Price Transparencybeta Hospital negotiated rates

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

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Hospital

NORTHEAST REGIONAL MEDICAL CENTER

Kirksville, MO · CCN 260022 · Rates published

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You selected 29806 (CPT)

SHO ARTHRS SRG CAPSULORRAPHY

This hospital’s price: $10,048 across 28 payers · range $975-$88,898

Source: https://www.nermc.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/364395800_northeast-regional-medical-center_standardcharges.csv · observed 2026-07-15

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

4,910 distinct procedures filed
33 distinct payers
120,872 rate rows
2026-07-15 last MRF observed
Data quality

101,208 of 120,872 rate rows are consumer-grade (83.7%)

19,664 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 10,038
per-diem day rate — not a per-procedure price 9,531
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 44
placeholder amount (≤ $0.02) — excluded from medians 43
exceeds 10× this hospital's gross charge — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.nermc.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/364395800_northeast-regional-medical-center_standardcharges.csv
Found on page https://www.nermc.com/pricing-information
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-11-04
Content fingerprint 3bdf303cdf70a0e5… · 42,180,392 bytes · first seen 2026-05-05

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
5834
APR_DRG 		Neonate With Ecmo 5 $972,754.10 $1,118,667.22 $972,754.10 nat. median
$309,665
outlier · 3.1×
5833
APR_DRG 		Neonate With Ecmo 5 $587,323.91 $675,422.49 $587,323.91 nat. median
$244,017
outlier · 2.4×
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $488,200.52 $488,200.52 $488,200.52 nat. median
$380,401
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $361,476.22 $819,231.66 $459,986.81 nat. median
$360,195
1.3× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $432,341.72 $497,192.98 $432,341.72 nat. median
$165,846
outlier · 2.6×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $424,533.60 $488,213.64 $424,533.60 nat. median
$67,440
outlier · 6.3×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $424,533.60 $488,213.64 $424,533.60 nat. median
$122,909
outlier · 3.5×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $414,574.14 $476,760.26 $414,574.14 nat. median
$165,334
outlier · 2.5×
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 $399,786.11 $399,786.11 $399,786.11 nat. median
$1
5832
APR_DRG 		Neonate With Ecmo 5 $368,558.76 $423,842.57 $368,558.76 nat. median
$159,829
outlier · 2.3×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $345,591.62 $397,430.36 $345,591.62 nat. median
$138,094
outlier · 2.5×
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $332,927.61 $382,866.75 $332,927.61 nat. median
$67,645
outlier · 4.9×
24
APR_DRG 		Heart And/or Lung Transplant 5 $330,918.66 $380,556.46 $330,918.66 nat. median
$243,231
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $316,399.75 $363,859.71 $316,399.75 nat. median
$171,358
1.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $311,944.96 $358,736.70 $311,944.96 nat. median
$177,531
1.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $311,944.96 $358,736.70 $311,944.96 nat. median
$145,336
outlier · 2.1×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $311,944.96 $358,736.70 $311,944.96 nat. median
$249,123
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $234,583.53 $531,160.05 $299,847.51 nat. median
$247,805
1.2× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $297,569.53 $342,204.96 $297,569.53 nat. median
$152,569
2.0× median
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 2 $287,911.68 $299,180.96 $293,546.32 nat. median
$39,358
outlier · 7.5×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $282,597.59 $324,987.23 $282,597.59 nat. median
$103,993
outlier · 2.7×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $279,755.22 $321,718.50 $279,755.22 nat. median
$154,211
1.8× median
5831
APR_DRG 		Neonate With Ecmo 5 $269,222.77 $309,606.18 $269,222.77 nat. median
$148,245
1.8× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $260,995.28 $300,144.57 $260,995.28 nat. median
$83,372
outlier · 3.1×
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 5 $255,296.79 $293,591.31 $255,296.79 nat. median
$122,978
outlier · 2.1×
1614
APR_DRG 		Implantable Heart Assist Systems 5 $244,708.79 $281,415.11 $244,708.79 nat. median
$202,660
1.2× median
7
MS_DRG 		Lung Transplant 13 $108,404.03 $492,456.77 $237,547.24 nat. median
$117,943
outlier · 2.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $178,721.58 $404,342.34 $227,436.10 nat. median
$197,664
1.2× median
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $226,765.20 $226,765.20 $226,765.20 nat. median
$232,664
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $177,672.71 $401,961.20 $226,101.43 nat. median
$190,274
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $223,628.70 $257,173.00 $223,628.70 nat. median
$165,169
1.4× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 5 $219,489.97 $252,413.46 $219,489.97 nat. median
$137,215
1.6× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $212,833.56 $244,758.60 $212,833.56 nat. median
$121,888
1.7× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $212,734.04 $244,644.14 $212,734.04 nat. median
$119,800
1.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $209,348.11 $240,750.32 $209,348.11 nat. median
$160,390
1.3× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 $203,482.58 $234,004.97 $203,482.58 nat. median
$96,980
outlier · 2.1×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 $197,259.05 $226,847.90 $197,259.05 nat. median
$107,562
1.8× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $195,692.17 $225,045.99 $195,692.17 nat. median
$90,073
outlier · 2.2×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $195,692.17 $225,045.99 $195,692.17 nat. median
$71,594
outlier · 2.7×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 5 $195,692.17 $225,045.99 $195,692.17 nat. median
$95,269
outlier · 2.1×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 $191,434.11 $220,149.22 $191,434.11 nat. median
$89,743
outlier · 2.1×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $187,028.98 $215,083.32 $187,028.98 nat. median
$109,393
1.7× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $185,691.63 $213,545.38 $185,691.63 nat. median
$86,338
outlier · 2.2×
23
APR_DRG 		Heart And/or Lung Transplant 5 $178,810.95 $205,632.59 $178,810.95 nat. median
$111,079
1.6× median
6334
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Anomaly 5 $176,323.35 $202,771.85 $176,323.35 nat. median
$59,470
outlier · 3.0×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $173,087.66 $199,050.81 $173,087.66 nat. median
$89,273
1.9× median
6093
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $171,479.77 $197,201.73 $171,479.77 nat. median
$70,199
outlier · 2.4×
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 $171,078.43 $196,740.19 $171,078.43 nat. median
$76,467
outlier · 2.2×
633
OTHER 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 2 $169,709.69 $169,709.69 $169,709.69 nat. median
$6,354
outlier · 26.7×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $168,149.22 $193,371.60 $168,149.22 nat. median
$122,016
1.4× median

Other procedures at this hospital

Browse this hospital's 4,910 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
             
5834 APR_DRG Neonate With Ecmo 5 5 — — $972,754.10 $1,118,667.22 $972,754.10 2026-07-15
5833 APR_DRG Neonate With Ecmo 5 5 — — $587,323.91 $675,422.49 $587,323.91 2026-07-15
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $488,200.52 $488,200.52 $488,200.52 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 14 — — $361,476.22 $819,231.66 $459,986.81 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $432,341.72 $497,192.98 $432,341.72 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $424,533.60 $488,213.64 $424,533.60 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $424,533.60 $488,213.64 $424,533.60 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $414,574.14 $476,760.26 $414,574.14 2026-07-15
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 2 — — $399,786.11 $399,786.11 $399,786.11 2026-07-15
5832 APR_DRG Neonate With Ecmo 5 5 — — $368,558.76 $423,842.57 $368,558.76 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $345,591.62 $397,430.36 $345,591.62 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $332,927.61 $382,866.75 $332,927.61 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 5 5 — — $330,918.66 $380,556.46 $330,918.66 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $316,399.75 $363,859.71 $316,399.75 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $311,944.96 $358,736.70 $311,944.96 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $311,944.96 $358,736.70 $311,944.96 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $311,944.96 $358,736.70 $311,944.96 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 13 — — $234,583.53 $531,160.05 $299,847.51 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $297,569.53 $342,204.96 $297,569.53 2026-07-15
166 OTHER Other Respiratory System O.r. Procedures With Mcc 2 2 — — $287,911.68 $299,180.96 $293,546.32 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $282,597.59 $324,987.23 $282,597.59 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $279,755.22 $321,718.50 $279,755.22 2026-07-15
5831 APR_DRG Neonate With Ecmo 5 5 — — $269,222.77 $309,606.18 $269,222.77 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $260,995.28 $300,144.57 $260,995.28 2026-07-15
5881 APR_DRG Female Reproductive System Reconstructive Procedures 5 5 — — $255,296.79 $293,591.31 $255,296.79 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $244,708.79 $281,415.11 $244,708.79 2026-07-15
7 MS_DRG Lung Transplant 13 13 — — $108,404.03 $492,456.77 $237,547.24 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 14 — — $178,721.58 $404,342.34 $227,436.10 2026-07-15
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $226,765.20 $226,765.20 $226,765.20 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 14 — — $177,672.71 $401,961.20 $226,101.43 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $223,628.70 $257,173.00 $223,628.70 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $219,489.97 $252,413.46 $219,489.97 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $212,833.56 $244,758.60 $212,833.56 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $212,734.04 $244,644.14 $212,734.04 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $209,348.11 $240,750.32 $209,348.11 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $203,482.58 $234,004.97 $203,482.58 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $197,259.05 $226,847.90 $197,259.05 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $195,692.17 $225,045.99 $195,692.17 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $195,692.17 $225,045.99 $195,692.17 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $195,692.17 $225,045.99 $195,692.17 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $191,434.11 $220,149.22 $191,434.11 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $187,028.98 $215,083.32 $187,028.98 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $185,691.63 $213,545.38 $185,691.63 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 5 5 — — $178,810.95 $205,632.59 $178,810.95 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $176,323.35 $202,771.85 $176,323.35 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $173,087.66 $199,050.81 $173,087.66 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $171,479.77 $197,201.73 $171,479.77 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $171,078.43 $196,740.19 $171,078.43 2026-07-15
633 OTHER Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 2 2 — — $169,709.69 $169,709.69 $169,709.69 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $168,149.22 $193,371.60 $168,149.22 2026-07-15
8634 APR_DRG Neonatal Aftercare 5 5 — — $163,224.79 $187,708.51 $163,224.79 2026-07-15
636 OTHER Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 2 2 — — $155,841.32 $155,841.32 $155,841.32 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 5 5 — — $151,789.16 $174,557.54 $151,789.16 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $148,874.10 $171,205.22 $148,874.10 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $148,417.79 $170,680.45 $148,417.79 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 14 — — $115,947.83 $261,833.49 $147,558.08 2026-07-15
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 2 2 — — $140,915.78 $140,915.78 $140,915.78 2026-07-15
64 APR_DRG Pancreas Transplant 5 5 — — $134,253.54 $154,391.57 $134,253.54 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $133,087.68 $153,050.83 $133,087.68 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $133,087.68 $153,050.83 $133,087.68 2026-07-15
955 OTHER Craniotomy For Multiple Significant Trauma 2 2 — — $132,065.88 $132,065.88 $132,065.88 2026-07-15
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 2 2 — — $131,857.96 $131,857.96 $131,857.96 2026-07-15
7 OTHER Lung Transplant 2 2 — — $131,522.89 $131,522.89 $131,522.89 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $129,378.27 $148,785.01 $129,378.27 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 13 13 — — $100,599.89 $226,990.63 $128,607.84 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $127,401.48 $146,511.70 $127,401.48 2026-07-15
4 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $126,548.37 $126,548.37 $126,548.37 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $124,252.12 $142,889.93 $124,252.12 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 13 — — $94,856.66 $213,952.32 $121,267.61 2026-07-15
63 APR_DRG Pancreas Transplant 5 5 — — $118,480.46 $136,252.52 $118,480.46 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $118,287.81 $136,030.99 $118,287.81 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $117,131.06 $134,700.72 $117,131.06 2026-07-15
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 14 14 — — $91,025.33 $205,254.47 $115,844.82 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $114,696.66 $131,901.16 $114,696.66 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $114,495.04 $131,669.29 $114,495.04 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $114,495.04 $131,669.29 $114,495.04 2026-07-15
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 2 2 — — $113,471.76 $113,471.76 $113,471.76 2026-07-15
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $113,332.66 $113,332.66 $113,332.66 2026-07-15
215 OTHER Other Heart Assist System Implant 2 2 — — $113,151.52 $113,151.52 $113,151.52 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $112,654.46 $129,552.63 $112,654.46 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $111,952.60 $128,745.49 $111,952.60 2026-07-15
4404 APR_DRG Kidney Transplant 5 5 — — $111,816.77 $128,589.29 $111,816.77 2026-07-15
613 OTHER Neonate, Birth Weight <750 Grams, Died 2 2 — — $111,269.95 $111,269.95 $111,269.95 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 13 — — $86,307.53 $194,544.09 $110,341.27 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $109,192.21 $125,571.04 $109,192.21 2026-07-15
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $109,164.30 $109,164.30 $109,164.30 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $107,581.03 $123,718.18 $107,581.03 2026-07-15
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $107,213.19 $107,213.19 $107,213.19 2026-07-15
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 — — $107,093.76 $107,093.76 $107,093.76 2026-07-15
215 MS_DRG Other Heart Assist System Implant 14 14 — — $83,348.43 $187,826.37 $106,076.15 2026-07-15
20931 CPT Spinal Bone Allograft 20 11 $249,419.48 $59,860.68 76% off $103.01 $208,015.85 $105,130.31 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $104,921.86 $120,660.14 $104,921.86 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 14 — — $81,890.23 $184,516.00 $104,220.65 2026-07-15
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $103,998.15 $119,597.87 $103,998.15 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $103,200.38 $118,680.44 $103,200.38 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $103,072.81 $118,533.74 $103,072.81 2026-07-15
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $102,817.49 $118,240.11 $102,817.49 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $99,415.71 $114,328.07 $99,415.71 2026-07-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $99,415.71 $114,328.07 $99,415.71 2026-07-15
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $98,918.16 $113,755.88 $98,918.16 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $95,753.44 $110,116.45 $95,753.44 2026-07-15
62 APR_DRG Pancreas Transplant 5 5 — — $95,338.67 $109,639.47 $95,338.67 2026-07-15
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $94,974.85 $109,221.07 $94,974.85 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $94,974.85 $109,221.07 $94,974.85 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 5 5 — — $94,166.34 $108,291.30 $94,166.34 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 10 10 — — $76,022.06 $167,006.20 $93,315.51 2026-07-15
974 OTHER HIV With Major Related Condition With Mcc 2 2 — — $92,178.70 $92,178.70 $92,178.70 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 14 — — $70,565.33 $158,806.20 $89,809.98 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 14 — — $70,343.50 $158,302.61 $89,527.71 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $89,134.22 $102,504.35 $89,134.22 2026-07-15
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $87,794.69 $100,963.90 $87,794.69 2026-07-15
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $87,431.84 $100,546.61 $87,431.84 2026-07-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $87,184.44 $100,262.10 $87,184.44 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $86,554.95 $99,538.19 $86,554.95 2026-07-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $85,016.92 $97,769.46 $85,016.92 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $84,824.09 $97,547.71 $84,824.09 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $84,528.18 $97,207.41 $84,528.18 2026-07-15
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 5 5 — — $84,383.30 $97,040.79 $84,383.30 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $84,235.50 $96,870.83 $84,235.50 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 14 — — $65,868.45 $148,143.34 $83,833.30 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $83,422.02 $95,935.32 $83,422.02 2026-07-15
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $82,654.23 $95,052.37 $82,654.23 2026-07-15
3 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $82,045.34 $82,045.34 $82,045.34 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $81,989.00 $94,287.34 $81,989.00 2026-07-15
5 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $81,875.47 $81,875.47 $81,875.47 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 14 — — $64,273.81 $144,523.17 $81,804.17 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 14 — — $63,996.73 $143,894.18 $81,451.60 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 14 — — $63,784.95 $143,413.40 $81,182.12 2026-07-15
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $80,519.70 $92,597.66 $80,519.70 2026-07-15
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 — — $80,323.80 $80,323.80 $80,323.80 2026-07-15
632 OTHER Neonate, Birth Weight 750-999 Grams, Died 2 2 — — $80,194.40 $80,194.40 $80,194.40 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $79,779.84 $91,746.82 $79,779.84 2026-07-15
1784 APR_DRG External Heart Assist Systems 5 5 — — $79,183.98 $91,061.57 $79,183.98 2026-07-15
7524 APR_DRG Disorders Of Personality And Impulse Control 5 5 — — $77,391.20 $88,999.88 $77,391.20 2026-07-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $76,925.83 $88,464.70 $76,925.83 2026-07-15
10 MS_DRG Pancreas Transplant 13 13 — — $60,066.62 $134,972.05 $76,803.72 2026-07-15
969 OTHER HIV With Extensive O.r. Procedures With Mcc 2 2 — — $76,555.40 $76,555.40 $76,555.40 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 14 — — $60,041.51 $134,915.03 $76,418.67 2026-07-15
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $76,342.73 $87,794.14 $76,342.73 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 14 — — $59,722.58 $134,191.02 $76,012.86 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 14 — — $59,687.42 $134,111.21 $75,968.12 2026-07-15
8633 APR_DRG Neonatal Aftercare 5 5 — — $75,559.29 $86,893.19 $75,559.29 2026-07-15
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $75,445.21 $86,762.00 $75,445.21 2026-07-15
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $75,445.21 $86,762.00 $75,445.21 2026-07-15
6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $75,320.14 $86,618.16 $75,320.14 2026-07-15
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $75,133.21 $86,403.20 $75,133.21 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $74,842.31 $86,068.66 $74,842.31 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $74,375.81 $85,532.18 $74,375.81 2026-07-15
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $74,274.18 $85,415.31 $74,274.18 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 14 — — $57,857.56 $129,957.04 $73,639.66 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 14 — — $57,573.79 $129,312.83 $73,278.57 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $73,111.31 $84,078.01 $73,111.31 2026-07-15
22614 CPT Spine Fusion, Extra Segment 20 11 $171,261.16 $41,102.68 76% off $363.79 $142,831.81 $72,186.57 2026-07-15
52 OTHER Spinal Disorders And Injuries With Cc/mcc 2 2 — — $72,024.08 $72,024.08 $72,024.08 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 14 — — $56,344.95 $126,523.09 $71,714.89 2026-07-15
4403 APR_DRG Kidney Transplant 5 5 — — $71,701.28 $82,456.47 $71,701.28 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $71,684.30 $82,436.95 $71,684.30 2026-07-15
22632 CPT Spine Fusion, Extra Segment 20 11 $169,338.88 $40,641.33 76% off $298.36 $141,228.63 $71,376.33 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $70,751.29 $81,363.98 $70,751.29 2026-07-15
6904 APR_DRG Acute Leukemia 5 5 — — $70,589.59 $81,178.03 $70,589.59 2026-07-15
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 — — $70,383.10 $80,940.56 $70,383.10 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $70,233.85 $80,768.92 $70,233.85 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 14 — — $55,040.77 $123,562.37 $70,055.36 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 14 — — $55,040.77 $123,562.37 $70,055.36 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 5 5 — — $70,013.13 $80,515.09 $70,013.13 2026-07-15
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $69,999.62 $80,499.57 $69,999.62 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $69,934.70 $80,424.91 $69,934.70 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 10 — — $56,907.32 $124,645.56 $69,907.90 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 14 — — $54,840.71 $123,108.19 $69,800.79 2026-07-15
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $69,163.96 $79,538.55 $69,163.96 2026-07-15
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 — — $68,932.10 $68,932.10 $68,932.10 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 14 — — $53,863.83 $120,890.46 $68,557.74 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 14 — — $51,240.41 $120,080.45 $67,511.55 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 5 — — $66,931.11 $76,970.78 $66,931.11 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 5 — — $66,857.62 $76,886.26 $66,857.62 2026-07-15
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $65,807.48 $75,678.60 $65,807.48 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $65,745.85 $75,607.72 $65,745.85 2026-07-15
20930 CPT Spinal Bone Allograft 19 10 $145,422.03 $34,901.29 76% off $397.89 $121,281.97 $65,730.76 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $65,707.85 $75,564.02 $65,707.85 2026-07-15
22842 CPT Insert Spine Fixation Device 20 11 $155,237.36 $37,256.97 76% off $708.94 $129,467.96 $65,432.55 2026-07-15
61 APR_DRG Pancreas Transplant 5 5 — — $65,346.45 $75,148.41 $65,346.45 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 14 — — $51,299.84 $115,069.73 $65,295.12 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $65,152.41 $74,925.27 $65,152.41 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 14 — — $50,749.04 $113,819.29 $64,594.24 2026-07-15
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $64,590.59 $64,590.59 $64,590.59 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 10 — — $52,482.56 $114,839.78 $64,489.41 2026-07-15
1794 APR_DRG Defibrillator Implants 5 5 — — $64,363.31 $74,017.80 $64,363.31 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $64,231.52 $73,866.25 $64,231.52 2026-07-15
595 OTHER Major Skin Disorders With Mcc 2 2 — — $64,032.37 $64,032.37 $64,032.37 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 14 14 — — $50,294.50 $112,787.40 $64,015.87 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 14 14 — — $50,280.27 $112,755.11 $63,997.76 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $63,993.01 $73,591.96 $63,993.01 2026-07-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $63,705.99 $73,261.89 $63,705.99 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 14 — — $49,916.15 $111,928.42 $63,534.39 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 13 — — $49,636.56 $111,293.73 $63,473.42 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 14 — — $49,752.08 $111,555.98 $63,325.63 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $63,306.59 $72,802.58 $63,306.59 2026-07-15
1783 APR_DRG External Heart Assist Systems 5 5 — — $62,786.73 $72,204.73 $62,786.73 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 14 — — $49,125.10 $110,132.63 $62,527.83 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 14 — — $49,093.29 $110,060.40 $62,487.33 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $62,220.77 $71,553.89 $62,220.77 2026-07-15
7754 APR_DRG Alcohol Abuse And Dependence 5 5 — — $61,957.98 $71,251.67 $61,957.98 2026-07-15
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 5 5 — — $61,785.80 $71,053.67 $61,785.80 2026-07-15
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $61,484.87 $70,707.61 $61,484.87 2026-07-15
904 OTHER Skin Grafts For Injuries With Cc/mcc 2 2 — — $61,316.57 $61,316.57 $61,316.57 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $61,092.10 $70,255.92 $61,092.10 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 14 — — $47,967.41 $107,504.44 $61,054.69 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $60,988.62 $70,136.91 $60,988.62 2026-07-15
4402 APR_DRG Kidney Transplant 5 5 — — $60,758.19 $69,871.92 $60,758.19 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 14 — — $47,709.59 $106,919.14 $60,726.63 2026-07-15
6394 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 5 5 — — $60,650.58 $69,748.17 $60,650.58 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $60,465.51 $69,535.34 $60,465.51 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 5 5 — — $60,287.64 $69,330.79 $60,287.64 2026-07-15
C1882 HCPCS Aicd Ohr Thn Sgl/du2 20 10 $99,999.96 $23,999.99 76% off $10,000.00 $83,399.97 $59,999.98 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 13 — — $46,915.20 $105,115.71 $59,995.35 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $59,527.65 $68,456.80 $59,527.65 2026-07-15
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 — — $59,432.79 $59,432.79 $59,432.79 2026-07-15
278 MS_DRG Cellulitis Age >17 Without Cc 14 14 — — $46,593.75 $104,385.98 $59,306.75 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $59,153.31 $68,026.31 $59,153.31 2026-07-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $59,150.89 $68,023.52 $59,150.89 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 14 — — $46,232.14 $103,565.04 $58,846.60 2026-07-15
411 OTHER Cholecystectomy With C.d.e. With Mcc 2 2 — — $58,787.92 $58,787.92 $58,787.92 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 14 14 — — $45,955.06 $102,936.04 $58,494.04 2026-07-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $58,487.92 $67,261.10 $58,487.92 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 14 — — $45,792.67 $102,567.33 $58,287.39 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 14 — — $45,727.38 $102,419.11 $58,204.30 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 13 — — $45,472.91 $101,841.38 $58,152.00 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 14 — — $45,655.39 $102,255.68 $58,112.70 2026-07-15
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $57,968.26 $57,968.26 $57,968.26 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 5 5 — — $57,902.56 $66,587.94 $57,902.56 2026-07-15
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $57,581.42 $66,218.64 $57,581.42 2026-07-15
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 2 — — $57,227.68 $57,227.68 $57,227.68 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $57,062.52 $65,621.90 $57,062.52 2026-07-15
444 APR_DRG Intracranial Hemorrhage 5 5 — — $56,924.27 $65,462.91 $56,924.27 2026-07-15
4401 APR_DRG Kidney Transplant 5 5 — — $56,903.25 $65,438.74 $56,903.25 2026-07-15
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $56,865.17 $65,394.94 $56,865.17 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 14 — — $44,640.00 $99,950.54 $56,820.64 2026-07-15
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 5 5 — — $56,809.03 $65,330.39 $56,809.03 2026-07-15
11 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $56,796.63 $56,796.63 $56,796.63 2026-07-15
234 APR_DRG Spinal Procedures 5 5 — — $56,471.51 $64,942.24 $56,471.51 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 14 — — $44,313.54 $99,209.42 $56,405.23 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 14 — — $44,167.05 $98,876.88 $56,218.84 2026-07-15
4414 APR_DRG Major Bladder Procedures 5 5 — — $56,137.60 $64,558.24 $56,137.60 2026-07-15
7504 APR_DRG Schizophrenia 5 5 — — $55,973.76 $64,369.83 $55,973.76 2026-07-15
651 OTHER Neonate, Birth Weight 2000-2499 Grams, With Significant O.r. Procedures, With Mu… 2 2 — — $55,787.88 $55,787.88 $55,787.88 2026-07-15
7594 APR_DRG Eating Disorders 5 5 — — $55,643.12 $63,989.58 $55,643.12 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 14 — — $43,573.56 $97,529.54 $55,463.63 2026-07-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $55,461.69 $63,780.94 $55,461.69 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 14 14 — — $43,498.22 $97,358.49 $55,367.75 2026-07-15
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 5 5 — — $55,095.44 $63,359.75 $55,095.44 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $54,814.89 $63,037.12 $54,814.89 2026-07-15
4014 APR_DRG Adrenal Procedures 5 5 — — $54,805.18 $63,025.96 $54,805.18 2026-07-15
1782 APR_DRG External Heart Assist Systems 5 5 — — $53,993.45 $62,092.46 $53,993.45 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 5 5 — — $53,965.96 $62,060.85 $53,965.96 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 14 — — $42,190.70 $94,390.14 $53,703.96 2026-07-15
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 — — $53,287.62 $61,280.77 $53,287.62 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 14 — — $41,748.72 $93,386.79 $53,141.57 2026-07-15
7584 APR_DRG Behavioral Disorders 5 5 — — $52,918.79 $60,856.60 $52,918.79 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 14 — — $41,413.88 $92,626.61 $52,715.48 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $52,694.99 $60,599.24 $52,694.99 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 14 — — $41,340.22 $92,459.38 $52,621.75 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 14 — — $41,198.75 $92,138.26 $52,441.74 2026-07-15
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 2 — — $51,223.06 $53,439.94 $52,331.50 2026-07-15
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 5 5 — — $52,235.76 $60,071.13 $52,235.76 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 14 — — $41,027.15 $91,748.68 $52,223.39 2026-07-15
288 OTHER Acute And Subacute Endocarditis With Mcc 2 2 — — $52,182.47 $52,182.47 $52,182.47 2026-07-15
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 5 5 — — $51,534.52 $59,264.70 $51,534.52 2026-07-15
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 — — $51,518.13 $51,518.13 $51,518.13 2026-07-15
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 5 5 — — $51,475.77 $59,197.13 $51,475.77 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 14 14 — — $40,420.27 $90,370.91 $51,451.14 2026-07-15
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $51,404.62 $59,115.31 $51,404.62 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 13 13 — — $38,815.58 $90,205.96 $51,199.54 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 14 — — $40,216.02 $89,907.23 $51,191.22 2026-07-15
C1767 HCPCS Genratr Neurostm 3 20 10 $85,087.71 $20,421.05 76% off $8,508.77 $70,963.15 $51,052.62 2026-07-15
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $50,968.03 $58,613.23 $50,968.03 2026-07-15
862 OTHER Postoperative And Post-traumatic Infections With Mcc 2 2 — — $50,800.50 $50,800.50 $50,800.50 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 14 — — $39,851.89 $89,080.59 $50,727.89 2026-07-15
228 OTHER Other Cardiothoracic Procedures With Mcc 2 2 — — $50,714.65 $50,714.65 $50,714.65 2026-07-15
4234 APR_DRG Inborn Errors Of Metabolism 5 5 — — $50,501.60 $58,076.84 $50,501.60 2026-07-15
1214 APR_DRG Other Respiratory And Chest Procedures 5 5 — — $50,353.57 $57,906.60 $50,353.57 2026-07-15
2614 APR_DRG Major Biliary Tract Procedures 5 5 — — $50,331.74 $57,881.50 $50,331.74 2026-07-15
14 OTHER Allogeneic Bone Marrow Transplant 2 2 — — $50,249.43 $50,249.43 $50,249.43 2026-07-15
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 — — $32,444.58 $67,895.42 $50,170.00 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 14 — — $39,354.66 $87,951.77 $50,095.18 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 14 — — $39,274.30 $87,769.31 $49,992.90 2026-07-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $49,844.21 $57,320.84 $49,844.21 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 14 — — $39,157.11 $87,503.29 $49,843.80 2026-07-15
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $49,843.32 $49,843.32 $49,843.32 2026-07-15
734 OTHER Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 2 2 — — $49,788.16 $49,788.16 $49,788.16 2026-07-15
635 OTHER Neonate, Birth Weight 1000-1499 Grams, Died 2 2 — — $49,685.86 $49,685.86 $49,685.86 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $49,532.13 $56,961.95 $49,532.13 2026-07-15
277 MS_DRG Cellulitis Age >17 W Cc 14 14 — — $38,660.72 $86,376.41 $49,212.16 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $49,162.64 $56,537.04 $49,162.64 2026-07-15
6081 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $49,139.52 $56,510.45 $49,139.52 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 14 — — $38,476.56 $85,958.32 $48,977.82 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 14 — — $38,378.62 $85,735.97 $48,853.18 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 10 10 — — $39,528.17 $86,131.25 $48,625.66 2026-07-15
245 MS_DRG Aicd Generator Procedures 14 14 — — $38,191.11 $85,310.29 $48,614.59 2026-07-15
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $48,608.47 $48,608.47 $48,608.47 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $48,497.24 $55,771.83 $48,497.24 2026-07-15
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