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

SAINT MICHAEL'S MEDICAL CENTER

Newark, NJ · CCN 310096 · Rates published

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You selected 45378 (CPT)

Hc Colorectal Cancer Scrn, Colonoscopy Not High Risk - 45378 - 75000071

This hospital’s price: $1,311 across 27 payers · range $337-$4,090

Source: https://smmcnj.com/wp-content/uploads/2026/04/1568825545_SaintMichaelsMedicalCenter_standardcharges.JSON · observed 2026-09-01

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.

5,925 distinct procedures filed
29 distinct payers
469,693 rate rows
2026-09-01 last MRF observed
Data quality

467,965 of 469,693 rate rows are consumer-grade (99.6%)

1,728 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
per-diem day rate — not a per-procedure price 1,610
template filing: same amount across many unrelated codes — excluded 73
exceeds 10× this hospital's gross charge — excluded from medians 19
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 16
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://smmcnj.com/wp-content/uploads/2026/09/10713_SaintMichaelsMedicalCenter_standardcharges.json
Found on page https://smmcnj.com/patients-visitors/financial-assistance/
Discovered viaCMS hospital list
Last fetch success · 2026-09-21
Content fingerprint 88807f5c7f7d77f9… · 41,694,309 bytes · first seen 2026-09-21

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 18 $396,448.00 $901,986.11 $614,494.40 nat. median
$168,055
outlier · 3.7×
5834
APR_DRG 		Neonate W Ecmo - Soi : 4 8 $447,446.80 $492,191.48 $447,446.80 nat. median
$390,362
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $164,867.50 $590,885.00 $403,689.31 nat. median
$186,516
outlier · 2.2×
5833
APR_DRG 		Neonate W Ecmo - Soi : 3 8 $389,668.56 $428,635.42 $389,668.56 nat. median
$268,208
1.5× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 4 8 $333,737.61 $367,111.37 $333,737.61 nat. median
$286,698
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $114,764.78 $574,751.00 $308,159.88 nat. median
$131,925
outlier · 2.3×
1614
APR_DRG 		Implantable Heart Assist Systems- Soi : 4 8 $307,825.52 $338,608.07 $307,825.52 nat. median
$202,242
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $114,221.06 $464,889.00 $306,366.11 nat. median
$145,435
outlier · 2.1×
24
APR_DRG 		Heart &or Lung Transplant - Soi : 4 8 $298,215.79 $328,037.37 $298,215.79 nat. median
$225,531
1.3× median
5832
APR_DRG 		Neonate W Ecmo - Soi : 2 8 $244,526.41 $268,979.05 $244,526.41 nat. median
$201,678
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems- Soi : 3 8 $233,260.30 $256,586.32 $233,260.30 nat. median
$155,539
1.5× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 8 $226,840.94 $249,525.03 $226,840.94 nat. median
$187,567
1.2× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft - Soi : 4 8 $221,085.40 $243,193.94 $221,085.40 nat. median
$173,018
1.3× median
5934
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 8 $219,395.47 $241,335.02 $219,395.47 nat. median
$168,439
1.3× median
5914
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 8 $217,206.69 $238,927.35 $217,206.69 nat. median
$171,497
1.3× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 3 8 $214,049.86 $235,454.85 $214,049.86 nat. median
$173,134
1.2× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 8 $213,383.43 $234,721.77 $213,383.43 nat. median
$181,762
1.2× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 8 $210,943.28 $232,037.61 $210,943.28 nat. median
$198,578
1.1× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 2 8 $208,357.54 $229,193.29 $208,357.54 nat. median
$152,383
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $71,284.07 $320,534.00 $200,809.89 nat. median
$97,418
outlier · 2.1×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 8 $198,697.49 $218,567.24 $198,697.49 nat. median
$152,792
1.3× median
5831
APR_DRG 		Neonate W Ecmo - Soi : 1 8 $198,020.77 $217,822.85 $198,020.77 nat. median
$173,909
1.1× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4 8 $195,022.50 $214,524.75 $195,022.50 nat. median
$135,630
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant- Soi : 4 8 $193,065.77 $212,372.35 $193,065.77 nat. median
$149,836
1.3× median
23
APR_DRG 		Heart &or Lung Transplant - Soi : 3 8 $188,742.32 $207,616.56 $188,742.32 nat. median
$117,894
1.6× median
14
APR_DRG 		Liver Transplant &or Intestinal Transplant - Soi : 4 8 $187,169.72 $205,886.70 $187,169.72 nat. median
$136,566
1.4× median
1612
APR_DRG 		Implantable Heart Assist Systems- Soi : 2 8 $187,061.41 $205,767.55 $187,061.41 nat. median
$109,992
1.7× median
1611
APR_DRG 		Implantable Heart Assist Systems- Soi : 1 8 $177,922.21 $195,714.43 $177,922.21 nat. median
$108,954
1.6× median
7
MS_DRG 		Lung Transplant 18 $66,488.60 $274,631.12 $173,568.83 nat. median
$70,649
outlier · 2.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $74,599.45 $255,285.02 $165,902.42 nat. median
$72,715
outlier · 2.3×
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4 8 $164,578.16 $181,035.97 $164,578.16 nat. median
$115,963
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $83,790.87 $266,983.00 $164,181.87 nat. median
$65,418
outlier · 2.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valveâ Procedures 18 $102,271.00 $234,855.00 $158,520.05 nat. median
$74,509
outlier · 2.1×
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 8 $158,312.21 $174,143.43 $158,312.21 nat. median
$124,731
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $64,013.46 $225,682.00 $150,122.11 nat. median
$69,922
outlier · 2.1×
64
APR_DRG 		Pancreas Transplant - Soi : 4 8 $149,130.45 $164,043.49 $149,130.45 nat. median
$92,994
1.6× median
5933
APR_DRG 		Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 8 $147,776.94 $162,554.63 $147,776.94 nat. median
$114,205
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 18 $80,441.15 $222,734.00 $143,316.39 nat. median
$73,023
2.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $61,306.72 $211,624.00 $142,568.08 nat. median
$69,822
outlier · 2.0×
5913
APR_DRG 		Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 8 $142,205.75 $156,426.33 $142,205.75 nat. median
$120,079
1.2× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 8 $140,359.87 $154,395.86 $140,359.87 nat. median
$106,926
1.3× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure - Soi : 1 8 $138,581.01 $152,439.11 $138,581.01 nat. median
$130,862
1.1× median
22
APR_DRG 		Heart &or Lung Transplant - Soi : 2 8 $135,843.12 $149,427.43 $135,843.12 nat. median
$95,481
1.4× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 4 8 $133,904.43 $147,294.87 $133,904.43 nat. median
$91,350
1.5× median
43
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 3 8 $128,897.85 $141,787.63 $128,897.85 nat. median
$85,032
1.5× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $59,284.16 $193,223.00 $126,253.58 nat. median
$2,106
outlier · 60.0×
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 8 $123,065.01 $135,371.51 $123,065.01 nat. median
$100,752
1.2× median
6303
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 3 8 $122,879.32 $135,167.25 $122,879.32 nat. median
$95,499
1.3× median
3034
APR_DRG 		Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 4 8 $121,922.91 $134,115.20 $121,922.91 nat. median
$75,821
1.6× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive 3rd Degree Burns - Soi : 4 8 $120,676.37 $132,744.01 $120,676.37 nat. median
$91,950
1.3× median

Other procedures at this hospital

Browse this hospital's 5,925 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 27 18 — $498,334.00 $396,448.00 $901,986.11 $614,494.40 2026-09-01
5834 APR_DRG Neonate W Ecmo - Soi : 4 9 8 — — $447,446.80 $492,191.48 $447,446.80 2026-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 18 — $324,543.00 $164,867.50 $590,885.00 $403,689.31 2026-09-01
5833 APR_DRG Neonate W Ecmo - Soi : 3 9 8 — — $389,668.56 $428,635.42 $389,668.56 2026-09-01
5884 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 4 9 8 — — $333,737.61 $367,111.37 $333,737.61 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 18 — $248,036.00 $114,764.78 $574,751.00 $308,159.88 2026-09-01
1614 APR_DRG Implantable Heart Assist Systems- Soi : 4 9 8 — — $307,825.52 $338,608.07 $307,825.52 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 18 — $246,599.00 $114,221.06 $464,889.00 $306,366.11 2026-09-01
24 APR_DRG Heart &or Lung Transplant - Soi : 4 9 8 — — $298,215.79 $328,037.37 $298,215.79 2026-09-01
5832 APR_DRG Neonate W Ecmo - Soi : 2 9 8 — — $244,526.41 $268,979.05 $244,526.41 2026-09-01
1613 APR_DRG Implantable Heart Assist Systems- Soi : 3 9 8 — — $233,260.30 $256,586.32 $233,260.30 2026-09-01
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 4 9 8 — — $226,840.94 $249,525.03 $226,840.94 2026-09-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 4 9 8 — — $221,085.40 $243,193.94 $221,085.40 2026-09-01
5934 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 4 9 8 — — $219,395.47 $241,335.02 $219,395.47 2026-09-01
5914 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 4 9 8 — — $217,206.69 $238,927.35 $217,206.69 2026-09-01
5883 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 3 9 8 — — $214,049.86 $235,454.85 $214,049.86 2026-09-01
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 4 9 8 — — $213,383.43 $234,721.77 $213,383.43 2026-09-01
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 4 9 8 — — $210,943.28 $232,037.61 $210,943.28 2026-09-01
5882 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 2 9 8 — — $208,357.54 $229,193.29 $208,357.54 2026-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 18 — $162,061.00 $71,284.07 $320,534.00 $200,809.89 2026-09-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 4 9 8 — — $198,697.49 $218,567.24 $198,697.49 2026-09-01
5831 APR_DRG Neonate W Ecmo - Soi : 1 9 8 — — $198,020.77 $217,822.85 $198,020.77 2026-09-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 4 9 8 — — $195,022.50 $214,524.75 $195,022.50 2026-09-01
74 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 4 9 8 — — $193,065.77 $212,372.35 $193,065.77 2026-09-01
23 APR_DRG Heart &or Lung Transplant - Soi : 3 9 8 — — $188,742.32 $207,616.56 $188,742.32 2026-09-01
14 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 4 9 8 — — $187,169.72 $205,886.70 $187,169.72 2026-09-01
1612 APR_DRG Implantable Heart Assist Systems- Soi : 2 9 8 — — $187,061.41 $205,767.55 $187,061.41 2026-09-01
1611 APR_DRG Implantable Heart Assist Systems- Soi : 1 9 8 — — $177,922.21 $195,714.43 $177,922.21 2026-09-01
7 MS_DRG Lung Transplant 28 18 — $151,729.00 $66,488.60 $274,631.12 $173,568.83 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 28 18 — $141,041.00 $74,599.45 $255,285.02 $165,902.42 2026-09-01
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 4 9 8 — — $164,578.16 $181,035.97 $164,578.16 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 18 — $133,175.00 $83,790.87 $266,983.00 $164,181.87 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 27 18 — $127,928.00 $102,271.00 $234,855.00 $158,520.05 2026-09-01
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 9 8 — — $158,312.21 $174,143.43 $158,312.21 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 18 — $121,466.00 $64,013.46 $225,682.00 $150,122.11 2026-09-01
64 APR_DRG Pancreas Transplant - Soi : 4 9 8 — — $149,130.45 $164,043.49 $149,130.45 2026-09-01
5933 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 3 9 8 — — $147,776.94 $162,554.63 $147,776.94 2026-09-01
215 MS_DRG Other Heart Assist System Implant 28 18 — $117,414.00 $80,441.15 $222,734.00 $143,316.39 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 18 — $115,416.00 $61,306.72 $211,624.00 $142,568.08 2026-09-01
5913 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 3 9 8 — — $142,205.75 $156,426.33 $142,205.75 2026-09-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 4 9 8 — — $140,359.87 $154,395.86 $140,359.87 2026-09-01
5881 APR_DRG Neonate Bwt <1500g W Major Procedure - Soi : 1 9 8 — — $138,581.01 $152,439.11 $138,581.01 2026-09-01
22 APR_DRG Heart &or Lung Transplant - Soi : 2 9 8 — — $135,843.12 $149,427.43 $135,843.12 2026-09-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 4 9 8 — — $133,904.43 $147,294.87 $133,904.43 2026-09-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 3 9 8 — — $128,897.85 $141,787.63 $128,897.85 2026-09-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $59,284.16 $193,223.00 $126,253.58 2026-09-01
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 4 9 8 — — $123,065.01 $135,371.51 $123,065.01 2026-09-01
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 3 9 8 — — $122,879.32 $135,167.25 $122,879.32 2026-09-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 4 9 8 — — $121,922.91 $134,115.20 $121,922.91 2026-09-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns - Soi : 4 9 8 — — $120,676.37 $132,744.01 $120,676.37 2026-09-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 4 9 8 — — $120,033.20 $132,036.51 $120,033.20 2026-09-01
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 9 8 — — $119,593.61 $131,552.97 $119,593.61 2026-09-01
63 APR_DRG Pancreas Transplant - Soi : 3 9 8 — — $118,064.84 $129,871.32 $118,064.84 2026-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 18 — $93,473.00 $65,079.67 $184,305.00 $115,169.15 2026-09-01
5932 APR_DRG Neonate Birthwt 750-999g Wo Major Procedure - Soi : 2 9 8 — — $114,900.26 $126,390.29 $114,900.26 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 18 — $99,906.00 $52,429.92 $180,830.64 $113,639.30 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 18 — $99,602.00 $56,963.83 $183,803.00 $113,287.45 2026-09-01
4404 APR_DRG Kidney Transplant - Soi : 4 9 8 — — $113,143.31 $124,457.64 $113,143.31 2026-09-01
21 APR_DRG Heart &or Lung Transplant - Soi : 1 9 8 — — $111,676.42 $122,844.06 $111,676.42 2026-09-01
73 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 3 9 8 — — $110,670.96 $121,738.05 $110,670.96 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 18 — $90,910.00 $47,678.15 $170,070.00 $108,055.68 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 18 — $91,289.00 $48,014.62 $168,143.00 $106,684.44 2026-09-01
13 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 3 9 8 — — $106,498.38 $117,148.22 $106,498.38 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 18 — $85,056.00 $68,222.70 $174,298.00 $105,745.19 2026-09-01
10 MS_DRG Pancreas Transplant 28 18 — $85,527.00 $28,177.91 $154,804.79 $104,565.32 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 18 — $85,008.00 $68,184.40 $153,864.79 $103,512.02 2026-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 18 — $90,620.00 $47,433.44 $164,022.36 $102,884.59 2026-09-01
1634 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 4 9 8 — — $101,557.55 $111,713.30 $101,557.55 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 18 — $82,502.00 $39,298.25 $151,870.00 $101,185.80 2026-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 18 — $80,430.00 $38,059.74 $145,578.93 $98,882.93 2026-09-01
8634 APR_DRG Neonatal Aftercare - Soi : 4 9 8 — — $98,028.15 $107,830.96 $98,028.15 2026-09-01
1784 APR_DRG External Heart Assist Systems- Soi : 4 9 8 — — $97,580.88 $107,338.96 $97,580.88 2026-09-01
62 APR_DRG Pancreas Transplant - Soi : 2 9 8 — — $96,981.46 $106,679.61 $96,981.46 2026-09-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 28 18 — $85,493.00 $36,678.28 $154,742.55 $96,946.93 2026-09-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 3 9 8 — — $94,821.07 $104,303.18 $94,821.07 2026-09-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 4 9 8 — — $94,068.25 $103,475.07 $94,068.25 2026-09-01
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures - Soi : 4 9 8 — — $93,894.26 $103,283.68 $93,894.26 2026-09-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 4 9 8 — — $93,715.05 $103,086.56 $93,715.05 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 18 — $78,370.00 $32,782.36 $141,849.99 $93,338.58 2026-09-01
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 4 9 8 — — $93,337.34 $102,671.07 $93,337.34 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 18 — $82,113.00 $20,213.40 $149,467.00 $93,032.74 2026-09-01
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 9 8 — — $92,779.22 $102,057.14 $92,779.22 2026-09-01
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 3 9 8 — — $92,607.77 $101,868.54 $92,607.77 2026-09-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $39,856.95 $144,617.00 $92,236.98 2026-09-01
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 3 9 8 — — $92,007.08 $101,207.79 $92,007.08 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 18 — $78,644.00 $36,863.69 $142,345.93 $91,958.82 2026-09-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 18 — $77,032.00 $34,936.01 $150,629.00 $91,750.72 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 18 — $73,439.00 $34,949.74 $149,857.00 $90,139.20 2026-09-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 3 9 8 — — $89,979.46 $98,977.41 $89,979.46 2026-09-01
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 9 8 — — $89,715.20 $98,686.72 $89,715.20 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 18 — $72,766.00 $38,456.14 $131,706.91 $89,274.82 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 18 — $78,644.00 $39,719.62 $142,345.93 $89,015.00 2026-09-01
12 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 2 9 8 — — $88,854.13 $97,739.55 $88,854.13 2026-09-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 4 9 8 — — $88,557.67 $97,413.43 $88,557.67 2026-09-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 4 9 8 — — $87,237.70 $95,961.47 $87,237.70 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 27 18 — $72,124.00 $50,469.90 $135,413.00 $87,197.81 2026-09-01
72 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 2 9 8 — — $87,174.49 $95,891.94 $87,174.49 2026-09-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $39,557.31 $133,366.00 $86,461.65 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 18 — $71,625.00 $40,854.50 $132,472.00 $85,811.81 2026-09-01
5912 APR_DRG Neonate Birthwt 500-749g Wo Major Procedure - Soi : 2 9 8 — — $84,058.96 $92,464.85 $84,058.96 2026-09-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 18 — $68,956.00 $34,084.54 $124,811.37 $83,988.79 2026-09-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 2 9 8 — — $83,919.71 $92,311.68 $83,919.71 2026-09-01
1794 APR_DRG Defibrillator Implants- Soi : 4 9 8 — — $83,597.45 $91,957.20 $83,597.45 2026-09-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma - Soi : 4 9 8 — — $83,472.44 $91,819.68 $83,472.44 2026-09-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 3 9 8 — — $83,357.71 $91,693.49 $83,357.71 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 18 — $70,542.00 $36,268.15 $128,226.00 $83,103.08 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 18 — $73,520.00 $44,892.76 $136,196.00 $83,081.32 2026-09-01
1664 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx - Soi : 4 9 8 — — $82,806.01 $91,086.61 $82,806.01 2026-09-01
6804 APR_DRG Major O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 9 8 — — $81,696.11 $89,865.72 $81,696.11 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 28 18 — $72,143.00 $33,552.05 $131,399.00 $81,486.71 2026-09-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 18 — $66,579.00 $27,981.89 $148,677.00 $81,328.93 2026-09-01
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 3 9 8 — — $81,299.09 $89,428.99 $81,299.09 2026-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 18 — $67,515.00 $32,766.75 $122,202.98 $81,134.59 2026-09-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 28 18 — $66,200.00 $34,382.30 $122,086.00 $80,841.52 2026-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 18 — $67,075.00 $43,715.60 $121,406.15 $80,804.53 2026-09-01
914 APR_DRG Other Major Head & Neck Procedures - Soi : 4 9 8 — — $80,757.74 $88,833.51 $80,757.74 2026-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 18 — $71,400.00 $9,839.45 $130,832.00 $80,626.32 2026-09-01
61 APR_DRG Pancreas Transplant - Soi : 1 9 8 — — $80,563.10 $88,619.41 $80,563.10 2026-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 18 — $68,603.00 $32,035.76 $124,172.24 $80,488.52 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 28 18 — $71,242.00 $40,822.04 $134,689.00 $80,443.10 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 18 — $65,888.00 $32,131.27 $119,258.44 $80,440.99 2026-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 18 — $65,790.00 $30,665.53 $119,079.97 $80,314.35 2026-09-01
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 28 18 — $65,540.00 $27,348.91 $134,689.00 $79,993.33 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 18 — $70,498.00 $33,982.16 $131,848.00 $79,581.39 2026-09-01
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Wo Other Significant Condition - Soi : 3 9 8 — — $79,469.98 $87,416.98 $79,469.98 2026-09-01
5891 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 9 8 — — $79,406.84 $87,347.52 $79,406.84 2026-09-01
11 APR_DRG Liver Transplant &or Intestinal Transplant - Soi : 1 9 8 — — $79,195.43 $87,114.97 $79,195.43 2026-09-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service - Soi : 4 9 8 — — $77,967.00 $85,763.70 $77,967.00 2026-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 17 — $63,751.00 $31,597.53 $115,390.45 $76,596.05 2026-09-01
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 4 9 8 — — $76,043.75 $83,648.12 $76,043.75 2026-09-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 18 — $63,952.00 $49,350.51 $133,913.00 $74,892.64 2026-09-01
1783 APR_DRG External Heart Assist Systems- Soi : 3 9 8 — — $74,771.49 $82,248.64 $74,771.49 2026-09-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma - Soi : 4 9 8 — — $74,476.29 $81,923.92 $74,476.29 2026-09-01
9114 APR_DRG Extensive Abdominalthoracic Procedures For Mult Significant Trauma - Soi : 4 9 8 — — $74,387.36 $81,826.09 $74,387.36 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 18 — $65,978.00 $33,578.90 $120,041.00 $74,346.11 2026-09-01
1694 APR_DRG Major Abdominal Vascular Procedures - Soi : 4 9 8 — — $74,222.32 $81,644.55 $74,222.32 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 18 — $64,399.00 $32,493.95 $116,562.88 $73,816.03 2026-09-01
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly - Soi : 4 9 8 — — $72,902.35 $80,192.59 $72,902.35 2026-09-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 18 — $59,980.00 $41,051.76 $109,869.00 $72,852.94 2026-09-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft - Soi : 3 9 8 — — $72,675.51 $79,943.06 $72,675.51 2026-09-01
214 APR_DRG Open Craniotomy Except Trauma- Soi : 4 9 8 — — $72,658.74 $79,924.61 $72,658.74 2026-09-01
234 APR_DRG Spinal Procedures - Soi : 4 9 8 — — $72,265.59 $79,492.15 $72,265.59 2026-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 18 — $59,451.00 $30,467.65 $123,920.00 $72,172.62 2026-09-01
1204 APR_DRG Major Respiratory & Chest Procedures - Soi : 4 9 8 — — $71,269.15 $78,396.06 $71,269.15 2026-09-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 18 — $62,938.00 $31,919.02 $113,919.21 $70,826.26 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 28 18 — $62,835.00 $34,264.94 $118,044.00 $70,706.76 2026-09-01
4403 APR_DRG Kidney Transplant - Soi : 3 9 8 — — $70,700.74 $77,770.81 $70,700.74 2026-09-01
6814 APR_DRG Other O.r. Procedures For Lymphatichematopoieticother Neoplasms - Soi : 4 9 8 — — $70,008.52 $77,009.37 $70,008.52 2026-09-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures - Soi : 4 9 8 — — $69,986.60 $76,985.26 $69,986.60 2026-09-01
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure - Soi : 3 9 8 — — $69,978.85 $76,976.73 $69,978.85 2026-09-01
6904 APR_DRG Acute Leukemia - Soi : 4 9 8 — — $69,474.85 $76,422.34 $69,474.85 2026-09-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures - Soi : 4 9 8 — — $69,461.96 $76,408.15 $69,461.96 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 17 — $57,841.00 $36,506.62 $106,413.00 $69,112.53 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 18 — $57,050.00 $27,282.74 $103,364.00 $69,089.10 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 27 18 — $56,210.00 $45,313.10 $104,280.00 $68,972.68 2026-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 18 — $58,340.00 $33,547.68 $105,623.00 $68,951.06 2026-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 18 — $56,890.00 $30,887.14 $102,971.01 $68,882.95 2026-09-01
71 APR_DRG Allogeneic Bone Marrow Transplant- Soi : 1 9 8 — — $68,752.96 $75,628.26 $68,752.96 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 18 — $61,044.00 $28,761.58 $110,491.16 $68,632.83 2026-09-01
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly - Soi : 4 9 8 — — $68,603.49 $75,463.84 $68,603.49 2026-09-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 18 — $60,439.00 $32,809.82 $110,748.00 $68,566.10 2026-09-01
894 APR_DRG Major Cranialfacial Bone Procedures - Soi : 4 9 8 — — $68,515.83 $75,367.41 $68,515.83 2026-09-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses - Soi… 9 8 — — $68,304.42 $75,134.86 $68,304.42 2026-09-01
6 MS_DRG Liver Transplant Without Mcc 28 18 — $56,422.00 $30,372.76 $105,469.00 $68,282.15 2026-09-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis- Soi : 4 9 8 — — $68,259.32 $75,085.25 $68,259.32 2026-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 18 — $57,160.00 $35,447.50 $103,460.74 $68,250.22 2026-09-01
204 APR_DRG Open Craniotomy For Trauma- Soi : 4 9 8 — — $68,248.96 $75,073.86 $68,248.96 2026-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 18 — $59,880.00 $31,568.82 $109,010.00 $67,609.03 2026-09-01
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 3 9 8 — — $67,514.25 $74,265.67 $67,514.25 2026-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 18 — $55,823.00 $28,244.70 $101,041.17 $67,513.47 2026-09-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses - Soi : 4 9 8 — — $67,407.27 $74,148.00 $67,407.27 2026-09-01
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Syndoth Maj Resp Or Maj Anom - Soi : 2 9 8 — — $67,375.00 $74,112.50 $67,375.00 2026-09-01
4414 APR_DRG Major Bladder Procedures - Soi : 4 9 8 — — $67,211.30 $73,932.43 $67,211.30 2026-09-01
6084 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 4 9 8 — — $67,210.03 $73,931.03 $67,210.03 2026-09-01
245 MS_DRG Aicd Generator Procedures 28 18 — $55,567.00 $31,287.91 $100,576.36 $67,183.62 2026-09-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 18 — $59,686.00 $29,397.69 $108,032.17 $67,059.46 2026-09-01
1633 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 3 9 8 — — $66,900.67 $73,590.73 $66,900.67 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 28 18 — $55,182.00 $29,349.62 $108,035.00 $66,690.32 2026-09-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours - Soi : 4 9 8 — — $66,472.71 $73,119.98 $66,472.71 2026-09-01
1782 APR_DRG External Heart Assist Systems- Soi : 2 9 8 — — $66,364.39 $73,000.83 $66,364.39 2026-09-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly - Soi : 3 9 8 — — $66,297.38 $72,927.11 $66,297.38 2026-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 28 18 — $58,620.00 $31,279.17 $107,259.00 $65,824.65 2026-09-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Ccmcc 2 1 — — $31,212.37 $100,425.00 $65,818.68 2026-09-01
6083 APR_DRG Neonate Bwt 1250-1499g W Or Wo Other Significant Condition - Soi : 3 9 8 — — $65,710.86 $72,281.94 $65,710.86 2026-09-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 18 — $54,426.00 $43,896.40 $98,511.64 $65,319.50 2026-09-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 27 18 — $52,872.00 $42,662.60 $95,699.88 $64,625.39 2026-09-01
274 APR_DRG Other Open Craniotomy- Soi : 4 9 8 — — $64,416.68 $70,858.35 $64,416.68 2026-09-01
6144 APR_DRG Neonate Bwt 1500-1999g W Or Wo Other Significant Condition - Soi : 4 9 8 — — $63,684.51 $70,052.96 $63,684.51 2026-09-01
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 2 9 8 — — $63,519.54 $69,871.49 $63,519.54 2026-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 18 — $52,477.00 $23,690.82 $94,983.97 $63,215.10 2026-09-01
2614 APR_DRG Major Biliary Tract Procedures - Soi : 4 9 8 — — $63,196.01 $69,515.61 $63,196.01 2026-09-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 2 9 8 — — $62,899.47 $69,189.42 $62,899.47 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 18 — $55,957.00 $31,166.80 $101,283.96 $62,741.64 2026-09-01
1814 APR_DRG Lower Extremity Arterial Procedures - Soi : 4 9 8 — — $62,627.53 $68,890.28 $62,627.53 2026-09-01
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure - Soi : 4 9 8 — — $62,502.45 $68,752.69 $62,502.45 2026-09-01
4402 APR_DRG Kidney Transplant - Soi : 2 9 8 — — $62,160.88 $68,376.97 $62,160.88 2026-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 18 — $55,409.00 $28,018.10 $100,292.06 $62,106.98 2026-09-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 18 — $55,387.00 $26,702.19 $100,250.56 $62,080.42 2026-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 18 — $51,571.00 $26,092.30 $93,344.65 $62,051.79 2026-09-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices- Soi… 9 8 — — $61,975.26 $68,172.79 $61,975.26 2026-09-01
140 MS_DRG Major Head And Neck Procedures With Mcc 27 18 — $52,160.00 $6,983.40 $94,411.25 $61,919.36 2026-09-01
4014 APR_DRG Adrenal Procedures - Soi : 4 9 8 — — $61,769.00 $67,945.90 $61,769.00 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 18 — $51,283.00 $24,509.83 $92,823.80 $61,682.18 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 18 — $51,098.00 $31,968.96 $98,798.00 $61,443.62 2026-09-01
793 MS_DRG Full Term Neonate With Major Problems 28 18 — $51,063.00 $24,250.66 $92,425.39 $61,272.39 2026-09-01
163 MS_DRG Major Chest Procedures With Mcc 28 18 — $54,643.00 $30,708.61 $102,780.00 $61,218.72 2026-09-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 18 — $54,628.00 $26,111.65 $98,876.86 $61,201.46 2026-09-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 18 — $50,873.00 $24,632.81 $92,080.93 $61,155.00 2026-09-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs - Soi : 4 9 8 — — $60,793.21 $66,872.53 $60,793.21 2026-09-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 18 — $50,558.00 $22,800.64 $91,510.27 $60,750.05 2026-09-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure - Soi : 1 9 8 — — $60,740.36 $66,814.39 $60,740.36 2026-09-01
1781 APR_DRG External Heart Assist Systems- Soi : 1 9 8 — — $60,670.80 $66,737.88 $60,670.80 2026-09-01
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 2 9 8 — — $60,488.99 $66,537.89 $60,488.99 2026-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 18 — $53,622.00 $24,818.21 $97,057.00 $60,037.03 2026-09-01
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure - Soi : 2 9 8 — — $59,951.52 $65,946.67 $59,951.52 2026-09-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 18 — $51,595.00 $23,806.93 $93,388.24 $59,944.04 2026-09-01
6954 APR_DRG Chemotherapy For Acute Leukemia - Soi : 4 9 8 — — $59,756.88 $65,732.57 $59,756.88 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 26 18 — $51,880.00 $41,874.10 $93,902.85 $59,616.35 2026-09-01
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment - Soi : 4 9 8 — — $59,453.93 $65,399.33 $59,453.93 2026-09-01
2304 APR_DRG Major Small Bowel Procedures - Soi : 4 9 8 — — $58,888.06 $64,776.87 $58,888.06 2026-09-01
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures- Soi… 9 8 — — $58,512.95 $64,364.25 $58,512.95 2026-09-01
1793 APR_DRG Defibrillator Implants- Soi : 3 9 8 — — $58,346.64 $64,181.31 $58,346.64 2026-09-01
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy - Soi : 4 9 8 — — $58,287.38 $64,116.12 $58,287.38 2026-09-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 3 9 8 — — $58,270.61 $64,097.67 $58,270.61 2026-09-01
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures - Soi : 4 9 8 — — $58,105.57 $63,916.12 $58,105.57 2026-09-01
5892 APR_DRG Neo Bwt<500g Or 500-999g & Ga<24wks Or 500-749g W Maj Anom Or Wout Life Sustaini… 9 8 — — $57,831.02 $63,614.12 $57,831.02 2026-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 18 — $51,678.00 $9,188.40 $93,537.63 $57,785.18 2026-09-01
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back - Soi : 3 9 8 — — $57,618.34 $63,380.18 $57,618.34 2026-09-01
901 MS_DRG Wound Debridements For Injuries With Mcc 28 18 — $51,373.00 $27,872.03 $94,368.00 $57,568.07 2026-09-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 18 — $51,430.00 $22,331.20 $93,089.42 $57,498.39 2026-09-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 18 — $47,906.00 $17,855.35 $86,710.57 $57,344.04 2026-09-01
1214 APR_DRG Other Respiratory & Chest Procedures - Soi : 4 9 8 — — $57,123.36 $62,835.70 $57,123.36 2026-09-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 18 — $47,636.00 $22,471.66 $86,222.93 $56,997.99 2026-09-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 18 — $47,528.00 $24,521.69 $86,025.79 $56,858.10 2026-09-01
2324 APR_DRG Gastric Fundoplication - Soi : 4 9 8 — — $56,819.15 $62,501.06 $56,819.15 2026-09-01
1673 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures - Soi : 3 9 8 — — $56,802.37 $62,482.61 $56,802.37 2026-09-01
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Syndoth Maj Resp Cond - Soi : 3 9 8 — — $56,423.39 $62,065.73 $56,423.39 2026-09-01
1663 APR_DRG Coronary Bypass Wo Ami Or Complex Pdx - Soi : 3 9 8 — — $56,308.66 $61,939.53 $56,308.66 2026-09-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy- Soi : 3 9 8 — — $56,161.73 $61,777.91 $56,161.73 2026-09-01
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx - Soi : 2 9 8 — — $56,157.86 $61,773.64 $56,157.86 2026-09-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 27 18 — $47,570.00 $38,451.50 $86,102.57 $56,106.75 2026-09-01
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly - Soi : 3 9 8 — — $55,999.30 $61,599.23 $55,999.30 2026-09-01
4401 APR_DRG Kidney Transplant - Soi : 1 9 8 — — $55,736.38 $61,310.02 $55,736.38 2026-09-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures- Soi : 4 9 8 — — $55,682.26 $61,250.49 $55,682.26 2026-09-01
791 MS_DRG Prematurity With Major Problems 28 18 — $49,795.00 $3,884.88 $90,130.33 $55,605.03 2026-09-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 18 — $48,937.00 $20,894.81 $88,576.08 $55,570.84 2026-09-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 18 — $46,402.00 $23,620.28 $95,191.50 $55,412.06 2026-09-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock - Soi : 4 9 8 — — $55,347.11 $60,881.82 $55,347.11 2026-09-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 18 — $45,746.00 $37,002.80 $181,292.00 $55,342.42 2026-09-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement- Soi : 4 9 8 — — $55,193.69 $60,713.06 $55,193.69 2026-09-01
1621 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx - Soi : 1 9 8 — — $55,157.61 $60,673.37 $55,157.61 2026-09-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 18 — $45,987.00 $22,941.09 $87,536.00 $54,878.99 2026-09-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures - Soi : 4 9 8 — — $54,834.02 $60,317.42 $54,834.02 2026-09-01
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenitalperinatal Infection - Soi : 3 9 8 — — $54,559.47 $60,015.41 $54,559.47 2026-09-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 18 — $48,109.00 $24,466.76 $87,077.87 $54,504.93 2026-09-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 27 18 — $46,214.00 $33,881.50 $83,647.74 $54,389.39 2026-09-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders - Soi : 4 9 8 — — $54,251.37 $59,676.51 $54,251.37 2026-09-01
904 MS_DRG Skin Grafts For Injuries With Ccmcc 28 18 — $45,371.00 $20,138.22 $88,778.80 $54,088.24 2026-09-01
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures - Soi : 4 9 8 — — $54,051.59 $59,456.75 $54,051.59 2026-09-01
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure - Soi : 4 9 8 — — $53,974.29 $59,371.72 $53,974.29 2026-09-01
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig - Soi : 4 9 8 — — $53,949.76 $59,344.74 $53,949.76 2026-09-01
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs - Soi : 4 9 8 — — $53,801.50 $59,181.65 $53,801.50 2026-09-01
1824 APR_DRG Other Peripheral Vascular And Related Procedures- Soi : 4 9 8 — — $53,572.12 $58,929.33 $53,572.12 2026-09-01
1754 APR_DRG Percutaneous Coronary Intervention Wo Ami - Soi : 4 9 8 — — $53,350.35 $58,685.38 $53,350.35 2026-09-01
1632 APR_DRG Cardiac Valve Procedures Wo Ami Or Complex Pdx - Soi : 2 9 8 — — $53,349.08 $58,683.99 $53,349.08 2026-09-01
51 APR_DRG Tracheostomy W Mv 96+ Hours Wo Extensive Procedure - Soi : 1 9 8 — — $53,088.70 $58,397.57 $53,088.70 2026-09-01
4034 APR_DRG Procedures For Obesity - Soi : 4 9 8 — — $52,848.96 $58,133.85 $52,848.96 2026-09-01
265 MS_DRG Aicd Lead Procedures 28 18 — $44,742.00 $19,455.92 $80,983.31 $52,784.36 2026-09-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 28 18 — $44,336.00 $22,458.55 $80,248.72 $52,758.53 2026-09-01
264 APR_DRG Other Nervous System & Related Procedures - Soi : 4 9 8 — — $52,709.71 $57,980.68 $52,709.71 2026-09-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 18 — $47,276.00 $26,318.90 $85,571.35 $52,687.98 2026-09-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo)- Soi : 2 9 8 — — $52,534.38 $57,787.82 $52,534.38 2026-09-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 18 — $44,139.00 $25,260.17 $81,163.00 $52,505.24 2026-09-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $25,203.99 $79,761.00 $52,482.49 2026-09-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 18 — $44,065.00 $23,708.92 $83,417.00 $52,411.00 2026-09-01
2314 APR_DRG Major Large Bowel Procedures - Soi : 4 9 8 — — $52,399.08 $57,638.99 $52,399.08 2026-09-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 18 — $44,606.00 $36,097.80 $80,738.45 $52,354.11 2026-09-01
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure - Soi : 2 9 8 — — $52,277.87 $57,505.66 $52,277.87 2026-09-01
8633 APR_DRG Neonatal Aftercare - Soi : 3 9 8 — — $52,206.98 $57,427.68 $52,206.98 2026-09-01
332 MS_DRG Rectal Resection With Mcc 28 18 — $44,770.00 $21,213.18 $81,035.18 $52,070.40 2026-09-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma - Soi : 3 9 8 — — $52,045.89 $57,250.48 $52,045.89 2026-09-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 18 — $44,104.00 $22,330.58 $79,829.56 $51,909.23 2026-09-01
6504 APR_DRG Splenectomy - Soi : 4 9 8 — — $51,892.47 $57,081.72 $51,892.47 2026-09-01
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures - Soi : 4 9 8 — — $51,709.46 $56,880.41 $51,709.46 2026-09-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures - Soi : 4 9 8 — — $51,682.33 $56,850.57 $51,682.33 2026-09-01
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy - Soi : 4 9 8 — — $51,495.45 $56,644.99 $51,495.45 2026-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 18 — $46,112.00 $21,836.18 $88,480.00 $51,338.99 2026-09-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 18 — $46,107.00 $19,352.92 $83,454.76 $51,333.68 2026-09-01
224 APR_DRG Ventricular Shunt Procedures - Soi : 4 9 8 — — $51,131.97 $56,245.16 $51,131.97 2026-09-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 18 — $42,866.00 $19,591.38 $77,588.46 $50,870.71 2026-09-01
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours - Soi : 3 9 8 — — $50,848.40 $55,933.24 $50,848.40 2026-09-01
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back - Soi : 1 9 8 — — $50,822.61 $55,904.87 $50,822.61 2026-09-01
244 APR_DRG Open Extracranial Vascular Procedures- Soi : 4 9 8 — — $50,551.86 $55,607.05 $50,551.86 2026-09-01
3094 APR_DRG Other Significant Hip & Femur Surgery - Soi : 4 9 8 — — $50,531.28 $55,584.41 $50,531.28 2026-09-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 18 — $45,354.00 $21,165.11 $82,091.41 $50,461.35 2026-09-01
913 APR_DRG Other Major Head & Neck Procedures - Soi : 3 9 8 — — $50,368.85 $55,405.74 $50,368.85 2026-09-01
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Syndoth Maj Resp Cond - Soi : 4 9 8 — — $50,245.11 $55,269.62 $50,245.11 2026-09-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures- Soi : 2 9 8 — — $50,212.90 $55,234.19 $50,212.90 2026-09-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 18 — $42,321.00 $21,958.53 $76,710.20 $50,171.25 2026-09-01
294 APR_DRG Other Percutaneous Intracranial Procedures- Soi : 4 9 8 — — $50,169.07 $55,185.98 $50,169.07 2026-09-01
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