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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

BAYSTATE NOBLE HOSPITAL

Westfield, MA · CCN 220065 · Rates published

9,439 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://baystatehealth.canto.com/direct/document/l1hinrfhvd3qvbiqlv9svm0q0t/XEjvXKrF-ktk_4gH37t2gSdmUVI/original?content-type=text%2Fcsv&name=222537423_baystate-noble-hospital_standardcharges.csv
Found on page https://www.baystatehealth.org/patients-and-visitors/healthcare-prices-and-billing/hospital-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint 0154e52210d85f6e… · 287,827,107 bytes · first seen 2026-07-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
177
APR_DRG 		Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$17,447
1.2× median
194
APR_DRG 		Heart Failure 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$11,418
1.8× median
163
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$76,682
outlier · 0.3×
176
APR_DRG 		Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$43,502
outlier · 0.5×
182
APR_DRG 		Other Peripheral Vascular Procedures 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$36,232
0.6× median
193
APR_DRG 		Acute And Subacute Endocarditis 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$20,516
1.0× median
145
APR_DRG 		Acute Bronchitis And Related Symptoms 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$9,299
outlier · 2.2×
162
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$85,583
outlier · 0.2×
167
APR_DRG 		Other Cardiothoracic And Thoracic Vascular Procedures 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$65,372
outlier · 0.3×
175
APR_DRG 		Percutaneous Cardiac Intervention Without Ami 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$35,559
0.6× median
179
APR_DRG 		Defibrillator Implants 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$60,662
outlier · 0.3×
181
APR_DRG 		Lower Extremity Arterial Procedures 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$28,994
0.7× median
190
APR_DRG 		Acute Myocardial Infarction 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$11,375
1.8× median
192
APR_DRG 		Cardiac Catheterization For Other Non-coronary Conditions 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$23,060
0.9× median
139
APR_DRG 		Other Pneumonia 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$9,763
outlier · 2.1×
144
APR_DRG 		Respiratory Signs, Symptoms And Miscellaneous Diagnoses 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$11,070
1.9× median
160
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$93,331
outlier · 0.2×
161
APR_DRG 		Implantable Heart Assist Systems 4 $17,424.57 $23,580.00 $20,797.40 —
165
APR_DRG 		Coronary Bypass With Ami Or Complex Principal Diagnosis 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$70,875
outlier · 0.3×
166
APR_DRG 		Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$59,660
outlier · 0.3×
170
APR_DRG 		Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 4 $17,424.57 $23,580.00 $20,797.40 —
174
APR_DRG 		Percutaneous Cardiac Intervention With Ami 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$24,058
0.9× median
178
APR_DRG 		External Heart Assist Systems 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$84,914
outlier · 0.2×
131
APR_DRG 		Cystic Fibrosis - Pulmonary Disease 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$40,307
0.5× median
1
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$202,979
outlier · 0.1×
180
APR_DRG 		Other Circulatory System Procedures 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$23,707
0.9× median
140
APR_DRG 		Chronic Obstructive Pulmonary Disease 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$10,597
2.0× median
183
APR_DRG 		Percutaneous Structural Cardiac Procedures 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$64,523
outlier · 0.3×
141
APR_DRG 		Asthma 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$7,158
outlier · 2.9×
191
APR_DRG 		Cardiac Catheterization For Coronary Artery Disease 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$10,502
2.0× median
132
APR_DRG 		Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$13,210
1.6× median
135
APR_DRG 		Major Chest And Respiratory Trauma 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$13,149
1.6× median
130
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$79,167
outlier · 0.3×
143
APR_DRG 		Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$9,116
outlier · 2.3×
110
APR_DRG 		Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$14,565
1.4× median
133
APR_DRG 		Respiratory Failure 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$16,071
1.3× median
114
APR_DRG 		Dental Diseases And Disorders 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$135,803
outlier · 0.2×
134
APR_DRG 		Pulmonary Embolism 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$12,888
1.6× median
137
APR_DRG 		Major Respiratory Infections And Inflammations 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$12,956
1.6× median
111
APR_DRG 		Vertigo And Other Labyrinth Disorders 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$30,753
0.7× median
121
APR_DRG 		Other Respiratory And Chest Procedures 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$32,490
0.6× median
115
APR_DRG 		Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$9,086
outlier · 2.3×
138
APR_DRG 		Bronchiolitis And Rsv Pneumonia 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$7,855
outlier · 2.6×
169
APR_DRG 		Major Abdominal Vascular Procedures 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$52,618
outlier · 0.4×
171
APR_DRG 		Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$28,639
0.7× median
136
APR_DRG 		Respiratory Malignancy 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$18,533
1.1× median
120
APR_DRG 		Major Respiratory And Chest Procedures 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$35,214
0.6× median
142
APR_DRG 		Interstitial And Alveolar Lung Diseases 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$13,567
1.5× median
113
APR_DRG 		Infections Of Upper Respiratory Tract 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$68,335
outlier · 0.3×
196
APR_DRG 		Cardiac Arrest And Shock 4 $17,424.57 $23,580.00 $20,797.40 nat. median
$21,007
1.0× median

Other procedures at this hospital

Browse this hospital's 9,439 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
58 APR_DRG Other Disorders Of Nervous System 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
811 APR_DRG Allergic Reactions 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
466 APR_DRG Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
57 APR_DRG Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Co… 10 4 — — $17,424.57 $23,580.00 $20,797.40 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 $20,797.40 2026-06-05
810 APR_DRG Hemorrhage Or Hematoma Due To Complication 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
420 APR_DRG Diabetes 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
465 APR_DRG Urinary Stones And Acquired Upper Urinary Tract Obstruction 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
514 APR_DRG Female Reproductive System Reconstructive Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
566 APR_DRG Antepartum Without O.r. Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
609 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
651 APR_DRG Other Procedures Of Blood And Blood-forming Organs 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
751 APR_DRG Major Depressive Disorders And Other Or Unspecified Psychoses 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
8 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
346 APR_DRG Connective Tissue Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
42 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
463 APR_DRG Kidney And Urinary Tract Infections 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
483 APR_DRG Penis, Testes And Scrotal Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
513 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
54 APR_DRG Migraine And Other Headaches 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
564 APR_DRG Abortion Without D&c, Aspiration Curettage Or Hysterotomy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
59 APR_DRG Anoxic And Other Severe Brain Damage 10 4 — — $17,424.57 $23,580.00 $20,797.40 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 $20,797.40 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 $20,797.40 2026-06-05
650 APR_DRG Splenectomy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
696 APR_DRG Other Chemotherapy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
750 APR_DRG Schizophrenia 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
758 APR_DRG Behavioral Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
794 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
322 APR_DRG Shoulder And Elbow Joint Replacement 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
344 APR_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
383 APR_DRG Cellulitis And Other Skin Infections 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
41 APR_DRG Nervous System Malignancy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
43 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
443 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
447 APR_DRG Other Kidney, Urinary Tract And Related Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
462 APR_DRG Nephritis And Nephrosis 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
470 APR_DRG Chronic Kidney Disease 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
482 APR_DRG Transurethral Prostatectomy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
500 APR_DRG Malignancy, Male Reproductive System 10 4 — — $17,424.57 $23,580.00 $20,797.40 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 $20,797.40 2026-06-05
53 APR_DRG Seizure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
539 APR_DRG Cesarean Section With Sterilization 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
548 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
561 APR_DRG Postpartum And Post Abortion Diagnoses Without Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
581 APR_DRG Neonate, Transferred < 5 Days Old, Born Here 10 4 — — $17,424.57 $23,580.00 $20,797.40 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 $20,797.40 2026-06-05
6 APR_DRG Pancreas Transplant 10 4 — — $17,424.57 $23,580.00 $20,797.40 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 $20,797.40 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 $20,797.40 2026-06-05
625 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
633 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 10 4 — — $17,424.57 $23,580.00 $20,797.40 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 $20,797.40 2026-06-05
681 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
695 APR_DRG Chemotherapy For Acute Leukemia 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
720 APR_DRG Septicemia And Disseminated Infections 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
740 APR_DRG Mental Illness Diagnosis With O.r. Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
754 APR_DRG Depression Except Major Depressive Disorder 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
757 APR_DRG Organic Mental Health Disturbances 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
774 APR_DRG Cocaine Abuse And Dependence 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
793 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
315 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
325 APR_DRG Non-elective Or Complex Knee Joint Replacement 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
343 APR_DRG Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
362 APR_DRG Mastectomy Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
382 APR_DRG Malignant Breast Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
405 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
422 APR_DRG Hypovolemia And Related Electrolyte Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
427 APR_DRG Thyroid Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
441 APR_DRG Major Bladder Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
442 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
445 APR_DRG Other Bladder Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
446 APR_DRG Urethral And Transurethral Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
45 APR_DRG Cva And Precerebral Occlusion With Infarction 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
461 APR_DRG Kidney And Urinary Tract Malignancy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
468 APR_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
47 APR_DRG Transient Ischemia 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
253 APR_DRG Other And Unspecified Gastrointestinal Hemorrhage 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
480 APR_DRG Major Male Pelvic Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
484 APR_DRG Other Male Reproductive System And Related Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
50 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
51 APR_DRG Viral Meningitis 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
511 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
518 APR_DRG Other Female Reproductive System And Related Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
52 APR_DRG Alteration In Consciousness 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
530 APR_DRG Female Reproductive System Malignancy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
532 APR_DRG Menstrual And Other Female Reproductive System Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
541 APR_DRG Vaginal Delivery With Sterilization And/or D&c 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
547 APR_DRG Antepartum With O.r. Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
55 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
560 APR_DRG Vaginal Delivery 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
280 APR_DRG Alcoholic Liver Disease 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
580 APR_DRG Neonate, Transferred < 5 Days Old, Not Born Here 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
583 APR_DRG Neonate With Ecmo 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
588 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
591 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 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 $20,797.40 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 $20,797.40 2026-06-05
240 APR_DRG Digestive Malignancy 10 4 — — $17,424.57 $23,580.00 $20,797.40 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 $20,797.40 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 $20,797.40 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 $20,797.40 2026-06-05
241 APR_DRG Peptic Ulcer And Gastritis 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
631 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 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 $20,797.40 2026-06-05
639 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
662 APR_DRG Sickle Cell Anemia Crisis 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
680 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
691 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
694 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
7 APR_DRG Allogeneic Bone Marrow Transplant 10 4 — — $17,424.57 $23,580.00 $20,797.40 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 $20,797.40 2026-06-05
722 APR_DRG Fever And Inflammatory Conditions 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
73 APR_DRG Orbit And Eye Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
752 APR_DRG Disorders Of Personality And Impulse Control 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
753 APR_DRG Bipolar Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
755 APR_DRG Adjustment Disorders And Neuroses Except Depressive Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
756 APR_DRG Acute Anxiety And Delirium States 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
770 APR_DRG Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
773 APR_DRG Opioid Abuse And Dependence 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
775 APR_DRG Alcohol Abuse And Dependence 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
792 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
312 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
314 APR_DRG Foot And Toe Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
316 APR_DRG Hand And Wrist Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
320 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
323 APR_DRG Non-elective Or Complex Hip Joint Replacement 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
324 APR_DRG Elective Hip Joint Replacement 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
340 APR_DRG Fracture Of Femur 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
342 APR_DRG Fractures And Dislocations Except Femur, Pelvis And Back 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
349 APR_DRG Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
361 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
364 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
381 APR_DRG Major Skin Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 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 $20,797.40 2026-06-05
385 APR_DRG Other Skin, Subcutaneous Tissue And Breast Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
401 APR_DRG Adrenal Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
404 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
110 APR_DRG Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
421 APR_DRG Malnutrition, Failure To Thrive And Other Nutritional Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
424 APR_DRG Other Endocrine Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
426 APR_DRG Non-hypovolemic Sodium Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
44 APR_DRG Intracranial Hemorrhage 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
440 APR_DRG Kidney Transplant 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
227 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
281 APR_DRG Malignancy Of Hepatobiliary System And Pancreas 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
137 APR_DRG Major Respiratory Infections And Inflammations 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
283 APR_DRG Other Disorders Of The Liver 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
138 APR_DRG Bronchiolitis And Rsv Pneumonia 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
120 APR_DRG Major Respiratory And Chest Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
139 APR_DRG Other Pneumonia 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
254 APR_DRG Other Digestive System Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
46 APR_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
140 APR_DRG Chronic Obstructive Pulmonary Disease 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
305 APR_DRG Amputation Of Lower Limb Except Toes 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
141 APR_DRG Asthma 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
469 APR_DRG Acute Kidney Injury 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
142 APR_DRG Interstitial And Alveolar Lung Diseases 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
111 APR_DRG Vertigo And Other Labyrinth Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
143 APR_DRG Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
48 APR_DRG Peripheral, Cranial And Autonomic Nerve Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
144 APR_DRG Respiratory Signs, Symptoms And Miscellaneous Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
26 APR_DRG Other Nervous System And Related Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
145 APR_DRG Acute Bronchitis And Related Symptoms 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
49 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
501 APR_DRG Male Reproductive System Diagnoses Except Malignancy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
510 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
229 APR_DRG Other Digestive System And Abdominal Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
517 APR_DRG Dilation And Curettage For Non-obstetric Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
264 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
519 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
260 APR_DRG Major Pancreas, Liver And Shunt Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
284 APR_DRG Disorders Of Gallbladder And Biliary Tract 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
228 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
531 APR_DRG Female Reproductive System Infections 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
252 APR_DRG Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
540 APR_DRG Cesarean Section Without Sterilization 10 4 — — $17,424.57 $23,580.00 $20,797.40 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 $20,797.40 2026-06-05
543 APR_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
263 APR_DRG Cholecystectomy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
261 APR_DRG Major Biliary Tract Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 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 $20,797.40 2026-06-05
21 APR_DRG Open Craniotomy Except Trauma 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
161 APR_DRG Implantable Heart Assist Systems 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
309 APR_DRG Other Significant Hip And Femur Surgery 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
230 APR_DRG Major Small Bowel Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
23 APR_DRG Spinal Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
113 APR_DRG Infections Of Upper Respiratory Tract 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
231 APR_DRG Major Large Bowel Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
167 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
233 APR_DRG Appendectomy With Complex Principal Diagnosis 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
169 APR_DRG Major Abdominal Vascular Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
232 APR_DRG Gastric Fundoplication 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
170 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
1 APR_DRG Liver Transplant And/or Intestinal Transplant 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
171 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
234 APR_DRG Appendectomy Without Complex Principal Diagnosis 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 4 — — $17,424.57 $23,580.00 $20,797.40 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 $20,797.40 2026-06-05
621 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
174 APR_DRG Percutaneous Cardiac Intervention With Ami 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
24 APR_DRG Open Extracranial Vascular Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
175 APR_DRG Percutaneous Cardiac Intervention Without Ami 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
114 APR_DRG Dental Diseases And Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
176 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
630 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
177 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
242 APR_DRG Major Esophageal Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
178 APR_DRG External Heart Assist Systems 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
636 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
179 APR_DRG Defibrillator Implants 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
661 APR_DRG Coagulation And Platelet Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
249 APR_DRG Other Gastroenteritis, Nausea And Vomiting 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
663 APR_DRG Other Anemia And Disorders Of Blood And Blood-forming Organs 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
180 APR_DRG Other Circulatory System Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
690 APR_DRG Acute Leukemia 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
181 APR_DRG Lower Extremity Arterial Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
692 APR_DRG Radiotherapy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
182 APR_DRG Other Peripheral Vascular Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
121 APR_DRG Other Respiratory And Chest Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
183 APR_DRG Percutaneous Structural Cardiac Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
246 APR_DRG Gastrointestinal Vascular Insufficiency 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
721 APR_DRG Post-operative, Post-traumatic, Other Device Infections 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
723 APR_DRG Viral Illness 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
724 APR_DRG Other Infectious And Parasitic Diseases 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
29 APR_DRG Other Percutaneous Intracranial Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
308 APR_DRG Hip And Femur Fracture Repair 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
279 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
190 APR_DRG Acute Myocardial Infarction 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
244 APR_DRG Diverticulitis And Diverticulosis 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
251 APR_DRG Abdominal Pain 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
243 APR_DRG Other Esophageal Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
247 APR_DRG Intestinal Obstruction 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
759 APR_DRG Eating Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
760 APR_DRG Other Mental Health Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
245 APR_DRG Inflammatory Bowel Disease 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
772 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
191 APR_DRG Cardiac Catheterization For Coronary Artery Disease 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
115 APR_DRG Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
192 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
776 APR_DRG Other Drug Abuse And Dependence 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
310 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
313 APR_DRG Knee And Lower Leg Procedures Except Foot 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
193 APR_DRG Acute And Subacute Endocarditis 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
194 APR_DRG Heart Failure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
131 APR_DRG Cystic Fibrosis - Pulmonary Disease 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
317 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
196 APR_DRG Cardiac Arrest And Shock 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
27 APR_DRG Other Open Craniotomy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
197 APR_DRG Peripheral And Other Vascular Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
207 APR_DRG Other Circulatory System Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
198 APR_DRG Angina Pectoris And Coronary Atherosclerosis 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
326 APR_DRG Elective Knee Joint Replacement 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
199 APR_DRG Hypertension 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
341 APR_DRG Fracture Of Pelvis Or Dislocation Of Hip 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
2 APR_DRG Heart And/or Lung Transplant 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
347 APR_DRG Other Back And Neck Disorders, Fractures And Injuries 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
20 APR_DRG Open Craniotomy For Trauma 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
351 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
200 APR_DRG Cardiac Structural And Valvular Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
363 APR_DRG Breast Procedures Except Mastectomy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
201 APR_DRG Cardiac Arrhythmia And Conduction Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
380 APR_DRG Skin Ulcers 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
22 APR_DRG Ventricular Shunt Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
224 APR_DRG Peritoneal Adhesiolysis 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
220 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
222 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
223 APR_DRG Other Small And Large Bowel Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
40 APR_DRG Spinal Disorders And Injuries 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
203 APR_DRG Chest Pain 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
403 APR_DRG Procedures For Obesity 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
204 APR_DRG Syncope And Collapse 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
132 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
205 APR_DRG Cardiomyopathy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
133 APR_DRG Respiratory Failure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
134 APR_DRG Pulmonary Embolism 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
423 APR_DRG Inborn Errors Of Metabolism 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
206 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
425 APR_DRG Other Non-hypovolemic Electrolyte Disorders 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
135 APR_DRG Major Chest And Respiratory Trauma 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
282 APR_DRG Disorders Of Pancreas Except Malignancy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
248 APR_DRG Major Gastrointestinal And Peritoneal Infections 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
226 APR_DRG Anal Procedures 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
136 APR_DRG Respiratory Malignancy 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
812 APR_DRG Poisoning Of Medicinal Agents 10 4 — — $17,424.57 $23,580.00 $20,797.40 2026-06-05
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