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

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Hospital

HOLYOKE MEDICAL CENTER

Holyoke, MA · CCN 220024 · Rates published

6,123 distinct procedures filed
148 distinct payers
533,567 rate rows
2026-05-01 last MRF observed
Data quality

457,127 of 533,567 rate rows are consumer-grade (85.7%)

76,440 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
professional (physician) fee — not the facility price 48,011
per-diem day rate — not a per-procedure price 12,751
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8,508
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,596
exceeds 10× this hospital's gross charge — excluded from medians 1,363
placeholder amount (≤ $0.02) — excluded from medians 799
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 396
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.holyokehealth.com/wp-content/uploads/2026/08/22-2520073_holyoke-medical-center_standardcharges-2.csv
Found on page https://www.holyokehealth.com/patients-visitors/cost-for-care/
Discovered viaCMS hospital list
Last fetch success · 2026-10-01

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 16 $4,000.00 $1,706,800.14 $1,153,266.72 nat. median
$168,055
outlier · 6.9×
7
MS_DRG 		Lung Transplant 15 $4,000.00 $1,225,540.09 $836,472.77 nat. median
$70,649
outlier · 11.8×
24
APR_DRG 		Heart And/or Lung Transplant 7 $340,153.56 $652,998.15 $516,469.96 nat. median
$225,531
outlier · 2.3×
5834
APR_DRG 		Neonate With Ecmo 7 $458,840.60 $680,912.57 $471,711.68 nat. median
$390,362
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $370,738.65 $558,533.24 $441,719.07 nat. median
$286,698
1.5× median
5833
APR_DRG 		Neonate With Ecmo 7 $287,386.94 $539,295.71 $376,708.89 nat. median
$268,208
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $327,772.47 $534,023.87 $367,898.22 nat. median
$202,242
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $4,000.00 $529,255.55 $359,807.39 nat. median
$97,418
outlier · 3.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $4,000.00 $513,275.24 $342,320.30 nat. median
$186,516
1.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $238,844.06 $359,828.08 $296,644.56 nat. median
$173,134
1.7× median
5832
APR_DRG 		Neonate With Ecmo 7 $116,987.01 $397,678.86 $278,791.22 nat. median
$201,678
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $4,000.00 $409,577.62 $277,986.65 nat. median
$65,418
outlier · 4.2×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 7 $209,395.09 $376,596.08 $264,748.42 nat. median
$173,018
1.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 16 $4,000.00 $388,900.30 $264,349.63 nat. median
$41,943
outlier · 6.3×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $210,246.67 $329,443.24 $261,807.06 nat. median
$136,566
1.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $222,800.86 $349,518.48 $256,150.28 nat. median
$198,578
1.3× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $212,920.92 $334,646.24 $254,713.22 nat. median
$135,630
1.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $250,474.24 $337,854.79 $253,349.44 nat. median
$149,836
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $4,000.00 $378,344.95 $253,053.94 nat. median
$145,435
1.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 7 $145,740.01 $409,117.64 $251,106.32 nat. median
$155,539
1.6× median
64
APR_DRG 		Pancreas Transplant 7 $199,620.90 $290,936.05 $247,641.13 nat. median
$92,994
outlier · 2.7×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $190,631.64 $413,582.54 $241,024.88 nat. median
$171,497
1.4× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $129,030.95 $352,341.45 $233,874.79 nat. median
$152,383
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $157,925.14 $405,404.16 $232,699.13 nat. median
$187,567
1.2× median
23
APR_DRG 		Heart And/or Lung Transplant 7 $217,544.26 $318,683.82 $226,384.29 nat. median
$117,894
1.9× median
5831
APR_DRG 		Neonate With Ecmo 7 $74,086.53 $343,665.97 $225,877.96 nat. median
$173,909
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $4,000.00 $314,616.32 $220,264.06 nat. median
$131,925
1.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $167,825.21 $364,269.09 $212,189.60 nat. median
$168,439
1.3× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 $198,662.32 $292,811.16 $211,642.98 nat. median
$115,963
1.8× median
6
MS_DRG 		Liver Transplant Without Mcc 15 $4,000.00 $311,360.57 $210,333.20 nat. median
$31,278
outlier · 6.7×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $164,112.75 $256,530.11 $202,895.05 nat. median
$106,926
1.9× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 15 $4,000.00 $301,790.13 $202,692.06 nat. median
$32,772
outlier · 6.2×
1612
APR_DRG 		Implantable Heart Assist Systems 7 $93,191.67 $328,486.19 $201,617.11 nat. median
$109,992
1.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $196,560.51 $327,627.82 $198,816.83 nat. median
$152,792
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 16 $4,000.00 $284,433.45 $191,964.02 nat. median
$47,121
outlier · 4.1×
1611
APR_DRG 		Implantable Heart Assist Systems 7 $69,528.33 $312,060.15 $191,536.08 nat. median
$108,954
1.8× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $185,773.86 $351,310.95 $187,906.36 nat. median
$135,803
1.4× median
22
APR_DRG 		Heart And/or Lung Transplant 7 $154,789.52 $236,498.58 $187,425.76 nat. median
$95,481
2.0× median
570
MS_DRG 		Skin Debridement With Mcc 16 $4,000.00 $277,382.85 $186,872.70 nat. median
$20,813
outlier · 9.0×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $70,212.69 $275,687.86 $186,815.46 nat. median
$49,569
outlier · 3.8×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 $152,209.50 $200,555.02 $178,994.43 nat. median
$100,752
1.8× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $139,946.09 $261,108.93 $176,940.66 nat. median
$124,731
1.4× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $141,621.66 $229,007.38 $171,747.94 nat. median
$85,032
outlier · 2.0×
21
APR_DRG 		Heart And/or Lung Transplant 7 $132,696.76 $202,742.25 $165,607.26 nat. median
$77,825
outlier · 2.1×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $137,399.40 $220,538.45 $165,579.38 nat. median
$91,350
1.8× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $130,729.28 $234,249.38 $165,287.41 nat. median
$114,205
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $4,000.00 $246,077.40 $164,220.82 nat. median
$69,922
outlier · 2.3×
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 $160,719.54 $203,205.54 $162,564.44 nat. median
$65,108
outlier · 2.5×
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $132,023.31 $190,461.17 $160,758.47 nat. median
$69,772
outlier · 2.3×
63
APR_DRG 		Pancreas Transplant 7 $132,786.40 $204,571.45 $158,223.43 nat. median
$69,792
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 6,123 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
             
6904 APR_DRG Acute Leukemia 25 7 — — $90,586.75 $147,253.98 $113,033.16 2026-05-01
6903 APR_DRG Acute Leukemia 25 7 — — $49,922.64 $68,469.72 $53,832.84 2026-05-01
4014 APR_DRG Adrenal Procedures 25 7 — — $68,518.12 $133,151.87 $86,630.80 2026-05-01
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 61 16 — — $4,000.00 $91,470.44 $56,727.70 2026-05-01
74 APR_DRG Allogeneic Bone Marrow Transplant 16 7 — — $250,474.24 $337,854.79 $253,349.44 2026-05-01
73 APR_DRG Allogeneic Bone Marrow Transplant 16 7 — — $126,449.56 $199,106.81 $127,901.07 2026-05-01
72 APR_DRG Allogeneic Bone Marrow Transplant 16 7 — — $114,448.17 $155,743.19 $115,761.92 2026-05-01
71 APR_DRG Allogeneic Bone Marrow Transplant 16 7 — — $104,634.91 $138,676.83 $105,836.02 2026-05-01
14 MS_DRG Allogeneic Bone Marrow Transplant 58 16 — — $4,000.00 $157,908.52 $102,158.69 2026-05-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 25 7 — — $44,915.28 $88,232.82 $56,788.58 2026-05-01
347 MS_DRG Anal And Stomal Procedures With Mcc 58 14 — — $7,746.10 $122,099.73 $80,592.63 2026-05-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 52 14 — — $70,212.69 $275,687.86 $186,815.46 2026-05-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 16 7 — — $160,719.54 $203,205.54 $162,564.44 2026-05-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 16 7 — — $79,234.67 $107,617.24 $80,144.21 2026-05-01
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 16 7 — — $65,989.82 $90,041.37 $66,747.32 2026-05-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 61 16 — — $4,000.00 $78,083.43 $54,693.12 2026-05-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 61 16 — — $4,000.00 $73,986.28 $53,636.95 2026-05-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 25 7 — — $46,142.65 $78,540.66 $58,340.41 2026-05-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 61 16 — — $4,000.00 $176,099.88 $118,938.76 2026-05-01
3634 APR_DRG Breast Procedures Except Mastectomy 25 7 — — $43,814.32 $80,896.94 $55,396.58 2026-05-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 25 7 — — $114,490.69 $219,081.23 $144,756.17 2026-05-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 52 14 — — $58,990.79 $93,826.35 $64,005.01 2026-05-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 14 — — $93,213.75 $150,048.74 $99,738.72 2026-05-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 14 — — $53,394.64 $86,548.20 $57,933.18 2026-05-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 14 — — $47,814.35 $86,548.20 $51,878.57 2026-05-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 14 — — $78,985.82 $142,097.09 $93,894.83 2026-05-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 25 7 — — $85,037.13 $212,971.51 $107,516.59 2026-05-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 25 7 — — $55,791.57 $145,867.38 $70,540.00 2026-05-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 25 7 — — $43,369.57 $115,606.48 $54,834.25 2026-05-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 25 7 — — $77,625.75 $181,225.69 $98,146.03 2026-05-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 25 7 — — $47,124.09 $120,646.52 $59,581.29 2026-05-01
277 MS_DRG Cellulitis Age >17 W Cc 52 14 — — $48,986.12 $93,103.57 $60,747.05 2026-05-01
471 MS_DRG Cervical Spinal Fusion With Mcc 52 14 — — $50,385.32 $183,105.09 $123,039.98 2026-05-01
6954 APR_DRG Chemotherapy For Acute Leukemia 22 7 — — $69,599.55 $112,198.26 $87,498.76 2026-05-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 61 16 — — $4,000.00 $228,505.20 $153,035.34 2026-05-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 61 16 — — $4,000.00 $1,706,800.14 $1,153,266.72 2026-05-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 7 — — $185,773.86 $351,310.95 $187,906.36 2026-05-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 7 — — $122,273.26 $172,924.31 $123,676.84 2026-05-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 7 — — $86,848.15 $117,244.59 $93,795.67 2026-05-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 61 16 — — $4,000.00 $89,426.71 $57,661.40 2026-05-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 60 16 — — $4,000.00 $80,530.03 $54,395.41 2026-05-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 60 16 — — $4,000.00 $130,184.63 $85,366.53 2026-05-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 25 7 — — $61,414.74 $165,726.88 $77,649.66 2026-05-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 25 7 — — $42,708.76 $122,399.98 $53,998.77 2026-05-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 25 7 — — $41,956.02 $101,801.46 $53,047.03 2026-05-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 25 7 — — $41,290.62 $83,599.02 $52,205.73 2026-05-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 52 14 — — $65,365.63 $100,576.11 $70,189.61 2026-05-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 52 14 — — $83,123.99 $150,279.47 $98,674.22 2026-05-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 52 14 — — $49,916.77 $79,825.96 $54,159.69 2026-05-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 25 7 — — $57,507.37 $149,388.06 $72,709.37 2026-05-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 52 14 — — $49,349.22 $77,282.31 $53,468.00 2026-05-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 25 7 — — $83,689.08 $180,637.71 $105,812.19 2026-05-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 25 7 — — $49,865.00 $87,934.46 $63,046.75 2026-05-01
9102 APR_DRG Craniotomy For Multiple Significant Trauma 25 7 — — $44,292.40 $78,106.85 $56,001.04 2026-05-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 61 16 — — $4,000.00 $88,590.95 $54,164.51 2026-05-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 61 16 — — $4,000.00 $126,839.69 $82,656.24 2026-05-01
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc 61 16 — — $4,000.00 $89,242.92 $57,589.66 2026-05-01
1794 APR_DRG Defibrillator Implants 16 7 — — $81,057.35 $146,663.78 $81,987.81 2026-05-01
1793 APR_DRG Defibrillator Implants 16 7 — — $58,724.40 $106,940.18 $59,398.50 2026-05-01
7524 APR_DRG Disorders Of Personality And Impulse Control 25 7 — — $6,889.71 $73,893.59 $58,443.99 2026-05-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 25 7 — — $68,672.12 $156,277.95 $86,825.51 2026-05-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 25 7 — — $46,081.74 $105,613.61 $58,263.40 2026-05-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 25 7 — — $122,988.08 $203,607.50 $155,499.83 2026-05-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 25 7 — — $83,410.97 $154,164.16 $105,460.55 2026-05-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 25 7 — — $69,535.19 $112,007.77 $87,916.73 2026-05-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 25 7 — — $42,929.41 $93,254.50 $54,277.75 2026-05-01
7594 APR_DRG Eating Disorders 25 7 — — $12,260.75 $95,973.75 $75,907.66 2026-05-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 61 16 — — $4,000.00 $378,344.95 $253,053.94 2026-05-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 52 14 — — $52,399.76 $80,688.68 $56,292.27 2026-05-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 25 7 — — $62,373.20 $140,352.55 $78,861.47 2026-05-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 61 16 — — $4,000.00 $314,616.32 $220,264.06 2026-05-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 25 7 — — $66,481.69 $124,750.79 $84,056.04 2026-05-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 16 7 — — $63,889.03 $108,712.00 $64,622.42 2026-05-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 25 7 — — $209,395.09 $376,596.08 $264,748.42 2026-05-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 25 7 — — $101,450.40 $138,206.33 $113,305.18 2026-05-01
1784 APR_DRG External Heart Assist Systems 16 7 — — $97,206.30 $180,016.17 $98,322.13 2026-05-01
1783 APR_DRG External Heart Assist Systems 16 7 — — $71,912.94 $133,175.47 $72,738.43 2026-05-01
1782 APR_DRG External Heart Assist Systems 16 7 — — $66,999.99 $124,077.70 $67,769.09 2026-05-01
1781 APR_DRG External Heart Assist Systems 16 7 — — $59,758.71 $110,667.43 $60,444.68 2026-05-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 7 — — $196,560.51 $327,627.82 $198,816.83 2026-05-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 7 — — $93,752.87 $151,001.51 $94,829.06 2026-05-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 7 — — $77,184.45 $110,134.97 $78,070.45 2026-05-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 7 — — $63,344.30 $90,385.63 $64,071.43 2026-05-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 61 16 — — $4,000.00 $78,264.38 $53,367.39 2026-05-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 25 7 — — $77,736.08 $109,242.17 $86,592.08 2026-05-01
5881 APR_DRG Female Reproductive System Reconstructive Procedures 25 7 — — $89,189.86 $231,924.45 $153,945.99 2026-05-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 61 16 — — $4,000.00 $94,380.97 $61,503.10 2026-05-01
2324 APR_DRG Gastric Fundoplication 16 7 — — $63,775.26 $91,000.71 $64,507.33 2026-05-01
3164 APR_DRG Hand And Wrist Procedures 25 7 — — $40,510.29 $69,091.69 $51,219.13 2026-05-01
24 APR_DRG Heart And/or Lung Transplant 25 7 — — $340,153.56 $652,998.15 $516,469.96 2026-05-01
23 APR_DRG Heart And/or Lung Transplant 25 7 — — $217,544.26 $318,683.82 $226,384.29 2026-05-01
22 APR_DRG Heart And/or Lung Transplant 25 7 — — $154,789.52 $236,498.58 $187,425.76 2026-05-01
21 APR_DRG Heart And/or Lung Transplant 25 7 — — $132,696.76 $202,742.25 $165,607.26 2026-05-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 58 16 — — $4,000.00 $513,275.24 $342,320.30 2026-05-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 58 16 — — $4,000.00 $409,577.62 $277,986.65 2026-05-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 25 7 — — $42,126.10 $85,409.85 $53,262.09 2026-05-01
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 61 16 — — $4,000.00 $142,911.62 $95,572.89 2026-05-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 61 16 — — $4,000.00 $388,900.30 $264,349.63 2026-05-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 61 16 — — $4,000.00 $120,313.28 $79,123.35 2026-05-01
1614 APR_DRG Implantable Heart Assist Systems 25 7 — — $327,772.47 $534,023.87 $367,898.22 2026-05-01
1613 APR_DRG Implantable Heart Assist Systems 25 7 — — $145,740.01 $409,117.64 $251,106.32 2026-05-01
1612 APR_DRG Implantable Heart Assist Systems 25 7 — — $93,191.67 $328,486.19 $201,617.11 2026-05-01
1611 APR_DRG Implantable Heart Assist Systems 25 7 — — $69,528.33 $312,060.15 $191,536.08 2026-05-01
4234 APR_DRG Inborn Errors Of Metabolism 25 7 — — $28,600.93 $84,259.47 $66,642.58 2026-05-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 25 7 — — $50,537.30 $103,962.70 $63,896.78 2026-05-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 25 7 — — $65,963.39 $113,570.73 $77,742.44 2026-05-01
197 MS_DRG Interstitial Lung Disease With Cc 61 16 — — $4,000.00 $119,217.35 $78,491.40 2026-05-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 61 16 — — $4,000.00 $172,882.58 $116,022.11 2026-05-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 61 16 — — $4,000.00 $189,898.81 $126,878.40 2026-05-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 61 16 — — $4,000.00 $160,473.40 $107,662.74 2026-05-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 25 7 — — $40,953.89 $97,885.47 $51,780.00 2026-05-01
4404 APR_DRG Kidney Transplant 25 7 — — $107,788.39 $193,564.14 $136,282.12 2026-05-01
4403 APR_DRG Kidney Transplant 25 7 — — $83,867.21 $127,589.20 $104,834.01 2026-05-01
4402 APR_DRG Kidney Transplant 25 7 — — $79,719.65 $109,428.07 $88,252.13 2026-05-01
4401 APR_DRG Kidney Transplant 25 7 — — $76,810.49 $97,711.59 $77,928.64 2026-05-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 61 16 — — $4,000.00 $95,457.70 $60,975.37 2026-05-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 61 16 — — $4,000.00 $82,354.85 $52,055.83 2026-05-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 25 7 — — $45,743.87 $87,856.43 $57,836.21 2026-05-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 61 16 — — $4,000.00 $89,385.09 $57,623.03 2026-05-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 25 7 — — $210,246.67 $329,443.24 $261,807.06 2026-05-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 25 7 — — $132,023.31 $190,461.17 $160,758.47 2026-05-01
12 APR_DRG Liver Transplant And/or Intestinal Transplant 25 7 — — $111,053.35 $159,628.80 $130,171.43 2026-05-01
11 APR_DRG Liver Transplant And/or Intestinal Transplant 25 7 — — $96,063.97 $141,729.31 $120,079.96 2026-05-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 52 15 — — $4,000.00 $246,077.40 $164,220.82 2026-05-01
6 MS_DRG Liver Transplant Without Mcc 52 15 — — $4,000.00 $311,360.57 $210,333.20 2026-05-01
1814 APR_DRG Lower Extremity Arterial Procedures 22 7 — — $53,520.70 $115,606.48 $67,284.85 2026-05-01
7 MS_DRG Lung Transplant 52 15 — — $4,000.00 $1,225,540.09 $836,472.77 2026-05-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 61 16 — — $4,000.00 $77,232.50 $53,779.66 2026-05-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 25 7 — — $40,602.23 $74,961.62 $51,335.37 2026-05-01
1694 APR_DRG Major Abdominal Vascular Procedures 25 7 — — $63,225.93 $139,822.08 $79,939.62 2026-05-01
2614 APR_DRG Major Biliary Tract Procedures 25 7 — — $52,362.28 $113,231.06 $66,204.18 2026-05-01
4414 APR_DRG Major Bladder Procedures 25 7 — — $73,555.19 $130,458.07 $92,999.41 2026-05-01
653 MS_DRG Major Bladder Procedures With Mcc 52 14 — — $55,451.50 $208,998.38 $141,175.43 2026-05-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 25 7 — — $164,112.75 $256,530.11 $202,895.05 2026-05-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 25 7 — — $74,996.32 $121,300.63 $88,215.92 2026-05-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 25 7 — — $44,364.80 $78,616.36 $56,092.58 2026-05-01
163 MS_DRG Major Chest Procedures With Mcc 61 16 — — $4,000.00 $222,870.26 $149,529.06 2026-05-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 25 7 — — $68,610.06 $143,986.23 $86,747.05 2026-05-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 25 7 — — $42,062.89 $85,251.49 $53,182.17 2026-05-01
4804 APR_DRG Major Male Pelvic Procedures 25 7 — — $56,777.61 $100,423.06 $71,786.70 2026-05-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 25 7 — — $91,878.48 $146,055.57 $111,719.68 2026-05-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 25 7 — — $63,181.11 $133,160.41 $79,882.96 2026-05-01
1204 APR_DRG Major Respiratory And Chest Procedures 25 7 — — $70,867.14 $119,822.58 $89,600.79 2026-05-01
3814 APR_DRG Major Skin Disorders 25 7 — — $43,614.35 $67,817.37 $50,416.82 2026-05-01
2304 APR_DRG Major Small Bowel Procedures 16 7 — — $57,911.90 $110,773.00 $58,576.67 2026-05-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 25 7 — — $98,732.48 $124,832.28 $105,188.81 2026-05-01
3624 APR_DRG Mastectomy Procedures 25 7 — — $60,508.00 $86,339.36 $62,397.21 2026-05-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 25 7 — — $20,080.58 $108,998.67 $86,209.34 2026-05-01
7403 APR_DRG Mental Illness Diagnosis With O.r. Procedure 25 7 — — $8,408.04 $67,989.95 $53,774.68 2026-05-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 25 7 — — $48,868.63 $90,674.53 $61,786.98 2026-05-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 25 7 — — $44,123.46 $68,655.62 $54,465.41 2026-05-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 25 7 — — $58,148.64 $145,215.70 $73,520.16 2026-05-01
8634 APR_DRG Neonatal Aftercare 25 7 — — $103,780.88 $152,990.93 $111,586.51 2026-05-01
8633 APR_DRG Neonatal Aftercare 25 7 — — $40,547.06 $95,868.62 $51,265.63 2026-05-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 25 7 — — $198,662.32 $292,811.16 $211,642.98 2026-05-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 25 7 — — $99,808.15 $142,491.29 $118,179.95 2026-05-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 25 7 — — $45,816.27 $88,962.85 $57,927.74 2026-05-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 25 7 — — $139,946.09 $261,108.93 $176,940.66 2026-05-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 25 7 — — $120,420.71 $205,891.13 $150,525.88 2026-05-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 25 7 — — $103,167.35 $157,101.89 $115,221.13 2026-05-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 25 7 — — $88,992.77 $166,219.25 $112,517.89 2026-05-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 25 7 — — $80,587.32 $120,935.70 $101,890.47 2026-05-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 25 7 — — $152,209.50 $200,555.02 $178,994.43 2026-05-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 25 7 — — $66,212.77 $156,020.90 $83,716.04 2026-05-01
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 25 7 — — $51,517.59 $120,811.76 $65,136.20 2026-05-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 25 7 — — $100,208.08 $142,987.03 $114,384.05 2026-05-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 25 7 — — $60,571.21 $93,240.73 $73,167.86 2026-05-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 25 7 — — $101,137.81 $171,850.17 $127,873.46 2026-05-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 25 7 — — $67,103.42 $99,267.67 $83,879.28 2026-05-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 25 7 — — $80,528.70 $114,906.47 $85,767.14 2026-05-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 25 7 — — $63,414.40 $88,150.20 $69,093.72 2026-05-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 25 7 — — $77,038.50 $145,738.85 $97,403.54 2026-05-01
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 25 7 — — $61,257.30 $102,494.58 $77,450.59 2026-05-01
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 25 7 — — $43,079.96 $79,371.45 $54,468.10 2026-05-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 25 7 — — $222,800.86 $349,518.48 $256,150.28 2026-05-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 25 7 — — $121,830.36 $174,255.48 $137,822.32 2026-05-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 25 7 — — $56,931.61 $82,710.81 $67,764.98 2026-05-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 25 7 — — $21,866.61 $78,575.05 $55,698.52 2026-05-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 25 7 — — $60,698.78 $86,610.19 $75,626.17 2026-05-01
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 25 7 — — $46,709.22 $71,421.21 $51,328.67 2026-05-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 25 7 — — $88,507.79 $119,565.53 $107,417.77 2026-05-01
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 25 7 — — $52,169.21 $70,184.16 $55,743.35 2026-05-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 25 7 — — $55,917.99 $79,789.15 $68,014.02 2026-05-01
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 25 7 — — $61,471.06 $99,296.19 $77,720.86 2026-05-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 25 7 — — $190,631.64 $413,582.54 $241,024.88 2026-05-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 25 7 — — $120,300.04 $257,258.88 $152,101.20 2026-05-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 25 7 — — $78,725.57 $188,306.92 $99,536.57 2026-05-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 25 7 — — $167,825.21 $364,269.09 $212,189.60 2026-05-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 25 7 — — $130,729.28 $234,249.38 $165,287.41 2026-05-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 25 7 — — $101,188.38 $185,664.41 $121,667.42 2026-05-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 25 7 — — $370,738.65 $558,533.24 $441,719.07 2026-05-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 25 7 — — $238,844.06 $359,828.08 $296,644.56 2026-05-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 25 7 — — $129,030.95 $352,341.45 $233,874.79 2026-05-01
5144 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 25 7 — — $59,716.19 $94,764.87 $75,502.09 2026-05-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 25 7 — — $103,467.02 $455,942.01 $113,553.32 2026-05-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 25 7 — — $85,892.85 $414,492.91 $94,267.61 2026-05-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 25 7 — — $68,320.83 $376,812.28 $74,980.74 2026-05-01
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 25 7 — — $47,361.98 $84,416.04 $59,882.06 2026-05-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 25 7 — — $54,953.47 $110,640.59 $88,512.47 2026-05-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 25 7 — — $157,925.14 $405,404.16 $232,699.13 2026-05-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 25 7 — — $74,240.40 $195,882.19 $115,827.24 2026-05-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 25 7 — — $46,522.90 $124,279.67 $73,865.48 2026-05-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 25 7 — — $137,300.39 $335,552.80 $147,718.01 2026-05-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 25 7 — — $46,472.21 $128,860.68 $76,361.69 2026-05-01
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 25 7 — — $48,088.30 $99,686.06 $60,800.37 2026-05-01
5834 APR_DRG Neonate With Ecmo 25 7 — — $458,840.60 $680,912.57 $471,711.68 2026-05-01
5833 APR_DRG Neonate With Ecmo 25 7 — — $287,386.94 $539,295.71 $376,708.89 2026-05-01
5832 APR_DRG Neonate With Ecmo 25 7 — — $116,987.01 $397,678.86 $278,791.22 2026-05-01
5831 APR_DRG Neonate With Ecmo 25 7 — — $74,086.53 $343,665.97 $225,877.96 2026-05-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 25 7 — — $44,733.70 $81,602.28 $56,559.00 2026-05-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 25 7 — — $45,638.14 $78,872.32 $57,702.53 2026-05-01
276 MS_DRG Non-maligant Breast Disorders 52 14 — — $52,100.14 $79,091.73 $55,398.93 2026-05-01
214 APR_DRG Open Craniotomy Except Trauma 25 7 — — $72,031.31 $147,912.32 $91,072.70 2026-05-01
204 APR_DRG Open Craniotomy For Trauma 25 7 — — $58,383.09 $136,652.17 $73,816.58 2026-05-01
244 APR_DRG Open Extracranial Vascular Procedures 25 7 — — $44,145.30 $114,867.17 $55,815.05 2026-05-01
734 APR_DRG Orbit And Eye Procedures 25 7 — — $49,699.51 $85,176.98 $57,310.01 2026-05-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 25 7 — — $63,285.69 $124,543.60 $80,015.19 2026-05-01
4454 APR_DRG Other Bladder Procedures 25 7 — — $50,950.89 $71,535.97 $52,293.41 2026-05-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 25 7 — — $92,524.35 $163,014.07 $116,983.04 2026-05-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 25 7 — — $49,767.32 $101,532.92 $62,923.25 2026-05-01
1804 APR_DRG Other Circulatory System Procedures 25 7 — — $45,442.77 $83,195.08 $57,455.51 2026-05-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 25 7 — — $47,461.97 $90,741.37 $60,008.48 2026-05-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 61 16 — — $4,000.00 $147,989.63 $97,452.91 2026-05-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 25 7 — — $46,577.06 $74,147.80 $58,889.65 2026-05-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 25 7 — — $49,820.18 $81,756.05 $62,990.08 2026-05-01
215 MS_DRG Other Heart Assist System Implant 61 16 — — $4,000.00 $168,007.53 $110,903.76 2026-05-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 25 7 — — $56,900.58 $115,701.63 $71,942.18 2026-05-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 25 7 — — $48,495.12 $96,346.00 $61,314.75 2026-05-01
914 APR_DRG Other Major Head And Neck Procedures 25 7 — — $94,432.49 $138,089.28 $105,963.88 2026-05-01
913 APR_DRG Other Major Head And Neck Procedures 25 7 — — $47,694.11 $88,138.73 $60,301.99 2026-05-01
4844 APR_DRG Other Male Reproductive System And Related Procedures 25 7 — — $55,145.71 $84,563.10 $69,723.40 2026-05-01
264 APR_DRG Other Nervous System And Related Procedures 25 7 — — $63,978.67 $105,128.89 $79,973.34 2026-05-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 61 16 — — $4,000.00 $100,244.41 $64,270.43 2026-05-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 61 16 — — $4,000.00 $89,404.84 $56,367.70 2026-05-01
274 APR_DRG Other Open Craniotomy 16 7 — — $63,136.29 $115,012.06 $63,861.03 2026-05-01
294 APR_DRG Other Percutaneous Intracranial Procedures 16 7 — — $56,128.30 $93,243.03 $56,772.59 2026-05-01
1824 APR_DRG Other Peripheral Vascular And Related Procedures 22 7 — — $50,268.38 $98,218.80 $63,196.12 2026-05-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 25 7 — — $60,231.04 $100,465.81 $76,153.04 2026-05-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 25 7 — — $77,053.44 $117,544.98 $86,750.02 2026-05-01
1214 APR_DRG Other Respiratory And Chest Procedures 25 7 — — $47,187.30 $97,970.94 $59,661.21 2026-05-01
3094 APR_DRG Other Significant Hip And Femur Surgery 25 7 — — $52,576.03 $92,504.01 $66,474.44 2026-05-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 25 7 — — $54,156.22 $101,216.49 $68,472.35 2026-05-01
64 APR_DRG Pancreas Transplant 25 7 — — $199,620.90 $290,936.05 $247,641.13 2026-05-01
63 APR_DRG Pancreas Transplant 25 7 — — $132,786.40 $204,571.45 $158,223.43 2026-05-01
62 APR_DRG Pancreas Transplant 25 7 — — $114,186.14 $177,587.95 $135,531.73 2026-05-01
10 MS_DRG Pancreas Transplant 52 15 — — $4,000.00 $174,668.20 $111,633.29 2026-05-01
61 APR_DRG Pancreas Transplant 25 7 — — $91,364.78 $139,592.57 $103,188.41 2026-05-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 25 7 — — $77,602.77 $110,731.69 $96,125.49 2026-05-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 25 7 — — $57,043.08 $94,521.96 $71,303.85 2026-05-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 25 7 — — $47,438.98 $92,495.86 $59,979.42 2026-05-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 16 7 — — $81,787.11 $153,615.64 $82,725.95 2026-05-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 16 7 — — $60,550.52 $107,908.72 $61,245.59 2026-05-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 25 7 — — $55,728.36 $98,592.91 $70,460.09 2026-05-01
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 25 7 — — $41,391.74 $70,119.90 $51,739.68 2026-05-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 25 7 — — $55,735.26 $108,326.53 $70,468.80 2026-05-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 25 7 — — $60,505.70 $132,633.82 $76,472.50 2026-05-01
4034 APR_DRG Procedures For Obesity 25 7 — — $48,369.86 $125,882.79 $61,156.37 2026-05-01
849 MS_DRG Radiotherapy 61 16 — — $4,000.00 $106,564.79 $69,387.30 2026-05-01
6924 APR_DRG Radiotherapy 25 7 — — $44,295.84 $74,393.37 $56,005.40 2026-05-01
4444 APR_DRG Renal Dialysis Access Device Procedures 25 7 — — $45,147.42 $78,590.17 $57,082.09 2026-05-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 25 7 — — $59,806.97 $113,710.73 $75,616.87 2026-05-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 25 7 — — $46,835.64 $87,785.28 $59,216.58 2026-05-01
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 25 7 — — $41,010.20 $71,714.99 $51,597.17 2026-05-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 61 16 — — $4,000.00 $284,433.45 $191,964.02 2026-05-01
7504 APR_DRG Schizophrenia 25 7 — — $11,491.80 $78,922.51 $62,421.47 2026-05-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 61 16 — — $4,000.00 $90,960.18 $61,902.98 2026-05-01
3224 APR_DRG Shoulder And Elbow Joint Replacement 22 7 — — $43,284.52 $77,728.15 $54,416.19 2026-05-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 52 15 — — $4,000.00 $301,790.13 $202,692.06 2026-05-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 61 16 — — $4,000.00 $95,644.73 $70,333.14 2026-05-01
570 MS_DRG Skin Debridement With Mcc 61 16 — — $4,000.00 $277,382.85 $186,872.70 2026-05-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 25 7 — — $77,464.55 $117,559.61 $81,699.52 2026-05-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 52 14 — — $52,166.06 $86,234.81 $56,600.18 2026-05-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 25 7 — — $86,570.20 $165,352.29 $109,454.92 2026-05-01
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 25 7 — — $41,705.48 $124,891.01 $52,730.28 2026-05-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 60 16 — — $4,000.00 $87,295.54 $58,960.47 2026-05-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 14 — — $86,342.34 $157,364.21 $104,337.45 2026-05-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 14 — — $50,974.23 $78,521.35 $54,771.04 2026-05-01
234 APR_DRG Spinal Procedures 25 7 — — $51,215.34 $135,155.95 $64,754.06 2026-05-01
28 MS_DRG Spinal Procedures With Mcc 61 16 — — $4,000.00 $79,113.99 $53,597.41 2026-05-01
6504 APR_DRG Splenectomy 25 7 — — $51,483.12 $97,830.93 $65,092.62 2026-05-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 52 14 — — $52,024.20 $178,772.47 $120,006.55 2026-05-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 25 7 — — $52,027.85 $90,700.18 $65,781.35 2026-05-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 25 7 — — $68,220.47 $106,611.99 $81,615.57 2026-05-01
974 APR_DRG Tonsil And Adenoid Procedures 25 7 — — $41,877.87 $84,181.77 $52,948.23 2026-05-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 61 16 — — $4,000.00 $91,651.67 $58,031.88 2026-05-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 61 16 — — $4,000.00 $529,255.55 $359,807.39 2026-05-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 25 7 — — $212,920.92 $334,646.24 $254,713.22 2026-05-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 25 7 — — $141,621.66 $229,007.38 $171,747.94 2026-05-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 25 7 — — $106,802.35 $157,443.86 $121,879.23 2026-05-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 25 7 — — $73,682.75 $105,684.63 $92,261.94 2026-05-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 25 7 — — $137,399.40 $220,538.45 $165,579.38 2026-05-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 25 7 — — $93,656.34 $162,401.28 $117,070.42 2026-05-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 25 7 — — $76,959.20 $118,874.70 $92,526.54 2026-05-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 25 7 — — $69,181.23 $98,714.55 $84,426.96 2026-05-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 25 7 — — $51,099.27 $82,223.83 $64,607.31 2026-05-01
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 25 7 — — $45,308.31 $75,093.29 $57,285.51 2026-05-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 25 7 — — $61,819.27 $88,762.99 $72,309.64 2026-05-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 25 7 — — $65,258.91 $99,960.79 $82,510.03 2026-05-01
224 APR_DRG Ventricular Shunt Procedures 25 7 — — $60,867.71 $148,881.87 $76,958.02 2026-05-01
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 25 7 — — $45,511.73 $80,769.16 $57,542.69 2026-05-01
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