Price Transparencybeta Hospital negotiated rates

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

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Hospital

CORAL GABLES HOSPITAL

Coral Gables, FL · CCN 100183 · Rates published

18,288 distinct procedures filed
104 distinct payers
1,153,899 rate rows
2026-10-28 last MRF observed
Data quality

1,064,842 of 1,153,899 rate rows are consumer-grade (92.3%)

89,057 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 58,386
per-diem day rate — not a per-procedure price 18,153
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,518
placeholder amount (≤ $0.02) — excluded from medians 1,108
template filing: same amount across many unrelated codes — excluded 485
exceeds 10× this hospital's gross charge — excluded from medians 336
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 71
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://coralgableshospital.org/pricetransparency/995038459_hsa-cgh-llc_standardcharges.csv
Found on page https://coralgableshospital.org/price-transparency/
Discovered viaCMS hospital list
Last fetch success · 2026-10-28
Content fingerprint 49fabbd5350d64c0… · 252,990,563 bytes · first seen 2026-09-28

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 46 $67,785.10 $879,242.48 $408,949.99 nat. median
$360,195
1.1× median
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 53 $91,982.96 $2,002,042.70 $314,174.13 nat. median
$380,401
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 44 $153,366.52 $480,591.48 $232,378.62 nat. median
$247,805
0.9× median
7
MS_DRG 		Lung Transplant 46 $74,369.96 $485,904.49 $226,002.09 nat. median
$117,943
1.9× median
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 47 $105,243.82 $592,614.42 $224,023.88 nat. median
$232,664
1.0× median
583-4
OTHER 		Neonate With Ecmo 9 $221,000.00 $232,050.00 $221,000.00 nat. median
$243,100
0.9× median
588-4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $221,000.00 $232,050.00 $221,000.00 nat. median
$241,995
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $221,000.00 $227,630.00 $221,000.00 nat. median
$249,123
0.9× median
5834
APR_DRG 		Neonate With Ecmo 7 $221,000.00 $227,630.00 $221,000.00 nat. median
$309,665
0.7× median
583-3
OTHER 		Neonate With Ecmo 9 $221,000.00 $232,050.00 $221,000.00 nat. median
$240,006
0.9× median
5833
APR_DRG 		Neonate With Ecmo 7 $221,000.00 $227,630.00 $221,000.00 nat. median
$244,017
0.9× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $213,464.00 $219,867.92 $213,464.00 nat. median
$67,440
outlier · 3.2×
630-4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $211,296.47 $221,861.29 $211,296.47 nat. median
$195,063
1.1× median
02HA4QZ
OTHER 		Lvad 3 $165,122.00 $209,015.00 $209,015.00 nat. median
$24,346
outlier · 8.6×
02HA3QZ
OTHER 		Lvad 3 $165,122.00 $209,015.00 $209,015.00 nat. median
$24,346
outlier · 8.6×
02HA0QZ
OTHER 		Lvad 3 $165,122.00 $209,015.00 $209,015.00 nat. median
$22,378
outlier · 9.3×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $202,665.67 $208,745.64 $202,665.67 nat. median
$138,094
1.5× median
7
OTHER 		Lung Transplant 48 $77,592.92 $1,513,993.04 $190,308.46 nat. median
$149,058
1.3× median
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 56 $115,082.04 $415,979.30 $188,913.73 nat. median
$2
outlier · 111783.3×
631-4
OTHER 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $186,976.63 $196,325.46 $186,976.63 nat. median
$185,076
1.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $182,103.81 $187,566.92 $182,103.81 nat. median
$154,211
1.2× median
3
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 56 $113,878.69 $451,569.59 $179,943.65 nat. median
$202,158
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 55 $116,535.46 $415,177.64 $178,333.41 nat. median
$190,274
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 55 $117,214.25 $374,381.02 $175,821.38 nat. median
$197,664
0.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $165,000.00 $169,950.00 $165,000.00 nat. median
$165,846
1.0× median
609-4
OTHER 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $165,000.00 $173,250.00 $165,000.00 nat. median
$168,174
1.0× median
583-2
OTHER 		Neonate With Ecmo 9 $145,322.76 $152,588.90 $145,322.76 nat. median
$178,334
0.8× median
5832
APR_DRG 		Neonate With Ecmo 7 $134,684.62 $138,725.16 $134,684.62 nat. median
$159,829
0.8× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $134,458.54 $138,492.30 $134,458.54 nat. median
$243,231
0.6× median
588-3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $132,000.00 $138,600.00 $132,000.00 nat. median
$152,652
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $132,000.00 $135,960.00 $132,000.00 nat. median
$177,531
0.7× median
011-3
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $131,545.36 $138,122.63 $131,545.36 nat. median
$107,680
1.2× median
593-4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $121,000.00 $127,050.00 $121,000.00 nat. median
$131,648
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $121,000.00 $124,630.00 $121,000.00 nat. median
$152,569
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $120,000.00 $123,600.00 $120,000.00 nat. median
$165,334
0.7× median
591-4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $120,000.00 $126,000.00 $120,000.00 nat. median
$134,440
0.9× median
4
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 56 $75,924.27 $664,447.89 $119,277.32 nat. median
$141,447
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 55 $76,588.87 $249,184.48 $117,190.66 nat. median
$126,240
0.9× median
002-4
OTHER 		Heart And/or Lung Transplant 9 $111,047.26 $116,599.62 $111,047.26 nat. median
$176,034
0.6× median
588-2
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $108,772.56 $114,211.19 $108,772.56 nat. median
$133,956
0.8× median
14
OTHER 		Allogeneic Bone Marrow Transplant 53 $27,217.43 $229,740.06 $106,627.40 nat. median
$109,099
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $101,342.38 $104,382.65 $101,342.38 nat. median
$145,336
0.7× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $100,000.00 $103,000.00 $100,000.00 nat. median
$119,800
0.8× median
602-4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $100,000.00 $105,000.00 $100,000.00 nat. median
$109,000
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 52 $19,441.02 $210,733.88 $99,984.18 nat. median
$109,875
0.9× median
593-3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $99,000.00 $103,950.00 $99,000.00 nat. median
$104,829
0.9× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $99,000.00 $101,970.00 $99,000.00 nat. median
$109,393
0.9× median
607-4
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 $97,101.66 $101,956.74 $97,101.66 nat. median
$98,925
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 44 $62,939.26 $419,318.77 $96,298.41 nat. median
$103,911
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $96,139.80 $99,023.99 $96,139.80 nat. median
$202,660
outlier · 0.5×

Other procedures at this hospital

Browse this hospital's 18,288 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
             
64654 CPT 1st Opn Implt Bat Modulj Sys 80 80 — $45,111.59 $3,947.36 $98,893.14 $44,386.92 2026-10-28
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 55 55 — $44,702.20 $19,907.80 $97,994.98 $47,858.01 2026-10-28
834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 56 56 — — $18,976.11 $96,921.21 $45,207.29 2026-05-08
245 OTHER Aicd Generator Procedures 58 58 — — $12,998.00 $85,690.04 $40,148.68 2026-05-08
245 MS_DRG Aicd Generator Procedures 57 57 — $37,524.20 $12,998.00 $82,247.33 $39,400.41 2026-10-28
J0202 HCPCS Alemtuzumab 30mg 65 62 $10,590.00 $76,348.11 $529.50 $95,435.14 $53,443.68 2026-10-28
14 OTHER Allogeneic Bone Marrow Transplant 53 53 — — $27,217.43 $229,740.06 $106,627.40 2026-05-08
14 MS_DRG Allogeneic Bone Marrow Transplant 52 52 — $95,223.03 $19,441.02 $210,733.88 $99,984.18 2026-10-28
74 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $78,328.28 $80,678.13 $78,328.28 2026-10-28
007-4 OTHER Allogeneic Bone Marrow Transplant 9 9 — — $75,611.37 $79,391.94 $75,611.37 2026-05-08
73 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $44,681.33 $46,021.77 $44,681.33 2026-10-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 55 55 — $40,304.84 $22,511.89 $88,347.71 $41,834.45 2026-10-28
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 56 56 — — $20,663.78 $137,146.10 $41,334.16 2026-05-08
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 60 60 — $55,444.07 $35,036.10 $132,254.00 $58,914.65 2026-10-28
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 61 61 — — $27,001.11 $378,527.91 $54,213.28 2026-05-08
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 48 48 — $48,105.86 $33,674.10 $166,635.36 $51,007.97 2026-10-28
16 OTHER Autologous Bone Marrow Transplant With Cc/mcc 50 50 — — $32,816.12 $226,104.57 $50,073.32 2026-05-08
17 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 53 53 — — $13,228.69 $226,104.57 $50,192.83 2026-05-08
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 52 52 — $44,256.43 $9,449.07 $166,635.36 $47,380.40 2026-10-28
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 56 56 — — $30,158.76 $261,786.99 $50,020.27 2026-05-08
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 55 55 — $44,958.37 $25,337.46 $98,556.99 $46,945.50 2026-10-28
842-4 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 9 9 — — $46,203.37 $48,513.54 $46,203.37 2026-05-08
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $45,558.36 $46,925.11 $45,558.36 2026-10-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 55 55 — $57,398.20 $40,178.74 $145,753.63 $61,460.87 2026-10-28
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 56 56 — — $38,245.14 $141,004.47 $58,363.28 2026-05-08
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 61 — — $51,851.13 $212,666.05 $83,588.18 2026-05-08
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 60 60 — $77,925.37 $54,547.76 $171,541.40 $83,454.26 2026-10-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 60 60 — $53,102.22 $26,237.94 $162,436.23 $63,722.98 2026-10-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 60 60 — $53,102.22 $37,171.55 $162,436.23 $63,722.98 2026-10-28
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 61 — — $35,038.07 $146,601.92 $61,250.04 2026-05-08
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 61 — — $32,360.14 $146,601.92 $56,518.35 2026-05-08
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 61 — — $41,775.51 $211,702.44 $68,237.00 2026-05-08
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 60 60 — $61,638.44 $43,146.91 $135,151.02 $66,252.88 2026-10-28
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 61 — — $28,924.04 $127,035.89 $50,554.94 2026-05-08
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 60 60 — $43,486.39 $30,440.47 $117,658.59 $49,261.79 2026-10-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 60 60 — $41,221.92 $28,855.34 $117,658.59 $47,871.94 2026-10-28
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 61 — — $25,216.75 $127,035.89 $44,069.88 2026-05-08
277 MS_DRG Cellulitis Age >17 W Cc 55 55 — $37,958.36 $26,570.85 $103,383.20 $40,632.47 2026-10-28
277 OTHER Cellulitis Age >17 W Cc 56 56 — — $25,528.97 $163,038.40 $40,488.83 2026-05-08
278 MS_DRG Cellulitis Age >17 Without Cc 55 55 — $45,292.70 $7,215.47 $99,290.46 $48,490.69 2026-10-28
278 OTHER Cellulitis Age >17 Without Cc 56 56 — — $4,545.75 $89,390.88 $41,370.21 2026-05-08
471 MS_DRG Cervical Spinal Fusion With Mcc 58 58 — $39,585.11 $19,591.93 $86,768.71 $40,565.10 2026-10-28
471 OTHER Cervical Spinal Fusion With Mcc 59 59 — — $18,954.91 $272,535.86 $39,915.69 2026-05-08
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 55 55 — $39,396.27 $27,577.39 $101,272.23 $42,173.09 2026-10-28
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 56 56 — — $20,982.56 $327,818.67 $41,099.59 2026-05-08
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 46 46 — $400,805.71 $67,785.10 $879,242.48 $408,949.99 2026-10-28
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 53 53 — — $91,982.96 $2,002,042.70 $314,174.13 2026-05-08
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $213,464.00 $219,867.92 $213,464.00 2026-10-28
011-3 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $131,545.36 $138,122.63 $131,545.36 2026-05-08
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $50,021.00 $51,521.63 $50,021.00 2026-10-28
011-4 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $50,021.00 $52,522.05 $50,021.00 2026-05-08
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $50,000.00 $51,500.00 $50,000.00 2026-10-28
011-2 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $48,895.78 $51,340.57 $48,895.78 2026-05-08
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 55 55 — $49,549.96 $18,636.09 $108,630.38 $50,525.76 2026-10-28
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 57 57 — — $18,636.09 $104,102.57 $49,859.17 2026-05-08
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 55 55 — $70,794.55 $21,919.00 $273,655.62 $74,334.28 2026-10-28
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 57 57 — — $21,919.00 $273,655.62 $71,539.73 2026-05-08
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 55 55 — $37,858.52 $21,919.00 $146,158.35 $39,751.44 2026-10-28
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 61 61 — — $42,190.93 $150,793.39 $70,336.00 2026-05-08
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 60 60 — $61,382.27 $42,967.59 $134,589.01 $66,600.54 2026-10-28
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 61 61 — — $29,047.75 $132,254.00 $50,541.90 2026-05-08
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 60 60 — $44,491.69 $31,144.19 $132,254.00 $49,764.06 2026-10-28
231 OTHER Coronary Bypass With Ptca With Mcc 61 61 — — $45,652.86 $218,792.21 $75,583.00 2026-05-08
231 MS_DRG Coronary Bypass With Ptca With Mcc 60 60 — $67,455.15 $47,218.61 $154,118.75 $72,623.77 2026-10-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 60 60 — $49,134.39 $34,394.07 $154,118.75 $58,858.37 2026-10-28
232 OTHER Coronary Bypass With Ptca Without Mcc 61 61 — — $33,199.43 $147,682.13 $58,033.76 2026-05-08
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 61 61 — — $32,017.37 $104,692.00 $55,899.90 2026-05-08
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 60 60 — $47,633.00 $33,343.10 $105,610.17 $53,374.93 2026-10-28
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 61 61 — — $22,686.78 $104,692.00 $39,064.95 2026-05-08
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 55 55 — $37,402.70 $26,181.89 $81,980.77 $40,037.12 2026-10-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 55 55 — $54,307.97 $38,015.58 $119,068.87 $58,149.91 2026-10-28
955 OTHER Craniotomy For Multiple Significant Trauma 56 56 — — $36,988.31 $142,364.02 $58,094.04 2026-05-08
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 55 55 — $46,562.69 $32,593.88 $102,076.67 $49,851.40 2026-10-28
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 56 — — $31,074.36 $200,839.49 $48,469.38 2026-05-08
303-4 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 9 — — $92,119.45 $96,725.42 $92,119.45 2026-05-08
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $82,630.34 $85,109.25 $82,630.34 2026-10-28
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 56 56 — — $113,878.69 $451,569.59 $179,943.65 2026-05-08
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 55 55 — $166,479.23 $116,535.46 $415,177.64 $178,333.41 2026-10-28
266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 56 56 — — $32,578.65 $180,208.67 $54,182.57 2026-05-08
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 55 55 — $49,643.62 $34,750.54 $186,278.27 $53,152.40 2026-10-28
267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 56 56 — — $25,806.99 $135,310.82 $42,550.70 2026-05-08
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 55 55 — $39,059.62 $27,341.74 $139,868.22 $41,812.40 2026-10-28
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 56 56 — — $115,082.04 $415,979.30 $188,913.73 2026-05-08
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 55 55 — $167,448.93 $117,214.25 $374,381.02 $175,821.38 2026-10-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 55 55 — $38,525.62 $26,967.93 $84,444.32 $41,240.25 2026-10-28
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 56 — — $26,066.03 $83,359.64 $40,517.31 2026-05-08
841-4 OTHER Extensive Third Degree Burns With Skin Graft 9 9 — — $90,217.23 $94,728.09 $90,217.23 2026-05-08
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $88,873.77 $91,539.98 $88,873.77 2026-10-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $92,542.40 $95,318.67 $92,542.40 2026-10-28
009-4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 9 9 — — $75,232.49 $78,994.11 $75,232.49 2026-05-08
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $51,994.97 $53,554.82 $51,994.97 2026-10-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 51 51 — $48,212.66 $2,562.52 $115,054.59 $50,623.29 2026-10-28
790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 53 53 — — $3,587.53 $111,305.71 $48,504.67 2026-05-08
588-1 OTHER Female Reproductive System Reconstructive Procedures 9 9 — — $50,000.00 $52,500.00 $50,000.00 2026-05-08
5881 APR_DRG Female Reproductive System Reconstructive Procedures 7 7 — — $50,000.00 $51,500.00 $50,000.00 2026-10-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 55 55 — $57,725.56 $29,153.03 $126,566.63 $60,611.83 2026-10-28
928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 56 56 — — $34,632.31 $117,114.51 $54,302.54 2026-05-08
232-4 OTHER Gastric Fundoplication 9 9 — — $53,508.13 $56,183.54 $53,508.13 2026-05-08
2321 APR_DRG Gastric Fundoplication 1 1 — — $40,081.36 $40,081.36 $40,081.36 2026-10-28
2322 APR_DRG Gastric Fundoplication 1 1 — — $40,081.36 $40,081.36 $40,081.36 2026-10-28
2323 APR_DRG Gastric Fundoplication 1 1 — — $40,081.36 $40,081.36 $40,081.36 2026-10-28
2324 APR_DRG Gastric Fundoplication 1 1 — — $40,081.36 $40,081.36 $40,081.36 2026-10-28
24 APR_DRG Heart And/or Lung Transplant 6 6 — — $134,458.54 $138,492.30 $134,458.54 2026-10-28
002-4 OTHER Heart And/or Lung Transplant 9 9 — — $111,047.26 $116,599.62 $111,047.26 2026-05-08
23 APR_DRG Heart And/or Lung Transplant 6 6 — — $65,552.71 $67,519.29 $65,552.71 2026-10-28
002-3 OTHER Heart And/or Lung Transplant 9 9 — — $62,352.43 $65,470.05 $62,352.43 2026-05-08
22 APR_DRG Heart And/or Lung Transplant 6 6 — — $46,973.97 $48,383.19 $46,973.97 2026-10-28
002-2 OTHER Heart And/or Lung Transplant 9 9 — — $45,376.96 $47,645.81 $45,376.96 2026-05-08
21 APR_DRG Heart And/or Lung Transplant 6 6 — — $43,873.11 $45,189.30 $43,873.11 2026-10-28
002-1 OTHER Heart And/or Lung Transplant 9 9 — — $41,730.88 $43,817.42 $41,730.88 2026-05-08
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 44 44 — $219,095.02 $153,366.52 $480,591.48 $232,378.62 2026-10-28
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 47 47 — — $105,243.82 $592,614.42 $224,023.88 2026-05-08
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 44 44 — $89,913.23 $62,939.26 $419,318.77 $96,298.41 2026-10-28
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 47 47 — — $59,057.19 $527,020.84 $90,357.74 2026-05-08
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 55 55 — $86,371.04 $60,459.73 $223,125.82 $92,503.20 2026-10-28
212 OTHER Hip & Femur Procedures Except Major Joint Age 0-17 56 56 — — $46,893.44 $215,855.60 $89,131.18 2026-05-08
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 55 55 — $61,282.55 $42,897.79 $134,370.25 $63,553.20 2026-10-28
969 OTHER HIV With Extensive O.r. Procedures With Mcc 56 56 — — $35,452.98 $518,619.95 $53,331.78 2026-05-08
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $96,139.80 $99,023.99 $96,139.80 2026-10-28
161-4 OTHER Implantable Heart Assist Systems 9 9 — — $95,167.09 $99,925.44 $95,167.09 2026-05-08
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $67,755.00 $69,787.65 $67,755.00 2026-10-28
161-3 OTHER Implantable Heart Assist Systems 9 9 — — $64,392.40 $67,612.02 $64,392.40 2026-05-08
161-2 OTHER Implantable Heart Assist Systems 9 9 — — $51,688.84 $54,273.28 $51,688.84 2026-05-08
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $51,457.42 $53,001.14 $51,457.42 2026-10-28
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $49,854.53 $51,350.17 $49,854.53 2026-10-28
161-1 OTHER Implantable Heart Assist Systems 9 9 — — $49,247.34 $51,709.71 $49,247.34 2026-05-08
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 55 55 — $40,435.64 $28,304.95 $88,634.67 $43,286.70 2026-10-28
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 56 56 — — $27,138.89 $87,697.80 $41,052.99 2026-05-08
33276 CPT Insj Phrnc Nrv Stim Sys 60 60 — $45,111.59 $1,583.92 $98,893.14 $45,766.82 2026-10-28
21 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 56 56 — — $30,138.19 $258,611.36 $49,990.54 2026-05-08
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 55 55 — $43,184.55 $30,229.19 $149,579.88 $46,231.96 2026-10-28
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 56 56 — — $26,400.00 $271,028.61 $68,007.27 2026-05-08
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 55 55 — $63,112.73 $44,178.91 $149,579.88 $67,583.59 2026-10-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 48 48 — $38,599.92 $27,019.94 $84,607.32 $40,529.91 2026-10-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 6 — — $70,514.29 $72,629.72 $70,514.29 2026-10-28
001-4 OTHER Liver Transplant And/or Intestinal Transplant 9 9 — — $67,242.62 $70,604.75 $67,242.62 2026-05-08
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 48 48 — — $57,107.45 $331,493.71 $90,432.76 2026-05-08
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 46 46 — $82,009.30 $57,406.51 $227,486.54 $87,829.91 2026-10-28
6 MS_DRG Liver Transplant Without Mcc 46 46 — $46,268.64 $32,388.05 $227,486.54 $49,395.27 2026-10-28
6 OTHER Liver Transplant Without Mcc 48 48 — — $27,027.65 $429,104.52 $43,524.60 2026-05-08
7 MS_DRG Lung Transplant 46 46 — $221,516.77 $74,369.96 $485,904.49 $226,002.09 2026-10-28
7 OTHER Lung Transplant 48 48 — — $77,592.92 $1,513,993.04 $190,308.46 2026-05-08
02HA4QZ OTHER Lvad 3 3 — — $165,122.00 $209,015.00 $209,015.00 2026-10-28
02HA3QZ OTHER Lvad 3 3 — — $165,122.00 $209,015.00 $209,015.00 2026-10-28
02HA0QZ OTHER Lvad 3 3 — — $165,122.00 $209,015.00 $209,015.00 2026-10-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 55 55 — $47,603.58 $28,522.02 $104,360.25 $49,850.80 2026-10-28
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 56 56 — — $27,594.64 $111,750.33 $47,537.18 2026-05-08
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 55 55 — $37,697.54 $25,200.94 $82,627.62 $39,582.42 2026-10-28
653 OTHER Major Bladder Procedures With Mcc 56 56 — — $27,277.49 $302,839.44 $45,580.87 2026-05-08
653 MS_DRG Major Bladder Procedures With Mcc 55 55 — $42,430.77 $28,194.21 $93,011.75 $44,552.31 2026-10-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $56,279.32 $57,967.70 $56,279.32 2026-10-28
160-4 OTHER Major Cardiothoracic Repair Of Heart Anomaly 9 9 — — $55,523.63 $58,299.81 $55,523.63 2026-05-08
163 MS_DRG Major Chest Procedures With Mcc 55 55 — $36,900.42 $25,830.29 $80,878.83 $39,253.40 2026-10-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 55 55 — $37,788.09 $26,451.67 $82,826.28 $40,450.04 2026-10-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 55 55 — $38,417.28 $25,229.60 $84,206.64 $40,338.15 2026-10-28
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 56 56 — — $20,628.72 $104,968.21 $39,269.65 2026-05-08
8634 APR_DRG Neonatal Aftercare 7 7 — — $86,529.69 $89,125.58 $86,529.69 2026-10-28
863-4 OTHER Neonatal Aftercare 9 9 — — $80,871.28 $84,914.84 $80,871.28 2026-05-08
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $80,000.00 $82,400.00 $80,000.00 2026-10-28
603-4 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $80,000.00 $84,000.00 $80,000.00 2026-05-08
603-3 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 9 9 — — $69,711.95 $73,197.55 $69,711.95 2026-05-08
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $59,057.68 $60,829.41 $59,057.68 2026-10-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $100,000.00 $103,000.00 $100,000.00 2026-10-28
602-4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $100,000.00 $105,000.00 $100,000.00 2026-05-08
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $92,000.00 $94,760.00 $92,000.00 2026-10-28
602-3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $89,874.13 $94,367.84 $89,874.13 2026-05-08
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $49,978.24 $51,477.59 $49,978.24 2026-10-28
602-2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $47,292.77 $49,657.41 $47,292.77 2026-05-08
608-4 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $61,349.31 $64,416.78 $61,349.31 2026-05-08
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $56,871.22 $58,577.36 $56,871.22 2026-10-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $52,773.61 $54,356.82 $52,773.61 2026-10-28
608-3 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 9 9 — — $48,849.76 $51,292.25 $48,849.76 2026-05-08
607-4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $97,101.66 $101,956.74 $97,101.66 2026-05-08
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $91,955.70 $94,714.37 $91,955.70 2026-10-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $72,141.12 $74,305.35 $72,141.12 2026-10-28
607-3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $67,217.52 $70,578.40 $67,217.52 2026-05-08
613-4 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 9 — — $62,000.00 $65,100.00 $62,000.00 2026-05-08
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 7 — — $62,000.00 $63,860.00 $62,000.00 2026-10-28
613-3 OTHER Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 9 9 — — $47,988.67 $50,388.10 $47,988.67 2026-05-08
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 7 — — $44,753.39 $46,095.99 $44,753.39 2026-10-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $86,213.44 $88,799.84 $86,213.44 2026-10-28
611-4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 9 9 — — $78,699.03 $82,633.98 $78,699.03 2026-05-08
614-3 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 9 9 — — $38,873.71 $40,817.40 $38,873.71 2026-05-08
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $76,737.98 $79,040.12 $76,737.98 2026-10-28
612-4 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $69,359.04 $72,826.99 $69,359.04 2026-05-08
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $49,296.47 $50,775.36 $49,296.47 2026-10-28
612-3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $43,210.73 $45,371.27 $43,210.73 2026-05-08
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $165,000.00 $169,950.00 $165,000.00 2026-10-28
609-4 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $165,000.00 $173,250.00 $165,000.00 2026-05-08
609-3 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 9 — — $71,110.29 $74,665.80 $71,110.29 2026-05-08
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $70,449.10 $72,562.57 $70,449.10 2026-10-28
623-4 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 9 9 — — $46,675.86 $49,009.65 $46,675.86 2026-05-08
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 7 7 — — $45,295.99 $46,654.87 $45,295.99 2026-10-28
621-4 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 9 — — $1,200.00 $69,952.39 $66,621.32 2026-05-08
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $63,957.95 $65,876.69 $63,957.95 2026-10-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 7 7 — — $56,098.25 $57,781.20 $56,098.25 2026-10-28
625-4 OTHER Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 9 9 — — $55,399.71 $58,169.70 $55,399.71 2026-05-08
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $41,781.12 $43,034.55 $41,781.12 2026-10-28
622-4 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 9 9 — — $41,444.54 $43,516.77 $41,444.54 2026-05-08
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $120,000.00 $123,600.00 $120,000.00 2026-10-28
591-4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $120,000.00 $126,000.00 $120,000.00 2026-05-08
591-3 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $91,000.00 $95,550.00 $91,000.00 2026-05-08
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $91,000.00 $93,730.00 $91,000.00 2026-10-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $70,505.73 $72,620.90 $70,505.73 2026-10-28
591-2 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 9 9 — — $68,150.11 $71,557.62 $68,150.11 2026-05-08
593-4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $121,000.00 $127,050.00 $121,000.00 2026-05-08
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $121,000.00 $124,630.00 $121,000.00 2026-10-28
593-3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $99,000.00 $103,950.00 $99,000.00 2026-05-08
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $99,000.00 $101,970.00 $99,000.00 2026-10-28
593-2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 9 9 — — $63,775.17 $66,963.93 $63,775.17 2026-05-08
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $61,516.96 $63,362.47 $61,516.96 2026-10-28
588-4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $221,000.00 $232,050.00 $221,000.00 2026-05-08
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $221,000.00 $227,630.00 $221,000.00 2026-10-28
588-3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $132,000.00 $138,600.00 $132,000.00 2026-05-08
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $132,000.00 $135,960.00 $132,000.00 2026-10-28
588-2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 9 9 — — $108,772.56 $114,211.19 $108,772.56 2026-05-08
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $101,342.38 $104,382.65 $101,342.38 2026-10-28
589-3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $87,000.00 $91,350.00 $87,000.00 2026-05-08
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $87,000.00 $89,610.00 $87,000.00 2026-10-28
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $58,796.77 $60,560.67 $58,796.77 2026-10-28
589-1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 9 — — $48,983.85 $51,433.04 $48,983.85 2026-05-08
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 7 7 — — $39,938.20 $41,136.35 $39,938.20 2026-10-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $70,593.58 $72,711.39 $70,593.58 2026-10-28
633-4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 9 9 — — $1,200.00 $69,247.90 $65,950.38 2026-05-08
630-4 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $211,296.47 $221,861.29 $211,296.47 2026-05-08
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $182,103.81 $187,566.92 $182,103.81 2026-10-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $95,000.00 $97,850.00 $95,000.00 2026-10-28
630-3 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 9 — — $95,000.00 $99,750.00 $95,000.00 2026-05-08
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $202,665.67 $208,745.64 $202,665.67 2026-10-28
631-4 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $186,976.63 $196,325.46 $186,976.63 2026-05-08
631-3 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 9 — — $56,144.55 $58,951.78 $56,144.55 2026-05-08
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $55,653.58 $57,323.19 $55,653.58 2026-10-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 7 — — $42,838.23 $44,123.38 $42,838.23 2026-10-28
634-4 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 9 9 — — $1,200.00 $41,180.11 $39,219.15 2026-05-08
583-4 OTHER Neonate With Ecmo 9 9 — — $221,000.00 $232,050.00 $221,000.00 2026-05-08
5834 APR_DRG Neonate With Ecmo 7 7 — — $221,000.00 $227,630.00 $221,000.00 2026-10-28
583-3 OTHER Neonate With Ecmo 9 9 — — $221,000.00 $232,050.00 $221,000.00 2026-05-08
5833 APR_DRG Neonate With Ecmo 7 7 — — $221,000.00 $227,630.00 $221,000.00 2026-10-28
583-2 OTHER Neonate With Ecmo 9 9 — — $145,322.76 $152,588.90 $145,322.76 2026-05-08
5832 APR_DRG Neonate With Ecmo 7 7 — — $134,684.62 $138,725.16 $134,684.62 2026-10-28
5831 APR_DRG Neonate With Ecmo 7 7 — — $75,588.10 $77,855.74 $75,588.10 2026-10-28
583-1 OTHER Neonate With Ecmo 9 9 — — $69,493.60 $72,968.28 $69,493.60 2026-05-08
276 MS_DRG Non-maligant Breast Disorders 58 58 — $48,700.99 $34,090.69 $106,767.84 $52,142.43 2026-10-28
276 OTHER Non-maligant Breast Disorders 59 59 — — $22,149.95 $108,618.80 $51,225.11 2026-05-08
64568 CPT Opn Impltj Crnl Nrv Nea&pg 65 65 — $45,111.59 $400.00 $98,893.14 $45,111.59 2026-10-28
228 OTHER Other Cardiothoracic Procedures With Mcc 61 61 — — $27,273.89 $132,254.00 $47,341.35 2026-05-08
228 MS_DRG Other Cardiothoracic Procedures With Mcc 60 60 — $40,503.75 $28,352.63 $132,254.00 $46,811.34 2026-10-28
215 OTHER Other Heart Assist System Implant 56 56 — — $56,819.97 $234,590.02 $93,363.45 2026-05-08
215 MS_DRG Other Heart Assist System Implant 55 55 — $79,273.53 $55,491.47 $241,297.90 $84,898.73 2026-10-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 60 60 — $43,049.13 $30,134.39 $132,254.00 $48,105.86 2026-10-28
270 OTHER Other Major Cardiovascular Procedures With Mcc 61 61 — — $27,001.11 $132,254.00 $42,916.28 2026-05-08
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 55 55 — $61,186.48 $42,830.54 $134,159.48 $64,682.02 2026-10-28
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 56 56 — — $40,336.51 $130,884.75 $60,504.76 2026-05-08
10 OTHER Pancreas Transplant 48 48 — — $43,015.48 $254,735.84 $65,006.98 2026-05-08
10 MS_DRG Pancreas Transplant 46 46 — $57,748.77 $40,424.14 $126,617.56 $61,414.96 2026-10-28
006-4 OTHER Pancreas Transplant 9 9 — — $48,372.76 $50,791.40 $48,372.76 2026-05-08
64 APR_DRG Pancreas Transplant 6 6 — — $41,018.96 $42,249.53 $41,018.96 2026-10-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 55 55 — $44,552.05 $31,186.44 $97,665.58 $47,697.14 2026-10-28
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 56 56 — — $29,619.05 $110,183.91 $46,158.67 2026-05-08
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 55 55 — $37,418.15 $26,192.71 $82,014.67 $40,053.68 2026-10-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 55 55 — $52,014.11 $33,078.50 $114,036.41 $54,614.81 2026-10-28
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 56 56 — — $25,891.48 $390,586.18 $52,630.55 2026-05-08
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 55 55 — $42,500.42 $20,921.71 $93,164.55 $43,775.44 2026-10-28
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 56 56 — — $20,241.45 $89,333.81 $41,789.87 2026-05-08
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 55 55 — $55,706.41 $13,673.65 $122,136.88 $56,807.85 2026-10-28
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 56 56 — — $13,193.18 $143,744.31 $56,494.99 2026-05-08
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 46 46 — $45,589.87 $31,912.91 $120,981.44 $48,809.09 2026-10-28
8 OTHER Simultaneous Pancreas And Kidney Transplant 48 48 — — $29,772.86 $414,358.28 $46,574.15 2026-05-08
19 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 53 53 — — $11,458.23 $139,005.21 $65,124.19 2026-05-08
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 52 52 — $57,430.69 $8,184.45 $125,919.74 $61,495.69 2026-10-28
576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 56 56 — — $8,911.31 $94,606.59 $43,744.16 2026-05-08
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 55 55 — $40,146.19 $6,365.22 $87,999.65 $40,930.07 2026-10-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 55 55 — $52,917.26 $17,334.34 $116,017.83 $53,961.78 2026-10-28
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 56 56 — — $19,708.25 $107,984.04 $49,712.08 2026-05-08
459 MS_DRG Spinal Fusion Except Cervical With Mcc 55 55 — $53,543.36 $21,919.00 $176,973.88 $56,220.52 2026-10-28
459 OTHER Spinal Fusion Except Cervical With Mcc 57 57 — — $21,919.00 $176,973.88 $53,934.49 2026-05-08
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 58 — $67,250.07 $42,757.76 $147,462.24 $69,940.07 2026-10-28
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 59 59 — — $41,367.51 $227,851.88 $68,442.16 2026-05-08
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 58 — $48,364.34 $33,855.04 $106,029.27 $51,781.74 2026-10-28
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 59 59 — — $31,254.97 $101,686.03 $49,708.94 2026-05-08
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 59 59 — — $23,770.90 $101,686.03 $41,021.00 2026-05-08
28 MS_DRG Spinal Procedures With Mcc 55 55 — $48,714.15 $25,746.17 $106,796.71 $50,175.58 2026-10-28
28 OTHER Spinal Procedures With Mcc 56 56 — — $24,909.05 $106,604.03 $49,568.53 2026-05-08
799 MS_DRG Splenectomy With Mcc 55 55 — $37,264.94 $26,085.46 $81,678.54 $39,889.52 2026-10-28
799 OTHER Splenectomy With Mcc 56 56 — — $26,070.77 $83,375.42 $39,106.15 2026-05-08
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 55 55 — $40,813.30 $28,569.31 $90,153.96 $43,691.34 2026-10-28
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 56 56 — — $21,912.00 $266,757.65 $41,666.66 2026-05-08
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 55 55 — $44,425.14 $31,097.60 $97,387.15 $47,187.01 2026-10-28
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 56 56 — — $26,627.70 $157,601.39 $44,169.50 2026-05-08
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 56 56 — — $75,924.27 $664,447.89 $119,277.32 2026-05-08
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 55 55 — $109,412.67 $76,588.87 $249,184.48 $117,190.66 2026-10-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $69,430.17 $71,513.08 $69,430.17 2026-10-28
004-4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $66,782.14 $70,121.25 $66,782.14 2026-05-08
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $43,548.57 $44,855.03 $43,548.57 2026-10-28
004-3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 9 9 — — $41,876.47 $43,970.29 $41,876.47 2026-05-08
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $47,460.78 $48,884.60 $47,460.78 2026-10-28
005-4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 9 — — $43,560.21 $45,738.22 $43,560.21 2026-05-08
38240 CPT Transplt Allo Hct/donor 72 72 — $64,407.30 $641.00 $255,887.12 $64,407.30 2026-10-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 55 55 — $46,324.32 $26,970.61 $101,553.72 $48,445.75 2026-10-28
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 56 56 — — $18,830.98 $94,706.54 $44,209.79 2026-05-08
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