Price Transparencybeta Hospital negotiated rates

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

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Hospital

BAYSTATE NOBLE HOSPITAL

Westfield, MA · CCN 220065 · Rates published

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You selected 470 (MS_DRG)

Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC

This hospital’s price: $7,326 across 1 payer

Source: https://baystatehealth.canto.com/direct/document/l1hinrfhvd3qvbiqlv9svm0q0t/XEjvXKrF-ktk_4gH37t2gSdmUVI/original?content-type=text%2Fcsv&name=222537423_baystate-noble-hospital_standardcharges.csv · observed 2026-06-05

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

9,456 distinct procedures filed
30 distinct payers
378,025 rate rows
2026-06-05 last MRF observed
Data quality

185,735 of 378,025 rate rows are consumer-grade (49.1%)

192,290 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 187,836
exceeds 10× this hospital's gross charge — excluded from medians 4,121
per-diem day rate — not a per-procedure price 287
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 30
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cdn1-originals.webdamdb.com/13686_164608646?cache=1761101956&response-content-disposition=inline;filename=222537423_baystate-noble-hospital_standardcharges.csv&Policy=eyJTdGF0ZW1lbnQiOlt7IlJlc291cmNlIjoiaHR0cCo6Ly9jZG4xLW9yaWdpbmFscy53ZWJkYW1kYi5jb20vMTM2ODZfMTY0NjA4NjQ2P2NhY2hlPTE3NjExMDE5NTYmcmVzcG9uc2UtY29udGVudC1kaXNwb3NpdGlvbj1pbmxpbmU7ZmlsZW5hbWU9MjIyNTM3NDIzX2JheXN0YXRlLW5vYmxlLWhvc3BpdGFsX3N0YW5kYXJkY2hhcmdlcy5jc3YiLCJDb25kaXRpb24iOnsiRGF0ZUxlc3NUaGFuIjp7IkFXUzpFcG9jaFRpbWUiOjIxNDc0MTQ0MDB9fX1dfQ__&Signature=dPo9BcIcxmadfkmKWBKGtwZ4p2R6HigGi7vYg8m8ziTvtPlDqR0nT6Fj6c6cy0NxMM1u5KnbSPnPiVrOngKtX2eiH0V-SWy0PcO~5ZKwQh0a2hemgbx7Sfw6b-0Vd-fGnCW0He783226F6tMBAs6aqrQLBqhAaVorRekOZ5KGo43IrnOvI8RDsUHsnv-F0T-b5sl3QjLnITaEmsZWnRMHkknaEXojU5fUm8DkEXro83SsXNwznYNPwcXHiMOlNC8aMeRTDyy3Yz~Ymd39R9kapYHuSLY0z2Q5dSQQK1ToO7DWLcEYQJelsK4vRs8PPTrWl~oeZlZq9eyxcWpsH~~eQ__&Key-Pair-Id=APKAI2ASI2IOLRFF2RHA
Found on page https://www.baystatehealth.org/patients-and-visitors/healthcare-prices-and-billing/hospital-standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03
Content fingerprint ff91f6cfa92a4113… · 2,974,626 bytes · first seen 2026-05-06

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
999
MS_DRG 		Ungroupable 1 $68,762.09 $68,762.09 $68,762.09 nat. median
$7,940
outlier · 8.7×
5464
OTHER 		Level 4 Neurostimulator And Related Procedures 1 $24,954.11 $24,954.11 $24,954.11 nat. median
$20,895
1.2× median
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 10 $7,326.00 $24,009.22 $24,009.22 nat. median
$13,109
1.8× median
143
APR_DRG 		Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$10,405
2.0× median
135
APR_DRG 		Major Chest And Respiratory Trauma 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$10,120
outlier · 2.0×
142
APR_DRG 		Interstitial And Alveolar Lung Diseases 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$12,108
1.7× median
190
APR_DRG 		Acute Myocardial Infarction 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$11,269
1.8× median
183
APR_DRG 		Percutaneous Structural Cardiac Procedures 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$46,259
outlier · 0.4×
180
APR_DRG 		Other Circulatory System Procedures 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$23,325
0.9× median
182
APR_DRG 		Other Peripheral Vascular Procedures 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$32,552
0.6× median
131
APR_DRG 		Cystic Fibrosis - Pulmonary Disease 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$22,504
0.9× median
134
APR_DRG 		Pulmonary Embolism 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$13,007
1.6× median
138
APR_DRG 		Bronchiolitis And Rsv Pneumonia 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$7,733
outlier · 2.7×
141
APR_DRG 		Asthma 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$7,912
outlier · 2.6×
174
APR_DRG 		Percutaneous Cardiac Intervention With Ami 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$23,078
0.9× median
160
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$71,750
outlier · 0.3×
178
APR_DRG 		External Heart Assist Systems 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$50,730
outlier · 0.4×
181
APR_DRG 		Lower Extremity Arterial Procedures 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$20,514
1.0× median
169
APR_DRG 		Major Abdominal Vascular Procedures 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$41,431
outlier · 0.5×
179
APR_DRG 		Defibrillator Implants 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$45,721
outlier · 0.4×
162
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$72,587
outlier · 0.3×
170
APR_DRG 		Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$27,454
0.7× median
120
APR_DRG 		Major Respiratory And Chest Procedures 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$27,424
0.7× median
130
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$57,475
outlier · 0.4×
132
APR_DRG 		Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$12,665
1.6× median
133
APR_DRG 		Respiratory Failure 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$11,340
1.8× median
136
APR_DRG 		Respiratory Malignancy 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$17,193
1.2× median
137
APR_DRG 		Major Respiratory Infections And Inflammations 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$13,982
1.5× median
139
APR_DRG 		Other Pneumonia 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$10,445
2.0× median
140
APR_DRG 		Chronic Obstructive Pulmonary Disease 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$10,273
2.0× median
144
APR_DRG 		Respiratory Signs, Symptoms And Miscellaneous Diagnoses 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$9,404
outlier · 2.2×
161
APR_DRG 		Implantable Heart Assist Systems 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$157,885
outlier · 0.1×
165
APR_DRG 		Coronary Bypass With Ami Or Complex Principal Diagnosis 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$50,671
outlier · 0.4×
171
APR_DRG 		Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$26,548
0.8× median
163
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$58,634
outlier · 0.3×
176
APR_DRG 		Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$27,138
0.8× median
167
APR_DRG 		Other Cardiothoracic And Thoracic Vascular Procedures 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$45,236
outlier · 0.5×
113
APR_DRG 		Infections Of Upper Respiratory Tract 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$67,603
outlier · 0.3×
175
APR_DRG 		Percutaneous Cardiac Intervention Without Ami 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$27,813
0.7× median
111
APR_DRG 		Vertigo And Other Labyrinth Disorders 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$34,746
0.6× median
177
APR_DRG 		Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$22,259
0.9× median
166
APR_DRG 		Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$43,807
outlier · 0.5×
145
APR_DRG 		Acute Bronchitis And Related Symptoms 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$7,261
outlier · 2.8×
110
APR_DRG 		Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$14,219
1.4× median
1
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$77,129
outlier · 0.3×
191
APR_DRG 		Cardiac Catheterization For Coronary Artery Disease 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$10,312
2.0× median
114
APR_DRG 		Dental Diseases And Disorders 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$119,243
outlier · 0.2×
115
APR_DRG 		Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$8,373
outlier · 2.4×
121
APR_DRG 		Other Respiratory And Chest Procedures 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$27,889
0.7× median
192
APR_DRG 		Cardiac Catheterization For Other Non-coronary Conditions 4 $17,424.57 $23,580.00 $20,502.28 nat. median
$15,953
1.3× median

Other procedures at this hospital

Browse this hospital's 9,456 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
             
999 MS_DRG Ungroupable 2 1 — — $68,762.09 $68,762.09 $68,762.09 2025-10-15
5464 OTHER Level 4 Neurostimulator And Related Procedures 2 1 — — $24,954.11 $24,954.11 $24,954.11 2025-10-15
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 25 10 — — $7,326.00 $24,009.22 $24,009.22 2026-06-05
793 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
722 APR_DRG Fever And Inflammatory Conditions 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
758 APR_DRG Behavioral Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
759 APR_DRG Eating Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
312 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
385 APR_DRG Other Skin, Subcutaneous Tissue And Breast Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
540 APR_DRG Cesarean Section Without Sterilization 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
54 APR_DRG Migraine And Other Headaches 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
721 APR_DRG Post-operative, Post-traumatic, Other Device Infections 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
720 APR_DRG Septicemia And Disseminated Infections 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
183 APR_DRG Percutaneous Structural Cardiac Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
774 APR_DRG Cocaine Abuse And Dependence 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
757 APR_DRG Organic Mental Health Disturbances 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
243 APR_DRG Other Esophageal Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
264 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
310 APR_DRG Intervertebral Disc Excision And Decompression 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
342 APR_DRG Fractures And Dislocations Except Femur, Pelvis And Back 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
384 APR_DRG Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
465 APR_DRG Urinary Stones And Acquired Upper Urinary Tract Obstruction 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
463 APR_DRG Kidney And Urinary Tract Infections 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
501 APR_DRG Male Reproductive System Diagnoses Except Malignancy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
539 APR_DRG Cesarean Section With Sterilization 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
613 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
651 APR_DRG Other Procedures Of Blood And Blood-forming Organs 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
711 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
772 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/Or Detoxification Therapy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
770 APR_DRG Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
182 APR_DRG Other Peripheral Vascular Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
753 APR_DRG Bipolar Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
750 APR_DRG Schizophrenia 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
242 APR_DRG Major Esophageal Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
240 APR_DRG Digestive Malignancy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
251 APR_DRG Abdominal Pain 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
263 APR_DRG Cholecystectomy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
284 APR_DRG Disorders Of Gallbladder And Biliary Tract 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
309 APR_DRG Other Significant Hip And Femur Surgery 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
321 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
341 APR_DRG Fracture Of Pelvis Or Dislocation Of Hip 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
361 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
383 APR_DRG Cellulitis And Other Skin Infections 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
427 APR_DRG Thyroid Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
426 APR_DRG Non-hypovolemic Sodium Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
462 APR_DRG Nephritis And Nephrosis 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
480 APR_DRG Major Male Pelvic Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
500 APR_DRG Malignancy, Male Reproductive System 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
517 APR_DRG Dilation And Curettage For Non-obstetric Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
532 APR_DRG Menstrual And Other Female Reproductive System Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
580 APR_DRG Neonate, Transferred < 5 Days Old, Not Born Here 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
58 APR_DRG Other Disorders Of Nervous System 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
630 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
650 APR_DRG Splenectomy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
690 APR_DRG Acute Leukemia 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
190 APR_DRG Acute Myocardial Infarction 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
755 APR_DRG Adjustment Disorders And Neuroses Except Depressive Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
740 APR_DRG Mental Illness Diagnosis With O.r. Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
132 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
141 APR_DRG Asthma 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
174 APR_DRG Percutaneous Cardiac Intervention With Ami 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
181 APR_DRG Lower Extremity Arterial Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
73 APR_DRG Orbit And Eye Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
724 APR_DRG Other Infectious And Parasitic Diseases 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
21 APR_DRG Open Craniotomy Except Trauma 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
223 APR_DRG Other Small And Large Bowel Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
23 APR_DRG Spinal Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
241 APR_DRG Peptic Ulcer And Gastritis 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
232 APR_DRG Gastric Fundoplication 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
24 APR_DRG Open Extracranial Vascular Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
246 APR_DRG Gastrointestinal Vascular Insufficiency 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
249 APR_DRG Other Gastroenteritis, Nausea And Vomiting 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
254 APR_DRG Other Digestive System Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
261 APR_DRG Major Biliary Tract Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
280 APR_DRG Alcoholic Liver Disease 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
283 APR_DRG Other Disorders Of The Liver 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
308 APR_DRG Hip And Femur Fracture Repair 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
315 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
320 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
324 APR_DRG Elective Hip Joint Replacement 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
340 APR_DRG Fracture Of Femur 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
346 APR_DRG Connective Tissue Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
351 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
364 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
382 APR_DRG Malignant Breast Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
42 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
41 APR_DRG Nervous System Malignancy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
422 APR_DRG Hypovolemia And Related Electrolyte Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
425 APR_DRG Other Non-hypovolemic Electrolyte Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
440 APR_DRG Kidney Transplant 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
443 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
447 APR_DRG Other Kidney, Urinary Tract And Related Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
461 APR_DRG Kidney And Urinary Tract Malignancy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
469 APR_DRG Acute Kidney Injury 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
48 APR_DRG Peripheral, Cranial And Autonomic Nerve Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
484 APR_DRG Other Male Reproductive System And Related Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
50 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
511 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
514 APR_DRG Female Reproductive System Reconstructive Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
52 APR_DRG Alteration In Consciousness 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
531 APR_DRG Female Reproductive System Infections 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
55 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
548 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
561 APR_DRG Postpartum And Post Abortion Diagnoses Without Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
57 APR_DRG Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Co… 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
588 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
591 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
603 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
609 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
622 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
626 APR_DRG Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Probl… 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
634 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
640 APR_DRG Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
662 APR_DRG Sickle Cell Anemia Crisis 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
681 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
694 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
7 APR_DRG Allogeneic Bone Marrow Transplant 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
773 APR_DRG Opioid Abuse And Dependence 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
775 APR_DRG Alcohol Abuse And Dependence 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
760 APR_DRG Other Mental Health Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
756 APR_DRG Acute Anxiety And Delirium States 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
133 APR_DRG Respiratory Failure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
111 APR_DRG Vertigo And Other Labyrinth Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
120 APR_DRG Major Respiratory And Chest Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
131 APR_DRG Cystic Fibrosis - Pulmonary Disease 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
137 APR_DRG Major Respiratory Infections And Inflammations 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
140 APR_DRG Chronic Obstructive Pulmonary Disease 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
144 APR_DRG Respiratory Signs, Symptoms And Miscellaneous Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
161 APR_DRG Implantable Heart Assist Systems 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
167 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
171 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
177 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
180 APR_DRG Other Circulatory System Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
197 APR_DRG Peripheral And Other Vascular Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
196 APR_DRG Cardiac Arrest And Shock 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
20 APR_DRG Open Craniotomy For Trauma 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
224 APR_DRG Peritoneal Adhesiolysis 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
204 APR_DRG Syncope And Collapse 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
207 APR_DRG Other Circulatory System Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
222 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
220 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
227 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
226 APR_DRG Anal Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
229 APR_DRG Other Digestive System And Abdominal Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
228 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
230 APR_DRG Major Small Bowel Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
231 APR_DRG Major Large Bowel Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
233 APR_DRG Appendectomy With Complex Principal Diagnosis 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
234 APR_DRG Appendectomy Without Complex Principal Diagnosis 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
244 APR_DRG Diverticulitis And Diverticulosis 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
245 APR_DRG Inflammatory Bowel Disease 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
247 APR_DRG Intestinal Obstruction 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
248 APR_DRG Major Gastrointestinal And Peritoneal Infections 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
252 APR_DRG Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
253 APR_DRG Other And Unspecified Gastrointestinal Hemorrhage 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
26 APR_DRG Other Nervous System And Related Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
260 APR_DRG Major Pancreas, Liver And Shunt Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
27 APR_DRG Other Open Craniotomy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
279 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
281 APR_DRG Malignancy Of Hepatobiliary System And Pancreas 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
282 APR_DRG Disorders Of Pancreas Except Malignancy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
29 APR_DRG Other Percutaneous Intracranial Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
305 APR_DRG Amputation Of Lower Limb Except Toes 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
313 APR_DRG Knee And Lower Leg Procedures Except Foot 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
314 APR_DRG Foot And Toe Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
316 APR_DRG Hand And Wrist Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
317 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
322 APR_DRG Shoulder And Elbow Joint Replacement 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
323 APR_DRG Non-elective Or Complex Hip Joint Replacement 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
325 APR_DRG Non-elective Or Complex Knee Joint Replacement 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
326 APR_DRG Elective Knee Joint Replacement 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
343 APR_DRG Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
344 APR_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
347 APR_DRG Other Back And Neck Disorders, Fractures And Injuries 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
349 APR_DRG Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
362 APR_DRG Mastectomy Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
363 APR_DRG Breast Procedures Except Mastectomy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
380 APR_DRG Skin Ulcers 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
381 APR_DRG Major Skin Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
403 APR_DRG Procedures For Obesity 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
401 APR_DRG Adrenal Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
404 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
405 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
420 APR_DRG Diabetes 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
421 APR_DRG Malnutrition, Failure To Thrive And Other Nutritional Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
423 APR_DRG Inborn Errors Of Metabolism 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
424 APR_DRG Other Endocrine Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
43 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
44 APR_DRG Intracranial Hemorrhage 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
441 APR_DRG Major Bladder Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
442 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
445 APR_DRG Other Bladder Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
446 APR_DRG Urethral And Transurethral Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
45 APR_DRG Cva And Precerebral Occlusion With Infarction 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
46 APR_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
466 APR_DRG Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
468 APR_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
47 APR_DRG Transient Ischemia 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
470 APR_DRG Chronic Kidney Disease 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
482 APR_DRG Transurethral Prostatectomy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
483 APR_DRG Penis, Testes And Scrotal Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
49 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
51 APR_DRG Viral Meningitis 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
510 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
512 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
513 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
518 APR_DRG Other Female Reproductive System And Related Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
519 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
53 APR_DRG Seizure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
530 APR_DRG Female Reproductive System Malignancy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
542 APR_DRG Vaginal Delivery With O.r. Procedure Except Sterilization And/Or D&c 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
541 APR_DRG Vaginal Delivery With Sterilization And/Or D&c 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
543 APR_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
547 APR_DRG Antepartum With O.r. Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
56 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
560 APR_DRG Vaginal Delivery 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
564 APR_DRG Abortion Without D&c, Aspiration Curettage Or Hysterotomy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
566 APR_DRG Antepartum Without O.r. Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
581 APR_DRG Neonate, Transferred < 5 Days Old, Born Here 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
583 APR_DRG Neonate With Ecmo 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
589 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
59 APR_DRG Anoxic And Other Severe Brain Damage 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
6 APR_DRG Pancreas Transplant 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
602 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
608 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
614 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
621 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
623 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
625 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
631 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
633 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
636 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
639 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
660 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
661 APR_DRG Coagulation And Platelet Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
663 APR_DRG Other Anemia And Disorders Of Blood And Blood-forming Organs 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
680 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
691 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
692 APR_DRG Radiotherapy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
695 APR_DRG Chemotherapy For Acute Leukemia 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
696 APR_DRG Other Chemotherapy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
776 APR_DRG Other Drug Abuse And Dependence 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
792 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
752 APR_DRG Disorders Of Personality And Impulse Control 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
40 APR_DRG Spinal Disorders And Injuries 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
751 APR_DRG Major Depressive Disorders And Other Or Unspecified Psychoses 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
754 APR_DRG Depression Except Major Depressive Disorder 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
134 APR_DRG Pulmonary Embolism 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
723 APR_DRG Viral Illness 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
794 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
113 APR_DRG Infections Of Upper Respiratory Tract 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
1 APR_DRG Liver Transplant And/Or Intestinal Transplant 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
110 APR_DRG Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
114 APR_DRG Dental Diseases And Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
115 APR_DRG Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
121 APR_DRG Other Respiratory And Chest Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
135 APR_DRG Major Chest And Respiratory Trauma 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
136 APR_DRG Respiratory Malignancy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
138 APR_DRG Bronchiolitis And Rsv Pneumonia 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
139 APR_DRG Other Pneumonia 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
142 APR_DRG Interstitial And Alveolar Lung Diseases 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
143 APR_DRG Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
145 APR_DRG Acute Bronchitis And Related Symptoms 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
169 APR_DRG Major Abdominal Vascular Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
170 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
175 APR_DRG Percutaneous Cardiac Intervention Without Ami 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
176 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
178 APR_DRG External Heart Assist Systems 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
179 APR_DRG Defibrillator Implants 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
192 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
191 APR_DRG Cardiac Catheterization For Coronary Artery Disease 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
193 APR_DRG Acute And Subacute Endocarditis 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
194 APR_DRG Heart Failure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
199 APR_DRG Hypertension 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
198 APR_DRG Angina Pectoris And Coronary Atherosclerosis 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
200 APR_DRG Cardiac Structural And Valvular Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
2 APR_DRG Heart And/Or Lung Transplant 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
201 APR_DRG Cardiac Arrhythmia And Conduction Disorders 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
203 APR_DRG Chest Pain 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
205 APR_DRG Cardiomyopathy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
206 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
22 APR_DRG Ventricular Shunt Procedures 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
8 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 4 — — $17,424.57 $23,580.00 $20,502.28 2026-06-05
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