Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ST FRANCIS HOSPITAL & MEDICAL CENTER

Hartford, CT · CCN 070002 · Rates published

16,399 distinct procedures filed
36 distinct payers
502,706 rate rows
2025-01-01 last MRF observed · ⚠ 17 mo old
Data quality

425,988 of 502,706 rate rows are consumer-grade (84.7%)

76,718 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 62,074
template filing: same amount across many unrelated codes — excluded 10,334
exceeds 10× this hospital's gross charge — excluded from medians 3,448
per-diem day rate — not a per-procedure price 652
placeholder amount (≤ $0.02) — excluded from medians 156
percent-of-charges filed in the dollar field — excluded from medians 54

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/saintfrancishospitalandmedicalcenter
Found on page https://www.trinityhealthofne.org/for-patients/billing-and-financial-resources/price-estimates-lists
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 545b2a07f24a266d… · 3,569,411 bytes · first seen 2026-05-09

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
'2-4
APR_DRG 		Heart And/or Lung Transplant 1 $755,342.89 $755,342.89 $755,342.89 —
'4-Feb
APR_DRG 		Heart And/or Lung Transplant 1 $656,819.90 $656,819.90 $656,819.90 —
'583-4
APR_DRG 		Neonate With Ecmo 1 $459,032.68 $674,970.70 $586,931.04 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 15 $357,037.40 $776,972.57 $557,699.00 nat. median
$370,174
1.5× median
'583-3
APR_DRG 		Neonate With Ecmo 1 $297,375.42 $550,940.82 $479,078.97 —
'588-4
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $299,466.44 $542,209.28 $471,486.33 —
'161-4
APR_DRG 		Implantable Heart Assist Systems 1 $227,279.35 $479,370.76 $416,844.14 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $262,721.34 $581,194.93 $410,199.64 nat. median
$265,286
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $255,559.62 $556,140.10 $396,144.90 nat. median
$206,474
1.9× median
'7-4
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $366,321.28 $366,321.28 $366,321.28 —
'583-2
APR_DRG 		Neonate With Ecmo 1 $228,330.04 $407,735.17 $354,552.32 —
'609-4
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $196,900.42 $374,622.54 $325,758.73 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $206,791.43 $450,012.44 $322,731.78 nat. median
$202,976
1.6× median
'161-3
APR_DRG 		Implantable Heart Assist Systems 1 $153,782.78 $367,245.69 $319,344.08 —
'4-Jul
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $318,540.24 $318,540.24 $318,540.24 —
'2-3
APR_DRG 		Heart And/or Lung Transplant 1 $318,160.83 $318,160.83 $318,160.83 —
'4-4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $311,399.14 $311,399.14 $311,399.14 —
'1-4
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $307,488.01 $307,488.01 $307,488.01 —
'588-3
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $194,764.88 $349,312.01 $303,749.57 —
'588-2
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $170,902.31 $342,044.41 $297,429.92 —
'630-4
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $218,450.45 $340,324.99 $295,934.77 —
'6-4
APR_DRG 		Pancreas Transplant 1 $291,947.72 $291,947.72 $291,947.72 —
'9-4
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $287,471.86 $287,471.86 $287,471.86 —
'583-1
APR_DRG 		Neonate With Ecmo 1 $165,965.61 $326,599.92 $283,999.93 —
'3-Feb
APR_DRG 		Heart And/or Lung Transplant 1 $276,661.59 $276,661.59 $276,661.59 —
'11-4
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $271,696.26 $271,696.26 $271,696.26 —
'4-Apr
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $270,781.86 $270,781.86 $270,781.86 —
'4-Jan
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $267,380.88 $267,380.88 $267,380.88 —
'841-4
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $215,457.79 $306,242.57 $266,297.89 —
'603-4
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $163,165.50 $306,017.35 $266,102.04 —
'002-4
APR_DRG 		Heart And/or Lung Transplant 1 $265,204.62 $265,204.62 $265,204.62 —
'160-4
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 1 $132,602.31 $296,736.20 $258,031.48 —
'161-2
APR_DRG 		Implantable Heart Assist Systems 1 $123,444.22 $294,867.20 $256,406.26 —
'4-Jun
APR_DRG 		Pancreas Transplant 1 $253,867.58 $253,867.58 $253,867.58 —
'4-Sep
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $249,975.53 $249,975.53 $249,975.53 —
'161-1
APR_DRG 		Implantable Heart Assist Systems 1 $117,613.15 $280,123.59 $243,585.73 —
'591-4
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $190,240.19 $278,800.83 $242,435.50 —
'4-Nov
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $236,257.62 $236,257.62 $236,257.62 —
'8-4
APR_DRG 		Autologous Bone Marrow Transplant 1 $235,054.05 $235,054.05 $235,054.05 —
'011-4
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $233,195.31 $233,195.31 $233,195.31 —
'2-2
APR_DRG 		Heart And/or Lung Transplant 1 $226,381.34 $226,381.34 $226,381.34 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $142,711.57 $310,564.04 $222,518.31 nat. median
$133,161
1.7× median
'593-4
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $176,401.09 $245,446.18 $213,431.46 —
'4-3
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $207,123.21 $207,123.21 $207,123.21 —
'4-Aug
APR_DRG 		Autologous Bone Marrow Transplant 1 $204,394.83 $204,394.83 $204,394.83 —
'5-4
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $200,948.10 $200,948.10 $200,948.10 —
'2-Feb
APR_DRG 		Heart And/or Lung Transplant 1 $196,853.34 $196,853.34 $196,853.34 —
'588-1
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $146,487.99 $225,147.66 $195,780.57 —
'6-3
APR_DRG 		Pancreas Transplant 1 $194,201.54 $194,201.54 $194,201.54 —
'2-1
APR_DRG 		Heart And/or Lung Transplant 1 $194,070.44 $194,070.44 $194,070.44 —

Other procedures at this hospital

Browse this hospital's 16,399 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
             
'2-4 APR_DRG Heart And/or Lung Transplant 2 1 — — $755,342.89 $755,342.89 $755,342.89 2025-01-01
'4-Feb APR_DRG Heart And/or Lung Transplant 2 1 — — $656,819.90 $656,819.90 $656,819.90 2025-01-01
'583-4 APR_DRG Neonate With Ecmo 6 1 — — $459,032.68 $674,970.70 $586,931.04 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 50 15 — — $357,037.40 $776,972.57 $557,699.00 2025-01-01
'583-3 APR_DRG Neonate With Ecmo 6 1 — — $297,375.42 $550,940.82 $479,078.97 2025-01-01
'588-4 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 1 — — $299,466.44 $542,209.28 $471,486.33 2025-01-01
'161-4 APR_DRG Implantable Heart Assist Systems 6 1 — — $227,279.35 $479,370.76 $416,844.14 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 52 14 — — $262,721.34 $581,194.93 $410,199.64 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 54 15 — — $255,559.62 $556,140.10 $396,144.90 2025-01-01
'7-4 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $366,321.28 $366,321.28 $366,321.28 2025-01-01
'583-2 APR_DRG Neonate With Ecmo 6 1 — — $228,330.04 $407,735.17 $354,552.32 2025-01-01
'609-4 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 1 — — $196,900.42 $374,622.54 $325,758.73 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 54 15 — — $206,791.43 $450,012.44 $322,731.78 2025-01-01
'161-3 APR_DRG Implantable Heart Assist Systems 6 1 — — $153,782.78 $367,245.69 $319,344.08 2025-01-01
'4-Jul APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $318,540.24 $318,540.24 $318,540.24 2025-01-01
'2-3 APR_DRG Heart And/or Lung Transplant 2 1 — — $318,160.83 $318,160.83 $318,160.83 2025-01-01
'4-4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $311,399.14 $311,399.14 $311,399.14 2025-01-01
'1-4 APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $307,488.01 $307,488.01 $307,488.01 2025-01-01
'588-3 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 1 — — $194,764.88 $349,312.01 $303,749.57 2025-01-01
'588-2 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 1 — — $170,902.31 $342,044.41 $297,429.92 2025-01-01
'630-4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 1 — — $218,450.45 $340,324.99 $295,934.77 2025-01-01
'6-4 APR_DRG Pancreas Transplant 2 1 — — $291,947.72 $291,947.72 $291,947.72 2025-01-01
'9-4 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $287,471.86 $287,471.86 $287,471.86 2025-01-01
'583-1 APR_DRG Neonate With Ecmo 6 1 — — $165,965.61 $326,599.92 $283,999.93 2025-01-01
'3-Feb APR_DRG Heart And/or Lung Transplant 2 1 — — $276,661.59 $276,661.59 $276,661.59 2025-01-01
'11-4 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $271,696.26 $271,696.26 $271,696.26 2025-01-01
'4-Apr APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $270,781.86 $270,781.86 $270,781.86 2025-01-01
'4-Jan APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $267,380.88 $267,380.88 $267,380.88 2025-01-01
'841-4 APR_DRG Extensive Third Degree Burns With Skin Graft 6 1 — — $215,457.79 $306,242.57 $266,297.89 2025-01-01
'603-4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 1 — — $163,165.50 $306,017.35 $266,102.04 2025-01-01
'002-4 APR_DRG Heart And/or Lung Transplant 2 1 — — $265,204.62 $265,204.62 $265,204.62 2025-01-01
'160-4 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 1 — — $132,602.31 $296,736.20 $258,031.48 2025-01-01
'161-2 APR_DRG Implantable Heart Assist Systems 6 1 — — $123,444.22 $294,867.20 $256,406.26 2025-01-01
'4-Jun APR_DRG Pancreas Transplant 2 1 — — $253,867.58 $253,867.58 $253,867.58 2025-01-01
'4-Sep APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $249,975.53 $249,975.53 $249,975.53 2025-01-01
'161-1 APR_DRG Implantable Heart Assist Systems 6 1 — — $117,613.15 $280,123.59 $243,585.73 2025-01-01
'591-4 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 1 — — $190,240.19 $278,800.83 $242,435.50 2025-01-01
'4-Nov APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $236,257.62 $236,257.62 $236,257.62 2025-01-01
'8-4 APR_DRG Autologous Bone Marrow Transplant 2 1 — — $235,054.05 $235,054.05 $235,054.05 2025-01-01
'011-4 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $233,195.31 $233,195.31 $233,195.31 2025-01-01
'2-2 APR_DRG Heart And/or Lung Transplant 2 1 — — $226,381.34 $226,381.34 $226,381.34 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 54 15 — — $142,711.57 $310,564.04 $222,518.31 2025-01-01
'593-4 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 1 — — $176,401.09 $245,446.18 $213,431.46 2025-01-01
'4-3 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $207,123.21 $207,123.21 $207,123.21 2025-01-01
'4-Aug APR_DRG Autologous Bone Marrow Transplant 2 1 — — $204,394.83 $204,394.83 $204,394.83 2025-01-01
'5-4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $200,948.10 $200,948.10 $200,948.10 2025-01-01
'2-Feb APR_DRG Heart And/or Lung Transplant 2 1 — — $196,853.34 $196,853.34 $196,853.34 2025-01-01
'588-1 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 1 — — $146,487.99 $225,147.66 $195,780.57 2025-01-01
'6-3 APR_DRG Pancreas Transplant 2 1 — — $194,201.54 $194,201.54 $194,201.54 2025-01-01
'2-1 APR_DRG Heart And/or Lung Transplant 2 1 — — $194,070.44 $194,070.44 $194,070.44 2025-01-01
'607-4 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $100,389.07 $222,608.03 $193,572.20 2025-01-01
'631-4 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 1 — — $185,728.18 $213,587.41 $193,307.37 2025-01-01
'1-3 APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $193,085.52 $193,085.52 $193,085.52 2025-01-01
7 MS_DRG Lung Transplant 50 13 — — $119,156.03 $259,303.28 $185,680.18 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 52 14 — — $118,940.18 $348,528.13 $185,342.61 2025-01-01
'7-3 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $184,933.83 $184,933.83 $184,933.83 2025-01-01
'007-4 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $180,575.90 $180,575.90 $180,575.90 2025-01-01
'3-Apr APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $180,107.14 $180,107.14 $180,107.14 2025-01-01
'009-4 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $179,671.17 $179,671.17 $179,671.17 2025-01-01
'11-3 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $178,825.95 $178,825.95 $178,825.95 2025-01-01
'602-4 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $130,991.60 $204,672.66 $177,976.23 2025-01-01
'609-3 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 1 — — $73,518.31 $201,566.62 $175,275.32 2025-01-01
'4-May APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $174,737.48 $174,737.48 $174,737.48 2025-01-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 1 — — $155,356.86 $193,994.53 $174,675.70 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 50 13 — — $111,359.35 $265,969.24 $173,487.08 2025-01-01
'3-Jun APR_DRG Pancreas Transplant 2 1 — — $168,870.90 $168,870.90 $168,870.90 2025-01-01
'1-Feb APR_DRG Heart And/or Lung Transplant 2 1 — — $168,756.90 $168,756.90 $168,756.90 2025-01-01
'3-Jan APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $167,900.45 $167,900.45 $167,900.45 2025-01-01
'7-2 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $167,381.67 $167,381.67 $167,381.67 2025-01-01
'6-2 APR_DRG Pancreas Transplant 2 1 — — $166,998.46 $166,998.46 $166,998.46 2025-01-01
'593-3 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 1 — — $122,340.74 $191,192.97 $166,254.76 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 50 15 — — $104,678.69 $227,798.19 $163,039.32 2025-01-01
'1-2 APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $162,416.72 $162,416.72 $162,416.72 2025-01-01
'3-Jul APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $160,812.03 $160,812.03 $160,812.03 2025-01-01
'001-4 APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $160,590.01 $160,590.01 $160,590.01 2025-01-01
'004-4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $159,489.63 $159,489.63 $159,489.63 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 50 13 — — $100,606.62 $238,349.79 $156,671.06 2025-01-01
'303-4 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 1 — — $95,238.10 $179,871.40 $156,409.91 2025-01-01
'4-2 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $156,199.59 $156,199.59 $156,199.59 2025-01-01
'3-Nov APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $155,500.83 $155,500.83 $155,500.83 2025-01-01
215 MS_DRG Other Heart Assist System Implant 54 15 — — $99,297.98 $294,576.25 $154,624.49 2025-01-01
'91-4 APR_DRG Other Major Head And Neck Procedures 2 1 — — $153,214.57 $153,214.57 $153,214.57 2025-01-01
'602-3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $92,917.27 $176,116.58 $153,144.85 2025-01-01
'7-1 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $153,029.68 $153,029.68 $153,029.68 2025-01-01
'591-3 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 1 — — $141,203.48 $175,940.10 $152,991.39 2025-01-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 1 — — $134,402.67 $167,828.98 $151,115.83 2025-01-01
'002-3 APR_DRG Heart And/or Lung Transplant 2 1 — — $148,911.30 $148,911.30 $148,911.30 2025-01-01
'630-3 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 1 — — $104,310.27 $169,398.59 $147,303.12 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 15 — — $94,366.38 $217,101.42 $146,912.04 2025-01-01
'842-4 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 1 — — $110,343.20 $167,443.86 $145,603.36 2025-01-01
'2-Jul APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $145,549.28 $145,549.28 $145,549.28 2025-01-01
'2-Jun APR_DRG Pancreas Transplant 2 1 — — $145,216.05 $145,216.05 $145,216.05 2025-01-01
'589-1 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 1 — — $116,983.77 $164,188.24 $142,772.38 2025-01-01
'2-Jan APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $141,231.93 $141,231.93 $141,231.93 2025-01-01
'1-1 APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $140,494.58 $140,494.58 $140,494.58 2025-01-01
'863-4 APR_DRG Neonatal Aftercare 6 1 — — $83,609.08 $161,344.39 $140,299.47 2025-01-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 1 — — $124,429.02 $155,374.85 $139,901.93 2025-01-01
'9-3 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $137,114.58 $137,114.58 $137,114.58 2025-01-01
'440-4 APR_DRG Kidney Transplant 6 1 — — $84,597.66 $157,641.68 $137,079.72 2025-01-01
'5-3 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $136,973.40 $136,973.40 $136,973.40 2025-01-01
'011-3 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $135,999.71 $135,999.71 $135,999.71 2025-01-01
'2-Apr APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $135,825.73 $135,825.73 $135,825.73 2025-01-01
'11-2 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $135,620.39 $135,620.39 $135,620.39 2025-01-01
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 54 15 — — $86,198.01 $222,670.12 $134,137.67 2025-01-01
'6-1 APR_DRG Pancreas Transplant 2 1 — — $133,621.96 $133,621.96 $133,621.96 2025-01-01
'1-Jul APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $133,069.29 $133,069.29 $133,069.29 2025-01-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 1 — — $117,941.02 $147,273.26 $132,607.14 2025-01-01
'602-2 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $74,306.07 $150,883.35 $131,202.91 2025-01-01
'841-3 APR_DRG Extensive Third Degree Burns With Skin Graft 6 1 — — $68,951.17 $148,372.30 $129,019.39 2025-01-01
'593-2 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 1 — — $100,202.74 $147,989.08 $128,686.16 2025-01-01
'611-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 1 — — $81,363.81 $147,915.13 $128,621.85 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 54 15 — — $82,239.17 $228,570.28 $127,946.51 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 15 — — $82,016.56 $210,387.44 $127,598.36 2025-01-01
'613-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 1 — — $81,745.79 $146,555.40 $127,439.48 2025-01-01
'603-3 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 1 — — $72,072.19 $145,970.50 $126,930.87 2025-01-01
'220-4 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 1 — — $54,705.26 $144,397.30 $125,562.87 2025-01-01
'178-4 APR_DRG External Heart Assist Systems 6 1 — — $72,262.66 $142,165.25 $123,621.96 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 15 — — $78,975.32 $185,463.18 $122,842.22 2025-01-01
'1-Jan APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $122,169.20 $122,169.20 $122,169.20 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 48 14 — — $77,797.34 $169,299.92 $120,567.16 2025-01-01
'3-Sep APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $119,230.07 $119,230.07 $119,230.07 2025-01-01
'3-May APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $119,107.30 $119,107.30 $119,107.30 2025-01-01
'589-2 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 1 — — $113,532.54 $136,302.77 $118,524.15 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 54 15 — — $75,920.53 $167,876.98 $118,064.89 2025-01-01
'2-Nov APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $117,930.77 $117,930.77 $117,930.77 2025-01-01
'740-4 APR_DRG Mental Illness Diagnosis With O.r. Procedure 4 1 — — $109,636.59 $126,082.08 $117,859.33 2025-01-01
'167-4 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 1 — — $75,918.85 $135,317.84 $117,667.69 2025-01-01
'680-4 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 1 — — $68,817.64 $134,373.27 $116,846.32 2025-01-01
'011-2 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $116,773.63 $116,773.63 $116,773.63 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 15 — — $75,064.88 $173,841.16 $116,726.75 2025-01-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 1 — — $103,650.57 $129,428.75 $116,539.66 2025-01-01
'1-Jun APR_DRG Pancreas Transplant 2 1 — — $116,193.01 $116,193.01 $116,193.01 2025-01-01
'8-3 APR_DRG Autologous Bone Marrow Transplant 2 1 — — $115,881.56 $115,881.56 $115,881.56 2025-01-01
'006-4 APR_DRG Pancreas Transplant 2 1 — — $115,524.19 $115,524.19 $115,524.19 2025-01-01
'690-4 APR_DRG Acute Leukemia 6 1 — — $62,118.06 $132,484.09 $115,203.56 2025-01-01
'92-4 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 1 — — $113,689.85 $113,689.85 $113,689.85 2025-01-01
'608-4 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 1 — — $63,426.51 $130,152.88 $113,176.42 2025-01-01
'9-2 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $112,883.09 $112,883.09 $112,883.09 2025-01-01
'621-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 1 — — $68,876.64 $129,443.60 $112,559.65 2025-01-01
'5-2 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $112,553.66 $112,553.66 $112,553.66 2025-01-01
'851-4 APR_DRG Gender Related Procedures 2 1 — — $112,013.95 $112,013.95 $112,013.95 2025-01-01
'633-4 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 1 — — $68,183.08 $127,981.34 $111,288.12 2025-01-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 1 — — $98,943.84 $123,551.44 $111,247.64 2025-01-01
'312-4 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 6 1 — — $62,533.16 $126,609.84 $110,095.51 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 54 15 — — $70,431.40 $166,958.01 $109,480.52 2025-01-01
'589-3 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 1 — — $94,274.46 $111,113.36 $108,415.63 2025-01-01
'002-2 APR_DRG Heart And/or Lung Transplant 2 1 — — $108,370.18 $108,370.18 $108,370.18 2025-01-01
'162-4 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 1 — — $90,525.00 $124,367.70 $108,145.83 2025-01-01
'4-1 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $107,761.82 $107,761.82 $107,761.82 2025-01-01
'591-2 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 1 — — $100,119.12 $115,136.99 $107,077.26 2025-01-01
'440-3 APR_DRG Kidney Transplant 6 1 — — $51,268.52 $122,656.70 $106,658.00 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 50 15 — — $68,527.48 $149,127.15 $106,503.02 2025-01-01
'910-4 APR_DRG Craniotomy For Multiple Significant Trauma 6 1 — — $63,747.41 $122,396.18 $106,431.46 2025-01-01
'303-3 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 1 — — $64,901.61 $121,989.44 $106,077.77 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 15 — — $67,841.22 $147,633.74 $105,429.78 2025-01-01
'21-4 APR_DRG Open Craniotomy Except Trauma 2 1 — — $105,346.57 $105,346.57 $105,346.57 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 54 15 — — $67,403.72 $146,681.66 $104,745.57 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 15 — — $67,290.46 $146,435.21 $104,568.47 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 54 15 — — $66,947.82 $145,689.56 $104,032.61 2025-01-01
'005-4 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $104,030.78 $104,030.78 $104,030.78 2025-01-01
'183-4 APR_DRG Percutaneous Structural Cardiac Procedures 6 1 — — $62,975.18 $119,614.52 $104,012.63 2025-01-01
'759-4 APR_DRG Eating Disorders 4 1 — — $96,535.45 $111,015.77 $103,775.61 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 54 15 — — $66,774.55 $149,136.35 $103,761.65 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 54 15 — — $66,424.17 $144,550.01 $103,213.68 2025-01-01
'179-4 APR_DRG Defibrillator Implants 6 1 — — $58,563.31 $118,547.24 $103,084.56 2025-01-01
'361-4 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 1 — — $60,588.09 $118,130.42 $102,722.10 2025-01-01
'608-3 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 1 — — $50,503.53 $117,859.81 $102,486.79 2025-01-01
'614-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 1 — — $58,544.68 $117,774.10 $102,412.26 2025-01-01
'440-2 APR_DRG Kidney Transplant 6 1 — — $44,812.21 $116,590.84 $101,383.34 2025-01-01
'5-1 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $101,178.29 $101,178.29 $101,178.29 2025-01-01
'3-Aug APR_DRG Autologous Bone Marrow Transplant 2 1 — — $100,766.57 $100,766.57 $100,766.57 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 54 15 — — $64,621.88 $140,627.93 $100,395.11 2025-01-01
'89-4 APR_DRG Major Cranial Or Facial Bone Procedures 2 1 — — $100,342.95 $100,342.95 $100,342.95 2025-01-01
'004-3 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $100,010.20 $100,010.20 $100,010.20 2025-01-01
'002-1 APR_DRG Heart And/or Lung Transplant 2 1 — — $99,662.39 $99,662.39 $99,662.39 2025-01-01
'163-4 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 1 — — $75,406.45 $113,528.49 $98,720.43 2025-01-01
'510-4 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 6 1 — — $47,478.79 $113,494.88 $98,691.20 2025-01-01
'2-Sep APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $98,159.21 $98,159.21 $98,159.21 2025-01-01
'651-4 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 1 — — $47,078.18 $112,691.48 $97,992.59 2025-01-01
'440-1 APR_DRG Kidney Transplant 6 1 — — $41,340.27 $112,678.04 $97,980.90 2025-01-01
'612-4 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $71,707.81 $112,669.63 $97,973.59 2025-01-01
'2-May APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $97,872.75 $97,872.75 $97,872.75 2025-01-01
'091-4 APR_DRG Other Major Head And Neck Procedures 4 1 — — $60,406.94 $133,230.06 $96,818.50 2025-01-01
'8-2 APR_DRG Autologous Bone Marrow Transplant 2 1 — — $96,510.82 $96,510.82 $96,510.82 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 15 — — $62,037.51 $143,526.51 $96,353.46 2025-01-01
'631-3 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 1 — — $58,045.73 $110,412.37 $96,010.76 2025-01-01
'160-3 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 1 — — $53,705.29 $109,682.92 $95,376.45 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 54 15 — — $60,883.74 $177,201.58 $94,549.09 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 50 15 — — $60,536.25 $131,736.93 $94,005.66 2025-01-01
'630-2 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 1 — — $59,691.64 $108,029.06 $93,938.31 2025-01-01
'1-Apr APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $93,705.93 $93,705.93 $93,705.93 2025-01-01
'26-4 APR_DRG Other Nervous System And Related Procedures 2 1 — — $93,569.50 $93,569.50 $93,569.50 2025-01-01
'441-4 APR_DRG Major Bladder Procedures 6 1 — — $49,958.00 $107,575.26 $93,543.70 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 50 13 — — $60,214.90 $131,037.61 $93,503.10 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 50 13 — — $60,214.90 $147,259.55 $93,503.10 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 54 15 — — $60,612.72 $131,903.33 $93,451.82 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 54 15 — — $59,870.32 $172,275.25 $92,964.21 2025-01-01
'9-1 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $92,641.71 $92,641.71 $92,641.71 2025-01-01
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 54 15 — — $59,627.37 $148,516.85 $92,584.27 2025-01-01
'27-4 APR_DRG Other Open Craniotomy 2 1 — — $92,337.50 $92,337.50 $92,337.50 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 54 15 — — $59,374.73 $137,441.18 $92,189.18 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 15 — — $59,230.51 $155,587.45 $91,963.64 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 54 15 — — $58,953.68 $128,292.99 $91,530.71 2025-01-01
'178-3 APR_DRG External Heart Assist Systems 6 1 — — $53,228.08 $105,173.45 $91,455.17 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 54 15 — — $58,754.30 $127,859.09 $91,218.88 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 46 14 — — $58,502.63 $127,311.43 $90,825.31 2025-01-01
'120-4 APR_DRG Major Respiratory And Chest Procedures 6 1 — — $57,003.32 $103,643.96 $90,125.18 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 54 15 — — $58,004.14 $133,495.54 $90,045.74 2025-01-01
J2507 HCPCS Pegloticase Per 1 Mg 116 35 $166,666.65 $91,666.66 45% off $124.10 $166,666.65 $89,533.33 2025-01-01
'008-4 APR_DRG Autologous Bone Marrow Transplant 2 1 — — $89,501.23 $89,501.23 $89,501.23 2025-01-01
'22-4 APR_DRG Ventricular Shunt Procedures 2 1 — — $89,019.68 $89,019.68 $89,019.68 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 54 15 — — $57,345.95 $132,094.22 $89,016.41 2025-01-01
'695-4 APR_DRG Chemotherapy For Acute Leukemia 6 1 — — $55,047.90 $101,790.08 $88,513.11 2025-01-01
'303-2 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 1 — — $45,542.00 $101,695.96 $88,431.27 2025-01-01
'007-3 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $88,253.86 $88,253.86 $88,253.86 2025-01-01
'1-May APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $87,981.12 $87,981.12 $87,981.12 2025-01-01
0408T HCPCS Hc Insertion/replacement Cardiac Modulation System Pulse Generat 116 36 $128,597.00 $70,728.35 45% off $124.10 $128,597.00 $87,445.96 2025-01-01
'304-4 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 1 — — $66,774.22 $100,433.71 $87,333.66 2025-01-01
'401-4 APR_DRG Adrenal Procedures 6 1 — — $42,800.88 $100,208.49 $87,137.82 2025-01-01
'404-4 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 6 1 — — $45,144.49 $99,773.17 $86,759.28 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 15 — — $55,565.94 $129,959.10 $86,232.66 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 54 15 — — $55,434.29 $120,634.21 $86,026.79 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 15 — — $55,295.88 $125,681.99 $85,810.33 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 15 — — $55,246.51 $120,225.57 $85,733.13 2025-01-01
'20-4 APR_DRG Open Craniotomy For Trauma 2 1 — — $85,385.88 $85,385.88 $85,385.88 2025-01-01
'611-3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 1 — — $50,267.52 $98,139.47 $85,338.67 2025-01-01
'750-4 APR_DRG Schizophrenia 4 1 — — $79,384.40 $91,292.06 $85,338.23 2025-01-01
'178-2 APR_DRG External Heart Assist Systems 6 1 — — $51,168.11 $97,988.21 $85,207.14 2025-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 54 15 — — $54,620.26 $125,544.83 $84,753.74 2025-01-01
'423-4 APR_DRG Inborn Errors Of Metabolism 6 1 — — $36,565.06 $97,465.49 $84,752.60 2025-01-01
'950-4 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 1 — — $52,544.87 $97,230.19 $84,547.99 2025-01-01
'607-3 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $69,493.60 $96,836.89 $84,205.99 2025-01-01
'2-Aug APR_DRG Autologous Bone Marrow Transplant 2 1 — — $83,922.45 $83,922.45 $83,922.45 2025-01-01
'176-4 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 1 — — $48,651.63 $96,472.17 $83,888.84 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 54 15 — — $53,712.34 $120,808.24 $83,333.86 2025-01-01
'511-4 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 6 1 — — $45,239.73 $95,441.86 $82,992.92 2025-01-01
'29-4 APR_DRG Other Percutaneous Intracranial Procedures 2 1 — — $82,088.23 $82,088.23 $82,088.23 2025-01-01
'006-3 APR_DRG Pancreas Transplant 2 1 — — $82,069.79 $82,069.79 $82,069.79 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 54 15 — — $52,825.72 $126,333.50 $81,947.29 2025-01-01
'792-4 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 1 — — $47,569.88 $93,438.40 $81,250.78 2025-01-01
'232-4 APR_DRG Gastric Fundoplication 6 1 — — $55,320.15 $93,272.00 $81,106.09 2025-01-01
'614-3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 1 — — $40,190.20 $92,744.25 $80,647.17 2025-01-01
'1-Sep APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $80,558.01 $80,558.01 $80,558.01 2025-01-01
'681-4 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 1 — — $62,707.07 $92,555.99 $80,483.47 2025-01-01
'169-4 APR_DRG Major Abdominal Vascular Procedures 6 1 — — $54,348.13 $92,468.59 $80,407.47 2025-01-01
'260-4 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 1 — — $56,545.78 $92,403.04 $80,350.47 2025-01-01
'752-4 APR_DRG Disorders Of Personality And Impulse Control 4 1 — — $74,326.05 $85,474.96 $79,900.51 2025-01-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 50 13 — — $51,355.44 $115,641.88 $79,647.93 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 15 — — $51,189.92 $117,479.83 $79,389.08 2025-01-01
'911-4 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 1 — — $59,784.80 $91,221.47 $79,323.02 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 54 15 — — $50,737.90 $115,600.73 $78,682.17 2025-01-01
'512-4 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 6 1 — — $40,017.33 $90,411.34 $78,618.56 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 54 15 — — $50,628.52 $115,264.69 $78,511.12 2025-01-01
'622-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $42,847.47 $89,902.08 $78,175.72 2025-01-01
'165-4 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 1 — — $70,422.14 $89,819.72 $78,104.10 2025-01-01
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 54 15 — — $50,335.24 $112,441.48 $78,052.46 2025-01-01
'612-3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $44,673.49 $89,589.46 $77,903.88 2025-01-01
'009-3 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $77,432.26 $77,432.26 $77,432.26 2025-01-01
'623-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 1 — — $48,256.19 $88,772.61 $77,193.57 2025-01-01
'613-3 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 1 — — $49,613.29 $88,586.04 $77,031.34 2025-01-01
'183-3 APR_DRG Percutaneous Structural Cardiac Procedures 6 1 — — $42,175.65 $88,555.78 $77,005.03 2025-01-01
'362-4 APR_DRG Mastectomy Procedures 6 1 — — $29,494.90 $88,493.60 $76,950.96 2025-01-01
'850-4 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 1 — — $71,052.55 $88,490.25 $76,948.04 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 54 15 — — $49,587.03 $107,909.59 $76,882.35 2025-01-01
'405-4 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 6 1 — — $43,412.67 $88,088.54 $76,598.73 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 54 15 — — $49,373.12 $112,942.12 $76,547.81 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 15 — — $49,196.95 $150,745.70 $76,272.31 2025-01-01
'130-4 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 1 — — $48,026.39 $87,468.34 $76,059.43 2025-01-01
'178-1 APR_DRG External Heart Assist Systems 6 1 — — $43,409.56 $87,397.75 $75,998.04 2025-01-01
'514-4 APR_DRG Female Reproductive System Reconstructive Procedures 6 1 — — $47,668.22 $87,335.55 $75,943.96 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 54 15 — — $48,815.59 $117,235.22 $75,675.90 2025-01-01
'021-4 APR_DRG Open Craniotomy Except Trauma 4 1 — — $59,420.43 $91,605.71 $75,513.07 2025-01-01
'001-3 APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $75,124.88 $75,124.88 $75,124.88 2025-01-01
'092-4 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 4 1 — — $51,237.46 $98,860.74 $75,049.10 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 54 15 — — $48,382.92 $111,463.07 $74,999.27 2025-01-01
'23-4 APR_DRG Spinal Procedures 2 1 — — $74,902.98 $74,902.98 $74,902.98 2025-01-01
'179-3 APR_DRG Defibrillator Implants 6 1 — — $42,385.78 $85,885.07 $74,682.67 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 54 15 — — $48,038.34 $112,455.20 $74,460.38 2025-01-01
'912-4 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 1 — — $55,908.12 $85,043.01 $73,950.44 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 54 15 — — $47,662.78 $139,567.16 $73,873.05 2025-01-01
'230-4 APR_DRG Major Small Bowel Procedures 6 1 — — $45,098.95 $84,696.76 $73,649.36 2025-01-01
'740-3 APR_DRG Mental Illness Diagnosis With O.r. Procedure 4 1 — — $68,387.86 $78,646.04 $73,516.95 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 54 15 — — $46,466.42 $130,274.57 $73,325.08 2025-01-01
6 MS_DRG Liver Transplant Without Mcc 50 13 — — $47,243.67 $102,842.57 $73,217.61 2025-01-01
'166-4 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 1 — — $61,669.84 $84,105.15 $73,134.91 2025-01-01
10 MS_DRG Pancreas Transplant 50 13 — — $47,018.14 $102,319.27 $72,864.91 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 54 15 — — $46,952.33 $106,205.27 $72,761.97 2025-01-01
'73-4 APR_DRG Orbit And Eye Procedures 2 1 — — $72,686.07 $72,686.07 $72,686.07 2025-01-01
'483-4 APR_DRG Penis, Testes And Scrotal Procedures 6 1 — — $34,538.21 $83,426.12 $72,544.45 2025-01-01
'609-2 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 1 — — $40,561.83 $83,263.08 $72,402.68 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 50 15 — — $46,716.14 $101,662.07 $72,392.62 2025-01-01
'264-4 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 6 1 — — $45,495.41 $83,217.70 $72,363.22 2025-01-01
'480-4 APR_DRG Major Male Pelvic Procedures 6 1 — — $38,738.90 $83,037.87 $72,206.84 2025-01-01
'005-3 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $71,861.02 $71,861.02 $71,861.02 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 15 — — $46,309.62 $100,777.40 $71,756.86 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 54 15 — — $46,050.21 $113,173.00 $71,351.18 2025-01-01
'625-4 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 1 — — $57,275.57 $81,780.65 $71,113.61 2025-01-01
'162-3 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 1 — — $57,831.45 $81,595.77 $70,952.84 2025-01-01
'711-4 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 6 1 — — $40,750.23 $81,513.41 $70,881.23 2025-01-01
'170-4 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 6 1 — — $39,859.99 $81,503.33 $70,872.46 2025-01-01
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