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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

PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL

Adrian, MI · CCN 230005 · Rates published

3,792 distinct procedures filed
13 distinct payers
87,978 rate rows
2026-07-17 last MRF observed
Data quality

77,127 of 87,978 rate rows are consumer-grade (87.7%)

10,851 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,658
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 100
per-diem day rate — not a per-procedure price 66
exceeds 10× this hospital's gross charge — excluded from medians 18
placeholder amount (≤ $0.02) — excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://promedica.canto.com/direct/document/f57sqkb35929l7hl2u8d76la37/W5WvgYDWGb9NghC5rXuPEqM_8jA/original?content-type=text%2Fcsv&name=382796005_emma_l_bixby_medical_center_standardcharges+4.csv
Found on page https://www.promedica.org/pay-my-bill/price-transparency-resources
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-20
Content fingerprint b066cb0341a34e4c… · 28,437,256 bytes · first seen 2026-07-17

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 6 $124,586.32 $651,429.76 $577,984.80 nat. median
$168,055
outlier · 3.4×
7
MS_DRG 		Lung Transplant 4 $75,719.82 $457,728.52 $388,338.21 nat. median
$70,649
outlier · 5.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $163,855.74 $450,855.28 $235,239.67 nat. median
$186,516
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $192,819.14 $196,389.86 $194,604.50 nat. median
$286,698
0.7× median
5833
APR_DRG 		Neonate With Ecmo 2 $186,545.89 $190,000.45 $188,273.17 nat. median
$268,208
0.7× median
5834
APR_DRG 		Neonate With Ecmo 2 $186,545.89 $190,000.45 $188,273.17 nat. median
$390,362
outlier · 0.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $124,836.38 $307,814.92 $184,135.26 nat. median
$131,925
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $124,103.75 $346,023.65 $183,052.73 nat. median
$145,435
1.3× median
5832
APR_DRG 		Neonate With Ecmo 2 $177,476.11 $180,762.70 $179,119.40 nat. median
$201,678
0.9× median
5831
APR_DRG 		Neonate With Ecmo 2 $177,476.11 $180,762.70 $179,119.40 nat. median
$173,909
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $80,989.14 $195,426.22 $168,415.81 nat. median
$97,418
1.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $157,097.15 $160,006.35 $158,551.75 nat. median
$202,242
0.8× median
24
APR_DRG 		Heart And/or Lung Transplant 4 $138,245.75 $140,805.85 $139,525.80 nat. median
$225,531
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $66,257.04 $166,009.01 $138,721.82 nat. median
$65,418
outlier · 2.1×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $123,910.35 $126,204.99 $125,057.67 nat. median
$198,578
0.6× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $121,733.40 $123,987.72 $122,860.56 nat. median
$155,539
0.8× median
1612
APR_DRG 		Implantable Heart Assist Systems 2 $121,733.40 $123,987.72 $122,860.56 nat. median
$109,992
1.1× median
1611
APR_DRG 		Implantable Heart Assist Systems 2 $121,733.40 $123,987.72 $122,860.56 nat. median
$108,954
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $120,273.87 $122,501.16 $121,387.51 nat. median
$187,567
0.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $118,271.61 $120,461.83 $119,366.72 nat. median
$149,836
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 6 $35,791.25 $139,371.86 $116,301.46 nat. median
$41,943
outlier · 2.8×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $110,137.73 $112,177.32 $111,157.52 nat. median
$27,312
outlier · 4.1×
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $110,137.73 $112,177.32 $111,157.52 nat. median
$54,727
outlier · 2.0×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $110,137.73 $112,177.32 $111,157.52 nat. median
$173,018
0.6× median
8411
APR_DRG 		Chemotherapy For Acute Leukemia 2 $110,137.73 $112,177.32 $111,157.52 nat. median
$23,507
outlier · 4.7×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $106,242.22 $108,209.67 $107,225.95 nat. median
$181,762
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $70,268.66 $257,287.56 $101,975.87 nat. median
$72,715
1.4× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $97,735.19 $99,545.11 $98,640.15 nat. median
$173,134
0.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $92,998.82 $94,721.02 $93,859.92 nat. median
$152,383
0.6× median
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 2 $92,998.82 $94,721.02 $93,859.92 nat. median
$130,862
0.7× median
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 6 $63,580.86 $174,780.70 $93,623.56 nat. median
$74,509
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $90,147.30 $91,816.69 $90,981.99 nat. median
$168,439
0.5× median
6
MS_DRG 		Liver Transplant Without Mcc 4 $27,112.54 $109,524.38 $87,654.97 nat. median
$31,278
outlier · 2.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $60,285.49 $170,470.28 $87,310.11 nat. median
$69,922
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 6 $58,218.58 $138,049.25 $85,700.20 nat. median
$73,023
1.2× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 4 $32,770.10 $106,302.97 $85,262.65 nat. median
$32,772
outlier · 2.6×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $83,735.69 $85,286.36 $84,511.02 nat. median
$171,497
outlier · 0.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $57,200.03 $150,967.62 $84,195.18 nat. median
$69,822
1.2× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $37,623.69 $101,485.21 $83,308.38 nat. median
$47,121
1.8× median
7544
APR_DRG 		Depression Except Major Depressive Disorder 2 $81,595.16 $83,106.18 $82,350.67 nat. median
$10,293
outlier · 8.0×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $40,215.08 $96,968.01 $80,710.80 nat. median
$49,569
1.6× median
570
MS_DRG 		Skin Debridement With Mcc 6 $17,196.61 $96,025.03 $77,202.64 nat. median
$20,813
outlier · 3.7×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $62,502.53 $177,876.15 $76,234.67 nat. median
$2,106
outlier · 36.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $49,289.63 $112,589.64 $72,506.70 nat. median
$60,505
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $49,134.68 $98,464.42 $72,277.76 nat. median
$59,651
1.2× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 2 $68,536.15 $69,805.34 $69,170.74 nat. median
$106,926
0.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $46,008.87 $135,105.73 $67,659.04 nat. median
$56,428
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $44,895.02 $109,638.76 $66,013.18 nat. median
$55,923
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $44,701.48 $89,218.09 $65,727.22 nat. median
$55,935
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $44,553.55 $117,838.30 $65,508.64 nat. median
$52,327
1.3× median

Other procedures at this hospital

Browse this hospital's 3,792 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 6 — — $124,586.32 $651,429.76 $577,984.80 2026-07-17
7 MS_DRG Lung Transplant 8 4 — — $75,719.82 $457,728.52 $388,338.21 2026-07-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 4 — — $163,855.74 $450,855.28 $235,239.67 2026-07-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $192,819.14 $196,389.86 $194,604.50 2026-07-17
5833 APR_DRG Neonate With Ecmo 2 2 — — $186,545.89 $190,000.45 $188,273.17 2026-07-17
5834 APR_DRG Neonate With Ecmo 2 2 — — $186,545.89 $190,000.45 $188,273.17 2026-07-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 6 — — $124,836.38 $307,814.92 $184,135.26 2026-07-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 6 — — $124,103.75 $346,023.65 $183,052.73 2026-07-17
5831 APR_DRG Neonate With Ecmo 2 2 — — $177,476.11 $180,762.70 $179,119.40 2026-07-17
5832 APR_DRG Neonate With Ecmo 2 2 — — $177,476.11 $180,762.70 $179,119.40 2026-07-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 6 — — $80,989.14 $195,426.22 $168,415.81 2026-07-17
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $157,097.15 $160,006.35 $158,551.75 2026-07-17
24 APR_DRG Heart And/or Lung Transplant 4 4 — — $138,245.75 $140,805.85 $139,525.80 2026-07-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 4 — — $66,257.04 $166,009.01 $138,721.82 2026-07-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $123,910.35 $126,204.99 $125,057.67 2026-07-17
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $121,733.40 $123,987.72 $122,860.56 2026-07-17
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $121,733.40 $123,987.72 $122,860.56 2026-07-17
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $121,733.40 $123,987.72 $122,860.56 2026-07-17
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $120,273.87 $122,501.16 $121,387.51 2026-07-17
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $118,271.61 $120,461.83 $119,366.72 2026-07-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 6 — — $35,791.25 $139,371.86 $116,301.46 2026-07-17
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $110,137.73 $112,177.32 $111,157.52 2026-07-17
8411 APR_DRG Chemotherapy For Acute Leukemia 2 2 — — $110,137.73 $112,177.32 $111,157.52 2026-07-17
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $110,137.73 $112,177.32 $111,157.52 2026-07-17
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $110,137.73 $112,177.32 $111,157.52 2026-07-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $106,242.22 $108,209.67 $107,225.95 2026-07-17
14 MS_DRG Allogeneic Bone Marrow Transplant 9 5 — — $70,268.66 $257,287.56 $101,975.87 2026-07-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $97,735.19 $99,545.11 $98,640.15 2026-07-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $92,998.82 $94,721.02 $93,859.92 2026-07-17
5881 APR_DRG Female Reproductive System Reconstructive Procedures 2 2 — — $92,998.82 $94,721.02 $93,859.92 2026-07-17
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 10 6 — — $63,580.86 $174,780.70 $93,623.56 2026-07-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $90,147.30 $91,816.69 $90,981.99 2026-07-17
6 MS_DRG Liver Transplant Without Mcc 8 4 — — $27,112.54 $109,524.38 $87,654.97 2026-07-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 8 4 — — $60,285.49 $170,470.28 $87,310.11 2026-07-17
215 MS_DRG Other Heart Assist System Implant 10 6 — — $58,218.58 $138,049.25 $85,700.20 2026-07-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 8 4 — — $32,770.10 $106,302.97 $85,262.65 2026-07-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $83,735.69 $85,286.36 $84,511.02 2026-07-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 6 — — $57,200.03 $150,967.62 $84,195.18 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 6 — — $37,623.69 $101,485.21 $83,308.38 2026-07-17
7544 APR_DRG Depression Except Major Depressive Disorder 2 2 — — $81,595.16 $83,106.18 $82,350.67 2026-07-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 6 — — $40,215.08 $96,968.01 $80,710.80 2026-07-17
570 MS_DRG Skin Debridement With Mcc 10 6 — — $17,196.61 $96,025.03 $77,202.64 2026-07-17
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 8 6 — — $62,502.53 $177,876.15 $76,234.67 2026-07-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 6 — — $49,289.63 $112,589.64 $72,506.70 2026-07-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 6 — — $49,134.68 $98,464.42 $72,277.76 2026-07-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $68,536.15 $69,805.34 $69,170.74 2026-07-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 6 — — $46,008.87 $135,105.73 $67,659.04 2026-07-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 6 — — $44,895.02 $109,638.76 $66,013.18 2026-07-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 6 — — $44,701.48 $89,218.09 $65,727.22 2026-07-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 6 — — $44,553.55 $117,838.30 $65,508.64 2026-07-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 6 — — $28,090.75 $78,335.48 $63,376.42 2026-07-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $61,912.58 $63,059.11 $62,485.85 2026-07-17
22 APR_DRG Heart And/or Lung Transplant 4 4 — — $61,651.23 $62,792.92 $62,222.07 2026-07-17
23 APR_DRG Heart And/or Lung Transplant 4 4 — — $61,651.23 $62,792.92 $62,222.07 2026-07-17
21 APR_DRG Heart And/or Lung Transplant 4 4 — — $61,651.23 $62,792.92 $62,222.07 2026-07-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $61,553.40 $62,693.28 $62,123.34 2026-07-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $61,238.02 $62,372.06 $61,805.04 2026-07-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 6 — — $41,938.77 $80,806.98 $61,645.02 2026-07-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 6 — — $41,716.01 $108,378.57 $61,315.85 2026-07-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 6 — — $41,691.45 $110,738.90 $61,279.56 2026-07-17
163 MS_DRG Major Chest Procedures With Mcc 10 6 — — $26,205.08 $76,080.12 $60,353.97 2026-07-17
10 MS_DRG Pancreas Transplant 8 4 — — $41,956.32 $65,265.20 $60,000.04 2026-07-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 6 — — $40,413.30 $98,723.82 $59,390.95 2026-07-17
73 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $58,066.46 $59,141.76 $58,604.11 2026-07-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 6 — — $39,356.74 $138,950.70 $57,829.78 2026-07-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $56,658.16 $57,707.39 $57,182.78 2026-07-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 6 — — $46,912.43 $115,033.02 $56,976.19 2026-07-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 6 — — $38,445.78 $101,155.90 $56,483.72 2026-07-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 6 — — $38,445.78 $81,357.05 $56,483.72 2026-07-17
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $55,959.84 $56,996.14 $56,477.99 2026-07-17
653 MS_DRG Major Bladder Procedures With Mcc 10 6 — — $30,383.35 $71,134.39 $56,302.61 2026-07-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 6 — — $38,306.03 $95,136.41 $56,277.25 2026-07-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $53,500.58 $54,491.33 $53,995.96 2026-07-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 2 — — $52,760.33 $53,737.38 $53,248.85 2026-07-17
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $52,179.88 $53,146.17 $52,663.02 2026-07-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 6 — — $35,832.76 $90,763.44 $52,622.71 2026-07-17
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 6 — — $43,303.58 $58,237.79 $52,518.16 2026-07-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 6 — — $35,448.03 $100,868.91 $52,054.21 2026-07-17
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $51,181.07 $52,128.87 $51,654.97 2026-07-17
28 MS_DRG Spinal Procedures With Mcc 10 6 — — $35,130.53 $71,540.41 $51,585.10 2026-07-17
276 MS_DRG Non-maligant Breast Disorders 10 6 — — $35,120.59 $107,127.57 $51,570.40 2026-07-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $50,758.54 $51,698.52 $51,228.53 2026-07-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 6 — — $34,866.25 $79,504.48 $51,194.58 2026-07-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 6 — — $32,292.98 $81,585.18 $51,142.54 2026-07-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $50,181.81 $51,111.10 $50,646.46 2026-07-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 6 — — $34,313.70 $75,918.90 $50,378.13 2026-07-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 6 — — $34,291.48 $82,749.71 $50,345.31 2026-07-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 9 5 — — $34,670.96 $163,696.51 $50,153.71 2026-07-17
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $49,196.52 $50,107.56 $49,652.04 2026-07-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 6 — — $33,505.07 $82,880.32 $49,183.28 2026-07-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 6 — — $30,952.85 $98,753.26 $49,112.10 2026-07-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 6 — — $33,324.97 $79,993.84 $48,917.18 2026-07-17
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $48,314.18 $49,208.89 $48,761.54 2026-07-17
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $48,314.18 $49,208.89 $48,761.54 2026-07-17
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $48,151.59 $49,043.29 $48,597.44 2026-07-17
278 MS_DRG Cellulitis Age >17 Without Cc 10 6 — — $32,545.57 $81,447.20 $47,765.52 2026-07-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 6 — — $29,161.32 $66,589.78 $47,758.62 2026-07-17
471 MS_DRG Cervical Spinal Fusion With Mcc 10 6 — — $28,233.41 $61,218.67 $47,751.29 2026-07-17
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $47,293.96 $48,169.77 $47,731.86 2026-07-17
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $46,731.20 $47,596.59 $47,163.89 2026-07-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $46,684.14 $47,548.67 $47,116.40 2026-07-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 10 6 — — $32,099.45 $135,753.30 $47,106.33 2026-07-17
72 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $46,616.60 $47,479.87 $47,048.24 2026-07-17
71 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $46,616.60 $47,479.87 $47,048.24 2026-07-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 6 — — $31,986.01 $69,323.58 $46,938.73 2026-07-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 6 — — $31,940.41 $73,656.07 $46,871.33 2026-07-17
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $46,377.14 $47,235.98 $46,806.56 2026-07-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 6 — — $31,890.12 $76,121.27 $46,797.03 2026-07-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 9 5 — — $31,762.66 $83,750.50 $45,919.89 2026-07-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 6 — — $31,180.89 $81,458.24 $45,749.04 2026-07-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 6 — — $15,788.31 $52,555.13 $45,554.73 2026-07-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $45,055.50 $45,889.87 $45,472.68 2026-07-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 6 — — $30,850.52 $79,206.44 $45,260.91 2026-07-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 6 — — $30,435.97 $57,536.62 $44,648.37 2026-07-17
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $43,233.07 $44,033.68 $43,633.38 2026-07-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 6 — — $29,470.05 $69,660.24 $43,221.10 2026-07-17
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $42,649.82 $43,439.63 $43,044.72 2026-07-17
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $42,649.82 $43,439.63 $43,044.72 2026-07-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $42,646.55 $43,436.31 $43,041.43 2026-07-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $42,565.50 $43,353.75 $42,959.62 2026-07-17
8634 APR_DRG Neonatal Aftercare 2 2 — — $42,504.47 $43,291.59 $42,898.03 2026-07-17
1784 APR_DRG External Heart Assist Systems 2 2 — — $42,490.49 $43,277.36 $42,883.93 2026-07-17
6904 APR_DRG Acute Leukemia 2 2 — — $42,326.97 $43,110.80 $42,718.89 2026-07-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 6 — — $28,927.45 $91,070.67 $42,419.36 2026-07-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 6 — — $28,875.99 $59,190.51 $42,343.33 2026-07-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 6 — — $28,777.18 $47,188.31 $42,197.34 2026-07-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 6 — — $28,657.32 $83,814.89 $42,020.21 2026-07-17
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $40,737.01 $41,491.39 $41,114.20 2026-07-17
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $40,601.91 $41,353.80 $40,977.86 2026-07-17
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $40,601.91 $41,353.80 $40,977.86 2026-07-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 6 — — $27,836.40 $76,170.94 $40,807.21 2026-07-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 6 — — $25,684.70 $52,646.69 $40,604.57 2026-07-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 6 — — $27,489.09 $141,270.56 $40,294.02 2026-07-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 6 — — $27,432.96 $81,693.72 $40,211.08 2026-07-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 6 — — $27,351.10 $43,952.27 $40,090.12 2026-07-17
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $39,702.80 $40,438.04 $40,070.42 2026-07-17
277 MS_DRG Cellulitis Age >17 W Cc 10 6 — — $27,004.37 $83,237.23 $39,577.79 2026-07-17
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 8 6 — — $32,737.91 $95,002.93 $39,466.35 2026-07-17
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 6 — — $18,578.26 $63,811.83 $39,402.29 2026-07-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 6 — — $26,875.73 $52,707.41 $39,387.74 2026-07-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 6 — — $26,807.32 $70,175.36 $39,286.65 2026-07-17
245 MS_DRG Aicd Generator Procedures 10 6 — — $26,676.35 $67,356.94 $39,093.12 2026-07-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 6 — — $26,596.25 $59,804.97 $38,974.76 2026-07-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 6 — — $26,584.55 $71,179.83 $38,957.47 2026-07-17
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $38,555.38 $39,269.37 $38,912.38 2026-07-17
799 MS_DRG Splenectomy With Mcc 10 6 — — $26,480.48 $48,604.87 $38,803.69 2026-07-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 6 — — $26,197.48 $72,888.91 $38,385.54 2026-07-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 6 — — $26,094.58 $55,402.57 $38,233.49 2026-07-17
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $37,344.63 $38,036.20 $37,690.41 2026-07-17
6954 APR_DRG Chemotherapy For Acute Leukemia 2 2 — — $37,135.45 $37,823.15 $37,479.30 2026-07-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $36,895.53 $37,578.78 $37,237.15 2026-07-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $36,836.83 $37,519.00 $37,177.92 2026-07-17
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 10 6 — — $25,302.31 $76,634.54 $37,062.81 2026-07-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $36,428.75 $37,103.35 $36,766.05 2026-07-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 6 — — $25,100.58 $58,920.07 $36,764.75 2026-07-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $36,317.41 $36,989.95 $36,653.68 2026-07-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $36,317.41 $36,989.95 $36,653.68 2026-07-17
140 MS_DRG Major Head And Neck Procedures With Mcc 10 6 — — $24,939.21 $61,652.03 $36,526.30 2026-07-17
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $36,090.07 $36,758.40 $36,424.24 2026-07-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $36,090.07 $36,758.40 $36,424.24 2026-07-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 6 — — $24,693.05 $53,009.12 $36,162.57 2026-07-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 6 — — $24,650.95 $76,047.68 $36,100.37 2026-07-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 6 — — $24,638.68 $55,952.64 $36,082.24 2026-07-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 6 — — $24,566.76 $50,922.90 $35,975.96 2026-07-17
901 MS_DRG Wound Debridements For Injuries With Mcc 10 6 — — $24,537.52 $51,949.45 $35,932.76 2026-07-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 6 — — $24,491.92 $60,393.67 $35,865.37 2026-07-17
4804 APR_DRG Major Male Pelvic Procedures 2 2 — — $35,470.00 $36,126.85 $35,798.43 2026-07-17
224 APR_DRG Ventricular Shunt Procedures 2 2 — — $35,445.78 $36,102.19 $35,773.99 2026-07-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 6 — — $24,397.20 $75,644.78 $35,725.40 2026-07-17
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $35,383.82 $36,039.08 $35,711.45 2026-07-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $35,383.82 $36,039.08 $35,711.45 2026-07-17
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $35,286.93 $35,940.39 $35,613.66 2026-07-17
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $35,286.93 $35,940.39 $35,613.66 2026-07-17
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $35,268.76 $35,921.89 $35,595.32 2026-07-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 6 — — $24,282.60 $59,987.10 $35,556.07 2026-07-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 6 — — $24,121.80 $54,201.24 $35,318.49 2026-07-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $34,940.33 $35,587.38 $35,263.85 2026-07-17
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $34,940.33 $35,587.38 $35,263.85 2026-07-17
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $34,940.33 $35,587.38 $35,263.85 2026-07-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $34,940.33 $35,587.38 $35,263.85 2026-07-17
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $34,328.19 $34,963.90 $34,646.04 2026-07-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 6 — — $23,295.03 $44,767.26 $34,096.85 2026-07-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $33,379.24 $33,997.37 $33,688.31 2026-07-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 6 — — $22,872.88 $64,380.30 $33,473.07 2026-07-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 6 — — $22,769.38 $35,406.87 $33,320.15 2026-07-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 6 — — $22,631.98 $49,118.15 $33,117.11 2026-07-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 6 — — $22,598.07 $36,545.64 $33,067.01 2026-07-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 6 — — $22,576.44 $47,810.12 $33,035.05 2026-07-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 6 — — $22,448.39 $50,286.36 $32,845.83 2026-07-17
8633 APR_DRG Neonatal Aftercare 2 2 — — $32,276.56 $32,874.27 $32,575.42 2026-07-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 6 — — $22,002.26 $85,774.17 $32,186.65 2026-07-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 6 — — $21,906.37 $57,049.10 $32,044.94 2026-07-17
793 MS_DRG Full Term Neonate With Major Problems 10 6 — — $3,946.16 $36,916.01 $31,990.60 2026-07-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 6 — — $21,854.33 $50,032.48 $31,968.06 2026-07-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 6 — — $21,851.99 $43,696.55 $31,964.60 2026-07-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 6 — — $21,790.60 $37,695.45 $31,873.89 2026-07-17
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $31,561.00 $32,145.47 $31,853.24 2026-07-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 6 — — $21,667.81 $90,193.13 $31,692.45 2026-07-17
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 6 — — $21,476.62 $46,454.26 $31,409.94 2026-07-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 6 — — $21,467.85 $48,461.38 $31,396.99 2026-07-17
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 8 6 — — $26,109.81 $51,823.78 $31,278.60 2026-07-17
791 MS_DRG Prematurity With Major Problems 10 6 — — $9,113.87 $35,940.92 $31,144.90 2026-07-17
2004 APR_DRG Cardiac Structural And Valvular Disorders 2 2 — — $30,807.70 $31,378.22 $31,092.96 2026-07-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 6 — — $21,215.84 $44,905.24 $31,024.61 2026-07-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 6 — — $21,199.47 $51,403.06 $31,000.43 2026-07-17
332 MS_DRG Rectal Resection With Mcc 10 6 — — $21,170.23 $45,273.18 $30,957.24 2026-07-17
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $30,664.22 $31,232.08 $30,948.15 2026-07-17
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $30,664.22 $31,232.08 $30,948.15 2026-07-17
265 MS_DRG Aicd Lead Procedures 10 6 — — $21,155.62 $55,735.55 $30,935.62 2026-07-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 6 — — $21,118.19 $32,084.37 $30,880.33 2026-07-17
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $30,594.34 $31,160.90 $30,877.62 2026-07-17
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 2 2 — — $30,575.24 $31,141.45 $30,858.35 2026-07-17
279 MS_DRG Cellulitis Age 0-17 10 6 — — $21,086.62 $41,014.27 $30,833.68 2026-07-17
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $30,414.05 $30,977.28 $30,695.67 2026-07-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $30,411.26 $30,974.43 $30,692.85 2026-07-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 6 — — $20,948.63 $46,266.62 $30,629.78 2026-07-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 6 — — $20,900.10 $55,290.34 $30,558.08 2026-07-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 6 — — $20,879.06 $43,229.27 $30,526.97 2026-07-17
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $30,220.72 $30,780.37 $30,500.54 2026-07-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 6 — — $20,848.06 $70,872.60 $30,481.19 2026-07-17
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $30,192.31 $30,751.42 $30,471.86 2026-07-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 6 — — $20,830.52 $49,673.74 $30,455.26 2026-07-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 6 — — $20,810.64 $31,848.89 $30,425.89 2026-07-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 6 — — $20,793.68 $50,148.38 $30,400.83 2026-07-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 6 — — $20,620.03 $40,042.91 $30,144.24 2026-07-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 6 — — $20,577.94 $53,789.15 $30,082.03 2026-07-17
252 MS_DRG Other Vascular Procedures With Mcc 10 6 — — $20,396.09 $69,380.61 $29,813.35 2026-07-17
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 6 — — $20,390.83 $31,924.31 $29,805.57 2026-07-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 6 — — $20,297.27 $32,603.16 $29,667.33 2026-07-17
1794 APR_DRG Defibrillator Implants 2 2 — — $29,392.89 $29,937.20 $29,665.04 2026-07-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 6 — — $20,199.04 $42,390.37 $29,522.20 2026-07-17
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $29,204.69 $29,745.52 $29,475.10 2026-07-17
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $29,153.44 $29,693.32 $29,423.38 2026-07-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 6 — — $20,045.85 $60,958.46 $29,295.83 2026-07-17
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $28,991.79 $29,528.68 $29,260.24 2026-07-17
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $28,919.12 $29,454.66 $29,186.89 2026-07-17
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 2 2 — — $28,909.33 $29,444.69 $29,177.01 2026-07-17
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 6 — — $19,947.62 $47,125.76 $29,150.69 2026-07-17
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 6 — — $19,921.31 $61,574.76 $29,111.82 2026-07-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $28,492.85 $29,020.50 $28,756.67 2026-07-17
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $28,319.55 $28,843.99 $28,581.77 2026-07-17
264 MS_DRG Other Circulatory System O.r. Procedures 10 6 — — $19,532.49 $38,918.85 $28,537.28 2026-07-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 6 — — $19,314.40 $36,987.17 $28,215.02 2026-07-17
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $27,946.40 $28,463.93 $28,205.17 2026-07-17
37 MS_DRG Extracranial Procedures With Mcc 10 6 — — $19,248.91 $34,915.67 $28,118.26 2026-07-17
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 10 6 — — $19,246.57 $45,504.98 $28,114.81 2026-07-17
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 6 — — $19,019.12 $61,525.09 $27,778.72 2026-07-17
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 6 — — $18,935.51 $34,113.56 $27,655.17 2026-07-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 6 — — $18,914.46 $56,272.74 $27,624.08 2026-07-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 6 — — $18,868.85 $37,301.76 $27,556.68 2026-07-17
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 10 6 — — $18,832.02 $37,550.12 $27,502.25 2026-07-17
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $27,228.98 $27,733.22 $27,481.10 2026-07-17
1832 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $27,177.74 $27,681.03 $27,429.39 2026-07-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 6 — — $18,771.21 $29,937.44 $27,412.40 2026-07-17
6903 APR_DRG Acute Leukemia 2 2 — — $27,064.54 $27,565.74 $27,315.14 2026-07-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 6 — — $18,668.30 $49,121.83 $27,260.35 2026-07-17
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 6 — — $18,633.81 $69,027.38 $27,209.38 2026-07-17
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 6 — — $18,615.68 $52,814.11 $27,182.60 2026-07-17
652 MS_DRG Kidney Transplant 9 5 — — $18,882.88 $112,416.71 $27,169.87 2026-07-17
500 MS_DRG Soft Tissue Procedures With Mcc 10 6 — — $18,504.58 $60,986.06 $27,018.44 2026-07-17
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $26,741.70 $27,236.91 $26,989.31 2026-07-17
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 6 — — $18,476.52 $59,729.54 $26,976.97 2026-07-17
324 MS_DRG Urinary Stones Without Cc 10 6 — — $18,423.90 $50,529.20 $26,899.22 2026-07-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 6 — — $18,415.13 $53,851.70 $26,886.26 2026-07-17
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $26,591.22 $27,083.65 $26,837.44 2026-07-17
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 6 — — $18,371.86 $37,730.41 $26,822.32 2026-07-17
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $26,546.03 $27,037.63 $26,791.83 2026-07-17
1831 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $26,432.84 $26,922.33 $26,677.58 2026-07-17
665 MS_DRG Prostatectomy With Mcc 10 6 — — $18,249.66 $40,177.21 $26,641.75 2026-07-17
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 6 — — $18,211.66 $43,683.68 $26,585.60 2026-07-17
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $26,334.54 $26,822.21 $26,578.38 2026-07-17
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 6 — — $18,179.49 $53,029.35 $26,538.08 2026-07-17
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $26,224.59 $26,710.23 $26,467.41 2026-07-17
264 APR_DRG Other Nervous System And Related Procedures 2 2 — — $26,050.37 $26,532.78 $26,291.57 2026-07-17
662 MS_DRG Minor Bladder Procedures With Mcc 10 6 — — $17,900.59 $40,556.19 $26,125.97 2026-07-17
263 MS_DRG Vein Ligation And Stripping 10 6 — — $17,876.62 $42,119.93 $26,090.56 2026-07-17
347 MS_DRG Anal And Stomal Procedures With Mcc 10 6 — — $13,422.37 $50,025.12 $25,906.18 2026-07-17
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 6 — — $17,735.12 $51,800.43 $25,881.47 2026-07-17
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $25,636.68 $26,111.44 $25,874.06 2026-07-17
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $25,636.68 $26,111.44 $25,874.06 2026-07-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $25,636.68 $26,111.44 $25,874.06 2026-07-17
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 10 6 — — $17,660.86 $32,459.67 $25,771.74 2026-07-17
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 10 6 — — $17,658.52 $33,099.88 $25,768.30 2026-07-17
234 APR_DRG Spinal Procedures 2 2 — — $25,529.07 $26,001.83 $25,765.45 2026-07-17
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $25,509.04 $25,981.43 $25,745.24 2026-07-17
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 10 6 — — $17,639.23 $40,574.58 $25,739.78 2026-07-17
1781 APR_DRG External Heart Assist Systems 2 2 — — $25,478.76 $25,950.58 $25,714.67 2026-07-17
1782 APR_DRG External Heart Assist Systems 2 2 — — $25,478.76 $25,950.58 $25,714.67 2026-07-17
1783 APR_DRG External Heart Assist Systems 2 2 — — $25,478.76 $25,950.58 $25,714.67 2026-07-17
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 10 6 — — $15,420.88 $36,650.46 $25,521.28 2026-07-17
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 6 — — $17,403.01 $39,698.89 $25,390.75 2026-07-17
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $25,145.20 $25,610.85 $25,378.03 2026-07-17
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $25,122.38 $25,587.61 $25,355.00 2026-07-17
472 MS_DRG Cervical Spinal Fusion With Cc 10 6 — — $17,225.85 $35,899.91 $25,128.97 2026-07-17
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 10 6 — — $17,214.15 $33,359.28 $25,111.69 2026-07-17
2304 APR_DRG Major Small Bowel Procedures 2 2 — — $24,768.78 $25,227.47 $24,998.12 2026-07-17
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $24,702.17 $25,159.62 $24,930.89 2026-07-17
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $24,688.66 $25,145.86 $24,917.26 2026-07-17
668 MS_DRG Transurethral Procedures With Mcc 10 6 — — $17,073.24 $34,509.09 $24,903.47 2026-07-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 10 6 — — $17,028.22 $46,892.11 $24,836.95 2026-07-17
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