $229,501.80 $201,196.59 2026-04-01
047 - 4 APR_DRG Transient Ischemia 2 2 $549,140.63 $411,855.47 25% off $384,398.44 $411,855.47 $398,126.95 2026-04-01
049 - 4 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 2 2 $580,289.19 $435,216.89 25% off $290,144.59 $435,216.89 $362,680.74 2026-04-01
050 - 4 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 1 1 $534,439.13 $400,829.34 25% off $256,530.78 $256,530.78 $256,530.78 2026-04-01
051 - 4 APR_DRG Viral Meningitis 5 5 $429,030.19 $321,772.64 25% off $64,354.53 $205,934.49 $205,548.36 2026-04-01
053 - 4 APR_DRG Seizure 2 2 $247,466.55 $185,599.91 25% off $185,599.91 $197,973.24 $191,786.58 2026-04-01
055 - 4 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 3 3 $319,854.69 $239,891.02 25% off $108,750.59 $214,302.64 $175,920.08 2026-04-01
082 - 4 APR_DRG Eye Infections And Other Eye Disorders 4 4 $783,424.50 $587,568.38 25% off $117,513.68 $587,568.38 $458,303.34 2026-04-01
089 - 4 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 $625,878.25 $469,408.69 25% off $348,614.19 $438,114.77 $438,114.77 2026-04-01
091 - 4 APR_DRG Other Major Head And Neck Procedures 1 1 $345,811.94 $259,358.95 25% off $190,196.57 $190,196.57 $190,196.57 2026-04-01
092 - 3 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 2 $284,139.97 $213,104.98 25% off $186,395.82 $193,215.18 $189,805.50 2026-04-01
092 - 4 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 1 1 $616,793.25 $462,594.94 25% off $391,663.71 $391,663.71 $391,663.71 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 $2,425,017.00 $1,818,762.75 25% off $1,164,008.16 $1,164,008.16 $1,164,008.16 2026-04-01
10 MS_DRG Pancreas Transplant 5 5 $323,056.97 $242,292.73 25% off $182,527.19 $219,678.74 $200,295.32 2026-04-01
11 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc 5 4 $370,936.41 $278,202.30 25% off $103,862.19 $363,517.68 $252,236.76 2026-04-01
120 - 3 APR_DRG Major Respiratory And Chest Procedures 3 3 $284,774.34 $213,580.76 25% off $170,864.61 $193,646.55 $188,919.30 2026-04-01
120 - 4 APR_DRG Major Respiratory And Chest Procedures 1 1 $410,302.53 $307,726.90 25% off $274,902.70 $274,902.70 $274,902.70 2026-04-01
13 MS_DRG Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 4 3 $344,309.84 $258,232.38 25% off $216,915.20 $275,447.88 $245,320.76 2026-04-01
130 - 2 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 $588,276.31 $441,207.23 25% off $235,310.53 $470,621.05 $352,965.79 2026-04-01
130 - 3 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 $380,672.31 $285,504.23 25% off $24,058.49 $304,537.85 $215,079.86 2026-04-01
130 - 4 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 $520,093.69 $390,070.27 25% off $293,852.93 $293,852.93 $293,852.93 2026-04-01
132 - 3 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 3 3 $743,997.31 $557,997.98 25% off $220,967.20 $420,358.48 $252,959.09 2026-04-01
133 - 4 APR_DRG Respiratory Failure 2 2 $251,037.30 $188,277.97 25% off $150,622.38 $246,016.55 $198,319.46 2026-04-01
138 - 4 APR_DRG Bronchiolitis And Rsv Pneumonia 3 3 $788,063.88 $591,047.91 25% off $397,972.26 $591,047.91 $551,644.71 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 7 5 $676,522.81 $507,392.11 25% off $189,426.39 $541,218.25 $338,261.41 2026-04-01
142 - 4 APR_DRG Interstitial And Alveolar Lung Diseases 1 1 $252,932.08 $189,699.06 25% off $189,699.06 $189,699.06 $189,699.06 2026-04-01
144 - 4 APR_DRG Respiratory Signs Symptoms And Miscellaneous Diagnoses 5 5 $242,867.14 $182,150.36 25% off $15,349.20 $199,151.06 $182,150.36 2026-04-01
160 - 2 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 $472,388.56 $354,291.42 25% off $188,955.43 $321,224.22 $255,089.82 2026-04-01
161 - 4 APR_DRG Implantable Heart Assist Systems 4 4 $3,008,169.00 $2,256,126.75 25% off $2,030,514.08 $2,105,718.30 $2,075,636.61 2026-04-01
162 - 2 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 $571,757.38 $428,818.03 25% off $228,702.95 $560,322.23 $468,841.05 2026-04-01
162 - 3 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 $748,193.63 $561,145.22 25% off $505,030.70 $598,554.90 $523,735.54 2026-04-01
162 - 4 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 $1,151,797.00 $863,847.75 25% off $551,825.94 $702,596.17 $627,211.05 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 1 1 $326,175.09 $244,631.32 25% off $228,322.57 $228,322.57 $228,322.57 2026-04-01
163 - 1 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 $473,186.75 $354,890.06 25% off $140,536.46 $463,723.02 $354,890.06 2026-04-01
163 - 2 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 $528,034.44 $396,025.83 25% off $156,826.23 $369,624.11 $345,862.56 2026-04-01
163 - 3 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 $642,035.00 $481,526.25 25% off $256,814.00 $256,814.00 $256,814.00 2026-04-01
163 - 4 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 $975,974.63 $731,980.97 25% off $289,864.46 $956,455.13 $683,182.24 2026-04-01
165 - 2 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 $533,694.63 $400,270.97 25% off $158,507.30 $320,216.77 $181,456.17 2026-04-01
165 - 3 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 $739,965.19 $554,973.89 25% off $554,973.89 $554,973.89 $554,973.89 2026-04-01
165 - 4 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 $917,331.13 $687,998.34 25% off $623,785.17 $706,344.97 $637,545.14 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 3 $388,036.44 $291,027.33 25% off $155,214.58 $310,429.15 $275,505.87 2026-04-01
166 - 1 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 $441,691.09 $331,268.32 25% off $131,182.25 $309,183.77 $274,952.71 2026-04-01
166 - 2 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 $498,666.09 $373,999.57 25% off $74,799.91 $316,652.97 $195,726.44 2026-04-01
166 - 4 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 $789,452.69 $592,089.52 25% off $234,467.45 $234,467.45 $234,467.45 2026-04-01
167 - 3 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 $454,330.72 $340,748.04 25% off $68,149.61 $340,748.04 $204,448.83 2026-04-01
167 - 4 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 $735,939.06 $551,954.30 25% off $110,390.86 $588,751.25 $250,219.28 2026-04-01
169 - 4 APR_DRG Major Abdominal Vascular Procedures 2 2 $507,204.34 $380,403.26 25% off $355,043.04 $390,547.34 $372,795.19 2026-04-01
170 - 4 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 1 1 $375,470.59 $281,602.95 25% off $281,602.95 $281,602.95 $281,602.95 2026-04-01
171 - 4 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 1 1 $393,949.22 $295,461.91 25% off $354,554.30 $354,554.30 $354,554.30 2026-04-01
175 - 4 APR_DRG Percutaneous Cardiac Intervention Without Ami 2 2 $337,992.09 $253,494.07 25% off $202,795.26 $229,834.62 $216,314.94 2026-04-01
177 - 4 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 1 1 $425,245.78 $318,934.34 25% off $178,603.23 $178,603.23 $178,603.23 2026-04-01
178 - 2 APR_DRG External Heart Assist Systems 3 3 $257,431.75 $193,073.81 25% off $141,587.46 $231,688.58 $193,073.81 2026-04-01
178 - 4 APR_DRG External Heart Assist Systems 2 2 $751,982.31 $563,986.73 25% off $360,274.73 $503,828.15 $432,051.44 2026-04-01
179 - 3 APR_DRG Defibrillator Implants 2 2 $325,093.69 $243,820.27 25% off $227,565.58 $266,576.82 $247,071.20 2026-04-01
179 - 4 APR_DRG Defibrillator Implants 3 3 $470,675.84 $353,006.88 25% off $725.00 $385,954.19 $320,059.57 2026-04-01
181 - 4 APR_DRG Lower Extremity Arterial Procedures 3 3 $583,284.81 $437,463.61 25% off $198,316.84 $382,051.55 $233,313.93 2026-04-01
182 - 4 APR_DRG Other Peripheral Vascular And Related Procedures 2 2 $408,561.56 $306,421.17 25% off $121,342.78 $267,607.82 $194,475.30 2026-04-01
183 - 3 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 $274,607.19 $205,955.39 25% off $205,955.39 $205,955.39 $205,955.39 2026-04-01
183 - 4 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 $598,220.00 $448,665.00 25% off $376,878.60 $418,754.00 $418,754.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 5 $1,003,133.00 $752,349.75 25% off $280,877.24 $802,506.40 $611,911.13 2026-04-01
192 - 4 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 4 4 $286,506.19 $214,879.64 25% off $114,602.48 $220,609.76 $194,107.94 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 4 $771,665.31 $578,748.98 25% off $435,990.90 $617,332.25 $511,922.77 2026-04-01
200 - 4 APR_DRG Cardiac Structural And Valvular Disorders 4 4 $241,598.84 $181,199.13 25% off $136,503.35 $217,438.96 $179,991.14 2026-04-01
203 - 4 APR_DRG Chest Pain 3 3 $651,155.00 $488,366.25 25% off $520,924.00 $533,947.10 $520,924.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 6 $471,271.41 $353,453.55 25% off $29,784.35 $299,257.34 $289,831.92 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 8 $345,126.97 $258,845.23 25% off $51,769.05 $283,004.11 $194,996.74 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 8 $889,628.56 $667,221.42 25% off $302,473.71 $667,221.42 $400,332.85 2026-04-01
215 MS_DRG Other Heart Assist System Implant 6 5 $710,949.13 $533,211.84 25% off $14,829.69 $639,854.21 $558,095.06 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 6 $763,606.13 $572,704.59 25% off $259,626.08 $610,884.90 $534,524.29 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 $519,275.75 $389,456.81 25% off $32,818.23 $467,348.17 $329,740.10 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 $418,645.22 $313,983.91 25% off $142,339.37 $334,916.18 $255,373.58 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 5 $689,247.25 $516,935.44 25% off $43,560.43 $551,397.80 $282,591.38 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 $491,316.00 $368,487.00 25% off $167,047.44 $294,789.60 $218,635.62 2026-04-01
220 - 3 APR_DRG Major Stomach Esophageal And Duodenal Procedures 2 2 $433,267.78 $324,950.84 25% off $75,821.86 $303,287.45 $189,554.66 2026-04-01
222 - 3 APR_DRG Other Stomach Esophageal And Duodenal Procedures 2 2 $259,986.69 $194,990.02 25% off $181,990.68 $207,989.35 $194,990.02 2026-04-01
222 - 4 APR_DRG Other Stomach Esophageal And Duodenal Procedures 1 1 $793,738.38 $595,303.78 25% off $539,742.10 $539,742.10 $539,742.10 2026-04-01
223 - 4 APR_DRG Other Small And Large Bowel Procedures 4 4 $593,585.75 $445,189.31 25% off $725.00 $457,061.03 $415,510.02 2026-04-01
224 - 4 APR_DRG Peritoneal Adhesiolysis 2 2 $258,909.17 $194,181.88 25% off $176,058.24 $194,181.88 $185,120.06 2026-04-01
226 - 4 APR_DRG Anal And Perineal Procedures 5 5 $392,487.34 $294,365.51 25% off $133,445.70 $294,365.51 $266,891.39 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 5 $307,576.56 $230,682.42 25% off $169,167.11 $246,061.25 $206,076.30 2026-04-01
229 - 4 APR_DRG Other Digestive System And Abdominal Procedures 4 4 $487,191.66 $365,393.74 25% off $233,413.52 $331,290.33 $297,186.91 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 6 $445,595.13 $334,196.34 25% off $311,916.59 $365,388.00 $323,056.47 2026-04-01
230 - 4 APR_DRG Major Small Bowel Procedures 3 3 $573,911.75 $430,433.81 25% off $725.00 $470,607.63 $275,477.64 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 8 7 $714,225.94 $535,669.45 25% off $45,139.08 $571,380.75 $360,684.10 2026-04-01
231 - 3 APR_DRG Major Large Bowel Procedures 5 5 $274,120.38 $205,590.28 25% off $93,200.93 $191,884.26 $186,401.86 2026-04-01
231 - 4 APR_DRG Major Large Bowel Procedures 1 1 $510,186.03 $382,639.52 25% off $346,926.50 $346,926.50 $346,926.50 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 4 $537,802.69 $403,352.02 25% off $299,556.10 $363,016.81 $341,504.71 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 $703,516.69 $527,637.52 25% off $281,406.67 $562,813.35 $492,461.68 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 3 $547,603.00 $410,702.25 25% off $383,322.10 $492,842.70 $410,702.25 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 7 5 $572,132.56 $429,099.42 25% off $36,158.78 $469,148.70 $429,099.42 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 4 $468,149.16 $351,111.87 25% off $260,759.08 $383,882.31 $306,637.70 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 6 $457,425.00 $343,068.75 25% off $155,524.50 $375,088.50 $274,455.00 2026-04-01
243 - 4 APR_DRG Other Esophageal Disorders 4 4 $260,798.22 $195,598.66 25% off $77,457.07 $208,638.58 $189,078.71 2026-04-01
245 - 4 APR_DRG Inflammatory Bowel Disease 3 3 $462,184.47 $346,638.35 25% off $261,134.22 $369,747.58 $314,285.44 2026-04-01
248 - 4 APR_DRG Major Gastrointestinal And Peritoneal Infections 4 4 $365,662.41 $274,246.80 25% off $153,578.21 $274,246.80 $215,740.82 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 7 6 $428,230.41 $321,172.80 25% off $119,904.51 $321,172.80 $238,524.34 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 8 7 $241,146.84 $180,860.13 25% off $120,573.42 $236,323.91 $180,860.13 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 9 6 $256,962.80 $192,722.10 25% off $725.00 $205,570.24 $179,873.96 2026-04-01
260 - 4 APR_DRG Major Pancreas Liver And Shunt Procedures 3 3 $627,108.69 $470,331.52 25% off $420,162.82 $470,331.52 $426,433.91 2026-04-01
261 - 3 APR_DRG Major Biliary Tract Procedures 2 2 $400,277.44 $300,208.08 25% off $220,152.59 $308,213.63 $264,183.11 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 4 2 $240,994.53 $180,745.90 25% off $81,938.14 $197,615.52 $183,155.85 2026-04-01
264 - 4 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 3 3 $388,881.22 $291,660.91 25% off $233,328.73 $311,104.98 $260,550.42 2026-04-01
265 MS_DRG Aicd Lead Procedures 7 6 $417,970.03 $313,477.52 25% off $175,547.41 $334,376.03 $265,410.97 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 8 $312,466.53 $234,349.90 25% off $124,986.61 $281,219.88 $212,477.24 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 10 $398,731.59 $299,048.70 25% off $725.00 $318,985.28 $243,226.27 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 4 $383,003.56 $287,252.67 25% off $216,397.01 $314,062.92 $243,207.26 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 6 $253,579.02 $190,184.26 25% off $86,216.87 $202,863.21 $183,844.79 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 6 $441,843.13 $331,382.34 25% off $150,226.66 $353,474.50 $309,290.19 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 7 $340,346.53 $255,259.90 25% off $136,138.61 $333,539.60 $238,242.57 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 5 $313,655.19 $235,241.39 25% off $172,510.35 $307,382.08 $177,215.18 2026-04-01
2780000010 CDM Hc Vad (hm Ii) 20 12 $306,250.00 $229,687.50 25% off $104,125.00 $300,125.00 $207,484.38 2026-04-01
2780000011 CDM Hc Vad (hm3) 21 13 $377,717.00 $283,287.75 25% off $725.00 $339,945.30 $256,847.56 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 4 3 $452,462.38 $339,346.78 25% off $252,021.54 $361,969.90 $322,379.44 2026-04-01
281 - 4 APR_DRG Malignancy Of Hepatobiliary System And Pancreas 3 3 $286,406.13 $214,804.59 25% off $174,707.74 $214,804.59 $197,620.23 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 5 $494,529.38 $370,897.03 25% off $74,179.41 $395,623.50 $333,807.33 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth … 1 1 $1,160,087.25 $870,065.44 25% off $736,655.40 $736,655.40 $736,655.40 2026-04-01
303 - 2 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 $625,288.19 $468,966.14 25% off $348,285.52 $418,943.09 $383,614.31 2026-04-01
304 - 1 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 $253,357.59 $190,018.20 25% off $177,350.32 $177,350.32 $177,350.32 2026-04-01
304 - 2 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 $279,831.19 $209,873.39 25% off $187,486.90 $209,873.39 $195,881.83 2026-04-01
304 - 3 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 $502,886.59 $377,164.95 25% off $319,332.99 $402,309.28 $360,821.14 2026-04-01
304 - 4 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 $1,100,853.63 $825,640.22 25% off $374,290.23 $847,657.29 $798,118.88 2026-04-01
309 - 3 APR_DRG Other Significant Hip And Femur Surgery 2 2 $277,278.28 $207,958.71 25% off $174,685.32 $183,946.41 $179,315.86 2026-04-01
309 - 4 APR_DRG Other Significant Hip And Femur Surgery 2 2 $984,459.00 $738,344.25 25% off $689,121.30 $787,567.20 $738,344.25 2026-04-01
312 - 4 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 2 2 $512,387.84 $384,290.88 25% off $204,955.14 $281,813.31 $243,384.23 2026-04-01
313 - 3 APR_DRG Knee And Lower Leg Procedures Except Foot 4 4 $322,375.56 $241,781.67 25% off $48,356.33 $241,781.67 $182,142.19 2026-04-01
313 - 4 APR_DRG Knee And Lower Leg Procedures Except Foot 1 1 $757,812.63 $568,359.47 25% off $742,656.37 $742,656.37 $742,656.37 2026-04-01
315 - 4 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 3 3 $287,590.94 $215,693.20 25% off $195,561.84 $281,839.12 $201,313.66 2026-04-01
316 - 4 APR_DRG Hand And Wrist Procedures 5 5 $600,073.75 $450,055.31 25% off $168,020.65 $366,044.99 $240,029.50 2026-04-01
317 - 3 APR_DRG Tendon Muscle And Other Soft Tissue Procedures 4 4 $315,411.88 $236,558.91 25% off $107,240.04 $283,870.69 $223,942.43 2026-04-01
320 - 4 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 5 5 $369,998.06 $277,498.55 25% off $125,799.34 $332,998.26 $209,048.91 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 4 3 $224,043.91 $168,032.93 25% off $33,606.59 $183,716.00 $179,235.13 2026-04-01
321 - 4 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 1 1 $565,117.00 $423,837.75 25% off $384,279.56 $384,279.56 $384,279.56 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 3 3 $294,910.41 $221,182.80 25% off $200,539.08 $289,012.20 $200,539.08 2026-04-01
325 - 3 APR_DRG Non-elective Or Complex Knee Joint Replacement 1 1 $524,486.13 $393,364.59 25% off $178,325.28 $178,325.28 $178,325.28 2026-04-01
325 - 4 APR_DRG Non-elective Or Complex Knee Joint Replacement 5 5 $343,220.38 $257,415.28 25% off $164,745.78 $257,415.28 $205,932.23 2026-04-01
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 4 4 $423,961.47 $317,971.10 25% off $169,584.59 $339,169.18 $311,611.68 2026-04-01
326 - 4 APR_DRG Elective Knee Joint Replacement 2 2 $844,996.13 $633,747.09 25% off $633,747.09 $633,747.09 $633,747.09 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 4 $385,111.34 $288,833.51 25% off $154,044.54 $269,577.94 $258,024.60 2026-04-01
332 MS_DRG Rectal Resection With Mcc 7 6 $276,621.28 $207,465.96 25% off $725.00 $271,088.86 $181,463.56 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 3 $299,653.72 $224,740.29 25% off $185,785.31 $239,722.98 $224,740.29 2026-04-01
340 - 4 APR_DRG Fracture Of Femur 3 3 $409,472.13 $307,104.09 25% off $139,220.52 $327,577.70 $268,613.71 2026-04-01
346 - 3 APR_DRG Connective Tissue Disorders 1 1 $199,623.84 $149,717.88 25% off $195,631.37 $195,631.37 $195,631.37 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 5 $305,310.59 $228,982.95 25% off $152,655.30 $250,354.69 $205,321.38 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 11 6 $361,865.25 $271,398.94 25% off $22,869.88 $253,305.67 $220,737.80 2026-04-01
381 - 4 APR_DRG Major Skin Disorders 2 2 $713,033.00 $534,774.75 25% off $402,863.64 $427,819.80 $415,341.72 2026-04-01
385 - 4 APR_DRG Other Skin Subcutaneous Tissue And Breast Disorders 1 1 $323,144.28 $242,358.21 25% off $226,201.00 $226,201.00 $226,201.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck… 3 3 $1,080,295.25 $810,221.44 25% off $610,366.82 $810,221.44 $756,206.67 2026-04-01
404 - 4 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 4 4 $793,371.13 $595,028.34 25% off $441,907.72 $555,359.79 $521,641.51 2026-04-01
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 3 3 $448,332.09 $336,249.07 25% off $133,154.63 $336,249.07 $224,166.05 2026-04-01
405 - 4 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 3 3 $744,612.88 $558,459.66 25% off $47,059.53 $595,690.30 $558,459.66 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 $400,704.44 $300,528.33 25% off $112,197.24 $223,192.37 $200,352.22 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 5 $307,311.53 $230,483.65 25% off $104,485.92 $276,580.38 $215,118.07 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 3 $246,254.13 $184,690.59 25% off $152,677.56 $197,003.30 $174,027.79 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 5 5 $324,818.56 $243,613.92 25% off $129,927.43 $243,613.92 $180,923.94 2026-04-01
427 - 4 APR_DRG Thyroid Disorders 3 3 $990,164.13 $742,623.09 25% off $475,278.78 $693,114.89 $693,114.89 2026-04-01
440 - 1 APR_DRG Kidney Transplant 1 1 $417,955.88 $313,466.91 25% off $265,401.98 $265,401.98 $265,401.98 2026-04-01
440 - 2 APR_DRG Kidney Transplant 1 1 $468,129.84 $351,097.38 25% off $383,866.47 $383,866.47 $383,866.47 2026-04-01
440 - 3 APR_DRG Kidney Transplant 3 3 $525,064.44 $393,798.33 25% off $78,759.67 $362,294.46 $351,793.17 2026-04-01
440 - 4 APR_DRG Kidney Transplant 1 1 $697,313.19 $522,984.89 25% off $393,981.95 $393,981.95 $393,981.95 2026-04-01
441 - 3 APR_DRG Major Bladder Procedures 1 1 $334,888.19 $251,166.14 25% off $200,932.91 $200,932.91 $200,932.91 2026-04-01
441 - 4 APR_DRG Major Bladder Procedures 3 3 $360,962.22 $270,721.66 25% off $151,604.13 $252,673.55 $252,673.55 2026-04-01
442 - 4 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 4 4 $334,583.78 $250,937.84 25% off $46,841.73 $250,937.84 $184,021.08 2026-04-01
443 - 4 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 5 5 $312,989.19 $234,741.89 25% off $92,957.79 $281,690.27 $219,092.43 2026-04-01
444 - 4 APR_DRG Renal Dialysis Access Device Procedures 2 2 $561,646.63 $421,234.97 25% off $381,919.71 $432,467.90 $407,193.81 2026-04-01
445 - 4 APR_DRG Other Bladder Procedures 3 3 $278,786.75 $209,090.06 25% off $78,060.29 $195,150.72 $184,947.13 2026-04-01
447 - 4 APR_DRG Other Kidney Urinary Tract And Related Procedures 2 2 $515,021.13 $386,265.84 25% off $355,364.58 $386,265.84 $370,815.21 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 2 2 $790,667.38 $593,000.53 25% off $268,826.91 $593,000.53 $430,913.72 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 6 5 $482,670.63 $362,002.97 25% off $193,068.25 $371,656.38 $320,975.96 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 3 3 $476,997.13 $357,747.84 25% off $265,687.40 $302,893.17 $290,968.25 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 $376,805.56 $282,604.17 25% off $239,271.53 $282,604.17 $263,763.89 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 5 $373,117.38 $279,838.03 25% off $55,967.61 $305,956.25 $261,182.16 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 7 4 $287,917.97 $215,938.48 25% off $97,892.11 $230,334.38 $195,784.22 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 8 7 $433,695.03 $325,271.27 25% off $65,054.25 $355,629.93 $249,374.64 2026-04-01
484 - 4 APR_DRG Other Male Reproductive System And Related Procedures 5 5 $385,259.53 $288,944.65 25% off $57,788.93 $288,944.65 $252,730.25 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 8 7 $289,887.06 $217,415.30 25% off $176,831.11 $217,415.30 $196,398.48 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 4 3 $291,982.22 $218,986.66 25% off $204,387.55 $239,425.42 $236,505.60 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 6 6 $334,338.97 $250,754.23 25% off $113,675.25 $234,037.28 $187,564.16 2026-04-01
500 - 4 APR_DRG Malignancy Male Reproductive System 2 2 $289,322.56 $216,991.92 25% off $202,525.79 $216,991.92 $209,758.86 2026-04-01
511 - 4 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 1 1 $457,014.97 $342,761.23 25% off $319,910.48 $319,910.48 $319,910.48 2026-04-01
512 - 4 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 3 $423,050.53 $317,287.90 25% off $725.00 $268,637.09 $211,525.27 2026-04-01
518 - 3 APR_DRG Other Female Reproductive System And Related Procedures 1 1 $358,462.06 $268,846.55 25% off $250,923.44 $250,923.44 $250,923.44 2026-04-01
519 - 4 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 4 4 $890,171.69 $667,628.77 25% off $302,658.37 $712,137.35 $529,474.12 2026-04-01
539 - 4 APR_DRG Cesarean Section With Sterilization 1 1 $500,096.28 $375,072.21 25% off $375,072.21 $375,072.21 $375,072.21 2026-04-01
542 - 4 APR_DRG Vaginal Delivery With O.r. Procedure Except Sterilization And/or D&c 2 2 $415,956.53 $311,967.40 25% off $123,539.09 $280,770.66 $202,154.88 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 $362,884.91 $272,163.68 25% off $199,586.70 $199,586.70 $199,586.70 2026-04-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 4 4 $295,407.03 $221,555.27 25% off $44,311.05 $227,463.41 $211,718.21 2026-04-01
589 - 3 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 4 4 $891,750.13 $668,812.59 25% off $503,838.82 $606,390.09 $596,759.18 2026-04-01
591 - 3 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 $1,243,622.00 $932,716.50 25% off $758,609.42 $994,897.60 $814,572.41 2026-04-01
591 - 4 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 $1,715,896.88 $1,286,922.66 25% off $725.00 $1,372,717.50 $1,321,240.59 2026-04-01
593 - 3 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 $952,306.50 $714,229.88 25% off $323,784.21 $761,845.20 $571,383.90 2026-04-01
593 - 4 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 $1,335,452.25 $1,001,589.19 25% off $454,053.77 $1,001,589.19 $587,598.99 2026-04-01
602 - 2 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 $634,831.56 $476,123.67 25% off $387,247.25 $476,123.67 $444,382.09 2026-04-01
602 - 3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 $801,278.06 $600,958.55 25% off $785,252.50 $785,252.50 $785,252.50 2026-04-01
603 - 2 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 $405,786.88 $304,340.16 25% off $229,269.58 $324,629.50 $304,340.16 2026-04-01
607 - 2 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 $407,593.56 $305,695.17 25% off $121,055.29 $366,834.21 $254,745.97 2026-04-01
607 - 3 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 $678,814.75 $509,111.06 25% off $266,570.55 $325,220.15 $271,525.90 2026-04-01
608 - 2 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 $290,181.13 $217,635.84 25% off $203,126.79 $203,126.79 $203,126.79 2026-04-01
611 - 3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 $480,527.63 $360,395.72 25% off $725.00 $326,758.79 $271,498.11 2026-04-01
611 - 4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 $448,271.16 $336,203.37 25% off $313,789.81 $313,789.81 $313,789.81 2026-04-01
612 - 3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 $367,409.19 $275,556.89 25% off $109,120.53 $257,186.43 $202,075.05 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 6 4 $288,286.09 $216,214.57 25% off $183,061.67 $230,628.88 $201,800.27 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 8 6 $268,978.41 $201,733.80 25% off $47,071.22 $215,182.73 $185,595.10 2026-04-01
625 MS_DRG Thyroid Parathyroid And Thyroglossal Procedures With Mcc 7 7 $407,848.56 $305,886.42 25% off $25,776.03 $326,278.85 $314,043.39 2026-04-01
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 9 8 $296,537.38 $222,403.03 25% off $44,480.61 $266,883.64 $198,680.04 2026-04-01
634 - 4 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 2 2 $269,339.00 $202,004.25 25% off $166,990.18 $215,471.20 $191,230.69 2026-04-01
636 - 3 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 4 4 $307,842.22 $230,881.66 25% off $153,921.11 $215,489.55 $194,710.20 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 3 $557,077.75 $417,808.31 25% off $339,817.43 $428,949.87 $373,242.09 2026-04-01
650 - 4 APR_DRG Splenectomy 2 2 $273,077.75 $204,808.31 25% off $166,577.43 $188,423.65 $177,500.54 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 5 5 $538,729.06 $404,046.80 25% off $183,167.88 $366,335.76 $300,072.09 2026-04-01
651 - 4 APR_DRG Other Procedures Of Blood And Blood-forming Organs 4 4 $795,017.75 $596,263.31 25% off $236,120.27 $651,914.55 $357,757.99 2026-04-01
652 MS_DRG Kidney Transplant 8 6 $467,107.25 $350,330.44 25% off $224,211.48 $373,685.80 $322,304.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 6 5 $334,888.19 $251,166.14 25% off $133,955.27 $267,910.55 $242,793.93 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 8 6 $269,278.13 $201,958.59 25% off $75,397.88 $215,422.50 $188,494.69 2026-04-01
662 - 4 APR_DRG Sickle Cell Anemia Crisis 3 3 $323,006.59 $242,254.95 25% off $95,932.96 $258,405.28 $205,109.19 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 5 4 $331,009.25 $248,256.94 25% off $208,535.83 $248,256.94 $248,256.94 2026-04-01
680 - 3 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 5 5 $344,365.03 $258,273.77 25% off $102,276.41 $258,273.77 $189,400.77 2026-04-01
680 - 4 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 2 2 $583,616.13 $437,712.09 25% off $163,412.52 $356,005.84 $259,709.18 2026-04-01
681 - 4 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 2 2 $523,637.06 $392,727.80 25% off $356,073.20 $392,727.80 $374,400.50 2026-04-01
690 - 4 APR_DRG Acute Leukemia 2 2 $517,963.56 $388,472.67 25% off $362,574.49 $362,574.49 $362,574.49 2026-04-01
691 - 4 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 2 2 $378,656.72 $283,992.54 25% off $240,447.02 $310,498.51 $275,472.77 2026-04-01
692 - 3 APR_DRG Radiotherapy 2 2 $396,067.00 $297,050.25 25% off $223,777.85 $237,640.20 $230,709.03 2026-04-01
695 - 4 APR_DRG Chemotherapy For Acute Leukemia 2 2 $558,899.31 $419,174.48 25% off $315,778.11 $391,229.52 $353,503.82 2026-04-01
696 - 4 APR_DRG Other Chemotherapy 4 4 $373,626.19 $280,219.64 25% off $211,098.80 $306,373.47 $265,274.59 2026-04-01
710 - 4 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 1 1 $500,279.16 $375,209.37 25% off $200,111.66 $200,111.66 $200,111.66 2026-04-01
711 - 4 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 2 2 $465,726.50 $349,294.88 25% off $349,294.88 $349,294.88 $349,294.88 2026-04-01
724 - 4 APR_DRG Other Infectious And Parasitic Diseases 3 3 $382,457.19 $286,842.89 25% off $213,028.65 $267,720.03 $260,070.89 2026-04-01
750 - 4 APR_DRG Schizophrenia 4 4 $376,394.16 $282,295.62 25% off $127,974.01 $263,475.91 $191,020.04 2026-04-01
775 - 4 APR_DRG Alcohol Abuse And Dependence 2 2 $237,667.23 $178,250.43 25% off $160,425.38 $190,133.79 $175,279.59 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 6 3 $383,823.25 $287,867.44 25% off $57,573.49 $307,058.60 $199,588.09 2026-04-01
792 - 4 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 2 $446,427.38 $334,820.53 25% off $132,588.93 $312,499.16 $222,544.04 2026-04-01
793 - 4 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 3 3 $357,248.13 $267,936.09 25% off $142,899.25 $267,936.09 $242,928.73 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 7 6 $403,520.66 $302,640.49 25% off $725.00 $330,886.94 $322,816.53 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 3 $710,294.50 $532,720.88 25% off $124,301.54 $568,235.60 $471,209.37 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 3 $508,694.97 $381,521.23 25% off $244,173.58 $356,086.48 $335,738.68 2026-04-01
815 - 4 APR_DRG Other Injury Poisoning And Toxic Effect Diagnoses 1 1 $440,768.66 $330,576.49 25% off $352,614.93 $352,614.93 $352,614.93 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 3 $366,526.75 $274,895.06 25% off $146,610.70 $329,874.08 $199,757.08 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 $464,842.75 $348,632.06 25% off $262,636.15 $371,874.20 $288,202.51 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 9 7 $432,980.50 $324,735.38 25% off $181,851.81 $333,394.98 $284,035.21 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 $224,019.41 $168,014.55 25% off $179,215.53 $179,215.53 $179,215.53 2026-04-01
850 - 2 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 6 6 $409,956.38 $307,467.28 25% off $196,779.06 $368,960.74 $286,969.46 2026-04-01
850 - 3 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 4 4 $448,473.13 $336,354.84 25% off $179,389.25 $358,778.50 $273,568.60 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 3 $370,481.69 $277,861.27 25% off $235,255.87 $296,385.35 $277,861.27 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 $241,177.02 $180,882.76 25% off $159,996.83 $217,059.31 $188,528.07 2026-04-01
861 - 4 APR_DRG Signs Symptoms And Other Factors Influencing Health Status 4 4 $261,922.23 $196,441.68 25% off $175,487.90 $196,441.68 $180,726.34 2026-04-01
863 - 4 APR_DRG Neonatal Aftercare 4 4 $796,224.13 $597,168.09 25% off $725.00 $636,979.30 $390,149.83 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 5 4 $501,929.53 $376,447.15 25% off $250,964.77 $451,736.58 $338,802.43 2026-04-01
890 - 4 APR_DRG HIV With Multiple Major HIV Related Conditions 1 1 $381,946.47 $286,459.85 25% off $257,813.87 $257,813.87 $257,813.87 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 2 2 $408,478.38 $306,358.78 25% off $114,373.95 $326,782.70 $220,578.33 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 3 $355,398.94 $266,549.20 25% off $22,461.21 $266,549.20 $254,110.24 2026-04-01
910 - 4 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 $1,040,876.25 $780,657.19 25% off $499,620.60 $780,657.19 $634,934.51 2026-04-01
911 - 3 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 4 $532,084.81 $399,063.61 25% off $208,949.71 $478,876.33 $399,063.61 2026-04-01
911 - 4 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 $1,020,035.50 $765,026.63 25% off $408,014.20 $714,024.85 $561,019.53 2026-04-01
912 - 3 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 $418,361.06 $313,770.80 25% off $236,374.00 $409,993.84 $284,485.52 2026-04-01
912 - 4 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 4 $853,890.06 $640,417.55 25% off $239,089.22 $768,501.06 $582,779.97 2026-04-01
930 - 3 APR_DRG Multiple Significant Trauma Without O.r. Procedure 7 7 $259,491.44 $194,618.58 25% off $79,144.89 $207,593.15 $181,644.01 2026-04-01
930 - 4 APR_DRG Multiple Significant Trauma Without O.r. Procedure 1 1 $661,456.25 $496,092.19 25% off $330,728.13 $330,728.13 $330,728.13 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 5 $345,365.91 $259,024.43 25% off $138,146.36 $310,829.32 $195,131.74 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 3 $489,798.03 $367,348.52 25% off $276,735.89 $440,818.23 $391,838.43 2026-04-01
950 - 3 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 $391,497.38 $293,623.03 25% off $156,598.95 $274,048.16 $215,323.55 2026-04-01
950 - 4 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 $586,631.88 $439,973.91 25% off $326,753.95 $326,753.95 $326,753.95 2026-04-01
952 - 4 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 $457,942.78 $343,457.09 25% off $128,223.98 $183,177.11 $179,834.13 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 8 7 $702,854.56 $527,140.92 25% off $98,399.64 $562,283.65 $463,884.01 2026-04-01
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 6 5 $471,727.88 $353,795.91 25% off $160,387.48 $330,209.51 $266,526.25 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 5 $866,877.63 $650,158.22 25% off $130,031.64 $650,158.22 $595,978.37 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 4 $441,604.88 $331,203.66 25% off $66,240.73 $432,772.78 $291,459.22 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 4 2 $463,836.91 $347,877.68 25% off $185,534.76 $454,560.17 $262,067.85 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 3 $453,996.91 $340,497.68 25% off $349,577.62 $363,197.53 $363,197.53 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 3 $870,058.56 $652,543.92 25% off $417,628.11 $591,639.82 $580,764.09 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 6 6 $293,276.22 $219,957.16 25% off $43,991.43 $205,293.35 $198,694.64 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 11 $362,748.00 $272,061.00 25% off $54,412.20 $297,453.36 $203,501.63 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 $285,072.63 $213,804.47 25% off $199,550.84 $233,759.55 $219,505.92 2026-04-01
J1930 HCPCS Lanreotide 90 Mg/0.3 Ml Subcutaneous Syringe 16 11 $270,266.66 $202,699.99 25% off $108,106.66 $243,520.00 $189,186.66 2026-04-01
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