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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

CENTRACARE- RICE MEMORIAL HOSPITAL

Willmar, MN · CCN 240088 · Rates published

6,837 distinct procedures filed
11 distinct payers
200,275 rate rows
2024-12-10 last MRF observed · ⚠ 18 mo old
Data quality

62,182 of 200,275 rate rows are consumer-grade (31.0%)

138,093 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 137,527
template filing: same amount across many unrelated codes — excluded 540
exceeds 10× this hospital's gross charge — excluded from medians 17
placeholder amount (≤ $0.02) — excluded from medians 9

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.centracare.com/app/files/public/561c6aab-ca54-423e-9718-f116ad99746c/823166379_1407367030_carris-health-llc_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-18
Content fingerprint 7f5548fc7d676403… · 107,920,913 bytes · first seen 2026-05-13

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 9 $347,477.07 $502,108.22 $424,792.65 nat. median
$370,174
1.1× median
5834
APR_DRG 		Neonate With Ecmo 4 $197,151.25 $790,049.00 $330,936.68 nat. median
$309,665
1.1× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $196,531.68 $787,566.20 $329,896.68 nat. median
$246,434
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $259,536.24 $375,032.75 $317,284.49 nat. median
$265,286
1.2× median
5833
APR_DRG 		Neonate With Ecmo 4 $165,294.79 $662,389.85 $277,462.66 nat. median
$244,017
1.1× median
24
APR_DRG 		Heart And/or Lung Transplant 4 $154,456.57 $618,957.57 $259,269.69 nat. median
$234,738
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $197,465.83 $285,340.32 $241,403.08 nat. median
$202,986
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $135,728.71 $543,908.94 $227,833.23 nat. median
$182,736
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $185,310.11 $267,775.16 $226,542.64 nat. median
$206,368
1.1× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $121,287.85 $486,039.75 $203,592.92 nat. median
$93,260
outlier · 2.2×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $120,300.23 $482,082.05 $201,935.10 nat. median
$164,279
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $116,402.68 $466,463.30 $195,392.71 nat. median
$160,267
1.2× median
1614
APR_DRG 		Implantable Heart Assist Systems 4 $110,471.03 $442,693.25 $185,435.88 nat. median
$207,730
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $109,001.79 $436,805.55 $182,969.63 nat. median
$151,838
1.2× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 $100,932.59 $404,469.61 $169,424.71 nat. median
$95,507
1.8× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $97,030.28 $388,831.80 $162,874.33 nat. median
$89,790
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $130,190.57 $188,126.82 $159,158.70 nat. median
$133,176
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $94,721.48 $379,579.69 $158,998.79 nat. median
$162,982
1.0× median
1613
APR_DRG 		Implantable Heart Assist Systems 4 $94,525.26 $378,793.39 $158,669.43 nat. median
$119,796
1.3× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $92,601.76 $371,085.28 $155,440.65 nat. median
$102,636
1.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $91,834.14 $368,009.18 $154,152.13 nat. median
$105,658
1.5× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 4 $91,664.68 $367,330.11 $153,867.67 nat. median
$69,788
outlier · 2.2×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $90,103.28 $361,073.08 $151,246.72 nat. median
$108,996
1.4× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $89,776.26 $359,762.58 $150,697.78 nat. median
$118,620
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $120,716.97 $174,437.37 $147,577.17 nat. median
$117,303
1.3× median
7
MS_DRG 		Lung Transplant 9 $120,412.92 $173,998.00 $147,205.46 nat. median
$122,708
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $83,974.82 $336,514.35 $140,959.54 nat. median
$164,834
0.9× median
5832
APR_DRG 		Neonate With Ecmo 4 $81,008.40 $324,626.95 $135,980.12 nat. median
$156,126
0.9× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 $80,109.38 $321,024.27 $134,471.04 nat. median
$68,217
2.0× median
64
APR_DRG 		Pancreas Transplant 4 $76,544.21 $306,737.46 $128,486.55 nat. median
$91,748
1.4× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 $76,214.80 $305,417.43 $127,933.62 nat. median
$109,499
1.2× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $75,504.86 $302,572.46 $126,741.92 nat. median
$129,535
1.0× median
23
APR_DRG 		Heart And/or Lung Transplant 4 $74,573.73 $298,841.12 $125,178.93 nat. median
$93,528
1.3× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $73,259.09 $293,572.92 $122,972.18 nat. median
$86,258
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $100,373.89 $145,041.38 $122,707.63 nat. median
$102,358
1.2× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $72,913.03 $292,186.17 $122,391.30 nat. median
$187,294
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $98,121.12 $141,786.11 $119,953.62 nat. median
$100,136
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 9 $97,618.05 $141,059.17 $119,338.61 nat. median
$99,019
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $96,517.93 $139,469.48 $117,993.71 nat. median
$98,905
1.2× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $70,163.64 $281,168.46 $117,776.18 nat. median
$145,336
0.8× median
53
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 $68,372.73 $273,991.70 $114,769.98 nat. median
$47,204
outlier · 2.4×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $67,996.35 $272,483.44 $114,138.19 nat. median
$86,492
1.3× median
5931
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $66,599.06 $266,884.04 $111,792.71 nat. median
$29,713
outlier · 3.8×
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 $65,346.85 $261,866.02 $109,690.76 nat. median
$72,694
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $88,923.02 $128,494.75 $108,708.88 nat. median
$93,672
1.2× median
6214
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 $63,303.24 $253,676.60 $106,260.36 nat. median
$69,159
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $86,650.90 $125,211.51 $105,931.21 nat. median
$108,660
1.0× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $62,375.08 $249,957.17 $104,702.36 nat. median
$81,294
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $84,876.33 $122,647.24 $103,761.79 nat. median
$83,442
1.2× median
4404
APR_DRG 		Kidney Transplant 4 $61,492.70 $246,421.21 $103,221.21 nat. median
$79,034
1.3× median

Other procedures at this hospital

Browse this hospital's 6,837 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
             
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 9 — — $33,022.15 $47,717.38 $40,369.76 2024-12-10
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 9 — — $33,027.68 $47,725.36 $40,376.52 2024-12-10
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 9 — — $33,029.52 $47,728.03 $40,378.78 2024-12-10
4804 APR_DRG Major Male Pelvic Procedures 6 4 — — $24,123.19 $96,669.45 $40,493.01 2024-12-10
8154 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses 6 4 — — $24,240.33 $97,138.85 $40,689.64 2024-12-10
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 6 4 — — $24,269.46 $97,255.60 $40,738.54 2024-12-10
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 9 — — $33,385.17 $48,241.95 $40,813.56 2024-12-10
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 9 — — $33,618.28 $48,578.79 $41,098.54 2024-12-10
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 4 — — $24,556.06 $98,404.08 $41,219.62 2024-12-10
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 4 — — $24,748.11 $99,173.70 $41,542.00 2024-12-10
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $24,790.32 $99,342.87 $41,612.86 2024-12-10
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 4 — — $24,880.70 $99,705.04 $41,764.57 2024-12-10
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 6 4 — — $25,107.84 $100,615.24 $42,145.83 2024-12-10
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 9 — — $34,477.93 $49,820.99 $42,149.46 2024-12-10
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 4 — — $25,119.73 $100,662.90 $42,165.79 2024-12-10
3094 APR_DRG Other Significant Hip And Femur Surgery 6 4 — — $25,162.54 $100,834.45 $42,237.66 2024-12-10
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 6 4 — — $25,163.73 $100,839.22 $42,239.65 2024-12-10
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 9 — — $34,755.26 $50,221.74 $42,488.50 2024-12-10
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 4 — — $25,478.86 $102,102.06 $42,768.63 2024-12-10
4034 APR_DRG Procedures For Obesity 6 4 — — $25,498.48 $102,180.69 $42,801.57 2024-12-10
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 9 — — $35,027.99 $50,615.83 $42,821.91 2024-12-10
264 APR_DRG Other Nervous System And Related Procedures 6 4 — — $25,625.13 $102,688.21 $43,014.17 2024-12-10
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 9 — — $35,218.71 $50,891.43 $43,055.07 2024-12-10
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 4 — — $25,651.29 $102,793.05 $43,058.08 2024-12-10
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 6 4 — — $25,827.89 $103,500.72 $43,354.51 2024-12-10
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 9 — — $35,475.78 $51,262.89 $43,369.33 2024-12-10
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 19 9 — — $35,575.29 $51,406.69 $43,490.99 2024-12-10
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 9 — — $35,611.22 $51,458.61 $43,534.92 2024-12-10
37221 CPT Ir Pta Perc Open Iliac Uni W Stent Initial 38 9 $34,179.00 $22,899.93 33% off $9,131.58 $73,783.53 $43,740.46 2024-12-10
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 4 — — $26,078.21 $104,503.85 $43,774.70 2024-12-10
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 9 — — $35,829.59 $51,774.15 $43,801.87 2024-12-10
2614 APR_DRG Major Biliary Tract Procedures 6 4 — — $26,097.24 $104,580.10 $43,806.63 2024-12-10
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 6 4 — — $26,191.78 $104,958.95 $43,965.33 2024-12-10
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 4 — — $26,195.94 $104,975.63 $43,972.32 2024-12-10
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 9 — — $36,028.60 $52,061.73 $44,045.17 2024-12-10
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 9 — — $36,046.11 $52,087.03 $44,066.57 2024-12-10
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 4 — — $26,305.34 $105,414.05 $44,155.96 2024-12-10
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 6 4 — — $26,360.64 $105,635.64 $44,248.79 2024-12-10
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 9 — — $36,206.43 $52,318.69 $44,262.56 2024-12-10
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 9 — — $36,280.14 $52,425.21 $44,352.68 2024-12-10
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 9 — — $36,354.77 $52,533.05 $44,443.91 2024-12-10
1781 APR_DRG External Heart Assist Systems 6 4 — — $26,516.42 $106,259.91 $44,510.28 2024-12-10
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 6 4 — — $26,534.86 $106,333.78 $44,541.22 2024-12-10
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 6 4 — — $26,571.72 $106,481.51 $44,603.11 2024-12-10
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 9 — — $36,679.10 $53,001.70 $44,840.40 2024-12-10
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 9 — — $36,704.90 $53,038.98 $44,871.94 2024-12-10
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $27,061.07 $108,442.49 $45,424.52 2024-12-10
791 MS_DRG Prematurity With Major Problems 19 9 — — $37,406.98 $54,053.51 $45,730.25 2024-12-10
1824 APR_DRG Other Peripheral Vascular And Related Procedures 6 4 — — $27,263.23 $109,252.62 $45,763.86 2024-12-10
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 9 — — $37,476.09 $54,153.36 $45,814.72 2024-12-10
8633 APR_DRG Neonatal Aftercare 6 4 — — $27,339.93 $109,559.99 $45,892.62 2024-12-10
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 6 4 — — $27,391.66 $109,767.28 $45,979.46 2024-12-10
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 9 — — $37,624.43 $54,367.72 $45,996.07 2024-12-10
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 4 — — $27,490.37 $110,162.82 $46,145.14 2024-12-10
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 9 — — $37,810.55 $54,636.66 $46,223.61 2024-12-10
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 9 — — $37,866.75 $54,717.88 $46,292.32 2024-12-10
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 9 — — $37,887.94 $54,748.50 $46,318.22 2024-12-10
1214 APR_DRG Other Respiratory And Chest Procedures 6 4 — — $27,655.66 $110,825.21 $46,422.60 2024-12-10
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 9 — — $38,335.73 $55,395.56 $46,865.64 2024-12-10
793 MS_DRG Full Term Neonate With Major Problems 19 9 — — $38,426.03 $55,526.04 $46,976.04 2024-12-10
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 4 — — $28,060.58 $112,447.85 $47,102.29 2024-12-10
C9765 HCPCS Peripheral Intravascular Lithostripsy Iliac/Fem/Sfa Pta & Stent 14 7 $35,477.00 $23,769.59 33% off $14,776.65 $79,597.21 $47,186.93 2024-12-10
37229 CPT Ir Atherectomy Tibial Peroneal Uni Incl Pta Initial 14 7 $26,292.00 $17,615.64 33% off $14,776.65 $79,597.21 $47,186.93 2024-12-10
37227 CPT Ir Atherectomy Fempop Uni Incl Pta Stent Perc Open 14 7 $42,790.00 $28,669.30 33% off $14,776.65 $79,597.21 $47,186.93 2024-12-10
C9766 HCPCS Peripheral Intravascular Lithotripsy Iliac/Fem/Sfa Pta & Atherectomy 14 7 $35,477.00 $23,769.59 33% off $14,776.65 $79,597.21 $47,186.93 2024-12-10
36906 CPT Ir Dialysis Mech Thromb Or Lysis W Pta And Stent 14 7 $34,692.00 $23,243.64 33% off $14,776.65 $79,597.21 $47,186.93 2024-12-10
36837 CPT Ir Percutaneous Av Fistula Creation Upper Extremity 14 7 $35,594.00 $23,847.98 33% off $14,776.65 $79,597.21 $47,186.93 2024-12-10
0238T CPT Transluminal Peripheral Atherectomy, Open Or Percutaneous, Iliac Artery, Each Ve… 14 7 $22,217.00 $14,885.39 33% off $14,776.65 $79,597.21 $47,186.93 2024-12-10
C9774 HCPCS Peripheral Intravascular Lithotripsy With Tib/Peroneal Pta & Atherectomy 14 7 $54,999.00 $36,849.33 33% off $14,776.65 $79,597.21 $47,186.93 2024-12-10
C9767 HCPCS Peripheral Intravascular Lithotripsy With Iliac/Fem/Sfa Pta & Stent & Atherectom… 14 7 $54,999.00 $36,849.33 33% off $14,776.65 $79,597.21 $47,186.93 2024-12-10
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 9 — — $38,602.01 $55,780.33 $47,191.17 2024-12-10
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 9 — — $38,611.22 $55,793.65 $47,202.43 2024-12-10
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 6 4 — — $28,230.04 $113,126.92 $47,386.74 2024-12-10
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 6 4 — — $28,348.36 $113,601.08 $47,585.36 2024-12-10
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 4 — — $28,375.12 $113,708.31 $47,630.27 2024-12-10
140 MS_DRG Major Head And Neck Procedures With Mcc 19 9 — — $38,966.88 $56,307.57 $47,637.22 2024-12-10
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 6 4 — — $28,419.12 $113,884.63 $47,704.13 2024-12-10
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 4 — — $28,499.39 $114,206.30 $47,838.87 2024-12-10
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 4 — — $28,516.04 $114,273.01 $47,866.82 2024-12-10
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 4 — — $28,560.63 $114,451.72 $47,941.67 2024-12-10
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 9 — — $39,245.13 $56,709.65 $47,977.39 2024-12-10
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 9 — — $39,303.18 $56,793.53 $48,048.36 2024-12-10
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 4 — — $28,666.47 $114,875.84 $48,119.33 2024-12-10
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 4 — — $28,778.25 $115,323.79 $48,306.97 2024-12-10
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $39,785.06 $57,489.85 $48,637.46 2024-12-10
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 4 — — $28,997.66 $116,203.02 $48,675.26 2024-12-10
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 9 — — $39,867.06 $57,608.35 $48,737.71 2024-12-10
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 4 — — $29,429.93 $117,935.26 $49,400.86 2024-12-10
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 9 — — $40,474.25 $58,485.74 $49,480.00 2024-12-10
901 MS_DRG Wound Debridements For Injuries With Mcc 19 9 — — $40,821.61 $58,987.68 $49,904.64 2024-12-10
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 6 4 — — $29,739.11 $119,174.27 $49,919.86 2024-12-10
1204 APR_DRG Major Respiratory And Chest Procedures 6 4 — — $29,771.22 $119,302.94 $49,973.76 2024-12-10
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 4 — — $29,793.82 $119,393.48 $50,011.68 2024-12-10
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 4 — — $29,843.76 $119,593.63 $50,095.53 2024-12-10
1794 APR_DRG Defibrillator Implants 6 4 — — $29,868.14 $119,691.32 $50,136.44 2024-12-10
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 9 — — $41,206.74 $59,544.20 $50,375.47 2024-12-10
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 9 — — $41,320.99 $59,709.30 $50,515.14 2024-12-10
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 4 — — $30,149.38 $120,818.35 $50,608.54 2024-12-10
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 4 — — $30,266.52 $121,287.75 $50,805.15 2024-12-10
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 9 — — $41,568.84 $60,067.44 $50,818.14 2024-12-10
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 4 — — $30,418.73 $121,897.73 $51,060.66 2024-12-10
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 4 — — $30,522.19 $122,312.32 $51,234.33 2024-12-10
4401 APR_DRG Kidney Transplant 6 4 — — $30,746.35 $123,210.61 $51,610.60 2024-12-10
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 9 — — $42,308.71 $61,136.56 $51,722.64 2024-12-10
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $42,315.16 $61,145.88 $51,730.52 2024-12-10
224 APR_DRG Ventricular Shunt Procedures 6 4 — — $30,880.73 $123,749.10 $51,836.17 2024-12-10
6504 APR_DRG Splenectomy 6 4 — — $30,886.68 $123,772.93 $51,846.15 2024-12-10
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 9 — — $42,450.60 $61,341.59 $51,896.10 2024-12-10
163 MS_DRG Major Chest Procedures With Mcc 19 9 — — $42,468.11 $61,366.89 $51,917.50 2024-12-10
6904 APR_DRG Acute Leukemia 6 4 — — $31,016.30 $124,292.36 $52,063.74 2024-12-10
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 4 — — $31,064.46 $124,485.36 $52,144.58 2024-12-10
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 9 — — $42,861.54 $61,935.40 $52,398.47 2024-12-10
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 4 — — $31,262.46 $125,278.81 $52,476.94 2024-12-10
6954 APR_DRG Chemotherapy For Acute Leukemia 6 4 — — $31,278.51 $125,343.14 $52,503.89 2024-12-10
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 9 — — $43,115.84 $62,302.86 $52,709.35 2024-12-10
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 4 — — $31,467.00 $126,098.47 $52,820.27 2024-12-10
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 9 — — $43,348.02 $62,638.38 $52,993.20 2024-12-10
2004 APR_DRG Cardiac Structural And Valvular Disorders 6 4 — — $31,582.94 $126,563.10 $53,014.90 2024-12-10
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 9 — — $43,801.34 $63,293.42 $53,547.38 2024-12-10
799 MS_DRG Splenic Procedures With Mcc 19 9 — — $43,809.63 $63,305.41 $53,557.52 2024-12-10
1782 APR_DRG External Heart Assist Systems 6 4 — — $31,956.94 $128,061.83 $53,642.69 2024-12-10
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 4 — — $32,002.13 $128,242.92 $53,718.55 2024-12-10
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 9 — — $44,000.36 $63,581.01 $53,790.68 2024-12-10
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 6 4 — — $32,187.05 $128,983.94 $54,028.95 2024-12-10
214 APR_DRG Open Craniotomy Except Trauma 6 4 — — $32,289.91 $129,396.16 $54,201.62 2024-12-10
1814 APR_DRG Lower Extremity Arterial Procedures 6 4 — — $32,523.59 $130,332.57 $54,593.86 2024-12-10
6 MS_DRG Liver Transplant Without Mcc 19 9 — — $44,679.41 $64,562.25 $54,620.83 2024-12-10
471 MS_DRG Cervical Spinal Fusion With Mcc 19 9 — — $44,754.05 $64,670.09 $54,712.07 2024-12-10
245 MS_DRG Aicd Generator Procedures 19 9 — — $45,025.85 $65,062.86 $55,044.36 2024-12-10
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $33,161.59 $132,889.23 $55,664.80 2024-12-10
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 9 — — $45,914.98 $66,347.66 $56,131.32 2024-12-10
1694 APR_DRG Major Abdominal Vascular Procedures 6 4 — — $33,446.99 $134,032.93 $56,143.88 2024-12-10
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 4 — — $33,456.50 $134,071.06 $56,159.85 2024-12-10
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 4 — — $33,495.75 $134,228.32 $56,225.72 2024-12-10
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 9 — — $46,080.83 $66,587.31 $56,334.07 2024-12-10
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 9 — — $46,099.26 $66,613.94 $56,356.60 2024-12-10
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 9 — — $46,135.19 $66,665.86 $56,400.53 2024-12-10
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 9 — — $46,408.84 $67,061.29 $56,735.07 2024-12-10
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 9 — — $46,796.74 $67,621.81 $57,209.28 2024-12-10
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 9 — — $46,940.47 $67,829.50 $57,384.99 2024-12-10
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 4 — — $34,440.55 $138,014.46 $57,811.67 2024-12-10
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 9 — — $47,294.28 $68,340.76 $57,817.52 2024-12-10
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 4 — — $34,549.96 $138,452.89 $57,995.31 2024-12-10
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 9 — — $47,451.84 $68,568.43 $58,010.14 2024-12-10
274 APR_DRG Other Open Craniotomy 6 4 — — $34,771.15 $139,339.26 $58,366.60 2024-12-10
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $34,788.98 $139,410.74 $58,396.54 2024-12-10
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 4 — — $34,855.58 $139,677.61 $58,508.32 2024-12-10
1783 APR_DRG External Heart Assist Systems 6 4 — — $34,955.47 $140,077.90 $58,676.00 2024-12-10
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 4 — — $34,960.23 $140,096.96 $58,683.99 2024-12-10
71 APR_DRG Allogeneic Bone Marrow Transplant 6 4 — — $35,006.60 $140,282.82 $58,761.83 2024-12-10
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 4 — — $35,418.06 $141,931.66 $59,452.50 2024-12-10
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $48,802.58 $70,520.26 $59,661.42 2024-12-10
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 6 4 — — $35,589.90 $142,620.27 $59,740.95 2024-12-10
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 9 — — $49,019.10 $70,833.14 $59,926.12 2024-12-10
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 9 — — $49,209.82 $71,108.74 $60,159.28 2024-12-10
4414 APR_DRG Major Bladder Procedures 6 4 — — $36,204.11 $145,081.62 $60,771.96 2024-12-10
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 9 — — $49,711.05 $71,833.02 $60,772.04 2024-12-10
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 9 — — $49,716.58 $71,841.01 $60,778.79 2024-12-10
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 9 — — $49,763.57 $71,908.91 $60,836.24 2024-12-10
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 4 — — $36,292.11 $145,434.26 $60,919.68 2024-12-10
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 9 — — $50,018.79 $72,277.71 $61,148.25 2024-12-10
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $36,493.08 $146,239.62 $61,257.03 2024-12-10
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 9 — — $50,133.04 $72,442.81 $61,287.93 2024-12-10
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 4 — — $36,563.25 $146,520.79 $61,374.80 2024-12-10
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 9 — — $50,403.93 $72,834.24 $61,619.08 2024-12-10
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 4 — — $36,741.03 $147,233.22 $61,673.22 2024-12-10
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 9 — — $50,713.51 $73,281.59 $61,997.55 2024-12-10
914 APR_DRG Other Major Head And Neck Procedures 6 4 — — $36,941.41 $148,036.20 $62,009.58 2024-12-10
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 4 — — $36,942.00 $148,038.58 $62,010.58 2024-12-10
834 MS_DRG Acute Leukemia With Mcc 19 9 — — $50,927.27 $73,590.47 $62,258.87 2024-12-10
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 4 — — $37,320.16 $149,553.99 $62,645.36 2024-12-10
653 MS_DRG Major Bladder Procedures With Mcc 19 9 — — $51,363.08 $74,220.22 $62,791.65 2024-12-10
4402 APR_DRG Kidney Transplant 6 4 — — $37,515.19 $150,335.53 $62,972.73 2024-12-10
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $37,570.48 $150,557.12 $63,065.54 2024-12-10
204 APR_DRG Open Craniotomy For Trauma 6 4 — — $37,828.54 $151,591.22 $63,498.71 2024-12-10
4403 APR_DRG Kidney Transplant 6 4 — — $37,882.65 $151,808.05 $63,589.54 2024-12-10
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 4 — — $38,063.40 $152,532.40 $63,892.95 2024-12-10
61 APR_DRG Pancreas Transplant 6 4 — — $38,106.21 $152,703.95 $63,964.82 2024-12-10
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 9 — — $52,565.48 $75,957.70 $64,261.59 2024-12-10
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $52,881.51 $76,414.37 $64,647.94 2024-12-10
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 9 — — $53,645.33 $77,518.10 $65,581.71 2024-12-10
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 4 — — $39,224.64 $157,185.85 $65,842.20 2024-12-10
11 APR_DRG Liver Transplant And/or Intestinal Transplant 6 4 — — $39,304.31 $157,505.14 $65,975.94 2024-12-10
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 9 — — $54,215.67 $78,342.24 $66,278.96 2024-12-10
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 9 — — $54,774.02 $79,149.07 $66,961.54 2024-12-10
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $54,815.48 $79,208.98 $67,012.23 2024-12-10
J9347 HCPCS Tremelimumab-actl 20 Mg/ml IV Soln 14 7 $79,384.97 $53,187.93 33% off $67,197.00 $67,197.00 $67,197.00 2024-12-10
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 4 — — $40,054.69 $160,512.13 $67,235.51 2024-12-10
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 4 — — $40,117.72 $160,764.70 $67,341.32 2024-12-10
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 9 — — $55,197.85 $79,761.51 $67,479.68 2024-12-10
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 9 — — $55,197.85 $79,761.51 $67,479.68 2024-12-10
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 4 — — $40,249.12 $161,291.29 $67,561.88 2024-12-10
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 9 — — $55,613.39 $80,361.97 $67,987.68 2024-12-10
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 9 — — $55,613.39 $80,361.97 $67,987.68 2024-12-10
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 4 — — $40,704.58 $163,116.45 $68,326.42 2024-12-10
28 MS_DRG Spinal Procedures With Mcc 19 9 — — $56,015.11 $80,942.46 $68,478.79 2024-12-10
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 9 — — $56,284.16 $81,331.23 $68,807.70 2024-12-10
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 9 — — $56,740.24 $81,990.27 $69,365.26 2024-12-10
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 4 — — $41,331.28 $165,627.84 $69,378.39 2024-12-10
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 9 — — $57,000.07 $82,365.73 $69,682.90 2024-12-10
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 9 — — $57,073.78 $82,472.24 $69,773.01 2024-12-10
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 4 — — $42,035.28 $168,448.99 $70,560.11 2024-12-10
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 4 — — $42,091.76 $168,675.34 $70,654.93 2024-12-10
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 9 — — $58,270.65 $84,201.73 $71,236.19 2024-12-10
12 APR_DRG Liver Transplant And/or Intestinal Transplant 6 4 — — $42,562.68 $170,562.46 $71,445.40 2024-12-10
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 4 — — $42,852.84 $171,725.23 $71,932.47 2024-12-10
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $59,501.61 $85,980.48 $72,741.04 2024-12-10
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 9 — — $59,587.29 $86,104.30 $72,845.79 2024-12-10
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 4 — — $43,498.57 $174,312.87 $73,016.39 2024-12-10
1784 APR_DRG External Heart Assist Systems 6 4 — — $44,367.27 $177,794.02 $74,474.57 2024-12-10
72 APR_DRG Allogeneic Bone Marrow Transplant 6 4 — — $44,477.27 $178,234.83 $74,659.22 2024-12-10
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 9 — — $61,433.73 $88,772.43 $75,103.08 2024-12-10
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $44,769.80 $179,407.13 $75,150.27 2024-12-10
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 9 — — $61,537.85 $88,922.87 $75,230.36 2024-12-10
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 9 — — $61,775.56 $89,266.38 $75,520.97 2024-12-10
8634 APR_DRG Neonatal Aftercare 6 4 — — $45,186.61 $181,077.42 $75,849.93 2024-12-10
234 APR_DRG Spinal Procedures 6 4 — — $45,203.86 $181,146.52 $75,878.87 2024-12-10
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 9 — — $62,914.39 $90,911.99 $76,913.19 2024-12-10
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 9 — — $64,095.59 $92,618.84 $78,357.21 2024-12-10
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 9 — — $65,113.71 $94,090.04 $79,601.88 2024-12-10
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 9 — — $65,442.64 $94,565.35 $80,003.99 2024-12-10
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 4 — — $48,281.46 $193,479.49 $81,044.92 2024-12-10
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $48,498.49 $194,349.18 $81,409.22 2024-12-10
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 4 — — $48,730.98 $195,280.83 $81,799.47 2024-12-10
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 9 — — $68,773.42 $99,378.36 $84,075.89 2024-12-10
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $50,251.35 $201,373.45 $84,351.55 2024-12-10
62 APR_DRG Pancreas Transplant 6 4 — — $50,278.10 $201,480.67 $84,396.46 2024-12-10
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 4 — — $50,582.54 $202,700.63 $84,907.48 2024-12-10
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 4 — — $50,996.37 $204,359.00 $85,602.15 2024-12-10
21 APR_DRG Heart And/or Lung Transplant 6 4 — — $51,019.56 $204,451.93 $85,641.07 2024-12-10
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $51,266.32 $205,440.76 $86,055.27 2024-12-10
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $71,291.55 $103,017.08 $87,154.32 2024-12-10
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 4 — — $51,968.53 $208,254.76 $87,234.00 2024-12-10
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 9 — — $72,018.51 $104,067.55 $88,043.03 2024-12-10
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 4 — — $52,811.07 $211,631.07 $88,648.27 2024-12-10
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 9 — — $73,040.32 $105,544.07 $89,292.20 2024-12-10
10 MS_DRG Pancreas Transplant 19 9 — — $73,461.39 $106,152.52 $89,806.96 2024-12-10
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 9 — — $74,273.12 $107,325.49 $90,799.30 2024-12-10
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 9 — — $76,848.37 $111,046.75 $93,947.56 2024-12-10
5831 APR_DRG Neonate With Ecmo 6 4 — — $56,282.29 $225,541.41 $94,475.05 2024-12-10
73 APR_DRG Allogeneic Bone Marrow Transplant 6 4 — — $56,337.00 $225,760.62 $94,566.88 2024-12-10
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $78,033.26 $112,758.93 $95,396.10 2024-12-10
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 9 — — $78,076.57 $112,821.50 $95,449.04 2024-12-10
63 APR_DRG Pancreas Transplant 6 4 — — $57,795.53 $231,605.44 $97,015.17 2024-12-10
1611 APR_DRG Implantable Heart Assist Systems 6 4 — — $57,822.29 $231,712.66 $97,060.08 2024-12-10
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 4 — — $58,820.01 $235,710.87 $98,734.86 2024-12-10
22 APR_DRG Heart And/or Lung Transplant 6 4 — — $58,918.72 $236,106.40 $98,900.54 2024-12-10
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 4 — — $59,810.60 $239,680.49 $100,397.65 2024-12-10
1612 APR_DRG Implantable Heart Assist Systems 6 4 — — $60,880.87 $243,969.39 $102,194.19 2024-12-10
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 4 — — $61,225.14 $245,348.99 $102,772.08 2024-12-10
4404 APR_DRG Kidney Transplant 6 4 — — $61,492.70 $246,421.21 $103,221.21 2024-12-10
850 MS_DRG Acute Leukemia With Other Procedures 19 9 — — $84,876.33 $122,647.24 $103,761.79 2024-12-10
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $62,375.08 $249,957.17 $104,702.36 2024-12-10
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 9 — — $86,650.90 $125,211.51 $105,931.21 2024-12-10
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 4 — — $63,303.24 $253,676.60 $106,260.36 2024-12-10
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $88,923.02 $128,494.75 $108,708.88 2024-12-10
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 4 — — $65,346.85 $261,866.02 $109,690.76 2024-12-10
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $66,599.06 $266,884.04 $111,792.71 2024-12-10
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $67,996.35 $272,483.44 $114,138.19 2024-12-10
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 4 — — $68,372.73 $273,991.70 $114,769.98 2024-12-10
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $70,163.64 $281,168.46 $117,776.18 2024-12-10
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 9 — — $96,517.93 $139,469.48 $117,993.71 2024-12-10
215 MS_DRG Other Heart Assist System Implant 19 9 — — $97,618.05 $141,059.17 $119,338.61 2024-12-10
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 9 — — $98,121.12 $141,786.11 $119,953.62 2024-12-10
74 APR_DRG Allogeneic Bone Marrow Transplant 6 4 — — $72,913.03 $292,186.17 $122,391.30 2024-12-10
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 9 — — $100,373.89 $145,041.38 $122,707.63 2024-12-10
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $73,259.09 $293,572.92 $122,972.18 2024-12-10
23 APR_DRG Heart And/or Lung Transplant 6 4 — — $74,573.73 $298,841.12 $125,178.93 2024-12-10
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 4 — — $75,504.86 $302,572.46 $126,741.92 2024-12-10
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 4 — — $76,214.80 $305,417.43 $127,933.62 2024-12-10
64 APR_DRG Pancreas Transplant 6 4 — — $76,544.21 $306,737.46 $128,486.55 2024-12-10
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 4 — — $80,109.38 $321,024.27 $134,471.04 2024-12-10
5832 APR_DRG Neonate With Ecmo 6 4 — — $81,008.40 $324,626.95 $135,980.12 2024-12-10
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 4 — — $83,974.82 $336,514.35 $140,959.54 2024-12-10
7 MS_DRG Lung Transplant 19 9 — — $120,412.92 $173,998.00 $147,205.46 2024-12-10
14 MS_DRG Allogeneic Bone Marrow Transplant 19 9 — — $120,716.97 $174,437.37 $147,577.17 2024-12-10
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $89,776.26 $359,762.58 $150,697.78 2024-12-10
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $90,103.28 $361,073.08 $151,246.72 2024-12-10
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 4 — — $91,664.68 $367,330.11 $153,867.67 2024-12-10
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 4 — — $91,834.14 $368,009.18 $154,152.13 2024-12-10
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $92,601.76 $371,085.28 $155,440.65 2024-12-10
1613 APR_DRG Implantable Heart Assist Systems 6 4 — — $94,525.26 $378,793.39 $158,669.43 2024-12-10
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 4 — — $94,721.48 $379,579.69 $158,998.79 2024-12-10
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 9 — — $130,190.57 $188,126.82 $159,158.70 2024-12-10
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 4 — — $97,030.28 $388,831.80 $162,874.33 2024-12-10
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $100,932.59 $404,469.61 $169,424.71 2024-12-10
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $109,001.79 $436,805.55 $182,969.63 2024-12-10
1614 APR_DRG Implantable Heart Assist Systems 6 4 — — $110,471.03 $442,693.25 $185,435.88 2024-12-10
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 4 — — $116,402.68 $466,463.30 $195,392.71 2024-12-10
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $120,300.23 $482,082.05 $201,935.10 2024-12-10
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 4 — — $121,287.85 $486,039.75 $203,592.92 2024-12-10
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 9 — — $185,310.11 $267,775.16 $226,542.64 2024-12-10
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $135,728.71 $543,908.94 $227,833.23 2024-12-10
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 9 — — $197,465.83 $285,340.32 $241,403.08 2024-12-10
24 APR_DRG Heart And/or Lung Transplant 6 4 — — $154,456.57 $618,957.57 $259,269.69 2024-12-10
5833 APR_DRG Neonate With Ecmo 6 4 — — $165,294.79 $662,389.85 $277,462.66 2024-12-10
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 9 — — $259,536.24 $375,032.75 $317,284.49 2024-12-10
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $196,531.68 $787,566.20 $329,896.68 2024-12-10
5834 APR_DRG Neonate With Ecmo 6 4 — — $197,151.25 $790,049.00 $330,936.68 2024-12-10
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 9 — — $347,477.07 $502,108.22 $424,792.65 2024-12-10
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