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

KONA COMMUNITY HOSPITAL

Kealakekua, HI · CCN 120019 · Rates published

Your selected procedure

You selected 93306 (CPT)

HCHG TTE W/DOPPLER, COMPLETE

This hospital’s price: $691 across 15 payers · range $133-$2,949

Source: https://tq-consumer-static-prd.turquoise.health/consumer-downloads/machine-readable-files/990262196_kona-community-hospital_standardcharges.csv · observed 2026-06-15

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

9,997 distinct procedures filed
19 distinct payers
210,198 rate rows
2026-06-15 last MRF observed
Data quality

200,461 of 210,198 rate rows are consumer-grade (95.4%)

9,737 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 5,829
professional (physician) fee — not the facility price 3,196
per-diem day rate — not a per-procedure price 581
placeholder amount (≤ $0.02) — excluded from medians 88
exceeds 10× this hospital's gross charge — excluded from medians 36
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hhsc.org/standardcharge/kona/99-0262196_Kona-Hospital_standardcharges.csv
Found on page https://www.hhsc.org/standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-22
Content fingerprint 4479e4215444c839… · 12,205,490 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $525,008.48 $744,903.30 $588,604.70 nat. median
$359,454
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $10,400.00 $483,412.28 $432,931.44 nat. median
$249,036
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $280,818.13 $421,110.69 $389,038.77 nat. median
$198,418
2.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $10,400.00 $474,763.26 $340,616.43 nat. median
$190,559
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $10,400.00 $411,506.49 $234,849.48 nat. median
$126,695
1.9× median
5834
APR_DRG 		Neonate W Ecmo 9 $229,647.78 $229,647.78 $229,647.78 nat. median
$307,206
0.7× median
7
MS_DRG 		Lung Transplant 12 $10,400.00 $223,390.95 $195,969.91 nat. median
$117,974
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $10,400.00 $274,651.05 $195,613.64 nat. median
$104,013
1.9× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 9 $193,566.37 $193,566.37 $193,566.37 nat. median
$162,342
1.2× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $192,781.66 $192,781.66 $192,781.66 nat. median
$247,214
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $10,400.00 $232,873.62 $183,101.12 nat. median
$110,307
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve�procedures 11 $123,467.00 $187,578.23 $172,074.38 nat. median
$97,323
1.8× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 9 $166,852.00 $166,852.00 $166,852.00 nat. median
$151,838
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $10,400.00 $364,738.91 $165,353.21 nat. median
$95,038
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 11 $130,962.09 $173,546.29 $163,193.23 nat. median
$93,901
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $128,670.88 $196,664.91 $155,053.38 nat. median
$90,551
1.7× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 9 $152,679.03 $152,679.03 $152,679.03 nat. median
$165,000
0.9× median
5913
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 9 $152,584.27 $152,584.27 $152,584.27 nat. median
$101,406
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $148,873.53 $196,664.91 $148,873.53 nat. median
$92,678
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $117,569.84 $190,115.70 $144,959.27 nat. median
$93,276
1.6× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $111,912.00 $141,571.10 $141,571.10 nat. median
$70,732
outlier · 2.0×
5833
APR_DRG 		Neonate W Ecmo 9 $139,911.61 $139,911.61 $139,911.61 nat. median
$244,017
0.6× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 $135,053.37 $135,053.37 $135,053.37 nat. median
$118,620
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $10,400.00 $249,483.34 $135,036.86 nat. median
$74,370
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $110,527.95 $144,958.65 $134,669.40 nat. median
$77,632
1.7× median
5912
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 9 $133,981.44 $133,981.44 $133,981.44 nat. median
$82,129
1.6× median
5832
APR_DRG 		Neonate W Ecmo 9 $132,893.72 $132,893.72 $132,893.72 nat. median
$159,249
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $110,876.50 $145,415.77 $129,649.70 nat. median
$77,028
1.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $93,839.72 $127,705.40 $127,705.40 nat. median
$66,715
1.9× median
5891
APR_DRG 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 9 $126,454.24 $126,454.24 $126,454.24 nat. median
$93,998
1.3× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 9 $125,080.27 $125,080.27 $125,080.27 nat. median
$154,011
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $100,555.53 $131,879.70 $124,607.62 nat. median
$71,748
1.7× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 9 $123,658.93 $123,658.93 $123,658.93 nat. median
$175,204
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $100,990.89 $132,450.67 $123,195.33 nat. median
$72,398
1.7× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 9 $122,338.26 $122,338.26 $122,338.26 nat. median
$108,695
1.1× median
5892
APR_DRG 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 9 $120,432.28 $120,432.28 $120,432.28 nat. median
$89,188
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $117,569.84 $155,415.60 $118,501.16 nat. median
$78,049
1.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $100,222.77 $155,369.61 $115,547.54 nat. median
$67,976
1.7× median
5893
APR_DRG 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 9 $114,697.55 $114,697.55 $114,697.55 nat. median
$71,350
1.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 9 $114,531.57 $114,531.57 $114,531.57 nat. median
$202,993
0.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $113,896.38 $149,376.38 $113,896.38 nat. median
$78,268
1.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $93,784.49 $162,770.46 $112,405.03 nat. median
$66,649
1.7× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 9 $112,065.10 $112,065.10 $112,065.10 nat. median
$107,681
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $90,909.28 $185,816.76 $111,272.32 nat. median
$62,655
1.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 $94,340.86 $123,729.07 $110,550.20 nat. median
$61,308
1.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $84,634.10 $188,396.20 $110,363.28 nat. median
$59,371
1.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $90,463.42 $118,643.77 $109,511.75 nat. median
$63,873
1.7× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 9 $108,675.59 $108,675.59 $108,675.59 nat. median
$133,164
0.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 6 $81,564.00 $105,958.66 $105,958.66 nat. median
$52,712
outlier · 2.0×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $80,512.03 $109,797.73 $105,592.43 nat. median
$58,251
1.8× median

Other procedures at this hospital

Browse this hospital's 9,997 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 11 — — $525,008.48 $744,903.30 $588,604.70 2026-06-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 12 — — $10,400.00 $483,412.28 $432,931.44 2026-06-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 11 — — $280,818.13 $421,110.69 $389,038.77 2026-06-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 12 — — $10,400.00 $474,763.26 $340,616.43 2026-06-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 12 — — $10,400.00 $411,506.49 $234,849.48 2026-06-15
5834 APR_DRG Neonate W Ecmo 18 9 — — $229,647.78 $229,647.78 $229,647.78 2026-06-15
7 MS_DRG Lung Transplant 22 12 — — $10,400.00 $223,390.95 $195,969.91 2026-06-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 12 — — $10,400.00 $274,651.05 $195,613.64 2026-06-15
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 18 9 — — $193,566.37 $193,566.37 $193,566.37 2026-06-15
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 18 9 — — $192,781.66 $192,781.66 $192,781.66 2026-06-15
14 MS_DRG Allogeneic Bone Marrow Transplant 26 12 — — $10,400.00 $232,873.62 $183,101.12 2026-06-15
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 25 11 — — $123,467.00 $187,578.23 $172,074.38 2026-06-15
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 18 9 — — $166,852.00 $166,852.00 $166,852.00 2026-06-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 12 — — $10,400.00 $364,738.91 $165,353.21 2026-06-15
215 MS_DRG Other Heart Assist System Implant 25 11 — — $130,962.09 $173,546.29 $163,193.23 2026-06-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 11 — — $128,670.88 $196,664.91 $155,053.38 2026-06-15
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 18 9 — — $152,679.03 $152,679.03 $152,679.03 2026-06-15
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 18 9 — — $152,584.27 $152,584.27 $152,584.27 2026-06-15
209 MS_DRG Complex Aortic Arch Procedures 9 7 — — $148,873.53 $196,664.91 $148,873.53 2026-06-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 7 — — $117,569.84 $190,115.70 $144,959.27 2026-06-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 16 6 — — $111,912.00 $141,571.10 $141,571.10 2025-07-28
5833 APR_DRG Neonate W Ecmo 18 9 — — $139,911.61 $139,911.61 $139,911.61 2026-06-15
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 18 9 — — $135,053.37 $135,053.37 $135,053.37 2026-06-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 12 — — $10,400.00 $249,483.34 $135,036.86 2026-06-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 11 — — $110,527.95 $144,958.65 $134,669.40 2026-06-15
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 18 9 — — $133,981.44 $133,981.44 $133,981.44 2026-06-15
5832 APR_DRG Neonate W Ecmo 18 9 — — $132,893.72 $132,893.72 $132,893.72 2026-06-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 11 — — $110,876.50 $145,415.77 $129,649.70 2026-06-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 11 — — $93,839.72 $127,705.40 $127,705.40 2026-06-15
5891 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 18 9 — — $126,454.24 $126,454.24 $126,454.24 2026-06-15
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 18 9 — — $125,080.27 $125,080.27 $125,080.27 2026-06-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 11 — — $100,555.53 $131,879.70 $124,607.62 2026-06-15
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 18 9 — — $123,658.93 $123,658.93 $123,658.93 2026-06-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 11 — — $100,990.89 $132,450.67 $123,195.33 2026-06-15
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 18 9 — — $122,338.26 $122,338.26 $122,338.26 2026-06-15
5892 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 18 9 — — $120,432.28 $120,432.28 $120,432.28 2026-06-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 7 — — $117,569.84 $155,415.60 $118,501.16 2026-06-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 11 — — $100,222.77 $155,369.61 $115,547.54 2026-06-15
5893 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 18 9 — — $114,697.55 $114,697.55 $114,697.55 2026-06-15
1614 APR_DRG Implantable Heart Assist Systems 18 9 — — $114,531.57 $114,531.57 $114,531.57 2026-06-15
850 MS_DRG Acute Leukemia With Other Procedures 9 7 — — $113,896.38 $149,376.38 $113,896.38 2026-06-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 11 — — $93,784.49 $162,770.46 $112,405.03 2026-06-15
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 18 9 — — $112,065.10 $112,065.10 $112,065.10 2026-06-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 11 — — $90,909.28 $185,816.76 $111,272.32 2026-06-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 11 — — $94,340.86 $123,729.07 $110,550.20 2026-06-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 11 — — $84,634.10 $188,396.20 $110,363.28 2026-06-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 11 — — $90,463.42 $118,643.77 $109,511.75 2026-06-15
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 18 9 — — $108,675.59 $108,675.59 $108,675.59 2026-06-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 16 6 — — $81,564.00 $105,958.66 $105,958.66 2025-07-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 11 — — $80,512.03 $109,797.73 $105,592.43 2026-06-15
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 18 9 — — $105,486.45 $105,486.45 $105,486.45 2026-06-15
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 18 9 — — $105,138.02 $105,138.02 $105,138.02 2026-06-15
24 APR_DRG Heart &/or Lung Transplant 18 9 — — $104,059.34 $104,059.34 $104,059.34 2026-06-15
74 APR_DRG Allogeneic Bone Marrow Transplant 18 9 — — $101,780.22 $101,780.22 $101,780.22 2026-06-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 11 — — $86,483.38 $196,664.91 $101,693.02 2026-06-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 11 — — $80,605.41 $105,714.90 $99,788.66 2026-06-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 11 — — $58,940.00 $113,011.65 $99,341.33 2026-06-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc 25 11 — — $79,003.40 $104,769.02 $99,215.12 2026-06-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 26 12 — — $10,400.00 $232,873.62 $98,684.71 2026-06-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 26 12 — — $10,400.00 $232,873.62 $98,684.71 2026-06-15
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 18 9 — — $98,159.62 $98,159.62 $98,159.62 2026-06-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 12 — — $10,400.00 $249,483.34 $98,115.96 2026-06-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 16 6 — — $87,157.28 $111,912.00 $97,714.96 2025-07-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 11 — — $86,785.35 $228,703.11 $97,297.98 2026-06-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 25 11 — — $64,197.00 $108,933.42 $97,163.63 2026-06-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 11 — — $78,431.26 $139,627.74 $97,059.94 2026-06-15
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 18 9 — — $96,941.60 $96,941.60 $96,941.60 2026-06-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 11 — — $74,073.00 $101,167.80 $96,603.02 2026-06-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 11 — — $78,173.46 $276,627.83 $95,858.53 2026-06-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 11 — — $79,739.96 $142,906.30 $95,035.76 2026-06-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 7 — — $94,944.55 $124,520.85 $94,944.55 2026-06-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 11 — — $77,188.31 $101,233.35 $93,949.38 2026-06-15
28 MS_DRG Spinal Procedures With Mcc 26 12 — — $10,400.00 $103,643.18 $91,891.16 2026-06-15
1613 APR_DRG Implantable Heart Assist Systems 18 9 — — $91,492.03 $91,492.03 $91,492.03 2026-06-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 11 — — $81,177.98 $196,664.91 $91,011.36 2026-06-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 12 — — $10,400.00 $106,649.37 $90,565.63 2026-06-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 11 — — $74,964.20 $102,864.57 $90,484.15 2026-06-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 25 11 — — $72,207.37 $142,086.66 $89,450.49 2026-06-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 11 — — $71,952.21 $95,029.79 $87,951.93 2026-06-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 7 — — $87,945.98 $115,342.12 $87,945.98 2026-06-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 7 — — $85,700.38 $115,257.60 $87,881.52 2026-06-15
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 18 9 — — $87,145.19 $87,145.19 $87,145.19 2026-06-15
653 MS_DRG Major Bladder Procedures With Mcc 25 11 — — $44,340.00 $89,637.90 $86,488.51 2026-06-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 11 — — $57,982.00 $90,794.09 $84,545.70 2026-06-15
5831 APR_DRG Neonate W Ecmo 18 9 — — $84,159.38 $84,159.38 $84,159.38 2026-06-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 12 — — $10,400.00 $708,769.91 $84,061.74 2026-06-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 11 — — $70,141.06 $127,911.74 $83,788.54 2026-06-15
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 18 9 — — $83,297.69 $83,297.69 $83,297.69 2026-06-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 11 — — $71,849.62 $113,664.51 $83,042.46 2026-06-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 11 — — $54,769.00 $89,793.15 $82,861.93 2026-06-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 12 — — $10,400.00 $94,083.23 $82,377.85 2026-06-15
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 18 9 — — $81,165.67 $81,165.67 $81,165.67 2026-06-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 11 — — $65,598.10 $128,803.70 $81,142.89 2026-06-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 11 — — $69,397.93 $113,182.37 $80,789.82 2026-06-15
14 APR_DRG Liver Transplant &/or Intestinal Transplant 18 9 — — $80,677.85 $80,677.85 $80,677.85 2026-06-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 11 — — $65,071.99 $114,604.68 $80,499.05 2026-06-15
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 18 9 — — $80,474.71 $80,474.71 $80,474.71 2026-06-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 11 — — $64,956.26 $156,671.39 $79,869.59 2026-06-15
471 MS_DRG Cervical Spinal Fusion With Mcc 25 11 — — $59,940.00 $83,295.07 $78,586.71 2026-06-15
799 MS_DRG Splenic Procedures With Mcc 25 11 — — $42,331.00 $79,155.46 $78,123.52 2026-06-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 11 — — $62,617.70 $82,123.80 $77,966.83 2026-06-15
6 MS_DRG Liver Transplant Without Mcc 25 12 — — $10,400.00 $364,738.91 $77,275.07 2026-06-15
10 MS_DRG Pancreas Transplant 22 12 — — $10,400.00 $103,818.33 $76,902.82 2026-06-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 11 — — $64,733.97 $84,899.32 $76,794.18 2026-06-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 25 11 — — $60,746.04 $104,769.02 $76,404.37 2026-06-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 11 — — $56,123.00 $82,874.18 $75,992.18 2026-06-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 7 — — $75,853.31 $117,569.84 $75,853.31 2026-06-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 11 — — $61,710.14 $80,933.55 $75,733.37 2026-06-15
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 18 9 — — $75,728.04 $75,728.04 $75,728.04 2026-06-15
163 MS_DRG Major Chest Procedures With Mcc 25 11 — — $58,948.07 $77,311.05 $75,305.21 2026-06-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 9 7 — — $75,061.53 $98,444.02 $75,061.53 2026-06-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 11 — — $66,242.55 $127,911.74 $74,266.76 2026-06-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 7 — — $73,944.84 $117,569.84 $73,944.84 2026-06-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 16 6 — — $65,629.80 $111,912.00 $73,579.78 2025-07-28
23 APR_DRG Heart &/or Lung Transplant 18 9 — — $73,104.98 $73,104.98 $73,104.98 2026-06-15
64 APR_DRG Pancreas Transplant 18 9 — — $72,811.42 $72,811.42 $72,811.42 2026-06-15
245 MS_DRG Aicd Generator Procedures 25 11 — — $60,008.18 $78,701.40 $72,394.35 2026-06-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 11 — — $54,881.21 $139,627.74 $72,387.96 2026-06-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 12 — — $10,400.00 $81,939.69 $72,161.10 2026-06-15
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 18 9 — — $71,970.36 $71,970.36 $71,970.36 2026-06-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 11 — — $60,302.80 $94,113.73 $71,923.05 2026-06-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 25 11 — — $61,836.41 $157,370.50 $71,852.76 2026-06-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 18 9 — — $71,677.91 $71,677.91 $71,677.91 2026-06-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 11 — — $63,560.70 $96,016.95 $71,260.04 2026-06-15
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 18 9 — — $70,835.26 $70,835.26 $70,835.26 2026-06-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 11 — — $36,691.00 $78,465.07 $70,748.81 2026-06-15
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 18 9 — — $70,724.71 $70,724.71 $70,724.71 2026-06-15
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 18 9 — — $70,707.93 $70,707.93 $70,707.93 2026-06-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 12 — — $10,400.00 $90,618.21 $70,550.70 2026-06-15
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 18 9 — — $70,456.52 $70,456.52 $70,456.52 2026-06-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 11 — — $61,526.02 $80,692.05 $70,116.15 2026-06-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 7 — — $70,098.98 $91,935.60 $70,098.98 2026-06-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 11 — — $58,699.48 $134,420.63 $69,686.39 2026-06-15
901 MS_DRG Wound Debridements For Injuries With Mcc 25 11 — — $27,190.00 $72,391.35 $69,141.61 2026-06-15
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 18 9 — — $69,051.67 $69,051.67 $69,051.67 2026-06-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 11 — — $39,399.00 $74,052.52 $68,742.20 2026-06-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 11 — — $57,777.47 $75,775.80 $68,357.18 2026-06-15
793 MS_DRG Full Term Neonate With Major Problems 25 11 — — $5,121.00 $71,925.60 $67,248.43 2026-06-15
73 APR_DRG Allogeneic Bone Marrow Transplant 18 9 — — $66,463.13 $66,463.13 $66,463.13 2026-06-15
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 18 9 — — $66,462.65 $66,462.65 $66,462.65 2026-06-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 11 — — $55,546.77 $97,681.56 $66,438.44 2026-06-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 11 — — $39,188.00 $74,647.65 $66,141.28 2026-06-15
791 MS_DRG Prematurity With Major Problems 25 11 — — $53,387.08 $70,017.75 $65,465.49 2026-06-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 12 — — $10,400.00 $77,288.62 $65,295.76 2026-06-15
1612 APR_DRG Implantable Heart Assist Systems 18 9 — — $65,278.04 $65,278.04 $65,278.04 2026-06-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 11 — — $55,424.43 $155,369.61 $64,620.35 2026-06-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 11 — — $49,161.10 $64,828.04 $64,582.65 2026-06-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 11 — — $55,094.31 $91,919.99 $64,562.84 2026-06-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 11 — — $37,947.00 $64,287.30 $64,136.28 2026-06-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 12 — — $10,400.00 $84,543.25 $63,982.90 2026-06-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 11 — — $45,868.97 $72,827.25 $63,228.83 2026-06-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 11 — — $54,623.44 $98,477.10 $62,481.15 2026-06-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 12 — — $10,400.00 $66,769.57 $62,329.37 2026-06-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 25 11 — — $51,703.00 $71,164.88 $62,259.08 2026-06-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 11 — — $49,493.86 $217,903.17 $61,958.73 2026-06-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 11 — — $44,163.00 $62,102.51 $61,660.12 2026-06-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 12 — — $10,400.00 $67,186.21 $61,516.19 2026-06-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 11 — — $44,608.00 $61,396.20 $61,118.38 2026-06-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 12 — — $10,400.00 $101,635.11 $60,530.46 2026-06-15
140 MS_DRG Major Head And Neck Procedures With Mcc 25 11 — — $53,837.93 $73,576.43 $60,359.51 2026-06-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 25 11 — — $50,834.12 $87,460.20 $59,615.02 2026-06-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 11 — — $44,767.00 $61,506.60 $59,466.45 2026-06-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 11 — — $45,971.00 $66,227.93 $59,423.31 2026-06-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 11 — — $52,696.50 $72,477.60 $59,079.82 2026-06-15
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 16 6 — — $52,125.08 $76,751.00 $58,439.18 2025-07-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 25 11 — — $44,888.00 $64,468.43 $58,341.72 2026-06-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 11 — — $36,358.00 $62,303.55 $58,103.68 2026-06-15
332 MS_DRG Rectal Resection With Mcc 25 11 — — $47,622.23 $72,441.54 $57,955.10 2026-06-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 11 — — $46,289.86 $60,709.65 $57,876.82 2026-06-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 11 — — $36,298.00 $60,828.68 $57,774.57 2026-06-15
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 18 9 — — $57,478.57 $57,478.57 $57,478.57 2026-06-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 25 11 — — $37,067.00 $62,543.32 $57,213.81 2026-06-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 11 — — $46,967.21 $61,598.03 $57,114.76 2026-06-15
265 MS_DRG Aicd Lead Procedures 25 11 — — $47,589.34 $78,637.03 $56,461.33 2026-06-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 11 — — $40,115.00 $61,454.85 $56,319.14 2026-06-15
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 18 9 — — $56,103.62 $56,103.62 $56,103.62 2026-06-15
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 18 9 — — $55,906.21 $55,906.21 $55,906.21 2026-06-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 9 7 — — $55,778.24 $80,637.91 $55,778.24 2026-06-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 11 — — $46,384.54 $60,833.85 $55,697.67 2026-06-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 26 12 — — $10,400.00 $249,483.34 $55,544.30 2026-06-15
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 18 9 — — $55,383.08 $55,383.08 $55,383.08 2026-06-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 11 — — $48,291.70 $63,335.10 $55,311.05 2026-06-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 25 11 — — $48,741.51 $157,370.50 $55,251.94 2026-06-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 11 — — $46,775.17 $97,681.56 $55,216.79 2026-06-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 25 11 — — $41,994.17 $72,803.14 $55,199.21 2026-06-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 26 12 — — $10,400.00 $72,393.32 $54,769.46 2026-06-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 25 11 — — $45,658.51 $59,881.65 $54,411.59 2026-06-15
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 18 9 — — $54,377.28 $54,377.28 $54,377.28 2026-06-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 11 — — $40,921.00 $68,725.73 $54,163.96 2026-06-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 11 — — $36,811.00 $59,139.90 $53,946.68 2026-06-15
37 MS_DRG Extracranial Procedures With Mcc 26 12 — — $10,400.00 $66,149.61 $53,929.11 2026-06-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 11 — — $45,437.55 $59,591.85 $53,823.67 2026-06-15
252 MS_DRG Other Vascular Procedures With Mcc 25 11 — — $45,880.80 $73,140.64 $53,580.83 2026-06-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 11 — — $42,595.24 $55,864.12 $53,395.51 2026-06-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 25 11 — — $47,389.80 $102,502.96 $53,130.30 2026-06-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 11 — — $30,184.00 $56,110.80 $52,964.15 2026-06-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 7 — — $52,880.69 $117,569.84 $52,880.69 2026-06-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 11 — — $42,445.30 $55,667.47 $52,625.46 2026-06-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 18 9 — — $52,292.35 $52,292.35 $52,292.35 2026-06-15
22 APR_DRG Heart &/or Lung Transplant 18 9 — — $52,289.80 $52,289.80 $52,289.80 2026-06-15
264 MS_DRG Other Circulatory System O.r. Procedures 25 11 — — $43,938.14 $164,506.17 $52,178.12 2026-06-15
1611 APR_DRG Implantable Heart Assist Systems 18 9 — — $52,037.63 $52,037.63 $52,037.63 2026-06-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 25 11 — — $46,400.85 $66,173.71 $52,021.56 2026-06-15
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 18 9 — — $51,922.50 $51,922.50 $51,922.50 2026-06-15
500 MS_DRG Soft Tissue Procedures With Mcc 25 11 — — $41,625.87 $54,592.80 $51,807.48 2026-06-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 25 11 — — $36,402.00 $56,781.82 $51,775.52 2026-06-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 22 11 — — $42,362.44 $55,558.80 $51,371.33 2026-06-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 11 — — $37,367.00 $62,591.62 $51,368.13 2026-06-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 25 11 — — $44,812.80 $66,583.53 $51,136.48 2026-06-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 11 — — $45,608.55 $73,140.64 $51,133.28 2026-06-15
63 APR_DRG Pancreas Transplant 18 9 — — $50,895.84 $50,895.84 $50,895.84 2026-06-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 25 11 — — $41,424.65 $114,604.68 $50,797.78 2026-06-15
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 18 9 — — $50,785.42 $50,785.42 $50,785.42 2026-06-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 25 11 — — $41,916.56 $62,485.34 $50,508.62 2026-06-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 25 11 — — $41,562.73 $54,510.00 $50,385.60 2026-06-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 11 — — $41,875.78 $54,920.55 $50,126.79 2026-06-15
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 18 9 — — $50,096.46 $50,096.46 $50,096.46 2026-06-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 11 — — $42,547.88 $83,699.50 $49,928.68 2026-06-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 12 — — $10,400.00 $53,197.40 $49,886.18 2026-06-15
665 MS_DRG Prostatectomy With Mcc 25 11 — — $21,845.00 $53,840.70 $49,351.94 2026-06-15
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 18 9 — — $49,287.28 $49,287.28 $49,287.28 2026-06-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 18 9 — — $49,146.55 $49,146.55 $49,146.55 2026-06-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 22 11 — — $39,147.89 $51,342.90 $49,126.68 2026-06-15
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 18 9 — — $49,059.30 $49,059.30 $49,059.30 2026-06-15
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 18 9 — — $49,004.79 $49,004.79 $49,004.79 2026-06-15
13 APR_DRG Liver Transplant &/or Intestinal Transplant 18 9 — — $48,734.53 $48,734.53 $48,734.53 2026-06-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 11 — — $43,206.00 $65,838.07 $48,439.70 2026-06-15
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 18 9 — — $48,316.79 $48,316.79 $48,316.79 2026-06-15
652 MS_DRG Kidney Transplant 24 11 — — $42,476.85 $157,370.50 $47,998.76 2026-06-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 11 — — $40,966.92 $102,864.57 $47,950.83 2026-06-15
662 MS_DRG Minor Bladder Procedures With Mcc 25 11 — — $31,774.00 $52,810.88 $47,875.74 2026-06-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 25 11 — — $37,751.08 $51,444.34 $47,835.80 2026-06-15
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 18 9 — — $47,804.55 $47,804.55 $47,804.55 2026-06-15
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 18 9 — — $47,722.62 $47,722.62 $47,722.62 2026-06-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 25 11 — — $39,188.00 $54,354.75 $47,426.81 2026-06-15
472 MS_DRG Cervical Spinal Fusion With Cc 25 11 — — $38,749.37 $50,986.31 $47,215.93 2026-06-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 26 12 — — $10,400.00 $90,618.21 $47,179.18 2026-06-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 25 11 — — $38,304.80 $50,600.59 $47,112.08 2026-06-15
4404 APR_DRG Kidney Transplant 18 9 — — $46,777.64 $46,777.64 $46,777.64 2026-06-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 25 11 — — $38,169.31 $50,059.50 $46,719.07 2026-06-15
570 MS_DRG Skin Debridement With Mcc 25 11 — — $38,683.61 $61,834.46 $46,685.52 2026-06-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 25 11 — — $20,373.00 $52,096.72 $46,669.55 2026-06-15
974 MS_DRG HIV With Major Related Condition With Mcc 25 11 — — $37,958.88 $58,628.22 $46,594.46 2026-06-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 25 11 — — $38,145.65 $52,529.15 $46,129.55 2026-06-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 25 11 — — $41,047.13 $56,981.93 $46,019.32 2026-06-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 25 11 — — $35,786.04 $58,025.55 $45,926.65 2026-06-15
72 APR_DRG Allogeneic Bone Marrow Transplant 18 9 — — $45,884.84 $45,884.84 $45,884.84 2026-06-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 25 11 — — $34,986.36 $67,451.39 $45,472.93 2026-06-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 9 7 — — $45,227.10 $59,315.85 $45,227.10 2026-06-15
263 MS_DRG Vein Ligation And Stripping 25 11 — — $31,843.00 $52,740.15 $45,135.83 2026-06-15
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 18 9 — — $45,055.72 $45,055.72 $45,055.72 2026-06-15
668 MS_DRG Transurethral Procedures With Mcc 25 11 — — $20,492.00 $50,370.00 $45,020.81 2026-06-15
800 MS_DRG Splenic Procedures With Cc 25 11 — — $36,951.38 $48,462.15 $45,016.01 2026-06-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 25 11 — — $37,491.95 $82,180.76 $44,880.22 2026-06-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 25 11 — — $36,263.50 $51,685.41 $44,777.97 2026-06-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 25 11 — — $35,466.00 $46,530.15 $43,892.89 2026-06-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 25 11 — — $33,970.96 $44,553.30 $43,781.06 2026-06-15
654 MS_DRG Major Bladder Procedures With Cc 25 11 — — $36,818.53 $48,287.93 $43,734.73 2026-06-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 25 11 — — $35,957.04 $47,158.05 $43,683.60 2026-06-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 25 11 — — $22,432.00 $52,103.62 $43,464.73 2026-06-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 25 11 — — $22,360.00 $54,201.22 $43,273.01 2026-06-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 25 11 — — $36,153.00 $71,404.93 $43,196.33 2026-06-15
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 18 9 — — $43,015.41 $43,015.41 $43,015.41 2026-06-15
849 MS_DRG Radiotherapy 25 11 — — $16,812.00 $46,738.88 $42,998.22 2026-06-15
62 APR_DRG Pancreas Transplant 18 9 — — $42,958.09 $42,958.09 $42,958.09 2026-06-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 26 12 — — $10,400.00 $84,543.25 $42,907.16 2026-06-15
8634 APR_DRG Neonatal Aftercare 18 9 — — $42,868.30 $42,868.30 $42,868.30 2026-06-15
503 MS_DRG Foot Procedures With Mcc 25 11 — — $22,477.00 $48,146.47 $42,846.45 2026-06-15
21 APR_DRG Heart &/or Lung Transplant 18 9 — — $42,820.54 $42,820.54 $42,820.54 2026-06-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 25 11 — — $36,143.81 $57,543.41 $42,649.94 2026-06-15
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 18 9 — — $42,629.47 $42,629.47 $42,629.47 2026-06-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 7 — — $42,488.70 $55,724.40 $42,488.70 2026-06-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 25 11 — — $34,864.04 $60,918.39 $42,322.43 2026-06-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 25 11 — — $36,900.00 $55,379.40 $42,245.75 2026-06-15
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 18 9 — — $42,038.23 $42,038.23 $42,038.23 2026-06-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 25 11 — — $37,206.75 $52,039.80 $41,713.74 2026-06-15
8424 APR_DRG Burns W Skin Graft Except Extensive 3rd Degree Burns 18 9 — — $41,529.74 $41,529.74 $41,529.74 2026-06-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 25 11 — — $35,594.02 $48,816.68 $41,426.17 2026-06-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 25 11 — — $33,419.86 $48,575.61 $41,360.67 2026-06-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 25 11 — — $36,886.13 $52,601.47 $41,354.28 2026-06-15
71 APR_DRG Allogeneic Bone Marrow Transplant 18 9 — — $41,268.02 $41,268.02 $41,268.02 2026-06-15
33249 CPT Insj/rplcmt Defib W/lead(s) 24 7 — — $676.00 $45,301.92 $41,183.56 2025-07-28
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 18 9 — — $40,973.21 $40,973.21 $40,973.21 2026-06-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 18 9 — — $40,959.81 $40,959.81 $40,959.81 2026-06-15
253 MS_DRG Other Vascular Procedures With Cc 25 11 — — $34,139.33 $68,704.95 $40,756.77 2026-06-15
164 MS_DRG Major Chest Procedures With Cc 25 11 — — $33,197.58 $64,293.37 $40,745.59 2026-06-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 25 11 — — $36,086.70 $155,369.61 $40,458.02 2026-06-15
12 APR_DRG Liver Transplant &/or Intestinal Transplant 18 9 — — $40,215.38 $40,215.38 $40,215.38 2026-06-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 25 11 — — $31,999.00 $44,291.10 $40,215.18 2026-06-15
1784 APR_DRG External Heart Assist Systems 18 9 — — $40,206.47 $40,206.47 $40,206.47 2026-06-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 18 9 — — $40,186.98 $40,186.98 $40,186.98 2026-06-15
C1722 HCPCS Pacemaker Generator Gallant Vr Cdvra500q 27 12 $65,098.00 $42,313.70 35% off $17,098.00 $63,145.06 $40,121.53 2026-06-15
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 18 9 — — $39,963.46 $39,963.46 $39,963.46 2026-06-15
11 APR_DRG Liver Transplant &/or Intestinal Transplant 18 9 — — $39,941.56 $39,941.56 $39,941.56 2026-06-15
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 18 9 — — $39,922.99 $39,922.99 $39,922.99 2026-06-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 25 11 — — $32,147.98 $91,172.67 $39,898.85 2026-06-15
545 MS_DRG Connective Tissue Disorders With Mcc 25 11 — — $32,641.22 $42,809.32 $39,831.75 2026-06-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 25 11 — — $32,336.07 $46,430.08 $39,716.72 2026-06-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 25 11 — — $35,399.85 $47,815.28 $39,687.97 2026-06-15
347 MS_DRG Anal And Stomal Procedures With Mcc 25 11 — — $27,608.00 $40,724.82 $39,599.10 2026-06-15
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