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 →

Export CSV
Hospital

METHODIST HOSPITALS INC

Gary, IN · CCN 150002 · Rates published

Your selected procedure

You selected 93350 (HCPCS)

HC Echo, Transthorac, Rt W Img Doc (2d), Includ M-Mode Record, When Perform, Dur Rest and Cardiovasc Stress Test Using Treadmill, Bicycle and/or Pharm Induced Stress, W I&R;

This hospital’s price: $940 across 25 payers · range $574-$2,734

Source: https://methodisthospitals.org/wp-content/uploads/sites/2/2026/08/350868133_The_Methodist_Hospitals_Inc_Standardcharges-NLC.csv · observed 2026-10-01

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.

12,531 distinct procedures filed
32 distinct payers
2,153,952 rate rows
2026-10-01 last MRF observed
Data quality

1,855,336 of 2,153,952 rate rows are consumer-grade (86.1%)

298,616 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
placeholder amount (≤ $0.02) — excluded from medians 120,280
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 112,602
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 59,499
per-diem day rate — not a per-procedure price 4,332
template filing: same amount across many unrelated codes — excluded 1,017
exceeds 10× this hospital's gross charge — excluded from medians 428
exceeds 3× this hospital's gross charge for a DRG stay — excluded 285
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 173
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://methodisthospitals.org/wp-content/uploads/sites/2/2026/08/350868133_The_Methodist_Hospitals_Inc_Standardcharges-NLC.csv
Found on page https://methodisthospitals.org/insurance-financial-info/methodist-hospitals-price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-27
Content fingerprint af565db2d8606167… · 82,037,484 bytes · first seen 2026-08-31

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
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $648,303.14 $648,303.14 $648,303.14 nat. median
$123,836
outlier · 5.2×
5833
APR_DRG 		Neonate With Ecmo 7 $198,694.90 $589,710.82 $589,710.82 nat. median
$244,017
outlier · 2.4×
5834
APR_DRG 		Neonate With Ecmo 7 $198,694.90 $589,710.82 $589,710.82 nat. median
$307,206
1.9× median
5831
APR_DRG 		Neonate With Ecmo 7 $192,317.44 $558,921.41 $558,921.41 nat. median
$146,500
outlier · 3.8×
5832
APR_DRG 		Neonate With Ecmo 7 $198,694.90 $558,921.41 $558,921.41 nat. median
$159,249
outlier · 3.5×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $295,655.57 $1,606,400.16 $542,083.78 nat. median
$359,454
1.5× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $408,663.99 $504,552.20 $504,552.20 nat. median
$247,214
outlier · 2.0×
1614
APR_DRG 		Implantable Heart Assist Systems 7 $340,295.83 $470,455.73 $470,455.73 nat. median
$202,993
outlier · 2.3×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 $188,929.23 $470,395.06 $470,395.06 nat. median
$133,164
outlier · 3.5×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $185,410.79 $397,612.65 $397,612.65 nat. median
$175,204
outlier · 2.3×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $239,758.93 $394,129.03 $394,129.03 nat. median
$122,016
outlier · 3.2×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $378,324.74 $378,324.74 $378,324.74 nat. median
$67,735
outlier · 5.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With McC 12 $219,275.75 $1,042,489.08 $361,804.99 nat. median
$249,036
1.5× median
24
APR_DRG 		Heart &/or Lung Transplant 7 $354,966.47 $354,966.47 $354,966.47 nat. median
$241,437
1.5× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $243,795.34 $333,951.90 $333,951.90 nat. median
$170,082
2.0× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $235,381.55 $333,590.13 $333,590.13 nat. median
$162,342
outlier · 2.1×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $258,226.19 $329,007.12 $329,007.12 nat. median
$136,566
outlier · 2.4×
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $304,984.56 $304,984.56 $304,984.56 nat. median
$67,994
outlier · 4.5×
1613
APR_DRG 		Implantable Heart Assist Systems 7 $81,572.26 $304,175.83 $304,175.83 nat. median
$120,517
outlier · 2.5×
1612
APR_DRG 		Implantable Heart Assist Systems 7 $68,928.79 $304,152.96 $304,152.96 nat. median
$84,880
outlier · 3.6×
1611
APR_DRG 		Implantable Heart Assist Systems 7 $55,990.48 $302,955.99 $302,955.99 nat. median
$76,852
outlier · 3.9×
23
APR_DRG 		Heart And/or Lung Transplant 7 $205,522.80 $296,051.30 $296,051.30 nat. median
$110,944
outlier · 2.7×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $182,422.17 $294,891.80 $294,891.80 nat. median
$120,208
outlier · 2.5×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $182,422.17 $294,891.80 $294,891.80 nat. median
$145,061
outlier · 2.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $167,265.54 $794,238.60 $275,988.14 nat. median
$198,418
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $166,288.99 $789,577.44 $274,376.83 nat. median
$190,559
1.4× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $225,161.51 $251,170.35 $251,170.35 nat. median
$165,000
1.5× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other 7 $157,508.68 $246,153.22 $246,153.22 nat. median
$118,620
outlier · 2.1×
22
APR_DRG 		Heart And/or Lung Transplant 7 $203,521.50 $243,837.94 $243,837.94 nat. median
$92,229
outlier · 2.6×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $125,809.71 $242,719.85 $242,719.85 nat. median
$98,624
outlier · 2.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $184,752.26 $235,809.48 $235,809.48 nat. median
$154,011
1.5× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $157,193.30 $229,261.71 $229,261.71 nat. median
$81,521
outlier · 2.8×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $227,633.62 $230,729.73 $227,633.62 nat. median
$163,587
1.4× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $147,828.42 $221,386.48 $221,386.48 nat. median
$89,273
outlier · 2.5×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other 7 $153,235.95 $219,966.32 $219,966.32 nat. median
$96,883
outlier · 2.3×
21
APR_DRG 		Heart And/or Lung Transplant 7 $202,827.73 $217,205.87 $217,205.87 nat. median
$73,922
outlier · 2.9×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $215,104.82 $215,104.82 $215,104.82 nat. median
$151,838
1.4× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $118,023.68 $200,406.17 $200,406.17 nat. median
$74,757
outlier · 2.7×
72
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $147,828.42 $198,728.48 $198,728.48 nat. median
$66,446
outlier · 3.0×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $172,186.81 $192,519.70 $192,519.70 nat. median
$108,695
1.8× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal 7 $44,296.63 $187,170.59 $187,170.59 nat. median
$66,667
outlier · 2.8×
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 $117,132.33 $181,500.37 $181,500.37 nat. median
$80,771
outlier · 2.2×
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $83,982.92 $180,886.01 $180,886.01 nat. median
$73,704
outlier · 2.5×
8514
APR_DRG 		Gender Related Procedures 6 $180,444.88 $180,444.88 $180,444.88 nat. median
$69,605
outlier · 2.6×
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 $124,299.91 $180,342.81 $180,342.81 nat. median
$82,615
outlier · 2.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $108,820.10 $515,272.08 $179,553.17 nat. median
$126,695
1.4× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other 7 $146,699.95 $173,737.60 $173,737.60 nat. median
$88,008
2.0× median
62
APR_DRG 		Pancreas Transplant 7 $112,854.91 $171,570.33 $171,570.33 nat. median
$55,882
outlier · 3.1×
63
APR_DRG 		Pancreas Transplant 7 $113,255.17 $171,570.33 $171,570.33 nat. median
$73,580
outlier · 2.3×
64
APR_DRG 		Pancreas Transplant 7 $164,124.38 $171,570.33 $171,570.33 nat. median
$91,106
1.9× median

Other procedures at this hospital

Browse this hospital's 12,531 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
             
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 6 $0.01 — $648,303.14 $648,303.14 $648,303.14 2026-10-01
5833 APR_DRG Neonate With Ecmo 37 7 $0.01 — $198,694.90 $589,710.82 $589,710.82 2026-10-01
5834 APR_DRG Neonate With Ecmo 37 7 $0.01 — $198,694.90 $589,710.82 $589,710.82 2026-10-01
5832 APR_DRG Neonate With Ecmo 37 7 $0.01 — $198,694.90 $558,921.41 $558,921.41 2026-10-01
5831 APR_DRG Neonate With Ecmo 37 7 $0.01 — $192,317.44 $558,921.41 $558,921.41 2026-10-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 90 12 $0.01 — $295,655.57 $1,606,400.16 $542,083.78 2026-10-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 37 7 $0.01 — $408,663.99 $504,552.20 $504,552.20 2026-10-01
1614 APR_DRG Implantable Heart Assist Systems 37 7 $580,543.84 $406,380.69 30% off $340,295.83 $470,455.73 $470,455.73 2026-10-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 37 7 $0.01 — $188,929.23 $470,395.06 $470,395.06 2026-10-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 37 7 $0.01 — $185,410.79 $397,612.65 $397,612.65 2026-10-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 37 7 $852,794.94 $596,956.46 30% off $239,758.93 $394,129.03 $394,129.03 2026-10-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 6 $0.01 — $378,324.74 $378,324.74 $378,324.74 2026-10-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With McC 90 12 $624,421.65 $437,095.16 30% off $219,275.75 $1,042,489.08 $361,804.99 2026-10-01
24 APR_DRG Heart &/or Lung Transplant 7 7 — — $354,966.47 $354,966.47 $354,966.47 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 37 7 $0.01 — $243,795.34 $333,951.90 $333,951.90 2026-10-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 37 7 $150,620.13 $105,434.09 30% off $235,381.55 $333,590.13 $333,590.13 2026-10-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 37 7 $0.01 — $258,226.19 $329,007.12 $329,007.12 2026-10-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 6 $0.01 — $304,984.56 $304,984.56 $304,984.56 2026-10-01
1613 APR_DRG Implantable Heart Assist Systems 37 7 $0.01 $217,850.57 $81,572.26 $304,175.83 $304,175.83 2026-10-01
1612 APR_DRG Implantable Heart Assist Systems 37 7 $295,217.50 $206,652.25 30% off $68,928.79 $304,152.96 $304,152.96 2026-10-01
1611 APR_DRG Implantable Heart Assist Systems 37 7 $0.01 $118,618.26 $55,990.48 $302,955.99 $302,955.99 2026-10-01
23 APR_DRG Heart And/or Lung Transplant 37 7 $0.01 — $205,522.80 $296,051.30 $296,051.30 2026-10-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 37 7 $0.01 — $182,422.17 $294,891.80 $294,891.80 2026-10-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 37 7 $0.01 — $182,422.17 $294,891.80 $294,891.80 2026-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 90 12 $0.01 — $167,265.54 $794,238.60 $275,988.14 2026-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 90 12 $740,681.99 $518,477.40 30% off $166,288.99 $789,577.44 $274,376.83 2026-10-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 37 7 $0.01 — $225,161.51 $251,170.35 $251,170.35 2026-10-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other 37 7 $0.01 — $157,508.68 $246,153.22 $246,153.22 2026-10-01
22 APR_DRG Heart And/or Lung Transplant 37 7 $0.01 — $203,521.50 $243,837.94 $243,837.94 2026-10-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 37 7 $0.01 — $125,809.71 $242,719.85 $242,719.85 2026-10-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 37 7 $0.01 — $184,752.26 $235,809.48 $235,809.48 2026-10-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 37 7 $656,565.02 $459,595.51 30% off $157,193.30 $229,261.71 $229,261.71 2026-10-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 37 7 $0.01 — $227,633.62 $230,729.73 $227,633.62 2026-10-01
73 APR_DRG Allogeneic Bone Marrow Transplant 37 7 $0.01 — $147,828.42 $221,386.48 $221,386.48 2026-10-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other 37 7 $0.01 — $153,235.95 $219,966.32 $219,966.32 2026-10-01
21 APR_DRG Heart And/or Lung Transplant 37 7 $0.01 — $202,827.73 $217,205.87 $217,205.87 2026-10-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $215,104.82 $215,104.82 $215,104.82 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 37 7 $0.01 — $118,023.68 $200,406.17 $200,406.17 2026-10-01
72 APR_DRG Allogeneic Bone Marrow Transplant 37 7 $0.01 — $147,828.42 $198,728.48 $198,728.48 2026-10-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 37 7 $0.01 $98,517.24 $172,186.81 $192,519.70 $192,519.70 2026-10-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal 37 7 $0.01 — $44,296.63 $187,170.59 $187,170.59 2026-10-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 37 7 $0.01 — $117,132.33 $181,500.37 $181,500.37 2026-10-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 37 7 $0.01 — $83,982.92 $180,886.01 $180,886.01 2026-10-01
8514 APR_DRG Gender Related Procedures 30 6 $0.01 — $180,444.88 $180,444.88 $180,444.88 2026-10-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 37 7 $0.01 — $124,299.91 $180,342.81 $180,342.81 2026-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 90 12 $441,979.91 $309,385.94 30% off $108,820.10 $515,272.08 $179,553.17 2026-10-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other 37 7 $587,776.00 $411,443.20 30% off $146,699.95 $173,737.60 $173,737.60 2026-10-01
63 APR_DRG Pancreas Transplant 37 7 $0.01 — $113,255.17 $171,570.33 $171,570.33 2026-10-01
64 APR_DRG Pancreas Transplant 37 7 $0.01 — $164,124.38 $171,570.33 $171,570.33 2026-10-01
62 APR_DRG Pancreas Transplant 37 7 $0.01 — $112,854.91 $171,570.33 $171,570.33 2026-10-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 37 7 $0.01 — $96,681.20 $170,055.60 $170,055.60 2026-10-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 37 7 $0.01 — $109,370.56 $168,080.43 $168,080.43 2026-10-01
7 MS_DRG Lung Transplant 90 12 $0.01 — $101,796.46 $481,747.44 $167,964.16 2026-10-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 37 7 $0.01 — $98,590.00 $166,622.70 $166,622.70 2026-10-01
84 APR_DRG Autologous Bone Marrow Transplant 37 7 $0.01 — $108,905.44 $166,537.25 $166,537.25 2026-10-01
83 APR_DRG Autologous Bone Marrow Transplant 37 7 $0.01 — $73,429.69 $166,346.65 $166,346.65 2026-10-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 37 7 $0.01 — $118,952.89 $158,060.70 $158,060.70 2026-10-01
14 MS_DRG Allogeneic Bone Marrow Transplant 90 12 $0.01 — $94,530.43 $447,065.88 $155,975.21 2026-10-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other 37 7 $0.01 — $96,907.41 $154,549.77 $154,549.77 2026-10-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 37 7 $0.01 — $152,750.82 $173,341.00 $152,750.82 2026-10-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 37 7 $0.01 — $118,952.89 $152,293.92 $152,293.92 2026-10-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 37 7 $0.01 — $118,952.89 $150,944.47 $150,944.47 2026-10-01
8634 APR_DRG Neonatal Aftercare 37 7 $63,036.25 $44,125.38 30% off $126,072.70 $150,471.84 $150,471.84 2026-10-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 37 7 $0.01 — $141,114.68 $149,444.25 $149,444.25 2026-10-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 37 7 $0.01 $60,381.13 $114,540.34 $148,584.01 $148,584.01 2026-10-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 90 12 $293,980.97 $205,786.68 30% off $87,017.26 $421,542.96 $147,152.28 2026-10-01
209 MS_DRG Complex Aortic Arch Procedures 75 11 $0.01 — $89,081.88 $421,059.36 $146,985.10 2026-10-01
914 APR_DRG Other Major Head And Neck Procedures 37 7 $0.01 — $65,338.74 $144,147.10 $144,147.10 2026-10-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 37 7 $0.01 — $100,281.86 $142,481.00 $142,481.00 2026-10-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 37 7 $389,225.00 $272,457.50 30% off $68,176.12 $141,276.10 $141,276.10 2026-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 90 12 $0.01 — $85,616.04 $404,516.52 $141,266.47 2026-10-01
4404 APR_DRG Kidney Transplant 37 7 $0.01 — $130,521.76 $140,327.86 $140,327.86 2026-10-01
4403 APR_DRG Kidney Transplant 37 7 $0.01 — $76,893.08 $139,039.40 $139,039.40 2026-10-01
4402 APR_DRG Kidney Transplant 37 7 $0.01 — $66,461.05 $138,940.29 $138,940.29 2026-10-01
4401 APR_DRG Kidney Transplant 37 7 $0.01 — $64,788.47 $138,871.68 $138,871.68 2026-10-01
214 APR_DRG Open Craniotomy Except Trauma 37 7 $447,217.12 $313,051.98 30% off $77,084.00 $138,279.24 $138,279.24 2026-10-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other 37 7 $220,276.75 $154,193.73 30% off $105,498.37 $136,181.48 $136,181.48 2026-10-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other 37 7 $257,131.75 $179,992.23 30% off $111,437.59 $135,116.88 $135,116.88 2026-10-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 37 7 $183,855.75 $128,699.03 30% off $71,165.19 $134,788.03 $134,788.03 2026-10-01
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 37 7 $0.01 — $71,165.19 $134,788.03 $134,788.03 2026-10-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 90 12 $0.01 $475,403.87 $81,223.53 $383,550.60 $134,018.82 2026-10-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 37 7 $0.01 — $102,526.55 $133,406.93 $133,406.93 2026-10-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 37 7 $0.01 — $85,728.65 $132,316.05 $132,316.05 2026-10-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 37 7 $0.01 — $76,205.12 $131,485.26 $131,485.26 2026-10-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 37 7 $585,178.50 $409,624.95 30% off $75,146.47 $131,452.66 $131,452.66 2026-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 81 12 $237,822.77 $166,475.94 30% off $82,762.91 $409,988.64 $130,143.74 2026-10-01
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 6 $0.01 — $129,950.96 $129,950.96 $129,950.96 2026-10-01
215 MS_DRG Other Heart Assist System Implant 90 12 $424,434.42 $297,104.09 30% off $78,468.47 $370,400.40 $129,472.98 2026-10-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 37 7 $0.01 — $71,165.19 $128,344.70 $128,344.70 2026-10-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 37 7 $0.01 — $71,165.19 $128,344.70 $128,344.70 2026-10-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 37 7 $0.01 — $82,828.90 $127,635.47 $127,635.47 2026-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 90 12 $432,824.43 $302,977.10 30% off $76,320.03 $363,920.16 $127,232.85 2026-10-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 37 7 $0.01 — $105,006.86 $125,619.34 $125,619.34 2026-10-01
224 APR_DRG Ventricular Shunt Procedures 37 7 $0.01 — $51,538.52 $125,243.24 $125,243.24 2026-10-01
71 APR_DRG Allogeneic Bone Marrow Transplant 37 7 $0.01 — $123,169.81 $147,828.42 $123,169.81 2026-10-01
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 6 $0.01 — $122,331.17 $122,331.17 $122,331.17 2026-10-01
12 APR_DRG Liver Transplant And/or Intestinal Transplant 37 7 $0.01 — $82,808.85 $120,171.03 $120,171.03 2026-10-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 37 7 $0.01 — $120,031.44 $134,506.68 $120,031.44 2026-10-01
C2624 HCPCS Hc Wireless Pressure Sensor 14 10 $164,539.00 $115,177.30 30% off $64,499.29 $146,439.71 $119,290.77 2026-07-15
1784 APR_DRG External Heart Assist Devices 30 6 $361,986.25 $253,390.38 30% off $118,488.99 $118,488.99 $118,488.99 2026-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 90 12 $0.01 — $66,076.91 $335,157.12 $117,289.85 2026-10-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 37 7 $0.01 — $101,749.80 $116,659.52 $116,659.52 2026-10-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 37 7 $0.01 — $72,560.22 $116,367.98 $116,367.98 2026-10-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 37 7 $0.01 $129,693.10 $94,385.03 $115,721.77 $115,721.77 2026-10-01
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 6 $0.01 — $115,140.39 $115,140.39 $115,140.39 2026-10-01
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 6 $0.01 — $115,003.16 $115,003.16 $115,003.16 2026-10-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 37 7 $0.01 — $114,842.55 $116,155.80 $114,842.55 2026-10-01
8633 APR_DRG Neonatal Aftercare 37 7 $83,632.50 $58,542.75 30% off $96,822.22 $114,147.26 $114,147.26 2026-10-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 30 6 $0.01 — $113,883.53 $113,883.53 $113,883.53 2026-10-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 37 7 $0.01 — $101,098.52 $113,023.96 $113,023.96 2026-10-01
850 MS_DRG Acute Leukemia With Other Procedures 85 12 $81,984.00 $57,388.80 30% off $68,356.20 $174,929.18 $112,787.73 2026-10-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 37 7 $0.01 $29,862.88 $112,739.78 $114,540.34 $112,739.78 2026-10-01
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma 37 7 $0.01 — $70,300.90 $112,208.49 $112,208.49 2026-10-01
204 APR_DRG Open Craniotomy For Trauma 37 7 $0.01 — $63,457.70 $111,921.23 $111,921.23 2026-10-01
6954 APR_DRG Chemotherapy For Acute Leukemia 37 7 $0.01 — $83,028.44 $111,603.36 $111,603.36 2026-10-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 37 7 $0.01 — $68,816.65 $111,473.62 $111,473.62 2026-10-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 37 7 $0.01 — $84,439.60 $111,212.38 $111,212.38 2026-10-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 37 7 $0.01 — $84,996.14 $110,982.38 $110,982.38 2026-10-01
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other 37 7 $115,047.50 $80,533.25 30% off $86,687.83 $110,402.23 $110,402.23 2026-10-01
231 MS_DRG Coronary Bypass With Ptca With McC 90 12 $0.01 $113,572.61 $66,566.77 $313,592.28 $109,835.17 2026-10-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 37 7 $0.01 — $109,603.80 $109,705.43 $109,705.43 2026-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 12 $252,030.50 $176,421.35 30% off $66,360.24 $312,606.48 $109,494.40 2026-10-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 37 7 $0.01 — $21,482.27 $108,175.29 $108,175.29 2026-10-01
104 APR_DRG Head Trauma With Deep Coma 7 7 — — $108,090.68 $108,090.68 $108,090.68 2026-07-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other 37 7 $203,840.50 $142,688.35 30% off $103,635.63 $105,126.52 $105,126.52 2026-10-01
1694 APR_DRG Major Abdominal Vascular Procedures 37 7 $0.01 $317,611.09 $81,331.53 $104,773.90 $104,773.90 2026-10-01
1814 APR_DRG Lower Extremity Vascular Procedures 37 7 $222,924.14 $156,046.90 30% off $77,455.35 $103,959.93 $103,959.93 2026-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 90 12 $0.01 — $62,193.75 $292,719.36 $102,619.69 2026-10-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 37 7 $263,582.93 $184,508.05 30% off $69,710.69 $102,263.54 $102,263.54 2026-10-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 37 7 $315,434.47 $220,804.13 30% off $71,995.81 $101,474.95 $101,474.95 2026-10-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 37 7 $0.01 — $99,828.23 $101,078.85 $101,078.85 2026-10-01
2304 APR_DRG Major Small Bowel Procedures 37 7 $263,540.50 $184,478.35 30% off $78,237.04 $100,792.92 $100,792.92 2026-10-01
102 APR_DRG Head Trauma With Deep Coma 7 7 — — $100,708.06 $100,708.06 $100,708.06 2026-07-15
101 APR_DRG Head Trauma With Deep Coma 7 7 — — $100,708.06 $100,708.06 $100,708.06 2026-07-15
103 APR_DRG Head Trauma With Deep Coma 7 7 — — $100,708.06 $100,708.06 $100,708.06 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 90 12 $198,129.85 $138,690.89 30% off $60,709.06 $285,632.76 $100,169.95 2026-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 90 12 $367,475.47 $257,232.83 30% off $60,451.09 $284,401.44 $99,744.30 2026-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 90 12 $0.01 — $59,226.80 $283,460.28 $99,418.95 2026-10-01
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other 37 7 $0.01 — $77,160.55 $98,479.42 $98,479.42 2026-10-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 37 7 $0.01 — $97,923.43 $98,058.59 $97,923.43 2026-10-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 37 7 $0.01 — $83,258.07 $97,693.92 $97,693.92 2026-10-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 37 7 $0.01 — $96,003.92 $97,420.25 $97,420.25 2026-10-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 37 7 $216,613.25 $151,629.28 30% off $73,241.67 $97,258.42 $97,258.42 2026-10-01
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 37 7 $0.01 $123,948.84 $57,751.05 $97,205.64 $97,205.64 2026-10-01
3213 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 37 7 $0.01 — $44,208.29 $97,007.41 $97,007.41 2026-10-01
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 37 7 $0.01 — $49,177.31 $96,880.13 $96,880.13 2026-10-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 37 7 $0.01 — $49,657.62 $96,880.13 $96,880.13 2026-10-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 37 7 $0.01 — $50,271.34 $96,880.13 $96,880.13 2026-10-01
6904 APR_DRG Acute Leukemia 37 7 $223,611.88 $156,528.32 30% off $80,161.10 $96,007.99 $96,007.99 2026-10-01
6903 APR_DRG Acute Leukemia 37 7 $89,160.75 $62,412.53 30% off $77,590.87 $96,007.99 $96,007.99 2026-10-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 37 7 $0.01 $107,111.38 $90,391.81 $95,410.78 $95,410.78 2026-10-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 37 7 $163,339.23 $114,337.46 30% off $72,997.40 $94,623.11 $94,623.11 2026-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 90 12 $281,120.42 $196,784.29 30% off $56,401.25 $268,531.92 $94,258.41 2026-10-01
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other 37 7 $0.01 — $94,043.98 $101,068.84 $94,043.98 2026-10-01
10 MS_DRG Pancreas Transplant 90 12 $0.01 — $56,791.97 $266,936.04 $93,706.75 2026-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 90 12 $0.01 — $53,088.75 $266,824.44 $93,668.17 2026-10-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 37 7 $0.01 $182,987.71 $62,732.60 $93,521.38 $93,521.38 2026-10-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 37 7 $0.01 $249,720.80 $55,430.06 $93,228.42 $93,228.42 2026-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 90 12 $0.01 — $56,471.65 $265,407.12 $93,178.22 2026-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 90 12 $317,810.59 $222,467.42 30% off $56,122.21 $265,250.88 $93,124.20 2026-10-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 37 7 $0.01 — $64,848.98 $92,567.56 $92,567.56 2026-10-01
1204 APR_DRG Major Respiratory And Chest Procedures 37 7 $146,962.30 $102,873.61 30% off $87,777.13 $92,409.58 $92,409.58 2026-10-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 37 7 $0.01 — $90,478.90 $99,561.39 $90,478.90 2026-10-01
1783 APR_DRG External Heart Assist Devices 30 6 $0.01 — $90,410.08 $90,410.08 $90,410.08 2026-10-01
234 APR_DRG Spinal Procedures 37 7 $0.01 — $68,559.23 $90,380.67 $90,380.67 2026-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 90 12 $287,858.75 $201,501.12 30% off $54,735.22 $257,118.96 $90,313.11 2026-10-01
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 6 $224,842.79 $157,389.95 30% off $90,282.08 $90,282.08 $90,282.08 2026-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 90 12 $353,608.64 $247,526.05 30% off $53,000.43 $255,857.88 $89,877.17 2026-10-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 37 7 $0.01 — $84,228.38 $89,428.87 $89,428.87 2026-10-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 37 7 $0.01 — $88,655.35 $134,506.68 $88,655.35 2026-10-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 37 7 $0.01 — $88,502.87 $134,506.68 $88,502.87 2026-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 90 12 $0.01 — $53,326.90 $250,396.92 $87,989.39 2026-10-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 37 7 $0.01 — $61,989.27 $87,927.34 $87,927.34 2026-10-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 30 6 $0.01 — $87,704.60 $87,704.60 $87,704.60 2026-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 90 12 $370,839.79 $259,587.86 30% off $49,239.28 $248,737.80 $87,415.86 2026-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 90 12 $0.01 $49,950.26 $52,941.12 $248,555.52 $87,352.85 2026-10-01
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 37 7 $0.01 — $31,825.71 $86,057.87 $86,057.87 2026-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 90 12 $337,994.47 $236,596.13 30% off $51,361.37 $244,601.16 $85,985.87 2026-10-01
1794 APR_DRG Defibrillator Implants 30 6 $0.01 — $85,785.32 $85,785.32 $85,785.32 2026-10-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 37 7 $0.01 — $81,279.28 $85,760.24 $85,760.24 2026-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 90 12 $0.01 — $49,018.86 $243,712.08 $85,678.53 2026-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 90 12 $335,902.75 $235,131.93 30% off $47,386.06 $244,601.16 $85,640.39 2026-10-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 135 19 $0.01 — $9,181.68 $160,447.54 $84,814.61 2026-10-01
274 APR_DRG Other Open Craniotomy 30 6 $0.01 — $84,609.92 $84,609.92 $84,609.92 2026-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 90 12 $237,584.33 $166,309.03 30% off $51,016.86 $239,370.84 $84,177.82 2026-10-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 37 7 $199,500.25 $139,650.18 30% off $63,724.43 $83,368.66 $83,368.66 2026-10-01
294 APR_DRG Other Percutaneous Intracranial Procedures 30 6 $0.01 — $82,133.61 $82,133.61 $82,133.61 2026-10-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 37 7 $0.01 — $62,711.99 $81,045.85 $81,045.85 2026-10-01
82 APR_DRG Autologous Bone Marrow Transplant 37 7 $0.01 — $73,002.72 $80,788.72 $80,788.72 2026-10-01
81 APR_DRG Autologous Bone Marrow Transplant 37 7 $0.01 — $72,522.42 $80,727.73 $80,727.73 2026-10-01
A9543 HCPCS Zevalin Therpy Yttrium 90/Dose 195 26 $202,069.00 $141,448.30 30% off $14,774.74 $270,030.26 $80,331.90 2026-10-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 37 7 $0.01 — $49,140.74 $80,239.14 $80,239.14 2026-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 90 12 $0.01 — $47,710.43 $227,976.48 $80,238.96 2026-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With McC 90 12 $0.01 — $48,574.33 $227,712.36 $80,147.64 2026-10-01
6902 APR_DRG Acute Leukemia 37 7 $0.01 — $37,196.67 $79,450.63 $79,450.63 2026-10-01
4414 APR_DRG Major Bladder Procedures 37 7 $0.01 — $79,422.49 $82,003.88 $79,422.49 2026-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 90 12 $368,239.31 $257,767.52 30% off $48,116.84 $225,528.72 $79,392.79 2026-10-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 37 7 $0.01 — $69,096.55 $79,295.87 $79,295.87 2026-10-01
28 MS_DRG Spinal Procedures With McC 90 12 $313,341.80 $219,339.26 30% off $47,693.65 $223,508.76 $78,694.52 2026-10-01
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 90 12 $286,075.88 $200,253.11 30% off $47,680.40 $223,445.52 $78,672.66 2026-10-01
1214 APR_DRG Other Respiratory And Chest Procedures 37 7 $120,987.78 $84,691.45 30% off $73,613.58 $78,611.32 $78,611.32 2026-10-01
4284 APR_DRG Genetic Disorders 30 6 $0.01 — $78,604.34 $78,604.34 $78,604.34 2026-10-01
213 APR_DRG Open Craniotomy Except Trauma 37 7 $0.01 — $58,150.44 $78,437.94 $78,437.94 2026-10-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 37 7 $0.01 — $78,163.78 $115,275.20 $78,163.78 2026-10-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 37 7 $0.01 — $33,614.77 $78,122.59 $78,122.59 2026-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 12 $167,735.69 $117,414.98 30% off $45,745.44 $221,827.32 $78,113.26 2026-10-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 90 12 $0.01 — $47,081.07 $220,584.84 $77,683.77 2026-10-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 37 7 $0.01 — $66,935.12 $77,344.13 $77,344.13 2026-10-01
554 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 37 7 $0.01 — $38,581.03 $77,276.36 $77,276.36 2026-10-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 37 7 $0.01 — $59,198.97 $77,028.27 $77,028.27 2026-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 90 12 $348,265.29 $243,785.70 30% off $46,604.87 $218,311.92 $76,898.04 2026-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 90 12 $339,213.52 $237,449.46 30% off $46,393.40 $218,170.56 $76,849.18 2026-10-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 37 7 $0.01 — $67,600.30 $76,714.58 $76,714.58 2026-10-01
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 37 7 $0.01 — $76,435.28 $92,519.88 $76,435.28 2026-10-01
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other 37 7 $42,074.50 $29,452.15 30% off $51,038.23 $75,848.85 $75,848.85 2026-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 90 12 $0.01 — $43,643.67 $214,536.12 $75,592.80 2026-10-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 37 7 $0.01 — $49,564.66 $75,396.10 $75,396.10 2026-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 90 12 $347,857.82 $243,500.47 30% off $45,477.35 $213,167.16 $75,119.57 2026-10-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 75 11 $0.01 — $45,344.64 $212,296.68 $74,818.66 2026-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 90 12 $179,585.07 $125,709.55 30% off $43,100.44 $212,021.40 $74,723.50 2026-10-01
3084 APR_DRG Hip And Femur Fracture Repair 37 7 $0.01 $105,014.17 $36,635.76 $74,694.64 $74,694.64 2026-10-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 30 6 $0.01 — $74,509.37 $74,509.37 $74,509.37 2026-10-01
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 30 6 $0.01 — $74,269.07 $74,269.07 $74,269.07 2026-10-01
1782 APR_DRG External Heart Assist Devices 30 6 $0.01 — $73,757.76 $73,757.76 $73,757.76 2026-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 90 12 $220,933.85 $154,653.69 30% off $43,906.29 $209,138.40 $73,726.88 2026-10-01
5204 APR_DRG Other GYN Procedures For Malignancy 30 6 $0.01 — $73,621.19 $73,621.19 $73,621.19 2026-10-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 90 12 $0.01 — $43,413.87 $208,491.12 $73,503.13 2026-10-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 37 7 $0.01 — $55,036.87 $73,050.28 $73,050.28 2026-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 90 12 $0.01 — $43,911.38 $205,455.60 $72,453.78 2026-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 90 12 $276,595.38 $193,616.76 30% off $39,991.94 $207,062.64 $72,266.67 2026-10-01
834 MS_DRG Acute Leukemia With McC 90 12 $94,416.13 $66,091.29 30% off $43,653.41 $204,224.28 $72,028.13 2026-10-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 37 7 $354,416.38 $248,091.47 30% off $52,518.69 $71,936.28 $71,936.28 2026-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With McC 90 12 $0.01 $130,367.58 $43,316.95 $203,502.60 $71,778.66 2026-10-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 37 7 $0.01 $98,833.70 $68,966.38 $71,772.96 $71,772.96 2026-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 90 12 $283,941.19 $198,758.83 30% off $42,468.90 $203,212.44 $71,678.36 2026-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 90 12 $157,574.00 $110,301.80 30% off $43,060.58 $202,892.52 $71,567.76 2026-10-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 90 12 $0.01 — $43,204.50 $202,081.56 $71,287.43 2026-10-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 37 7 $0.01 — $27,701.14 $70,926.54 $70,926.54 2026-10-01
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 30 6 $0.01 — $70,367.81 $70,367.81 $70,367.81 2026-10-01
1824 APR_DRG Other Peripheral Vascular And Related Procedures 37 7 $394,303.21 $276,012.25 30% off $53,094.51 $70,313.67 $70,313.67 2026-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 90 12 $241,779.60 $169,245.72 30% off $42,285.21 $198,380.16 $70,007.90 2026-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomically … 90 12 $216,127.21 $151,289.04 30% off $41,139.36 $198,261.12 $69,966.75 2026-10-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 37 7 $0.01 — $50,782.52 $69,846.87 $69,846.87 2026-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 90 12 $231,477.79 $162,034.45 30% off $42,125.08 $196,929.36 $69,506.38 2026-10-01
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other 37 7 $192,592.75 $134,814.93 30% off $66,181.47 $69,470.50 $69,470.50 2026-10-01
270 MS_DRG Other Major Cardiovascular Procedures With McC 90 12 $254,756.01 $178,329.21 30% off $41,005.70 $196,278.36 $69,281.34 2026-10-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 37 7 $0.01 $56,941.68 $69,183.15 $92,541.33 $69,183.15 2026-10-01
6953 APR_DRG Chemotherapy For Acute Leukemia 37 7 $0.01 — $38,036.57 $69,161.86 $69,161.86 2026-10-01
2064 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 37 7 $0.01 — $25,496.80 $68,814.72 $68,814.72 2026-10-01
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 90 12 $91,250.85 $63,875.60 30% off $40,705.56 $193,640.88 $68,369.60 2026-10-01
653 MS_DRG Major Bladder Procedures With McC 90 12 $0.01 — $41,365.97 $193,306.08 $68,253.85 2026-10-01
1793 APR_DRG Defibrillator Implants 30 6 $222,842.64 $155,989.85 30% off $67,638.68 $67,638.68 $67,638.68 2026-10-01
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other 37 7 $0.01 — $55,075.37 $67,010.57 $67,010.57 2026-10-01
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 37 7 $192,772.07 $134,940.45 30% off $47,966.42 $66,624.49 $66,624.49 2026-10-01
2244 APR_DRG Peritoneal Adhesiolysis 37 7 $0.01 — $53,896.71 $66,559.63 $66,559.63 2026-10-01
233 APR_DRG Spinal Procedures 37 7 $284,709.28 $199,296.50 30% off $40,641.09 $66,505.33 $66,505.33 2026-10-01
734 APR_DRG Orbit And Eye Procedures 37 7 $0.01 — $29,217.65 $66,503.01 $66,503.01 2026-10-01
293 APR_DRG Other Percutaneous Intracranial Procedures 30 6 $0.01 — $66,299.54 $66,299.54 $66,299.54 2026-10-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 90 12 $0.01 — $36,781.84 $187,495.44 $66,226.26 2026-10-01
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 37 7 $163,929.63 $114,750.74 30% off $37,558.61 $66,212.33 $66,212.33 2026-10-01
1804 APR_DRG Other Circulatory System Procedures 37 7 $98,135.29 $68,694.70 30% off $41,204.28 $66,037.55 $66,037.55 2026-10-01
264 APR_DRG Other Nervous System And Related Procedures 37 7 $0.01 — $46,750.90 $65,580.52 $65,580.52 2026-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 90 12 $135,066.38 $94,546.47 30% off $39,737.10 $185,531.28 $65,566.22 2026-10-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 37 7 $0.01 $50,657.96 $42,510.69 $65,338.31 $65,338.31 2026-10-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 37 7 $0.01 — $55,988.42 $65,330.59 $65,330.59 2026-10-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 37 7 $0.01 — $48,616.02 $65,301.83 $65,301.83 2026-10-01
2804 APR_DRG Alcoholic Liver Disease 37 7 $188,414.88 $131,890.42 30% off $37,245.57 $65,218.82 $65,218.82 2026-10-01
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 37 7 $0.01 — $54,325.60 $65,208.13 $65,208.13 2026-10-01
228 MS_DRG Other Cardiothoracic Procedures With McC 90 12 $190,219.53 $133,153.67 30% off $39,425.35 $184,043.28 $65,051.83 2026-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 90 12 $236,260.57 $165,382.40 30% off $39,356.77 $183,715.92 $64,938.67 2026-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 90 12 $221,799.73 $155,259.81 30% off $39,225.06 $183,087.24 $64,721.35 2026-10-01
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 37 7 $0.01 $38,380.34 $64,555.82 $77,969.78 $64,555.82 2026-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 90 12 $0.01 — $39,065.29 $182,324.64 $64,457.73 2026-10-01
2234 APR_DRG Other Small And Large Bowel Procedures 37 7 $0.01 — $40,794.11 $64,301.14 $64,301.14 2026-10-01
8632 APR_DRG Neonatal Aftercare 37 7 $0.01 $11,901.40 $49,557.45 $63,985.78 $63,985.78 2026-10-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 37 7 $135,954.00 $95,167.80 30% off $48,856.96 $63,970.74 $63,970.74 2026-10-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 37 7 $0.01 — $54,297.46 $63,934.16 $63,934.16 2026-10-01
9113 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 37 7 $0.01 — $38,133.55 $63,607.51 $63,607.51 2026-10-01
471 MS_DRG Cervical Spinal Fusion With McC 90 12 $205,565.88 $143,896.12 30% off $38,500.25 $179,627.64 $63,525.41 2026-10-01
1781 APR_DRG External Heart Assist Devices 30 6 $0.01 — $63,447.00 $63,447.00 $63,447.00 2026-10-01
4854 APR_DRG Prostatectomy Procedures 30 6 $0.01 — $63,288.06 $63,288.06 $63,288.06 2026-10-01
913 APR_DRG Other Major Head And Neck Procedures 37 7 $0.01 — $37,518.46 $63,224.39 $63,224.39 2026-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 90 12 $0.01 — $38,310.08 $178,719.96 $63,211.63 2026-10-01
2614 APR_DRG Major Biliary Tract Procedures 37 7 $0.01 — $51,588.85 $62,856.53 $62,856.53 2026-10-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 37 7 $259,203.35 $181,442.35 30% off $53,304.41 $62,759.84 $62,759.84 2026-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 90 12 $0.01 — $37,658.03 $177,101.76 $62,652.25 2026-10-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 37 7 $230,744.63 $161,521.24 30% off $62,628.04 $66,308.69 $62,628.04 2026-10-01
403 APR_DRG Spinal Disorders And Injuries 37 7 $83,031.50 $58,122.05 30% off $25,245.54 $62,519.33 $62,519.33 2026-10-01
404 APR_DRG Spinal Disorders And Injuries 37 7 $0.01 $135,745.79 $53,082.93 $62,519.33 $62,519.33 2026-10-01
33270 HCPCS Hc Ins/Rep Subq Defibrillator 211 27 $146,961.00 $102,872.70 30% off $7,518.00 $157,035.46 $62,211.00 2026-10-01
33264 HCPCS Hc Remv&Replc Icd Gen Mult Lead 216 27 $136,457.00 $95,519.90 30% off $7,518.00 $157,035.46 $62,211.00 2026-10-01
33249 HCPCS Hc Icd Implant Single Lead 221 27 $108,835.00 $76,184.50 30% off $7,518.00 $157,035.46 $62,211.00 2026-10-01
3123 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 37 7 $0.01 — $33,742.28 $62,013.57 $62,013.57 2026-10-01
38240 HCPCS Transplt Allo Hct/donor 127 16 $0.01 — $1,242.31 $229,129.05 $61,956.32 2026-10-01
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 37 7 $0.01 — $46,243.68 $61,905.42 $61,905.42 2026-10-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 90 12 $0.01 — $36,896.73 $174,892.08 $61,888.38 2026-10-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 90 12 $207,266.07 $145,086.25 30% off $37,433.29 $174,534.96 $61,764.93 2026-10-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 37 7 $0.01 — $46,555.25 $61,717.52 $61,717.52 2026-10-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 37 7 $0.01 — $40,596.47 $61,602.23 $61,602.23 2026-10-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 90 12 $0.01 — $37,324.18 $174,014.16 $61,584.90 2026-10-01
See an error in this hospital's data? Submit a correction